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What’s bothering you?We’ll show who treats it and what it costs.All services
11 doctors. Choose yoursAll doctors
Mon–Sat 9:00–19:00 · 12 Orynbor St

70,000+ operations at the clinic · Astana

Leading centre for cataract surgery in Astana

Operated on by eye microsurgeons — lens included, home the same day

How do you want to see after surgery? Choose — the lens turns and you’ll see your price.

from 350,000 ₸ per eye · AcrySof SA with Zhanysbayev, lens included

First step — diagnostics with lens calculation: 40,000 ₸ per visit

monofocal lensAcrySof SAfrom 350,000 ₸ per eye, surgery with the lens

5.0 on Yandex Maps · 176 ratings
70,560+ eye and eyelid surgeries since 2017
3 surgeons operate on cataracts, each with their own price list
0 ₸ laser for secondary cataract in the first 3 months after surgery with us

Cataract surgery in brief

Cataract surgery at RB CLINIC (Astana, 12 Orynbor St.) costs from 350,000 ₸ per eye, lens included. Three surgeons operate: Rishat Bigeldiyev, Yerzhan Galiev and Almat Zhanysbaev. You go home the same day. Six months of follow-up after surgery are included in the price. Pre-operative diagnostics with lens calculation cost 40,000 ₸ per visit.

See for yourself

How an eye with cataract sees — and how it sees with a new lens

Cataract doesn’t hurt — it hides the world behind cloudy glass. Drag the slider: on the left is our façade as an eye with a clouded lens sees it, on the right — after replacement. Tap the signs below: if you recognise yourself, it’s time for diagnostics.

RB CLINIC façade in Astana, 12 Orynbor St: the sign and the glass frontage with cataract with a monofocal lens: distance
Sound familiar?

The picture shows the principle, not your result: that depends on your eye, and the surgeon will tell you exactly at diagnostics. Another common sign — you have to change glasses more and more often, and they don’t help any more.

This page or the next one?

This page is for you

Your doctor said: cataract

Or you recognised yourself in the signs above: haze, halos, dull colours. This page covers cataract surgery in full: the surgeons, how the day goes, and the price with the lens — from 350,000 ₸ per eye.

Cataract surgery price
This page is for you

Your vision is worse and you don’t know why

Start with diagnostics: the surgeon will examine the eye and tell you plainly whether it is cataract and whether it’s time for surgery. 40,000 ₸ per visit, lens calculation included.

Book diagnostics
Another page

No cataract, but after 45 you’re tired of reading glasses

A clear lens can also be replaced with an implant that brings back near vision. It’s a different goal with a different choice of lens, so it has its own page.

Lens replacement after 45 to get rid of glasses
Another page

You’re under 45 and tired of glasses or contacts

Most likely the lens doesn’t need to be touched: laser will correct your vision in a single visit.

Laser vision correction

Don’t ask us — ask those who’ve already had surgery

Story1:10

“Men Koremin”: Dr. Bigeldiyev spotted a security guard’s cataract in passing. Now he reads again

Cataract · Dr. Bigeldiyev

@dr.bigeldiyev
Story0:41

His children brought their father in for cataract surgery. He still has the patch on, and the family is already saying thank you

Cataract

@dr.bigeldiyev
Story0:24

“Now I see really clearly, really great, bright”

Lens replacement · Dr. Galiyev · had a very high minus

@dr.bigeldiyev
Story0:40

Could barely see before surgery. Cataract surgery with Dr. Galiyev — a moving review in Kazakh

Cataract · Dr. Galiyev · in Kazakh

@dr.bigeldiyev
Story1:05

“My eyes truly opened”

Eyelids and lens replacement · Dr. Nasipov and Dr. Galiyev

@dr.bigeldiyev
Story

A patient’s review after lens replacement with Dr. Galiyev

Lens replacement · Dr. Galiyev

@dr_galiyev
Story1:00

Both lenses replaced with multifocal ones — no glasses now. A patient of Dr. Galiyev

