Question: I had Cataract Surgery in May and after the required recovery time, I saw my optometrist to get new lenses. After waiting two weeks for the glasses, I was not able to read at all. My optometrist re-examined me and found that the vision in my right eye was worse than when he had examined me two weeks prior. He noticed scaring in that eye and was concerned at the rapid decline in vision and referred me back to my Cataract Surgeon. Based on my description of my vision and a letter sent from my optometrist, my surgeon said it was most likely opacification and he would just do a YAG procedure, but after examining my eye, he decided to do a Zeiss scan. The scan showed scaring. My Cataract Surgeon then referred me to a Retinal Specialist. They have not called me yet to set up an appointment, but I have some questions in the mean time. My questions are: 1) Where exactly would the scaring be that he saw on the scan? The Retina, Macula or where? 2) Does scaring mean the same thing as opacification? 3) What would the procedure be called to remove the scaring? 4) Approximately how long would the recovery time be before I could order new lenses for my glasses. I also have a Macular Pucker on that eye. I am thinking that the Retinal Specialist possibly would correct the pucker at the same time. 5) If both the scaring and pucker were operated on at the same time, what would the recovery time be? 6) What causes the scaring and how common of a side effect is it?
Answer: It is not possible to provide a great deal of information in your situation as there are a number of key pieces of clinical information that are only found in the examination results-but we will try and help you understand some aspects so that you can ask both the Retina Specialist and Cataract Surgeon the most important questions. From your description is sounds as if there are three possible things going on that are impacting your vision after the Cataract Surgery. First, when the Cataract is removed the "capsule" of the crystalline lens-where the cloudy material existed and formed the Cataract-is left intact. Sometimes this "capsule" becomes opacified and requires a YAG Laser Capsulotomy be performed to create an opening for clear vision. The YAG Laser procedure is a quick, painless laser procdure performed with eye drop anesthesia and improves vision almost immediately. Second, if you have been told that you have a Macular Pucker, this is a condition that is usually unrelated to your Cataract operation but can significantly impact the quality of your "straight ahead" vision-especially for reading. A Macular Pucker does not typically cause scarring. If you are now being diagnosed with "scarring" it is not obvious from your description exactly where that is located. If you also now have scarring of the Macula as if from Macular Degeneration this needs to be reviewed and investigated by the Retina Specialist. If the term "scarring" has been used to describe the opacification of the lens capsule then this will be remediated by the YAG Laser procedure-it is not easy to tell from your description. Your best next step os to schedule that appointment with the Retina Specialist so that the exact conditon of the Retina and Macula can be determined and then if warranted a YAG Laser Capsulotomy can be done.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.
Cataracts, Cataract Surgery & Lens Implant (IOL) facts & information on how to find trusted Cataract Surgeons who are the Best Cataract Surgeon- review costs, risks, complications, side effects, cataract surgery recovery.
Friday, July 29, 2011
Thursday, July 28, 2011
Contact Lens Wear after Cataract Surgery
Question: I had Cataract Surgery 10 months ago but it did not correct my distance vision. It is great for reading and close up. I wear an Acuvue® daily lens on my other eye to correct the distance vision. Can I put a daily wear lens on the eye that has had the Cataract Surgery to improve my vision for driving?
Answer: Since you need to wear a contact lens on your unoperated eye to see clearly at distance it indicates that you are nearsighted in that eye. Your Cataract Surgeon corrected the vision in the eye that had the Cataract Surgery to a similar level of nearsighted distance vision as the unoperated eye so that you would not have an optical imbalance. If your Cornea is healthy in the operated eye there is no reason that the distance vision in that eye can't be corrected with a contact lens as well. But-when you have contact lenses correcting both eyes for distance you will most likely require some type of reading glasses for near vision.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.
Answer: Since you need to wear a contact lens on your unoperated eye to see clearly at distance it indicates that you are nearsighted in that eye. Your Cataract Surgeon corrected the vision in the eye that had the Cataract Surgery to a similar level of nearsighted distance vision as the unoperated eye so that you would not have an optical imbalance. If your Cornea is healthy in the operated eye there is no reason that the distance vision in that eye can't be corrected with a contact lens as well. But-when you have contact lenses correcting both eyes for distance you will most likely require some type of reading glasses for near vision.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.
