Question: Have you any experience with the following resulting side effect of cataract surgery and lens implants? Immediately after removal of eye patch following my cataract surgery, I experienced a peripheral "black shadow" when walking out from the exam room into a normally lighted (brighter) hallway. This effect persists to this time (3 months) and seems permanent. The effect is mitigated by use of sunglasses and use of normal eyewear is comforting because the "shadow" seems to lie outside of the frame of the glasses.
Answer: Assuming that you have been thoroughly examined and that your Cataract Surgeon has absolutely ruled out any pathology of the Vitreous or the Retina, it is possible that what you are describing is related to an optical effect caused by the edge of the Lens Implant. Sometimes the configuration of the Lens Implant optics or edge design can cause a "shadow" to appear. In most cases, after several months-sometimes a bit longer-the annoyance becomes less evident to the patient. Your Cataract Surgeon may be able to determine this and its remediation by dilating or constricting your pupil with drops in the office to mimic the lighting conditions that help or increase the shadow. If this is bothering you, your next step is to discuss it with your Cataract Surgeon as he or she will be your best resource.
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 or 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.
Monday, April 30, 2012
Unstable Prescription after Cataract Surgery
Question: I had cataract surgery on February 29, 2012 and my prescription is unstable. My prescription has gone from -2.00 D to -1.25 D as my eye is healing. My cataract surgeon said I will most likely need a piggyback lens implant due to the anatomy of my eye where the lens is still too far back. How does this happen? Was there a calculation error or a possible wrong lens placement?
Answer: It is not entirely clear from your description why the refraction or prescription is unstable. If the Lens Implant were in fact too far back, it might create a plus prescription error. This could happen if capsular bag that typically would hold the Lens Implant in place were atypical or perhaps some other anomaly of the capsular bag that caused the Lens Implant to be in a slightly imprecise position. If the prescription is unstable and changing over time, it is not likely that it is a measurement error. Nonetheless, nothing should be done until the prescription is stable and there are potentially other options besides a piggyback lens implant such a PRK to correct your distance vision. You should have a complete discussion of the other options with your Cataract Surgeon or possibly even seek a second opinion if you are uncomfortable.
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 or 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: It is not entirely clear from your description why the refraction or prescription is unstable. If the Lens Implant were in fact too far back, it might create a plus prescription error. This could happen if capsular bag that typically would hold the Lens Implant in place were atypical or perhaps some other anomaly of the capsular bag that caused the Lens Implant to be in a slightly imprecise position. If the prescription is unstable and changing over time, it is not likely that it is a measurement error. Nonetheless, nothing should be done until the prescription is stable and there are potentially other options besides a piggyback lens implant such a PRK to correct your distance vision. You should have a complete discussion of the other options with your Cataract Surgeon or possibly even seek a second opinion if you are uncomfortable.
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 or 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, April 27, 2012
Toric Lens Implant Problem
Question: I had cataract surgery and had toric lens implants to correct my vision. I now am having trouble seeing at distance. Is this normal?
Answer: You do not say how long ago you had the Cataract Surgery and Toric Lens Implants. However after a relatively short time you should be able to see quite clearly at distance. Depending on your actual prescription before the Cataract Surgery, it is highly likely that you would still need to wear eyeglasses to help you read and possibly see intermediate distances. If this is not the case you should consult your Cataract Surgeon and be evaluated as to why not.
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 or 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: You do not say how long ago you had the Cataract Surgery and Toric Lens Implants. However after a relatively short time you should be able to see quite clearly at distance. Depending on your actual prescription before the Cataract Surgery, it is highly likely that you would still need to wear eyeglasses to help you read and possibly see intermediate distances. If this is not the case you should consult your Cataract Surgeon and be evaluated as to why not.
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 or 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 Complication
Question: I have a question about a complication of cataract surgery. I had cataract surgery 6+months ago. It seems like my vision is getting cloudy. I heard that there is a painless 'Blue Laser' that will clear up my problem. Any thoughts?