Lens replacement · Dr. Galiyev · both eyes

@dr_galiyev
Story0:46

After cataract surgery with Dr. Galiyev — a review in Kazakh

Cataract · Dr. Galiyev · in Kazakh

@rbclinic.kz
Story0:42

She had a complicated cataract. The patient tells how she can see again

Cataract

@rbclinic.kz
Story0:57

“I thought vision could only be fixed with glasses”

Lens replacement · aged 80

@dr.bigeldiyev
All cataract and lens replacement stories
5.0 on Yandex Maps176 ratings · 79 reviewsRead what patients write — not on our site, but on the map

Every working day

These people can already see

The photo is taken in the lobby as the group heads home. The patch — on the eye operated on today: by evening it will see better than yesterday, and tomorrow the patch comes off. That morning these same people were just as nervous as you are now.

In the lobby, today

Drag the strip or tap a photo

A patient’s thoughts: four years of doubt — and one decision

  1. Doubts

    “I came here with a complicated cataract. I’d put it off for a year, two, three, four.”

  2. Decision

    “Two places told me after the check-up that I couldn’t put it off any longer. I chose this clinic and I’m really glad I did.”

  3. Surgery

    “The surgery itself was completely painless. I lay there listening to music. It all seemed to go by quickly.”

  4. After

    “A huge thank you to Dr. Bigeldiyev, Dr. Galiyev and all the medical staff. I saw how they prepared me for surgery personally. You give us happiness.”

Her words from the video review, verbatim · Cataract, Dr. Bigeldiyev and Dr. GaliyevWatch her story on Instagram
Story1:10

“I lay there listening to music. It all seemed to go by quickly”

Cataract · Dr. Bigeldiyev and Dr. Galiyev · complicated cataract

@dr.bigeldiyev

Patient stories: cataract and lens replacement

Result0:52

In his childhood, Galiyev was helped by a neighbour, an apashka. When she was refused instalment financing for her cataract surgery, he performed the operation himself

Cataract · Dr. Galiyev

@dr.bigeldiyev
Result0:30

For fifteen years, a grandfather couldn’t see his wife — Dr. Bigeldiyev gave him back his sight

Cataract · Dr. Bigeldiyev

@dr.bigeldiyev
Result0:52

“They told my mother to wait for the cataract to ripen” — Dr. Bigeldiyev explains why there’s no need to wait now

Laser correction · Dr. Bigeldiyev

@dr.bigeldiyev
Story0:50

A review after cataract surgery, in Kazakh

Cataract · in Kazakh

@dr.bigeldiyev
Story0:56

Eye pressure held back surgery for a long time. Dr. Galiyev did the first eye, the second is coming soon (review in Kazakh)

Cataract · Dr. Galiyev · in Kazakh

@dr.bigeldiyev
Story0:50

Came from Zhezkazgan with a cataract. Dr. Galiyev operated — “it went easily and well” (in Kazakh)

Cataract · Dr. Galiyev · Zhezkazgan

@dr.bigeldiyev
Story1:09

She dreamed of seeing clearly — Dr. Galiyev replaced the lenses in both eyes at once (review in Kazakh)

Lens replacement · Dr. Galiyev · in Kazakh

@dr.bigeldiyev
Story0:15

“This morning I was in glasses, today I’m already without them”

Lens replacement · both eyes

@dr.bigeldiyev
All cataract and lens replacement stories

Cataract reviews

What people write after lens replacement

5.0176 ratings on Yandex Maps

People left these reviews themselves, on Yandex Maps — there we can’t remove or edit a single word. We quote them in full, as written: first about cataract, then about the clinic in general.

Markhaba Omarova★★★★★12 March 2024

A very good clinic. I
had a cataract and had the surgery there. I liked the humane attitude to every patient. May the clinic prosper.

Serikbay Bisikenov★★★★★24 March 2024

We had my wife operated on. Now she sees better than ever in her life. I recommend it.
They replaced her lenses with imported ones. I can’t send a photo of her eyes, I just admire them myself.

Murat Buldekbayev★★★★★6 December 2021

This is one of the best clinics in Kazakhstan’s capital. They give many people back their sight and their looks. Of course it isn’t free, but what wouldn’t you do for yourself. The staff here are good. Attentive doctors and modern equipment. Most importantly, they explain everything very well, which matters for older patients.

