Phaco Vs Femto Cataract Surgery
Explore the differences between Phacoemulsification (Phaco) and Femtosecond Laser-Assisted Cataract Surgery (Femto/FLACS). Learn about their techniques, precision, recovery, and cost to decide which is right for you.
Written by Dr.Sonia Bhatt
Last updated on 16th Jul, 2025
Introduction
If you or a loved one has been diagnosed with cataracts, you may be wondering about the best treatment options. Cataract surgery is a common and highly effective procedure, but there are different techniques available—Phacoemulsification (Phaco) and Femtosecond Laser-Assisted Cataract Surgery (Femto). Both are safe and successful, but understanding the differences can help you make an informed decision.
In this article, we’ll break down the key aspects of both procedures, their benefits, and what to expect, so you can feel confident about your choice.
What Is Cataract Surgery?
Cataracts occur when the natural lens of the eye becomes cloudy, leading to blurry vision, difficulty seeing at night, and faded colors. Surgery is the only effective treatment, where the cloudy lens is removed and replaced with an artificial intraocular lens (IOL).
There are two main types of cataract surgery:
1. Phacoemulsification (Phaco) – The traditional method using ultrasound energy.
2. Femtosecond LaserAssisted Cataract Surgery (Femto) – A newer, bladeless approach using laser technology.
Let’s explore both in detail.
Phacoemulsification (Phaco) Cataract Surgery
How It Works:
A small incision (2-3 mm) is made in the cornea.
A tiny probe emits ultrasound waves to break the cataract into small pieces.
The fragments are suctioned out, and an artificial lens is implanted.
Benefits of Phaco Surgery:
Proven and Reliable – Used for decades with excellent results.
Faster Recovery – Most patients see improvement within a day.
Minimally Invasive – Small incision means less discomfort.
Cost-Effective – More affordable than Femto.
Who Is It Best For?
Patients with mild to moderate cataracts.
Those looking for a costeffective, timetested option.
Consult Top Specialists for Personalised Tips
Femto-second Laser-Assisted (Femto) Cataract Surgery
How It Works:
A computerguided laser creates precise incisions in the cornea.
The laser softens and breaks the cataract before removal.
The surgeon then inserts the artificial lens.
Benefits of Femto Surgery:
Higher Precision – Laser ensures more accurate incisions.
Reduced Energy Use – Less stress on the eye compared to ultrasound.
Customizable – Ideal for complex cases (e.g., dense cataracts, astigmatism correction).
Potentially Faster Healing – Some studies suggest quicker recovery.
Who Is It Best For?
Patients with dense or complicated cataracts.
Those seeking advanced technology for better precision.
Individuals who want astigmatism correction during surgery.
Key Differences Between Phaco and Femto
Key differences between phaco and femto are:
| Feature | Phaco | Femto |
|-----------|-----------|-----------|
| Technology | Ultrasound energy | Laser assisted |
| Incision | Manual | Laserguided |
| Precision | Good | Excellent |
| Recovery Time | 1-2 days | 1-2 days (may be slightly faster) |
| Cost | More affordable | More expensive |
| Best For | Standard cataracts | Complex cases, astigmatism correction |
Which One Should You Choose?
Both procedures are safe and effective, but the best choice depends on:
Your Cataract Type – Femto may be better for dense cataracts.
Budget – Phaco is more cost-effective.
Additional Eye Conditions – Femto can correct astigmatism.
Surgeon’s Recommendation – Your doctor can guide you based on your eye health.
If you’re unsure, consult an ophthalmologist who can assess your condition and suggest the best option.
Recovery and Aftercare Tips
No matter which surgery you choose, follow these tips for a smooth recovery:
Use Prescribed Eye Drops – Prevents infection and inflammation.
Avoid Rubbing Your Eyes – Let them heal naturally.
Wear Sunglasses – Protects against bright light and dust.
Skip Strenuous Activities – Avoid heavy lifting for a few weeks.
Attend Follow Up Visits – Ensures proper healing.
Most patients experience clearer vision within 24-48 hours, with full recovery in a few weeks.
When to See a Doctor?
If you notice:
Increased pain or redness
Sudden vision loss
Flashes of light or floaters
Contact your eye specialist immediately.
Final Thoughts
Both Phaco and Femto cataract surgeries are excellent options with high success rates. While Phaco is a trusted, cost-effective choice, Femto offers advanced precision for complex cases. The best way to decide? Consult an expert. At Apollo 24|7, you can book an appointment with top ophthalmologists who can guide you through the process.
Consult Top Eye Surgeon
Consult Top Specialists for Personalised Tips
Dr. Smriti Nagpal
Ophthalmologist
13 Years • MBBS , MS (Ophthalmology)
New Delhi
Sunshine mediclinic, New Delhi
Dr. Rajeev Gupta
Ophthalmologist
24 Years • MBBS, MS (Ophthalmology)
Ghaziabad
Om Eye & Gynae Centre, Ghaziabad
Dr. Vyankatesh Pharande
Ophthalmologist
25 Years • MBBS, MS (Ophthalmology )
Pune
PHARANDE EYE HOSPITAL & PHACO CENTER, Pune
Dr. Dipak Soni
Ophthalmologist
22 Years • MBBS,DO
Vadodara
Shiv Shakti Eye Clinic Phaco Centre, Vadodara
Dr. Sumit Rastogi
Ophthalmologist
21 Years • MBBS,MS Opthamology
Kolkata
Trinity Clinic, Kolkata
Consult Top Eye Surgeon
Dr. Smriti Nagpal
Ophthalmologist
13 Years • MBBS , MS (Ophthalmology)
New Delhi
Sunshine mediclinic, New Delhi
Dr. Rajeev Gupta
Ophthalmologist
24 Years • MBBS, MS (Ophthalmology)
Ghaziabad
Om Eye & Gynae Centre, Ghaziabad
Dr. Vyankatesh Pharande
Ophthalmologist
25 Years • MBBS, MS (Ophthalmology )
Pune
PHARANDE EYE HOSPITAL & PHACO CENTER, Pune
Dr. Dipak Soni
Ophthalmologist
22 Years • MBBS,DO
Vadodara
Shiv Shakti Eye Clinic Phaco Centre, Vadodara
Dr. Sumit Rastogi
Ophthalmologist
21 Years • MBBS,MS Opthamology
Kolkata
Trinity Clinic, Kolkata
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