Answer: You are possibly describing a somewhat long term complication of Cataract Surgery called posterior capsular opacification.The crystalline lens of the eye is somewhat like an M&M candy whereby it has an outer capsule that contains the softer lens material. During the Cataract operation the cloudy crystalline lens material is removed and typically the posterior lens capsule is left in place to support the Lens Implant. In some 30% of instances after some period of time the posterior capsule becomes cloudy. Using a YAG Laser it is possible to painlessly and quickly create a clear opening in the cloudy lens capsule. This procedure is called a YAG Laser Capsulotomy and is a fairly routine procedure in instances of posterior capsular opacification.
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 or 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: You are possibly describing a somewhat long term complication of Cataract Surgery called posterior capsular opacification.The crystalline lens of the eye is somewhat like an M&M candy whereby it has an outer capsule that contains the softer lens material. During the Cataract operation the cloudy crystalline lens material is removed and typically the posterior lens capsule is left in place to support the Lens Implant. In some 30% of instances after some period of time the posterior capsule becomes cloudy. Using a YAG Laser it is possible to painlessly and quickly create a clear opening in the cloudy lens capsule. This procedure is called a YAG Laser Capsulotomy and is a fairly routine procedure in instances of posterior capsular opacification.
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 or 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, April 25, 2012
Cataract Surgery and Thyroid Problems
Question: I have some questions about cataract surgery and thyroid problems like Graves Disease. I have been treated for overactive thyroid for several years by taking pills daily. I just had cataract surgery on both eyes, and now my second eye is puffy, red and runs liquid. The two eyes will not synchronize and I have bad double vision. I have been back to the cataract surgeon several times and am not satisfied. They put me on steroids, then stopped them. I had a MRI with did not show any problems, now they want me to go to a radiologist to see about having them reduce the size of the muscle in the back of the eye. Was is wrong to have this operation when I have a thryoid problem? And what is the next step? I am 78 years old.
Answer: Cataract Surgery should not cause an exacerbation or progression of hyperthyroidism or Graves Disease. Patients with thyroid problems have Cataract Surgery all the time.This would not be a reason not to have a Cataract removed and a Lens Implant to correct your vision. Now, if your Cataract Surgeon is unable to really determine a cause or a treatment plan a logical next step would be to seek consultation with an eye doctor who is a specialist in orbital problems.This type of ophthalmologist is called an Oculoplastic Surgeon. Unfortunately, a variety of problems can occur in the eye socket that effect the function of the eye. These processes range from inflammatory disease like thyroid associated orbitopathy as seen in patients with Graves’ disease to tumors, infections, and injuries from trauma. When these problems occur, patients often have double vision, loss of vision, pain and swelling. Evaluation with a trained specialist is important to appropriately evaluate and treat the underlying problem. You may find an Oculoplastic Specialist the American Society of Ophthalmic Plastic and Reconstructive Surgery.
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 or 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 should not cause an exacerbation or progression of hyperthyroidism or Graves Disease. Patients with thyroid problems have Cataract Surgery all the time.This would not be a reason not to have a Cataract removed and a Lens Implant to correct your vision. Now, if your Cataract Surgeon is unable to really determine a cause or a treatment plan a logical next step would be to seek consultation with an eye doctor who is a specialist in orbital problems.This type of ophthalmologist is called an Oculoplastic Surgeon. Unfortunately, a variety of problems can occur in the eye socket that effect the function of the eye. These processes range from inflammatory disease like thyroid associated orbitopathy as seen in patients with Graves’ disease to tumors, infections, and injuries from trauma. When these problems occur, patients often have double vision, loss of vision, pain and swelling. Evaluation with a trained specialist is important to appropriately evaluate and treat the underlying problem. You may find an Oculoplastic Specialist the American Society of Ophthalmic Plastic and Reconstructive Surgery.
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 or 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, April 24, 2012
Tinted Lens Implants
Question: I have a question about lens implants. Is one able to get a tinted "lens implant" when having cataract surgery? I currently wear blue tinted contacts and would like to keep eye color the same.