Larisa★★★★★14 January 2023

Only positive impressions! Very attentive and competent specialists. I’ve already had two surgeries and I’m still being followed up. I don’t regret my choice of clinic and surgeon!

Roza Baglanova★★★★★10 March 2026

RB Clinic is an ultra-modern medical centre. I especially want to mention the girls at reception, who gave me all the information I needed; the doctors are competent and the eye surgeons highly professional.

Olga potapova★★★★★28 June 2026

Very polite, they greet you and see you off with a smile. And very competent staff. I recommend it. Very well equipped, the latest devices. I had my examination done quickly and thoroughly.

Aidyn Smanov★★★★★4 June 2026

A great team 🥰 A thousand thanks to Dr. Galiyev 🌺

Swipe sideways

Cataracts most often affect our parents

A blogger with over 2 million followers trusted us with his mum

Medet Zhanatuly, who has over 2M followers, brought his mum to us. He gave her an iPhone, saw that her eyesight was failing her — and gave her the second gift at RB CLINIC.

Medet gave his mum an iPhone and saw that her eyesight was failing her. He gave the second gift at RB CLINIC

@lifeofmedet · over 2M followers

Medet Zhanatuly, Instagram profile photo lifeofmedet Medet Zhanatuly

over 2M followers on Instagram

A well-known Kazakhstani blogger

Open Instagram

How to give your parents the gift of sight

  1. Book them an eye examMessage us on WhatsApp — we’ll find a day that suits mum or dad.
  2. The surgeon will tell you what will helpThe surgeon examines the eye and tells you straight: it’s time to operate, or it can wait.
  3. Surgery and follow-up check-upsIf surgery is needed, we’ll perform it and invite them back for follow-up check-ups.

Dr. Bigeldiyev’s team

Cataract surgery: choose your surgeon

Three surgeons operate on cataracts, and one of them is the clinic’s founder, Rishat Bigeldiyev, with 35,000+ operations behind him. The other surgeons work under his leadership; each holds the “Altyn Dariger” medal and has their own price list. Tap “Choose” and the price of your lens appears next to the surgeon’s photo.

Prices by the faces are for a monofocal lens, as selected on the first screen. You can change the type there or in the “Price” section.

Clinic founderBigeldiyev Rishat Kalilullaevich, founder of RB CLINIC, ophthalmic surgeon

Bigeldiyev Rishat Kalilullaevich

Ophthalmic surgeon, founder of RB CLINIC

Cataract, premium lenses and complex eyes: his price list includes scleral lens fixation and iris repair. Alcon awarded him a first-user certificate for the AcrySof IQ Vivity lens.

operating since 2009

Zeiss Lucia with this surgeon — from 650,000 ₸ per eye

The team handles the consultation and lens calculation; Dr. Bigeldiyev performs the surgery himself.

About Dr. Bigeldiyev
Galiyev Yerzhan Serikkanovich, ophthalmic surgeon at RB CLINIC, cataract surgeon

Galiyev Yerzhan Serikkanovich

Ophthalmic surgeon

Cataract and lens replacement. MSc in Ophthalmology from University College London (2020), Bolashak scholar. Implants any lens — from AcrySof SA to PanOptix and Vivity.

MSc, UCLPhD

AcrySof SA with this surgeon — from 400,000 ₸ per eye

About Dr. Galiyev
Zhanysbayev Almat Zhuparbayevich, ophthalmic surgeon at RB CLINIC: cataract and retinal surgery

Zhanysbayev Almat Zhuparbayevich

Head of department, eye surgeon: cataract and retina

Cataract and vitreoretinal surgery in one pair of hands: if the lens has shifted or the retina needs help, he operates himself. He offers the most affordable cataract surgery in the clinic.

cataract and vitrectomy

AcrySof SA with this surgeon — from 350,000 ₸ per eye

About Dr. Zhanysbayev

Surgeon 1 of 3 · swipe sideways

The surgeons explain it themselves

Bigeldiyev

The founder on price: cataract surgery at the clinic — from 350,000 ₸ per eye, Dr. Zhanysbayev’s price with the lens

@dr.bigeldiyev ↗
Galiyev

Who will operate on your eye: Dr. Galiyev introduces himself

@dr_galiyev ↗
Bigeldiyev

Minus 20 — and tears of joy: the lens replaced with a toric lens

@dr.bigeldiyev ↗
Bigeldiyev

While you wait in the lobby, he’s in theatre: this is Dr. Bigeldiyev’s working day

@dr.bigeldiyev ↗

Tap a video — it opens right here, with sound.