Decreased Vision after Cataract Surgery
Question: About a year ago I had a Cataract removed from my left eye. There were some complications and it was painful but afterwards my vision was clear (20/20) and colors were brilliant. However I has a slight shadow image. A month ago I had laser treatment to eliminate the slight shadow. After the treatment my vision was dark and blurred. White is a dark gray and everything is fuzzy like I'm looking through a screen. My shadow image is larger and I have been having headaches ever since the laser treatment. It is like I am wearing someone else's glasses but the right lens is clear and left is like looking through a screen. It's almost like my Cataract has returned. My Retina, Optic Nerve, Macula and Cornea are normal. What other things could go wrong in after Cataract laser treatment. Before treatment I could read a book a day. Now I have trouble reading a few sentences without straining my eye. I have trouble seeing anything near or far. My doctor doesn't know what is wrong and wants to wait and see what happens. It gives me a headache and makes me feel dizzy. If I cover my left with a patch, I feel fine. Any thoughts you have on this will be greatly appreciated. I am a minister and need my eyes to read and study, along with the normal needs we have for vision. Thank you.
Answer: What you are describing is not normal or expected after Cataract Surgery or after YAG Laser Capsulotomy to clear an opening in a cloudy lens capsule after Cataract Surgery. While you relay that your Retina, Macula, Optic Nerve and Cornea are normal, it might be worthwhile to have second opinion with a Corneal Specialist who is also a top Cataract Surgeon as well as a Retinal Specialist, as another look at the health of the Retina, Macula and Cornea using additional technology and imaging techniques might provide further insight. If these consultations provided no additional diagnosis, then you might wish to consider a consultation with a Neuro-Ophthalmologist as well in order to confirm the health of the Optic Nerve. A second opinion on these symptoms should be welcomed by your primary Cataract Surgeon.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.
Answer: What you are describing is not normal or expected after Cataract Surgery or after YAG Laser Capsulotomy to clear an opening in a cloudy lens capsule after Cataract Surgery. While you relay that your Retina, Macula, Optic Nerve and Cornea are normal, it might be worthwhile to have second opinion with a Corneal Specialist who is also a top Cataract Surgeon as well as a Retinal Specialist, as another look at the health of the Retina, Macula and Cornea using additional technology and imaging techniques might provide further insight. If these consultations provided no additional diagnosis, then you might wish to consider a consultation with a Neuro-Ophthalmologist as well in order to confirm the health of the Optic Nerve. A second opinion on these symptoms should be welcomed by your primary Cataract Surgeon.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.
Monday, July 25, 2011
Laser Cataract Surgery & Retinal Detachment
Question: I have extremely high myopia in my only working right eye -19 D. I function with my right eye only. My left eye is not really functioning after a retinal detachment many years ago. I am 53 years old and have a Cataract in my only working eye. I understand that there is a significant risk of retina detachment after Cataract Surgery in my right eye considering the degree of myopia and history of detachment in the other eye. I learned that recently the FDA approved a new laser based Cataract Surgery technology. Could it be less risky in my case?
Answer: Laser Cataract Surgery may prove to offer some benefits to patients in that under the direction of the Cataract Surgeon it applies femtosecond laser technology to increase the precision and reproducibility of a number of traditionally manual skill based steps. These steps include the placement of the initial tiny incision, opening the anterior lens capsule called capsulorhexsis, fragmenting or softening the cloudy lens material and placing fine incisions to correct astigmatism. Laser Cataract Surgery may offer greater precision for these steps but at the moment it is not clear that it actually does.In your instance, due to the high risk of retinal detachment, it is important to determine whether this technology might offer you a lower risk profile for Cataract Surgery. At the moment there is no clinical reason, experience or even theoretical reason why Laser Cataract Surgery would offer a lower risk profile in your case. One could theoretically "stretch" and argue that Laser Cataract Surgery is more gentle or perhaps lowers the necessary power settings and times necessary for the phacoemulsification procedure in the surgery-which is NOT performed with a laser-and perhaps this might decrease the risk profile. But at the moment there is no clinical evidence to support a superior risk profile for retinal detachment in your situation.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.
