Through the Lens:
A Patient's Handbook to Cataract Surgery and Visual Restoration
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A retrospective review of our last 200 cases revealed the following:
Refractive outcomes:
Visual outcomes:
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Regular eye exams are an invaluable tool in maintaining your eyes’ health by detecting and preventing disease. Some diseases such as glaucoma, develop gradually without causing pain or vision loss. You may not notice anything wrong until significant and irreversible damage has been done. Early detection of any problems can allow for a choice of treatment options or prevent further harm.
Cataract surgery is the preferred method of treatment for people significantly affected by cataract. Cataract extraction and lens insertion is the most common surgical procedure in the country. During this procedure, the cloudy lens is removed and replaced with an artificial one called an intraocular lens or IOL. Newer options are available to assist with cataract surgery, such as the use of a femtosecond laser.
The entire procedure takes 5 minutes per eye and the patients are often ready to leave within an hour or two. The flap heals on its own within a few days.
Surface Ablation is laser correction without the use of a flap in the cornea. This can be advantageous when the cornea is too thin for LASIK. The results are equivalent to LASIK, but postoperative healing can take longer than LASIK.
There are other options to correct vision. Options are dependent on the refractive aim, your lifestyle and your age. If you have a very high stable prescription or high astigmatism and are less than 45 “years of age” after the 45, than phakic implantable collamer lenses may be used. These are lenses implanted into the eye. For patients older than this, refractive lens exchange may be considered if appropriate.
Keratoconus is a progressive cornea thinning disorder that usually presents in the second decade of life, but sometimes later. Methods to improve vision include spectacles, contact lenses and surgical options. Importantly there is a procedure called collagen cross linking that is designed to halt progression of keratoconus, preventing the need for cornea transplantation. Other surgical options include intrastromal ring segments, phakic implantable collamer lenses and partial or full thickness cornea transplantation.
A pterygium is a growth of conjunctiva onto the clear cornea. This is usually progressive, but sometime static. Pterygia can incur irritation, inflammation, redness, induced astigmatism, and if severe enough can obscure vision. It is appropriate to intervene surgically if any of these issues occur. A recent development in pterygium surgery is the use of tissue glue, making the procedure and the post-operative recovery much more comfortable for patients.
Macular degeneration occurs when the center of the retina degrades, causing a progressive loss of vision. Symptoms include:
There are two kinds of macular degeneration: “wet” and “dry.” The “wet” form can be treated in its early stages. Regular eye exams are highly recommended to detect macular degeneration early and prevent permanent vision loss.
Yes. People with diabetes are most susceptible to developing it, but your risk is reduced if you follow your prescribed diet and medications, exercise regularly, control your blood pressure and avoid alcohol and cigarettes. Regular eye exams are an integral part of making sure your eyes remain healthy.