The Topcon ALADDIN with its rings: this is how the eye is measured and the lens calculated before cataract surgery An RB CLINIC surgeon at the operating microscope during cataract surgery An RB CLINIC surgeon in the operating room

Why here

The key to this surgery isn’t removing the old lens — it’s calculating the new one precisely

Topcon ALADDIN LENS CALCULATIONEvery clinic can remove a cloudy lens. The difference starts when you have to decide which lens to put in its place. ALADDIN, together with Pentacam, measures your eye, and the lens power is calculated from those numbers — by instruments, not by guesswork.
Half a dioptre means glasses PRECISIONA half-dioptre error in the calculation means glasses after a surgery you paid for precisely to get rid of them. That’s why on surgery day the surgeon double-checks the calculation before picking up an instrument.
A complex eye is no reason to say no COMPLEX EYESOver 70, high myopia, glaucoma, weak lens ligaments — the price for such an eye is set in the price list in advance, with no surprises on surgery day. And if the retina needs help, Dr. Zhanysbayev performs both the cataract and the retinal surgery himself.

Scroll: the camera moves in to the instrument

A surgeon at the microscope during cataract surgery at RB CLINIC

Half a dioptre means glassesA half-dioptre error in the calculation means glasses after a surgery done to get rid of them. On surgery day the surgeon double-checks the calculation.

An RB CLINIC surgeon looking into the camera from the operating room

A complex eye is no reason to say noOver 70, high myopia, glaucoma, weak lens ligaments: the price for such an eye is set in the price list in advance. And if the fog of secondary cataract returns months later, laser treatment in the first 3 months with us is 0 ₸.

Equipment

Several devices calculate your lens, and each one checks the others

The result of cataract surgery depends on how precisely the power of the artificial lens is calculated. This matters most for premium lenses, which can reduce your dependence on glasses. That is why we use not one device but a set, where each one checks and complements the others.

ARGOS biometer: how the eye is measured to calculate the lens before cataract surgery
ARGOS
The ALADDIN topographer measures the cornea before lens replacement
ALADDIN
Alcon VERION navigation in the operating room: it guides the lens into exactly the calculated position
VERION
Alcon Constellation surgical platform in the RB CLINIC operating room
Constellation
  1. Alcon

    ARGOS: next-generation biometry

    An optical biometer based on swept-source OCT technology. It measures eye length, corneal curvature, anterior chamber depth and lens thickness, even in dense cataracts where conventional devices fail. It also assesses the macula, which matters if you choose a premium lens. The data are processed with modern calculation formulas.

  2. Topcon and Oculus

    ALADDIN and Pentacam: double check of the cornea

    ALADDIN measures the eye and maps the cornea. Pentacam performs a 3D tomography: both corneal surfaces, corneal thickness and lens density. Comparing the two devices reveals hidden astigmatism and corneal irregularities. This is especially important after laser vision correction (SMILE, PRK, LASIK) and when keratoconus is suspected, where the standard calculation often goes wrong.

  3. Alcon

    VERION: navigation during surgery

    It transfers diagnostic data into the operating microscope. The surgeon sees a digital overlay on the eye: where to make the incisions and on which axis to place a toric lens. Less reliance on manual marking means the lens sits exactly as calculated, and with astigmatism that directly determines the quality of your vision.

  4. Alcon

    Constellation: a combined phaco and vitrectomy platform

    One system for both cataract phacoemulsification and vitreous and retinal surgery. Precise control of fluid flow and pressure inside the eye makes the operation stable and gentle. And in a complex case, for example when the vitreous is affected along with the cataract, everything is done on one platform.