Answer: Laser Cataract Surgery may prove to offer some benefits to patients in that under the direction of the Cataract Surgeon it applies femtosecond laser technology to increase the precision and reproducibility of a number of traditionally manual skill based steps. These steps include the placement of the initial tiny incision, opening the anterior lens capsule called capsulorhexsis, fragmenting or softening the cloudy lens material and placing fine incisions to correct astigmatism. Laser Cataract Surgery may offer greater precision for these steps but at the moment it is not clear that it actually does.In your instance, due to the high risk of retinal detachment, it is important to determine whether this technology might offer you a lower risk profile for Cataract Surgery. At the moment there is no clinical reason, experience or even theoretical reason why Laser Cataract Surgery would offer a lower risk profile in your case. One could theoretically "stretch" and argue that Laser Cataract Surgery is more gentle or perhaps lowers the necessary power settings and times necessary for the phacoemulsification procedure in the surgery-which is NOT performed with a laser-and perhaps this might decrease the risk profile. But at the moment there is no clinical evidence to support a superior risk profile for retinal detachment in your situation.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.
Getting Used To AcrySof®ReSTOR® IOL
Question: I had the AcrySof®ReSTOR® +3 Lens Implant with Cataract Surgery on 05/12/11. I have halos at night that are pretty bad, and I have sunbursts and halos during the day. Light bounces off the chrome and windshield of cars. I was -9.0 D in right eye and -8.50 in left eye before surgery. The surgeon assured me this would go away with time so I went ahead with left eye 1 month later. She gave me some drops that really don't help. Overall vision is good compared to what was before-20/25 and I do have a little trouble reading in low lighting. But the part that really awful is that after the second surgery I started to get dizzy. My Cataract Surgeon claims their is no connection even after 3 months on right eye and seven weeks on left. I notice it very a great deal after trying to read. Its as if my brain does not want to adjust. Is this normal and does it go away? My Cataract Surgeon did tell me about the halos at night but never told me that it could happen during the day time. I also have a constant glare off my left eye when light hits my eye from the side. Could some thing be wrong with lens?
Answer: The symptoms you are complaining of are not unusual with Cataract Surgery and the implantation of the AcrySof®ReSTOR® Lens Implant (IOL). The AcrySof®ReSTOR® Multifocal Lens Implant is an extremely complex optical lens design and requires varying time for fully adapt to. Typically with the AcrySof®ReSTOR® Multifocal Lens, patients experience an immediate improvement in both their distance and near vision-but it may require a bit of concentration to seem perfectly natural. The more you use your vision the quicker you will experience a decrease in the glare and halo symptoms as well as the integration of the vision between the two eyes.. For some patients who are very “neuroplastic” it can take a few days or a week-for others it can take a couple of months. It does seem to get easier with increased use-even if it seems a bit difficult at first. In addition it is normal and expected to possibly see some glare and halos-this too diminishes and becomes unnoticeable over time for the vast majority of patients. In the event that the symptoms do not decrease to a satisfactory level within perhaps 3 months after the second eye surgery, then it might necessary to look for another cause. If none exists and you are still quite uncomfortable then your Cataract Surgeon might suggest exchanging the Lens Implants for a more simple design-although this path is very unusual.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.
