Extracapsular Cataract Extraction in Turkey: Cost, Procedure, and Recovery Guide

Extracapsular cataract extraction (ECCE) is a traditional yet reliable surgical technique for cataract removal.

While modern methods like phacoemulsification are more commonly used, ECCE remains an essential option for cases where advanced techniques are not suitable.

In Turkey, this procedure is performed with high precision and safety in state-of-the-art ophthalmic clinics equipped with cutting-edge technology.

Expert surgeons with extensive experience ensure optimal results, making Turkey a preferred destination for cataract surgery.

Moreover, the procedure is offered at affordable prices, making high-quality eye care accessible to international and local patients alike.

This article covers extracapsular cataract extraction (ECCE), its benefits, and why Turkey is a top destination for this procedure, offering advanced care at affordable prices.

If you're suffering from cataracts, contact International Clinics – Istanbul and book a free consultation today! Our experts will guide you to the best treatment option and provide a personalized price quote.

What is Cataract?

A cataract is the clouding of the eye’s natural lens, leading to blurred vision, sensitivity to light, and difficulty seeing clearly. It typically develops due to aging but can also result from injury, medical conditions, or genetic factors. Cataract surgery is the only effective treatment to restore vision.

The Cataract extraction procedure is a surgery aimed at removing the eye’s natural lens that has become cloudy due to cataract formation (white water) and replacing it with a clear artificial lens to restore vision.

Several types of cataract procedures are available, including the conventional extracapsular cataract extraction (ECCE), phacoemulsification, and intracapsular cataract extraction (ICCE).

Each technique varies in approach, recovery time, and suitability depending on the patient’s condition.

What is Extracapsular Cataract Extraction?

Extracapsular Cataract Extraction (ECCE) is a type of cataract surgery in which the nucleus and cortex of the natural lens (clouded due to cataracts) are removed, while preserving the posterior capsule.

The removed lens is replaced with an artificial IOL that is implanted in the remaining posterior capsule inside the eye to restore vision.

Preserving the posterior capsule during extracapsular cataract extraction (ECCE) helps support the artificial intraocular lens (IOL) that replaces the cloudy natural lens.

This provides better stability for the IOL and reduces the risk of complications, such as retinal detachment or lens displacement.

Keeping the capsule also acts as a barrier, preventing certain post-surgery issues like vitreous prolapse and helping maintain clearer vision in the long term.

Intracapsular vs extracapsular cataract extraction

In Intracapsular Cataract Extraction (ICCE), the entire lens along with its capsule is removed, requiring a larger incision than in Extracapsular Cataract Extraction (ECCE), where the capsule is preserved.

Additionally, In ICCE the IOL is placed in front of the iris (anterior chamber) instead of its natural position.

In contrast, in ECCE, the IOL is implanted inside the capsular bag, providing better stability, and a smaller incision is required.

Nowadays, ICCE is rarely performed due to its higher risk of complications, while ECCE is still used when phacoemulsification is not an option.

Extracapsular cataract extraction vs phacoemulsification

Phacoemulsification is a modern cataract surgery technique that uses ultrasound waves to break the cloudy lens into small fragments before removing it through a very small incision. This minimally invasive approach allows for faster healing and quicker visual recovery.

In contrast, Extracapsular Cataract Extraction (ECCE) removes the entire lens in one piece through a larger incision, without breaking it inside the eye. Like phacoemulsification, an artificial intraocular lens (IOL) is implanted in the remaining lens capsule to restore vision.

Who Are Candidates For ECCE?

ECCE is preferred over other cataract surgeries for patients with:

1. Advanced and hard cataracts where the lens is too dense to be effectively broken down by phacoemulsification.

2. Budget constraints, as ECCE is a more cost-effective alternative to phacoemulsification.

3. Weak corneas, as some patients m2ay tolerate ECCE better than phaco due to reduced corneal stress.

4. Contraindications or inefficacy of phaco, such as in cases of small pupils or corneal opacity, where phacoemulsification may not be feasible.

Why Choose Turkey For Extracapsular Cataract Extraction?

1. Turkey is a leading destination for advanced eye surgeries That is because it has well-equipped eye centers and highly skilled ophthalmologists performing various procedures, including laser vision correction (LASIK, PRK, Femto LASIK, ReLEx SMILE), glaucoma treatments, and cataract surgeries.