Answer: Lens Implants used for vision correction after Cataract Surgery are placed BEHIND the iris-or colored part of the eye rather than in front and thus really are NOT visible to anyone looking at you or your eyes. Further, even if there were a tinted Lens Implant its position would not cause any coloration of the Iris whatsoever. When you find a Cataract Surgeon for your surgery ask him or her to demonstrate the Cataract operation procedure and position of the Lens Implant placement and it will eliminate any concern that you have.
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 or 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: Lens Implants used for vision correction after Cataract Surgery are placed BEHIND the iris-or colored part of the eye rather than in front and thus really are NOT visible to anyone looking at you or your eyes. Further, even if there were a tinted Lens Implant its position would not cause any coloration of the Iris whatsoever. When you find a Cataract Surgeon for your surgery ask him or her to demonstrate the Cataract operation procedure and position of the Lens Implant placement and it will eliminate any concern that you have.
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 or 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, April 23, 2012
Cataract Surgery & Retinoschisis
Question: I have a question about retinoschisis and cataract surgery. Can retinoschisis happen as a result of cataract surgery? Also what can be done for Retinoschisis?
Answer: Cataract surgery does not cause Retinoschisis. Retinoschisis is an eye disease characterized by a splitting of the layers of the Retina. This can happen in the periphery of the Retina or can happen in the Macula where the center of vision occurs. Cataract Surgery is not a cause of Retinoschisis It may be genetic in cause or sometimes caused by traction or pulling on the Retina. Usually it is asymptomatic or perhaps has a visual field loss, however, by itself, Retinoschisis requires no treatment.
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 or 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 does not cause Retinoschisis. Retinoschisis is an eye disease characterized by a splitting of the layers of the Retina. This can happen in the periphery of the Retina or can happen in the Macula where the center of vision occurs. Cataract Surgery is not a cause of Retinoschisis It may be genetic in cause or sometimes caused by traction or pulling on the Retina. Usually it is asymptomatic or perhaps has a visual field loss, however, by itself, Retinoschisis requires no treatment.
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 or 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, April 20, 2012
Laser Cataract Surgery
Question: I have a cataract and am being offered cataract surgery via laser cataract surgery. The cataract surgeon says he has done 200 of them --all successfully and has been doing LASIK surgery for the last 10 years. Is this new procedure for cataracts safe and effective for a 56 year old woman with no other problems other than needing cataract removal in both eyes?
Answer: Laser Cataract Surgery has been available in the US for about a year or so and is slowly growing in adoption as an advanced method of Cataract Surgery. It is growing slowly as a result of the economic barriers in front of it rather than any know technical or surgical questions. The incorporation of the femtosecond laser to consolidate a number of the manual skill intensive steps of the Cataract operation into a surgeon directed and controlled laser application does have the promise of making those steps more reliable and precise-even in the hands of lesser skilled Cataract Surgeons. You should know however that Laser Cataract Surgery does NOT replace a good portion of the procedure which IS highly skill based. This is the phacoemulsification portion of the procedure. The laser can be directed by the surgeon to create a perfect entry incision architecture with complete reproducibility, to perfectly open the anterior capsule of the lens for access to the cloudy lens material, soften the lens material for extraction and even correct small degrees of astigmatism-BUT NOT to carefully and cleanly remove the cloudy lens material through the incision via phacoemulsification which is EXTREMELY skill based. This Laser Cataract Surgeons are recognizing the technical improvements the procedure can deliver in the steps listed above, However, the cost of the laser is very high, its service costs are high, there is a fee due to the manufacturer for each procedure and NONE of the incremental Laser Cataract Surgery cost is covered by insurance or Medicare-thus it is slow to be adopted. So-the clinical results and data thus far suggest that Laser Cataract Surgery is indeed safe and effective and may very well represent a improvement in results through the reduction of the variability of certain steps caused by manual surgery.
