Understanding Cataracts and the Need for Surgery

Cataracts occur when the lens in the eye becomes cloudy, leading to blurry vision, difficulty seeing at night, and increased sensitivity to glare. In Singapore, a significant portion of the population is affected. Around 80% of those aged 60 and 95% of those aged 70 experience cataracts, according to the Ministry of Health Singapore. When cataracts start to severely hamper daily activities such as reading, driving, or recognizing faces, surgery becomes a viable option.

Factors Influencing the Cost of Cataract Surgery

Type of Surgery

1. Phacoemulsification (Phaco): This is one of the most common cataract surgery procedures. It involves using ultrasonic vibrations to break up the cloudy lens into tiny pieces, which are then suctioned out. The average cost of the cataract surgery procedure alone (without the cost of the lens implant) using phaco is approximately S$3000 - 5000. Many insurance plans in Singapore cover this method, making it a cost - effective option for many.
2. Femtosecond - Laser Assisted Cataract Surgery: This more advanced technique uses a laser to make precise incisions and break up the lens. The laser is guided by a camera and ultrasound imaging, which maps the eye's surface and gathers lens data. Due to the use of the laser machine, this procedure is generally more expensive. However, it doesn't necessarily result in a better surgical outcome compared to phacoemulsification under the right hands.

Type of Intraocular Lens (IOL) Implant

1. Mono - focal IOLs: These are the most basic and affordable type of intraocular lenses, with a cost ranging from around S$600. They are designed to focus vision at one distance, typically either near or far. While they are budget - friendly, they may require patients to still use glasses for activities that require different focal lengths.
2. Toric IOLs: For patients with astigmatism, toric IOLs are a better option. They can correct both cataract - related vision problems and astigmatism. The cost of toric IOLs is higher, usually in the range of S$1500 - 3000, depending on the brand and specific features.
3. Multifocal IOLs: These lenses are designed to provide clear vision at multiple distances - near, intermediate, and far. They offer the convenience of reduced dependence on glasses. Multifocal IOLs are among the more expensive options, with costs starting from around S2500andgoinguptoS

3500 or more, depending on the complexity and brand.

Hospital Type - Public or Private

1. Public Hospitals: Singapore's public hospitals offer cataract surgery at subsidized rates. Government subsidies such as the Community Health Assist Scheme (CHAS) and the Pioneer Generation Package can significantly reduce the cost. For eligible patients, the out - of - pocket cost can be as low as S$1500 per eye. However, patients under these subsidies may not be able to choose their cataract surgeon nor the type of intraocular lens.
2. Private Hospitals: Private hospitals generally offer more personalized services, including the option to choose your surgeon. The cost in private hospitals can vary widely. A non - subsidized (private) patient at a public hospital may end up paying as much or more than a patient in a private hospital, especially if they choose a particular surgeon, femtosecond - laser assisted cataract surgery, and a premium intraocular lens.

Surgeon's Experience and Expertise

Skilled cataract surgeons with extensive experience may charge more for their services. Their expertise often results in higher success rates and shorter recovery periods. While the cost may be steeper, many patients are willing to pay the premium for the peace of mind that comes with having a highly experienced surgeon perform the delicate eye surgery.

Insurance Coverage

1. MediSave: All Singaporean or permanent resident patients (at public or private hospitals) are eligible to claim up to S$2450 from their MediSave for cataract surgery.
2. MediShield Life and Personal Insurance: If you have MediShield Life and/or personal insurance coverage, you may be able to claim the full cost of the surgery and lens implant. The clinic or hospital may be able to facilitate this claim for you by doing direct electronic filing. This can potentially bring the out - of - pocket cost to zero.

Overall Cost Estimates

Taking all these factors into account, the overall cost of cataract surgery in Singapore in 2025 can range from as low as S1500pereyeforasubsidizedpatientinapublichospitalhavingabasicphacoemulsificationsurgerywithamono−focalIOL,toashighasS

8000 or more per eye for a patient in a private hospital opting for a femtosecond - laser assisted surgery with a premium multifocal IOL.

In conclusion, when considering cataract surgery for seniors in Singapore in 2025, it's important to weigh all the factors - from the type of surgery and lens implant to insurance coverage and hospital choice. By doing so, families can make an informed decision that not only restores their loved one's vision but also fits within their budget