Answer: The symptoms you are complaining of are not unusual with Cataract Surgery and the implantation of the AcrySof®ReSTOR® Lens Implant (IOL). The AcrySof®ReSTOR® Multifocal Lens Implant is an extremely complex optical lens design and requires varying time for fully adapt to. Typically with the AcrySof®ReSTOR® Multifocal Lens, patients experience an immediate improvement in both their distance and near vision-but it may require a bit of concentration to seem perfectly natural. The more you use your vision the quicker you will experience a decrease in the glare and halo symptoms as well as the integration of the vision between the two eyes.. For some patients who are very “neuroplastic” it can take a few days or a week-for others it can take a couple of months. It does seem to get easier with increased use-even if it seems a bit difficult at first. In addition it is normal and expected to possibly see some glare and halos-this too diminishes and becomes unnoticeable over time for the vast majority of patients. In the event that the symptoms do not decrease to a satisfactory level within perhaps 3 months after the second eye surgery, then it might necessary to look for another cause. If none exists and you are still quite uncomfortable then your Cataract Surgeon might suggest exchanging the Lens Implants for a more simple design-although this path is very unusual.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.
Wednesday, July 20, 2011
Cataract Surgery with Retinal Tear and Silicone Oil
Question: I have had 4 surgeries, on my right since January of 2010 to try and fix a retinal tear. Currently I have silicone oil in the eye to keep the retina in place. This was put in for the 2nd time in September of 2010. I also have a significant Cataract in that eye. I wanted to know if Cataract Surgery can be done with the oil still in place.
Answer: The simple answer is yes, Cataract Surgery can be performed in an eye that has silicone oil in place to support a retinal tear. BUT, it is certainly a high risk and complex Cataract Surgery procedure for a number of reasons. It is not uncommon for patients who have silicone oil for a second time to have it for a very long time and even permanently. The timing of going back and having another intraocular procedure such as Cataract Surgery is usually set by the Retina Surgeon in instances such as this due to the risk. That decision is made based on the visual significance of the Cataract to BOTH the patient and the Retina Surgeon who needs to be able to visualize the retina comfortably. The issues with Cataract Surgery in eyes with silicone begin with getting an precise measurement for the intraocular lens (IOL) power-fortunately using a technique called "partial coherence interferometry" to measure eyes containing silicone oil in the vitreous cavity has made this relatively easy today. There is the risk that the oil can migrate and damage the trabecular meshwork causing glaucoma or into the anterior chamber of the eye damaging the corneal endothelium. All of these complications raise the risk and need to be considered. That said, it is worth having that discussion with your Retina Surgeon. It is highly likely that he or she will have a top Cataract Surgeon they work in concert with in terms of surgical planning specific to your situation.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.
Answer: The simple answer is yes, Cataract Surgery can be performed in an eye that has silicone oil in place to support a retinal tear. BUT, it is certainly a high risk and complex Cataract Surgery procedure for a number of reasons. It is not uncommon for patients who have silicone oil for a second time to have it for a very long time and even permanently. The timing of going back and having another intraocular procedure such as Cataract Surgery is usually set by the Retina Surgeon in instances such as this due to the risk. That decision is made based on the visual significance of the Cataract to BOTH the patient and the Retina Surgeon who needs to be able to visualize the retina comfortably. The issues with Cataract Surgery in eyes with silicone begin with getting an precise measurement for the intraocular lens (IOL) power-fortunately using a technique called "partial coherence interferometry" to measure eyes containing silicone oil in the vitreous cavity has made this relatively easy today. There is the risk that the oil can migrate and damage the trabecular meshwork causing glaucoma or into the anterior chamber of the eye damaging the corneal endothelium. All of these complications raise the risk and need to be considered. That said, it is worth having that discussion with your Retina Surgeon. It is highly likely that he or she will have a top Cataract Surgeon they work in concert with in terms of surgical planning specific to your situation.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.
Monday, July 18, 2011
Cataract Surgery Dysphotopsia
Question: I had Cataract Surgery on both eyes in October. Since then I have experienced shadows at the outside portion of my vision in both eyes. I have a pressure feeling in my forehead and the top of my head. MRI and CAT scan of my sinuses has shown nothing. I got better for a month and now the pressure and narrowing of my vision is worse than ever. My eye surgeon has no answer.