What this means for you

  • A lens calculation checked by several devices
  • Precise choice of a premium lens, including a toric one
  • A safe approach to complex eyes: dense cataract, astigmatism, eyes after laser correction
  • Thanks to navigation, the lens sits exactly as calculated

The surgeon answers

Cataract on video: the surgeon answers your questions

A doctor explains0:55

A diabetes-related haemorrhage: Dr. Zhanysbayev replaced the lens and cleared the blood from the eye — he talks right after surgery

Vitreoretinal surgery · Dr. Zhanysbayev

@dr.bigeldiyev
A doctor explains0:25

Haze after lens replacement: the laser clears it in 5 minutes

Cataract · Dr. Zhukeyev

@dr.jukeev
A day in the operating room0:41

Cataract surgery: what the patient sees and hears on the table

Cataract · Dr. Bigeldiyev

@dr.bigeldiyev
A doctor explains1:29

Two surgeries elsewhere before us, the cornea swollen: Dr. Bigeldiyev explains where he starts in a complex case

Cataract · Dr. Bigeldiyev

@dr.bigeldiyev
A doctor explains1:16

A grandmother’s brown cataract: a lens that corrects astigmatism at the same time — and what the patient sees right on the table

Lens replacement · Dr. Bigeldiyev

@dr.bigeldiyev
A doctor explains1:51

A hole in the iris left by an old technique: Dr. Bigeldiyev shows how cataract surgery is done now

Cataract · Dr. Bigeldiyev

@dr.bigeldiyev
A doctor explains1:27

Retinal surgery through three punctures thinner than a millimetre: Dr. Zhanysbayev explains what happens inside the eye

Vitreoretinal surgery · Dr. Zhanysbayev

@dr.bigeldiyev
A doctor explains0:59

Cataract, ptosis, exophthalmos and strabismus in one eye — all the treatment by Dr. Bigeldiyev

Ptosis · Dr. Bigeldiyev

@dr.bigeldiyev

Surgery day

How cataract surgery goes: one day — and you’re home

You arrive in the morning and head home by lunchtime. The surgery itself takes just minutes; the rest is preparation and observation. Swipe the clock sideways: every step is a real photo of ours.

Walk through the clinic — 8 rooms in a minuteStarting with the operating room
  1. The RB CLINIC façade in the morning: this is where people come for cataract surgery

    Arriving at the clinic

    Check-in at reception. You change into a gown and get drops that widen the pupil.

  2. The Topcon ALADDIN instrument used to calculate the artificial lens

    Calculation and check

    The surgeon looks at the eye once more and double-checks the lens calculation made at diagnostics.

  3. Cataract surgery: a surgeon at the microscope in the RB CLINIC operating room

    Surgery

    Local anaesthesia, no general anaesthetic and no stitches. Through a micro-incision the surgeon removes the cloudy lens with ultrasound and puts in a new one.

  4. Patients with an eye patch resting in the lobby after cataract surgery

    Rest

    You rest in the lobby with a patch on your eye. Around you are people who were just as nervous that morning.

  5. RB CLINIC lobby

    Check-up

    The surgeon checks the eye and explains how to use the drops and what to avoid in the first few days.

  6. Patients with eye patches and Dr. Galiyev by the RB letters in the lobby after cataract surgery

    Home

    A keepsake photo by the RB letters — and home. The patch comes off tomorrow.

Step 1 of 6 · swipe sideways

What happens during surgery

Cataract treatment today means surgery: drops, glasses and eye exercises can’t make the lens clear again. The method is called phacoemulsification. The surgeon makes a micro-incision, breaks up the clouded lens with ultrasound and washes it out, then places a soft artificial lens in the freed space, inside the natural capsule. It unfolds by itself and stays in the eye for life.

Along with the cataract, the lens can also fix what made you wear glasses: short-sightedness, long-sightedness, astigmatism. Which lens suits you is decided from the calculation at diagnostics.

