Cataract Surgery

Cataracts are the most common cause of reversible vision loss in the world.  Cataracts are the lenses in our eyes which have become cloudy.  While genetics, medical conditions and exposure to toxins may contribute to cataracts, most cataract are a result of age.  With time, everyone will get cataracts.  Smoking, unmanaged Diabetes, and excessive sun exposure will increase the rate of cataract formation, and should be avoided.  There are no medications nor drops that will slow the onset of cataracts.  Early cataracts do not require surgery.

Surgery is recommended when the vision is sufficiently affecting their daily activities such as reading or driving.  

Cataract surgery is done on under mild sedation.  Anesthesia is generally achieved with only using drops.  In basic cataract surgery, a small incision is made in the cornea and then on top of the lens.  The lens is broken up with a small ultrasonic tip and removed.  A clear artificial lens is then folded and injected in its place.   The typical surgery time is between 10 and 15 minutes. 

Laser Assisted Cataract Surgery is the newest way to perform cataract surgery.  Before the cataract surgery, a computer guided laser is used to reduce astigmatism, create a precise incision on the cornea and the lens, and soften up the cataract.  Cataract surgery is then performed.  Adding the laser procedure to the surgery makes the surgery significantly safer, provides a better visual outcome and shortens the healing time.  Unfortunately, insurance will not cover the laser and you will have to pay for it out of pocket, in addition to any fees that you are obligated to pay as determined by your insurance company. 

There are four basic types of lens implants.  Please discuss with your doctor to see which one is best for you.  Keep in mind that only Monofocal IOLs are covered.  All others will need to be paid out of pocket. 

Monofocal IOL
Power may be selected to see well at distance or at near but not both.  It cannot reduce Astigmatism

Toric IOL
Power may be selected to see well at distance or at near but not both.  It can reduce Astigmatism

Multifocal IOL 
Power may be selected to see well at distance and at near. It cannot reduce Astigmatism

Multifocal Toric IOL
Power may be selected to see well at distance and at near. It can reduce Astigmatism

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