Answer: Cataract Surgery dysphotopsia may be what you are describing. The phenomenon of dysphotopsia whereby patients see flashes, arcs or shadows has been described by Cataract and Lens Implant patients for some time and is most often transient. Reports indicate that it occurs in a range of varying degrees in 49-77% of patients having Cataract Surgery and Lens Implants. It is possible that you are describing "negative dysphotopsia" which creates the optical impression of shadows or arcs. many causes have been suggested including the shape of the edge of the IOL, the position of the IOL and others-but with no firm answer. MOST patients seem to report that it just passes over time. However there are some that are plagued by this problem and require a lens exchange or other treatment option. One such option for negative dysphotopsia was just reported in the July 2011 Journal of Cataract and Refractive Surgery. Your Cataract Surgeon should be able to discuss Cataract Surgery and Lens Implant dysphotopsia with you in detail. If you are not satisfied then perhaps seeking a second opinion and consultation with the best cataract Surgeon in your area might be in order.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.
Answer: Cataract Surgery dysphotopsia may be what you are describing. The phenomenon of dysphotopsia whereby patients see flashes, arcs or shadows has been described by Cataract and Lens Implant patients for some time and is most often transient. Reports indicate that it occurs in a range of varying degrees in 49-77% of patients having Cataract Surgery and Lens Implants. It is possible that you are describing "negative dysphotopsia" which creates the optical impression of shadows or arcs. many causes have been suggested including the shape of the edge of the IOL, the position of the IOL and others-but with no firm answer. MOST patients seem to report that it just passes over time. However there are some that are plagued by this problem and require a lens exchange or other treatment option. One such option for negative dysphotopsia was just reported in the July 2011 Journal of Cataract and Refractive Surgery. Your Cataract Surgeon should be able to discuss Cataract Surgery and Lens Implant dysphotopsia with you in detail. If you are not satisfied then perhaps seeking a second opinion and consultation with the best cataract Surgeon in your area might be in order.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.
Sunday, July 17, 2011
Night Vision after Cataract Surgery
Question: I'm 43 and had Cataract Surgery three years ago, mainly due to night time vision with multiple lights, actually 5 different lights for every actual one. After surgery I complained that the night vision was different, but not better. I now have a star effect and blurring of night lights. I was told to use drops. I have and it has made little if no difference. What else can I do? Or how do I get my Cataract Surgeon to listen?
Answer: As you had difficulties with night vision prior to your Cataract operation and now have additional but different complaints, it might be time to get a second opinion as to why you have the vision problems that you experience. While there can be a number of causes of starburst vision at night and blurring at night it is impossible to determine without a thorough examination including specialized testing to measure any aberrations in your eye, the condition of the Iris or colored part of your eye, the condition and integrity of the posterior lens capsule and the position and integrity of the intraocular lens implant (IOL) to name a few. Your next step should be to find a top Cataract Surgeon in your area and schedule a consultation for a second opinion.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.
Answer: As you had difficulties with night vision prior to your Cataract operation and now have additional but different complaints, it might be time to get a second opinion as to why you have the vision problems that you experience. While there can be a number of causes of starburst vision at night and blurring at night it is impossible to determine without a thorough examination including specialized testing to measure any aberrations in your eye, the condition of the Iris or colored part of your eye, the condition and integrity of the posterior lens capsule and the position and integrity of the intraocular lens implant (IOL) to name a few. Your next step should be to find a top Cataract Surgeon in your area and schedule a consultation for a second opinion.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.
Wednesday, July 13, 2011
Cataract Surgery and High Myopia
Question: I am 25 years old and have a congenital cataract. I have been wearing -9.00 D contact lenses for more than 10 years but now light and especially sunlight is very troubling. Is it okay to have Cataract Surgery?
Answer: If your eye doctor has informed you that your complaints of light sensitivity are related to the presence of a Cataract, being very nearsighted is not a contraindication to having Cataract Surgery. Patients with high degrees of myopia may be more prone to certain Retinal complications after Cataract Surgery so a thorough examination of the Retina is warranted before surgery and if there are any questionable areas on the Retina they should be treated before the surgery. The calculation for the intraocular lens implants (IOL) will take into account the degree of myopia in the computation in correcting your vision.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.