  • No general anaestheticThe eye is numbed with drops: you’re awake, and there’s no pain.
  • No stitchesThe micro-incision seals itself.
  • OutpatientNo hospital stay — home the same day.
  • After 2–3 daysnormal life without heavy exertion; vision fully recovers within a month.

Your surgery

Cataract surgery prices in Astana

The price of the surgery is, above all, the price of the lens. The surgeon’s work, the operating room and the lens itself are already in the total. Build your surgery: pick the lens type and the surgeon — the total calculates itself.

How you want to see
Lens
Surgeon
Monofocal AcrySof SAlowest price — with Zhanysbayev · sharp distance vision, glasses for reading
from 350,000 ₸per eye, surgery with the lens
  • both eyesfrom 700,000 ₸
  • complex eye over 70, glaucoma, high myopiafrom 350,000 ₸
  • a month Kaspi, 12 months, no overpayment≈ 29,200 ₸

Price from Dr. Zhanysbayev’s price list of 15.05.2026. Other surgeons are in the table below.

Kaspi.kzKaspi RedHalyk BankKaspi instalments with no overpayment for 12 months, for any surgery; up to 24 months with Kaspi Juma. Halyk — 12 or 24 months, for cataract and laser vision correction only: the sales team will confirm Halyk’s terms
The surgeon will name the exact price after diagnostics. For a complex eye — over 70, high myopia, glaucoma, weak lens ligaments, lens subluxation, adhesions — the price list has a second price for each lens. We show it up front so there are no surprises later.
Six months of follow-up after surgery are included in the price. Follow-up check-ups with the surgeon for six months after surgery are not paid separately.

Diagnostics before cataract surgery

Visual acuity, eye pressure, a check of the back of the eye, visual field and lens calculation on ALADDIN and Pentacam.

40,000 ₸per visit

follow-up visit — 15,000 ₸

What eye diagnostics include

If the capsule clouds over later

Sometimes, months or years later, the capsule holding the lens turns cloudy. This is secondary cataract, and a laser clears it in a few minutes. It’s done by Dr. Karibayev and Dr. Zhukeyev.

  • in the first 3 months after surgery with usfree
  • from month 3 to month 6 after surgery with uswe’ll tell you the price on WhatsApp
  • six months after surgery with us40,000 ₸
  • if you had surgery elsewhere80,000 ₸

per eye

Booking for your mum or dad?

In the form you can mark who you’re booking for — the call centre will know whom to talk to.

All lenses and prices by surgeon17 surgery options, per eye
Zhanysbayev Almat Zhuparbayevich: price list of 15.05.2026, prices per eye
Surgery and lensStandard eyeComplex eye
Monofocal AcrySof SA350,000 ₸
AcrySof IQ · Clareon IQ · Tecnis Eyhance500,000 ₸530,000 ₸
Toric AcrySof IQ Toric · Clareon Toric · Eyhance Toric600,000 ₸650,000 ₸
Trifocal Bausch+Lomb LuxSmart850,000 ₸880,000 ₸
LuxSmart Toric950,000 ₸1,000,000 ₸
Trifocal AcrySof IQ PanOptix · Clareon PanOptix900,000 ₸950,000 ₸
PanOptix Toric1,000,000 ₸1,030,000 ₸
EDOF: Vivity · Clareon Vivity · Tecnis Synergy1,000,000 ₸1,030,000 ₸
EDOF Toric1,050,000 ₸1,100,000 ₸
Tecnis PureSee1,000,000 ₸1,030,000 ₸
RayOne Galaxy1,200,000 ₸1,250,000 ₸
RayOne Galaxy Toric1,300,000 ₸1,350,000 ₸
Trifocal Zeiss AT LISA tri 839950,000 ₸1,000,000 ₸
Zeiss AT LISA tri toric 9491,500,000 ₸
Monofocal Zeiss Lucia 621 PY500,000 ₸530,000 ₸
Toric Zeiss AT TORBI600,000 ₸650,000 ₸
Phacoemulsification without a lens350,000 ₸
Secondary lens implantation: operated on here / at another clinic180,000 / 460,000 ₸

“Complex eye” is the second column of the price list: patient over 70, high myopia, glaucoma, weak zonules, lens subluxation, adhesions. The price of surgery with a lens covers the surgeon’s work, the operating room and the lens itself. The price list is not a public offer; the exact amount is given after diagnostics.

