Mr. Desai offers advanced lens replacement surgery for patients over 45 who wish to have spectacle freedom/reduce or eliminate dependence on glasses. After 40, the eye’s natural lens loses flexibility (presbyopia), leading to reliance on stronger prescriptions and, eventually, cataracts. This procedure replaces the natural lens with premium intraocular lenses (IOLs), restoring functionality that would otherwise be impossible and reducing dependence on glasses for everyday life.
These advanced lenses not only correct age-related changes like presbyopia but can also address other refractive errors such as myopia (short-sightedness), hyperopia (long-sightedness), and astigmatism. By tailoring the lens selection to each patient’s visual needs and lifestyle, Mr. Desai ensures optimal clarity for both near and distance vision. The procedure is quick, safe, and typically performed under local anaesthesia, allowing patients to resume normal activities within a few days—with improved vision and minimal downtime.
Refractive lens exchange (RLE) or Natural lens replacement (NLR) or clear lens extraction is essentially the same operation as Cataract surgery.
Cataract surgery is a quick, virtually painless procedure usually performed under local anaesthesia. Using a technique called phacoemulsification, the cloudy lens is removed through tiny incisions (normally about 2.2mm).
From a surgical perspective, the operation is exactly the same as a cataract operation, as both involve replacing the eye’s natural lens with an intraocular lens (IOL). The difference is that cataract surgery treats cloudy vision caused by cataracts, while lens replacement is primarily aimed at reducing dependence on glasses or contact lenses.
Cataract surgery is a quick, virtually painless procedure usually performed under local anaesthesia. Using a technique called phacoemulsification, the cloudy lens is removed through tiny incisions (normally about 2.2mm).
Surgically, lens replacement is the same as cataract surgery—both replace the eye’s lens with an intraocular lens (IOL). The difference is cataract surgery treats cloudy vision, while lens replacement reduces on glasses or contacts.
Lenses provide a very sharp image and are extremely good and perhaps optically superior to your own natural lens. They are fixed at one focal point. This means that additional correction is required in the form of spectacles for near and intermediate distance for the majority of patients. For Privately funded patients,if finances are not a factor, Mr Desai would urge for use of enhanced monofocal lenses in preference to monofocal lens as the benefits of near/intermediate vision are superior compared to monofocal lenses and there is very little additional risk with enhanced monofocal lenses.
Theoretically they are monofocal IOLs but are designed to give intermediate vision in addition to distance vision. We rely on the eyes working as a pair and quite often one of the eyes is made slightly short-sighted so that the maximum range that can be tolerated is achieved. Quite often people do get very good near vision even though they are not designed for this. If there are any concerns with ocular health, enhanced monofocals would be far safer to use than multifocal IOL. About 60% get reliable intermediate vision in addition to distance vision and about 37% even get good near vision with these lenses.
Where the IOL in one eye is made to focus at near object and the other eye for distance objects. This means that the 2 eyes are asymmetric, with one eye focusing for distance and the other eye focusing for near. As the processing of the vision is done by the brain, it relies on the brain to take the sharp image and make it out as if it is coming out of both eyes (by suppressing the other eye).
There is a limit to how much the brain can cope with the imbalance, and this varies in different people. This is particularly suited for people who have other eye diseases or conditions where multifocal IOLs are contraindicated or if they do not want the disadvantages posed by Multifocal IOLs. This is a good compromise for people who don’t want multifocal IOLs and particularly for those who are worried about glare and haloes. Obviously, they are not as reliable as the Multifocal IOls. There is also a potential disadvantage of not getting binocular vision and depth perception can be altered.
If you require the range of vision, for distance, intermediate and near, the multifocals are perhaps the most reliable way of providing this range. Currently there are approximately 100 different designs and shapes of Multifocal IOLs and there is no consistency even in medical literature on how they are named.
These are variously described as bifocal, higher add IOL, trifocal IOL, extended depth of focus IOL (EDOF) etc. with each manufacturer claims their lenses are the best in the world.
Lenses provide a very sharp image and are extremely good and perhaps optically superior to your own natural lens. They are fixed at one focal point. This means that additional correction is required in the form of spectacles for near and intermediate distance for the majority of patients. For Privately funded patients,if finances are not a factor, Mr Desai would urge for use of enhanced monofocal lenses in preference to monofocal lens as the benefits of near/intermediate vision are superior compared to monofocal lenses and there is very little additional risk with enhanced monofocal lenses.
Lenses provide a very sharp image and are extremely good and perhaps optically superior to your own natural lens. They are fixed at one focal point. This means that additional correction is required in the form of spectacles for near and intermediate distance for the majority of patients. For Privately funded patients,if finances are not a factor, Mr Desai would urge for use of enhanced monofocal lenses in preference to monofocal lens as the benefits of near/intermediate vision are superior compared to monofocal lenses and there is very little additional risk with enhanced monofocal lenses.
Teaching remains one of his greatest passions: he has trained more than 85 junior doctors in cataract surgery, many of whom fondly regard him as “the best teacher ever.”
As a gesture of professional courtesy, Mr. Desai waives all surgical fees for doctors and optometrists (consultation fees still apply to cover administration and indemnity). He also offers reduced or waived fees for patients in genuine financial hardship, ensuring that world-class eye care remains accessible to all.
Experience
Mr. Desai is a highly experienced cataract surgeon, having performed over 35,000 eye operations throughout his career, far surpassing the UK average of just 33 cataract surgeries per surgeon per year. His skill and precision have earned him a reputation as one of the top cataract surgeons, consistently ranking among the top 10–15 cataract surgeons in the UK by surgical volume alone.
Notably, Mr. Desai has also restored vision for over 350 patients affected by lens clouding due to manufacturing defects or intolerance to multifocal IOLs. His expertise in handling complex and challenging cases has made him a trusted name in the field of ophthalmology, often sought for second opinions on intricate cases.
Mr. Desai has made significant contributions to the field of ophthalmology through his work in various renowned publications. His books are essential reading for ophthalmologists and junior doctors alike:
Dr. Desai is recognized and respected within the global ophthalmic community, holding several prestigious memberships and qualifications:
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World-class cataract and lens replacement surgery with premium lens implants—delivered at prices designed to be affordable for all.
Cutting-edge lens implants that offer significantly better functionality and results that defy the ageing body, ensuring you receive the best possible care.
World-class cataract and lens replacement surgery with premium lens implants—delivered at prices designed to be affordable for all.
Cutting-edge lens implants that offer significantly better functionality and results that defy the ageing body, ensuring you receive the best possible care.
World-class cataract and lens replacement surgery with premium lens implants—delivered at prices designed to be affordable for all.
Cutting-edge lens implants that offer significantly better functionality and results that defy the ageing body, ensuring you receive the best possible care.
World-class cataract and lens replacement surgery with premium lens implants—delivered at prices designed to be affordable for all.
Cutting-edge lens implants that offer significantly better functionality and results that defy the ageing body, ensuring you receive the best possible care.
Passionate about training the next generation, he has trained and mentored over 85 trainees. Few consultants in the UK match his depth of experience and surgical volume.
It's all about the humans behind a brand and those experiencing it, br we're right there. In the middle performance quick.