Answer: If your eye doctor has informed you that your complaints of light sensitivity are related to the presence of a Cataract, being very nearsighted is not a contraindication to having Cataract Surgery. Patients with high degrees of myopia may be more prone to certain Retinal complications after Cataract Surgery so a thorough examination of the Retina is warranted before surgery and if there are any questionable areas on the Retina they should be treated before the surgery. The calculation for the intraocular lens implants (IOL) will take into account the degree of myopia in the computation in correcting your vision.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.
Tuesday, July 12, 2011
Cataract Surgery & Eyelid Turning
Question: Can Cataract Surgery cause the lower eyelid to roll in causing irritation of the eye?
Answer: Cataract Surgery is not likely to cause the condition that you describe-called Entropion. Entropion involves the turning in of the edges of the eyelid (usually the lower eyelid) so that the lashes rub against the eye surface. In older people, the condition is usually caused by a spasm and weakening of the muscles surrounding the lower part of the eye. This causes the lid to turn inward and results in irritation. Aging is the primary cause of Entropion in the United States. You should bring this irritation and the eyelid turning to the attention of your Cataract Surgeon as often it is possible to alleviate the irritation and the symptoms in minor instances with some attention to the eyelashes and the eyelid margins and with eyelid surgery in the more severe cases.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.
Answer: Cataract Surgery is not likely to cause the condition that you describe-called Entropion. Entropion involves the turning in of the edges of the eyelid (usually the lower eyelid) so that the lashes rub against the eye surface. In older people, the condition is usually caused by a spasm and weakening of the muscles surrounding the lower part of the eye. This causes the lid to turn inward and results in irritation. Aging is the primary cause of Entropion in the United States. You should bring this irritation and the eyelid turning to the attention of your Cataract Surgeon as often it is possible to alleviate the irritation and the symptoms in minor instances with some attention to the eyelashes and the eyelid margins and with eyelid surgery in the more severe cases.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.
Cost of Multifocal Lens Implants
Question: I have been quoted a price of $2,000 per lens for the ReSTOR® product. I like the doctor and feel that I am in good hands. What I would like to know is whether the $4,000 cost is a typical rate or if I should get a second consultation. I can not figure out a way to "comparative shop."
Answer: The single most important decision you can make in having Cataract Surgery is choosing the best Cataract Surgeon. This decision is priceless. Many patients seem to be confused today regarding what they are paying for when the decide to have a near vision presbyopia correcting lens implant. The fee if $2,000 or whatever the eye surgeon charges is NOT the cost of a "product". It is the cost of the extra testing-perhaps extra biometry, perhaps wavefront aberrometry, tear film evaluation and ruling out a predisposition to dry eye, perhaps topography, perhaps OCT if there is any concern about macular irregularities-then qualifying the patient as a multifocal lens implant candidate through consultation and the additional "chair time" required for follow up care. These are complex lens implants and require considerable additional testing to be sure patients are going to do well. Medicare and typical insurances do not cover this testing. Patients who engage in "price shopping" for lens implants are asking for trouble. They are asking for a surgeon to "cut corners" in their care. The cost of the lens itself-or the "product" is only one small piece of the cost of the service being provided in correcting presbyopia and near vision after Cataract Surgery. If the Cataract Surgeon didn't explain this carefully then they certainly should have-otherwise you have every right to believe that you are purchasing a product like a pair of shoes. That said, the typical fee for services and multifocal lens implants varies across the U.S. but is generally in the range of $1500-$3000 depending on region.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.aboutcataractsurgery.com