First step

Start with diagnostics

The surgeon examines the eye, the instrument calculates the lens, and you’re told straight: time to operate, or it can wait.

An RB CLINIC doctor explains diagnostic results to a patient before cataract surgery
  1. Visual acuity and refractometry
  2. Eye pressure
  3. Visual field
  4. Dilated exam of the back of the eye and the lens
  5. Lens calculation: ALADDIN and Pentacam
  6. A talk with the doctor
diagnostics with lens calculation 40,000 ₸ per visitrepeat visit 15,000 ₸

If you don’t need surgery, we’ll say so.

More about eye diagnostics

If you want the details

What cataract is and why glasses don’t help

This section is for those who like to understand what will be done to them. If your doctor has already explained everything, feel free to scroll on: it doesn’t affect the decision.

Cross-section of a healthy eye: the clear lens focuses light to a point on the retina Diagram of an eye with cataract: the cloudy lens scatters light, and a blurry spot reaches the retina

The lens is clear. Light passes through it freely and focuses on a single point on the retina — the image is sharp and full of contrast.

The lens has clouded. Light hits the cloudy lens and scatters, and only a blurry spot reaches the retina — like looking through misted glass.

Cataract is a clouding of the lens, the eye’s natural lens, about 9 mm across. With age the proteins in the lens lose their clarity, much like egg white when it’s cooked: they can’t be turned back. That’s why glasses don’t help here — the problem isn’t focus, it’s the cloudy glass the eye looks through. Cataract is treated only with surgery: the cloudy lens is removed through a micro-incision and an artificial lens is put in its place. So cataract removal and lens replacement for cataract are one operation, not two.

Clear lens
Clearyou can see through it, light passes without loss
Cloudy lens in cataract
Cloudydense, yellowish-white, light doesn’t get through
A doctor shows on an eye model where the lens replaced in cataract surgery sits
On the eye model, the lens sits just behind the pupil. Surgery replaces only that.

Signs of cataract: how to tell it’s time to see a doctor

Cataract develops gradually, and at first it’s easy to blame tiredness or poor lighting. Watch out if:

  • your vision is dropping and the picture has gone cloudy, as if through misted glass;
  • halos and glare have appeared around street lights and headlights — driving at night has become hard;
  • colours have faded and turned yellowish;
  • objects look doubled;
  • you have to change glasses more and more often, and it doesn’t get better;
  • reading, watching TV and recognising faces are getting harder.

Seeing an ophthalmologist early helps get a timely diagnosis and choose a convenient time for surgery.

What causes cataract

  • age — the most common cause;
  • eye injuries;
  • long exposure to ultraviolet light;
  • some chronic conditions, such as diabetes;
  • certain medications;
  • heredity.

Stages of cataract

  • Early: small areas of clouding, vision slightly reduced.
  • Immature: noticeable clouding, vision drops markedly.
  • Mature: the whole lens is cloudy, vision is greatly reduced.
  • Hypermature: clarity is lost completely, surgery is technically harder.

There’s no need to wait for the cataract to “ripen”: the denser the lens, the harder it is to remove. The surgeon sets the timing at the examination.

Preparation

Tests to take before cataract surgery

You can have the tests done at our clinic or at any lab that suits you. The list is short, and if anything else is needed, the surgeon will tell you at diagnostics.

Blood tests one morning visit, on an empty stomach

  • Immunoglobulin E — tolerance to the anaesthetic (lidocaine 2 %)
  • Complete blood count
  • Blood biochemistry (cholesterol, glucose)
  • Hepatitis B and C
  • HIV
  • Syphilis test (RW)
  • Coagulation panel

All from a single blood sample.

Examinations separate from blood tests

  • ECG
  • Echocardiogram (heart ultrasound)
  • Doppler ultrasound of the head, neck and leg vessels

Cardiologist’s report clearance for surgery

Based on the results, you’ll need a cardiologist’s clearance for surgery.