2. Expert Ophthalmologists in Turkey: Turkish surgeons are internationally trained and experienced in performing ECCE with intraocular lens implantation.

3. Accredited Clinics in Turkey: Many hospitals adhere to global medical standards, with accreditations from organizations like JCI (Joint Commission International). However, quality may vary by clinic.

4. Advanced Technology in Turkey: Turkey's ophthalmology centers are well-equipped, but ECCE remains a conventional procedure, primarily used when phacoemulsification is not feasible. Cutting-edge techniques apply more to phaco and laser-assisted surgeries.
5. Affordable Pricing: Turkey offers significantly lower costs for cataract surgeries, including ECCE with IOL implantation, compared to Western countries.
6. Comprehensive Packages in Turkey : Many clinics provide all-inclusive medical tourism packages, covering ECCE, IOL implantation, accommodation, transportation, and aftercare, ensuring a hassle-free experience for international patients.

With a blend of affordability, quality care, and experienced specialists, Turkey continues to attract patients seeking effective and budget-friendly cataract treatments.

How Much Does ECCE Cost?

The cost of Extracapsular Cataract Extraction (ECCE) varies depending on several factors, including the country, clinic reputation, surgical techniques, available services, the surgeon’s expertise, and the type of intraocular lens (IOL) used.

Typically, standard monofocal IOLs, which provide clear vision at one distance, are included in the base price. However, premium lenses, such as toric IOLs (for astigmatism) or multifocal IOLs (for both near and far vision), come at an additional cost due to their advanced technology and improved visual outcomes.

On average, ECCE costs between $1,000 and $4,000 per eye, depending on the region. In Turkey, ECCE is available at more affordable rates, typically ranging from $800 to $2,000 per eye, while maintaining high medical standards. This makes Turkey a cost-effective destination for patients seeking quality cataract surgery at competitive prices.

Extracapsular Cataract Extraction Procedure Steps

The ECCE procedure works by making a larger incision, removing the lens nucleus and cortex, implanting an IOL, and closing the incision with sutures.

Before the ECCE procedure:

Your surgeon will provide you with detailed pre-surgery instructions, including any restrictions on eating, drinking, or medications.

ECCE is typically performed under local anesthesia, administered as eye drops. You will be awake during the procedure but will not feel any pain.

However, in rare cases, general anesthesia may be used, especially for patients who cannot remain still during surgery.

After numbing your eye, your eyelid will be stabilized using a medical eyelid speculum to prevent eye blinking during the procedure.

The surgeon will then clean your eye with a disinfectant, preparing it for the procedure.

This preparation usually takes around 10 to 15 minutes.

During the procedure:

A large incision is made in the sclera, the white part of the eye, to access the cloudy lens.

The natural lens is then removed—first, the hard central part (nucleus) is carefully extracted in one piece.

The remaining soft lens material (cortex) is then cleared from the capsular bag using irrigation and aspiration (suction).

Next, a new artificial intraocular lens (IOL) is inserted into the remaining posterior capsule to restore vision.

Finally, the incision is closed with sutures to ensure proper healing.

This procedure typically takes around 15 to 30 minutes, depending on the case.

After the procedure:

Once the surgery is complete, the surgeon will close the incision with a protective shield over the eye.

You will be monitored for a short period before being discharged with post-operative instructions.

Your eye may feel slightly irritated or sensitive to light, which is normal after the procedure. Medications, such as antibiotic and anti-inflammatory eye drops, will be prescribed to support healing and reduce the risk of infection.

Related health topics:

Retinal detachment is a serious condition that can lead to permanent vision loss. However, early intervention with retinal laser therapy or vitrectomy can help preserve vision and prevent further damage.

Extracapsular Cataract Extraction Recovery

Most people recover from extracapsular cataract surgery within a few weeks.

You may experience some discomfort and blurred vision for a few days after surgery. However, your vision should improve steadily over time.

The overall healing and vision stabilization usually take around 1 to 2 months

What do patients expect during the recovery period after ECCE?