Answer: The single most important decision you can make in having Cataract Surgery is choosing the best Cataract Surgeon. This decision is priceless. Many patients seem to be confused today regarding what they are paying for when the decide to have a near vision presbyopia correcting lens implant. The fee if $2,000 or whatever the eye surgeon charges is NOT the cost of a "product". It is the cost of the extra testing-perhaps extra biometry, perhaps wavefront aberrometry, tear film evaluation and ruling out a predisposition to dry eye, perhaps topography, perhaps OCT if there is any concern about macular irregularities-then qualifying the patient as a multifocal lens implant candidate through consultation and the additional "chair time" required for follow up care. These are complex lens implants and require considerable additional testing to be sure patients are going to do well. Medicare and typical insurances do not cover this testing. Patients who engage in "price shopping" for lens implants are asking for trouble. They are asking for a surgeon to "cut corners" in their care. The cost of the lens itself-or the "product" is only one small piece of the cost of the service being provided in correcting presbyopia and near vision after Cataract Surgery. If the Cataract Surgeon didn't explain this carefully then they certainly should have-otherwise you have every right to believe that you are purchasing a product like a pair of shoes. That said, the typical fee for services and multifocal lens implants varies across the U.S. but is generally in the range of $1500-$3000 depending on region.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.aboutcataractsurgery.com
Monday, July 11, 2011
Toric Lens Implants to Correct Astigmatism
Question: I was told by my surgeon I should have Toric Lens Implants to correct astigmatism. Is it true that toric must be aligned perfectly, what are the chances of that happening or the lens slipping slightly out of place and what is the consequences. I have astigmatism of 2.25D on my left eye and 1.25D on my right eye.What happens if I have surgically induced astigmatism (SIA) of 0.50 D and it leads to 2.75D for left and 1.75D for right. Could still correct it by glasses at the end. I am very conservative, preferring to keep matters simple so should I go with a 'standard' implant.
Answer: Toric Lens Implants are rapidly becoming the preferred way to correct vision after Cataract Surgery for those patients who have astigmatism. You are correct that the toric lens implant must be properly aligned in order to get the best results. However, the toric lens implants are designed with orientation marks that assist the Cataract Surgeon is the precise placement that is observed through the operating microscope. The orientation challenge does require skill but is well within the reach of top Cataract Surgeons as is evidenced by the very high acceptance and overall patient satisfaction with toric lens implants. Top Cataract Surgeons monitor their results and outcomes and understand any impact of surgically induced astigmatism in "their hands" and make adjustments for this in the pre surgical planning and calculations so there is no need to worry about this. If for some reason you do not achieve the exact correction you expect, yes, you can still have a small correction in glasses after Cataract Surgery for the things you need even sharper vision for.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.
Answer: Toric Lens Implants are rapidly becoming the preferred way to correct vision after Cataract Surgery for those patients who have astigmatism. You are correct that the toric lens implant must be properly aligned in order to get the best results. However, the toric lens implants are designed with orientation marks that assist the Cataract Surgeon is the precise placement that is observed through the operating microscope. The orientation challenge does require skill but is well within the reach of top Cataract Surgeons as is evidenced by the very high acceptance and overall patient satisfaction with toric lens implants. Top Cataract Surgeons monitor their results and outcomes and understand any impact of surgically induced astigmatism in "their hands" and make adjustments for this in the pre surgical planning and calculations so there is no need to worry about this. If for some reason you do not achieve the exact correction you expect, yes, you can still have a small correction in glasses after Cataract Surgery for the things you need even sharper vision for.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.
Can Cataracts be Cured with Medicine?
Question: Can cataracts be cured or alleviated by using medicine?
Answer: A Cataract is the clouding of the crystalline lens of the eye. The crystalline lens of the eye is primarily composed of protein that "denatures" with age and certain metabolic changes such as those from diabetes, secondary to trauma or certain medications such as steroids to name a few causes. Much as the "clear" liquid portion of an egg turns white as the egg protein denatures as it is cooked-the clouding and opacification of the crystalline lens that forms a Cataract is not generally reversible. There are no known FDA approved medications or even those that have withstood the scrutiny of a clinical trial that demonstrate a cure for Cataracts. The only way to restore the vision problems from a Cataract is to have Cataract Surgery and Intraocular Lens Implants. However, it is possible to delay the onset and progression of Cataracts in some cases by maintaining a healthy diet rich in green leafy vegetables, avoiding smoking and wearing protective sunwear to limit exposure to ultraviolet (UV) light.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.