Questions

Questions about cataract treatment

How much does cataract surgery cost in Astana?

From 350,000 ₸ per eye, lens included: that’s the price of surgery with an AcrySof SA monofocal lens with Dr. Zhanysbayev. With Dr. Galiyev the same surgery is from 400,000 ₸ per eye; with Dr. Bigeldiyev, from 500,000 ₸ per eye without a lens or from 750,000 ₸ with the IQ lens. Trifocal PanOptix is from 900,000 ₸ per eye. All prices by surgeon are in the “Cataract surgery prices” section. Six months of follow-up after surgery are included in the price.

How much is the diagnostics before surgery?

40,000 ₸ per visit, including lens calculation on ALADDIN and Pentacam. A follow-up visit is 15,000 ₸. If you don’t need surgery, you’ll be told so.

Which lens should I choose?

It depends on how you want to see. A monofocal lens gives sharp distance vision; you keep glasses for reading. A trifocal, such as PanOptix, covers distance, intermediate and near — most things without glasses. A toric lens corrects astigmatism. The final choice is made from the calculation at diagnostics: the surgeon will tell you which lens suits your eye. More on the types of artificial lenses — on the lens replacement page.

Does the surgery hurt?

No. The surgery is done under local anaesthetic drops, with no general anaesthetic: you’re awake, and the eye is numbed.

How long does the surgery take?

The surgery itself takes about 10–15 minutes per eye, says Dr. Galiev. You spend half a day at the clinic: preparation, surgery, rest and a check-up.

Do I need to stay in hospital?

No, it’s outpatient surgery: you go home the same day.

Are both eyes operated on at once?

It can go either way: sometimes one eye first and the other later, sometimes both on the same day. The surgeon decides based on your case — after diagnostics he’ll tell you the plan in advance, before you book the surgery.

How does vision recover after cataract surgery?

Most people notice an improvement the very next day. In the first 24 hours vision may be blurry and the eye sensitive to light — that’s a normal reaction. Over the first week colours get brighter and the picture sharper, and most people are already reading and doing everyday things without heavy exertion. By the end of the month vision settles, and the ophthalmologist does a final check.

Can cataract come back?

True cataract — no: the artificial lens doesn’t cloud and lasts a lifetime. But in some patients, months or years later, the capsule holding the lens turns cloudy. This is called secondary cataract, and a laser clears it in a few minutes, without incisions. If you had your surgery with us, the laser is free for the first 3 months; after six months it’s 40,000 ₸ instead of the usual 80,000 ₸ per eye. In between, we’ll tell you the price on WhatsApp.

Why can’t cataract be treated without surgery?

In cataract the lens proteins thicken irreversibly and lose their clarity — like a cooked egg white that will never turn clear again. Drops, glasses and exercises don’t change that. The only way to get sharp vision back is to replace the cloudy lens with an artificial one.

What happens if cataract isn’t treated?

Cataract progresses: vision keeps dropping, the lens grows denser and the surgery becomes technically harder. At first a bright lamp and large print help; later even they stop helping. The good news is that even advanced cataract can be operated on, and vision comes back.

Can I pay in instalments?

Yes. Kaspi — with no overpayment, for any surgery: for 12 months, and up to 24 months with Kaspi Juma. Halyk — 12 or 24 months, for cataract and laser vision correction only; the sales team will confirm Halyk’s terms.

How is cataract treatment different from lens replacement?

Technically it’s one operation: the natural lens is replaced with an artificial one. The difference is why. Cataract treatment is needed when the lens has clouded and vision is fading — that’s what this page is about. Clear lens replacement is chosen when there is no cataract, but after 45 you’re tired of reading glasses or your prescription is too strong for laser — see lens replacement after 45 to get rid of glasses.

Documents

Cataract surgery certificates

Documents of the clinic’s founder, Dr. Bigeldiyev: a phacoemulsification course, congresses of the European Society of Cataract and Refractive Surgeons (ESCRS) and an Alcon certificate. Tap to open full size.

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from 350,000 ₸ per eye · cataract surgery, lens included