Side effects after ECCE

In the first few days, most patients suffer from temporary side effects including:

1. Mild pain and discomfort can be controlled by using oral analgesics prescribed by the surgeon.
2. Blurred vision is common during the recovery period as your eye adjusts to the new IOL. It is essential to rest, avoid direct light, and limit screen time until full recovery to minimize this effect.
3. Dry eye or a gritty sensation, which can be relieved by using lubricating eye drops. Several types of artificial tears are safe to be applied multiple times a day as needed.
4. Light sensitivity can last several months. Wearing sunglasses can help relieve this side effect.

5. Redness and swelling typically subside within a few days with prescribed anti-inflammatory drops.
6. Mild itching or foreign body sensation: Avoid rubbing the eye to prevent complications. You can apply lubricating eye drops to calm the itchy feeling.

Patients guide after ECCE

To ensure proper healing, achieve the best results, and prevent complications, here are 10 important tips you should follow:

1. Use eye drops as prescribed and follow all post-operative care instructions.

2. Wear sunglasses outdoors to protect against light sensitivity.

3. Avoid heavy lifting, and bending over, and stay away from strenuous activities or contact sports for at least a month to prevent eye injury.

4. Keep water, soap, and shampoo out of your eye while bathing. Avoid splashing water directly on your face.

5. Do not swim or use hot tubs for at least four weeks to prevent infections.

6. Stay away from steam, heat, and dusty environments to avoid irritation.

7. Sleep with your head elevated using an extra pillow, especially in the first few days, to reduce swelling.

8. Avoid driving until your doctor confirms your vision has improved enough.

9. Do not press or rub your eye, even if you experience mild itching or discomfort.

10. Refrain from using eye makeup for at least two weeks to minimize the risk of infection.

Extracapsular Cataract Extraction Complications

Severe inflammation, although mild inflammation is normal, excessive inflammation requires medical intervention.

Severe infection (endophthalmitis) requires medical treatment; otherwise, serious complications may occur.

Retinal detachment rarely occurs; however, it is a serious complication that may cause sudden vision loss.

Cystoid macular edema (CME), leading to swelling in the retina.

Dislocated intraocular lens (IOL), in rare cases, the implanted lens may become dislocated; this requires surgical correction.

Extracapsular Cataract Extraction Results And Success Rate

Extracapsular Cataract Extraction (ECCE) is a highly successful procedure with a success rate of over 95% in restoring vision.

Most patients experience significant improvement in clarity and visual function within a few weeks after surgery.

FAQs

What are the three types of cataract surgery?
The three main types of cataract surgery are phacoemulsification (phaco), extracapsular cataract extraction (ECCE), and intracapsular cataract extraction (ICCE). Phaco is the most advanced and commonly used method due to its small incision and quick recovery.

What is extracapsular surgery?
Extracapsular cataract extraction (ECCE) is a cataract surgery where the eye's natural lens is removed while keeping the lens capsule intact, allowing for intraocular lens (IOL) implantation. It is used for dense cataracts when phacoemulsification is not feasible.

What is the difference between ECCE and ICCE cataracts?
In ECCE, the lens is removed while the capsule remains to support an intraocular lens. In ICCE (Intracapsular Cataract Extraction), both the lens and its capsule are removed, which increases the risk of complications and is rarely used today.

What is extra-capsular extraction?
Extra-capsular extraction refers to extracapsular cataract extraction (ECCE), a surgical technique where the eye's lens is removed but the capsule is left in place to hold the artificial intraocular lens (IOL).

How much does cataract surgery cost in Turkey?
Cataract surgery in Turkey costs between $800 and $2,500 per eye, depending on the clinic, surgeon experience, and type of lens used. This is significantly lower than in Western countries.

Is Turkey a good place for eye surgery?
Yes, Turkey is a top destination for eye surgery due to its highly skilled ophthalmologists, advanced technology, internationally accredited hospitals, and affordable prices.

Which country is best for cataract surgery?
Countries like the USA, Germany, Turkey, India, and Thailand are among the best for cataract surgery. They offer advanced technology and skilled surgeons. Turkey stands out for its affordability and high-quality care.

What is the difference between ECCE and MSICS?
ECCE (Extracapsular Cataract Extraction) requires a large incision to remove the cataract. At the same time, MSICS (Manual Small Incision Cataract Surgery) is a modified ECCE technique that uses a smaller, self-sealing incision, leading to faster recovery and fewer complications.