Answer: A Cataract is the clouding of the crystalline lens of the eye. The crystalline lens of the eye is primarily composed of protein that "denatures" with age and certain metabolic changes such as those from diabetes, secondary to trauma or certain medications such as steroids to name a few causes. Much as the "clear" liquid portion of an egg turns white as the egg protein denatures as it is cooked-the clouding and opacification of the crystalline lens that forms a Cataract is not generally reversible. There are no known FDA approved medications or even those that have withstood the scrutiny of a clinical trial that demonstrate a cure for Cataracts. The only way to restore the vision problems from a Cataract is to have Cataract Surgery and Intraocular Lens Implants. However, it is possible to delay the onset and progression of Cataracts in some cases by maintaining a healthy diet rich in green leafy vegetables, avoiding smoking and wearing protective sunwear to limit exposure to ultraviolet (UV) light.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.
Friday, July 8, 2011
Anesthesia and Cataract Surgery
Question: I am in need of Cataract Surgery and am very nervous I would like to know can you find a doctor who uses general anesthesia.
Answer: For the vast majority of patients-even nervous patients-it is rarely necessary to use general anesthesia as there are many excellent options to calm you and help you to be relaxed during Cataract Surgery. However, should general anesthesia be necessary and be a strong preference after discussing the situation with your Cataract Surgeon, depending on your overall health and physical condition, it is possible to use general anesthesia for Cataract Surgery. You should the find the best Cataract Surgeon in your area and frankly discuss your concerns with them as they will want you to be comfortable and have the best possible results from your Cataract procedure.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.
Answer: For the vast majority of patients-even nervous patients-it is rarely necessary to use general anesthesia as there are many excellent options to calm you and help you to be relaxed during Cataract Surgery. However, should general anesthesia be necessary and be a strong preference after discussing the situation with your Cataract Surgeon, depending on your overall health and physical condition, it is possible to use general anesthesia for Cataract Surgery. You should the find the best Cataract Surgeon in your area and frankly discuss your concerns with them as they will want you to be comfortable and have the best possible results from your Cataract procedure.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.
Thursday, July 7, 2011
Cataract Surgery Suture Removal
Question: Is it generally acceptable to use a surgical instrument, in a doctor's office, that has not been autoclaved prior to removing a stitch that had been installed during earlier cataract surgery? And could doing so possibly be the cause of a resulting serious eye infection?
Answer: Generally, suture removal, if sutures are even used after Cataract Surgery is considered a clean but not sterile procedure. Thorough cleaning and alcohol swabbing are usually sufficient and the risk of infection is exceedingly low and further reduced by patients using topical antibiotics for a three day course after Cataract Surgery suture removal if there is any concern.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.
Answer: Generally, suture removal, if sutures are even used after Cataract Surgery is considered a clean but not sterile procedure. Thorough cleaning and alcohol swabbing are usually sufficient and the risk of infection is exceedingly low and further reduced by patients using topical antibiotics for a three day course after Cataract Surgery suture removal if there is any concern.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.
Cataract Surgery and Memory Loss
Question: Can Cataract Surgery bring on memory loss in older patients?
Answer: Modern Cataract Surgery is mostly performed using topical eye drops for anesthesia or local injection in some cases with a very rare need for general anesthesia. Most Cataract Surgeons do give the patient some mild calming or anti anxiety medication as well. Because the sedation and "numbing" effect of these medications is mild and short duration there is little if any risk to the patient of memory loss as might have been the case if prolonged general anesthesia were used. If the patient were already at risk for dementia related symptoms due to their overall health and the Cataract Surgery for some reason was particularly stressful it could perhaps cause a very temporary disorientation but this would be extremely rare.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.
Answer: Modern Cataract Surgery is mostly performed using topical eye drops for anesthesia or local injection in some cases with a very rare need for general anesthesia. Most Cataract Surgeons do give the patient some mild calming or anti anxiety medication as well. Because the sedation and "numbing" effect of these medications is mild and short duration there is little if any risk to the patient of memory loss as might have been the case if prolonged general anesthesia were used. If the patient were already at risk for dementia related symptoms due to their overall health and the Cataract Surgery for some reason was particularly stressful it could perhaps cause a very temporary disorientation but this would be extremely rare.
Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.
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