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 or 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 has been available in the US for about a year or so and is slowly growing in adoption as an advanced method of Cataract Surgery. It is growing slowly as a result of the economic barriers in front of it rather than any know technical or surgical questions. The incorporation of the femtosecond laser to consolidate a number of the manual skill intensive steps of the Cataract operation into a surgeon directed and controlled laser application does have the promise of making those steps more reliable and precise-even in the hands of lesser skilled Cataract Surgeons. You should know however that Laser Cataract Surgery does NOT replace a good portion of the procedure which IS highly skill based. This is the phacoemulsification portion of the procedure. The laser can be directed by the surgeon to create a perfect entry incision architecture with complete reproducibility, to perfectly open the anterior capsule of the lens for access to the cloudy lens material, soften the lens material for extraction and even correct small degrees of astigmatism-BUT NOT to carefully and cleanly remove the cloudy lens material through the incision via phacoemulsification which is EXTREMELY skill based. This Laser Cataract Surgeons are recognizing the technical improvements the procedure can deliver in the steps listed above, However, the cost of the laser is very high, its service costs are high, there is a fee due to the manufacturer for each procedure and NONE of the incremental Laser Cataract Surgery cost is covered by insurance or Medicare-thus it is slow to be adopted. So-the clinical results and data thus far suggest that Laser Cataract Surgery is indeed safe and effective and may very well represent a improvement in results through the reduction of the variability of certain steps caused by manual surgery.
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 or 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, April 18, 2012
Cataract Surgery on Both Eyes at Once
Question: My cataract surgeon insists that I should have both of my cataracts removed at once. Should I have both cataract operations on the same day?
Answer: There are instances whereby performing bilateral simultaneous Cataract Surgery with Lens Implants on the same day. Extenuating circumstances for performing Cataract Surgery on both eyes at once might include difficulty in transporting the patient, difficulty due to being wheelchair bound or other orthopedic problems limiting mobility or if the patient lives very far away. However, simultaneous bilateral Cataract Surgery is not considered the standard of care at this time.
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 or 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: There are instances whereby performing bilateral simultaneous Cataract Surgery with Lens Implants on the same day. Extenuating circumstances for performing Cataract Surgery on both eyes at once might include difficulty in transporting the patient, difficulty due to being wheelchair bound or other orthopedic problems limiting mobility or if the patient lives very far away. However, simultaneous bilateral Cataract Surgery is not considered the standard of care at this time.
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 or 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 Cataract Surgery & Lens Implant
Question: I have a question about the cost of cataract surgery without insurance. I have a friend with no insurance who has cataracts-what is the out of pocket cost?
Answer: If one had no insurance and had to pay personally for Cataract Surgery and Lens Implants, they should anticipate a minimum range of $700-$1500 for the Cataract Surgeon fee and then another $1600 or so for the use of the ambulatory surgery center and the anesthesia fee for a total of $2300-$3100 per eye for a basic Monofocal Lens Implant. If your friend required a Toric Lens Implant to correct astigmatism or a Multifocal Lens Implant to correct near vision and presbyopia the incremental fee should be expected to range from $1,000-$3,000 additional. The best course of action is for your friend to schedule an appointment with the best Cataract Surgeon they can find and discuss the full fee schedule with the staff.
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 or 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 one had no insurance and had to pay personally for Cataract Surgery and Lens Implants, they should anticipate a minimum range of $700-$1500 for the Cataract Surgeon fee and then another $1600 or so for the use of the ambulatory surgery center and the anesthesia fee for a total of $2300-$3100 per eye for a basic Monofocal Lens Implant. If your friend required a Toric Lens Implant to correct astigmatism or a Multifocal Lens Implant to correct near vision and presbyopia the incremental fee should be expected to range from $1,000-$3,000 additional. The best course of action is for your friend to schedule an appointment with the best Cataract Surgeon they can find and discuss the full fee schedule with the staff.
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 or 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, April 16, 2012
Cataract Surgery with Glaucoma
Question: My father is struggling with a decision whether to have cataract surgery in the right eye which has glaucoma and he is a diabetic. He is afraid that the cataract surgery will cause trauma to his eye and his glaucoma will worsen and therefore lose his eyesight. He had the same surgery for cataract and glaucoma in his left eye at the same time and now has barely and vision left. Will the cataract surgery affect his glaucoma? He is afraid to lose vision in both eyes.
Answer: After Cataract Surgery there certainly can be a pressure rise which if there is already advanced nerve damage from Glaucoma, it can be site threatening. It sounds as if the unoperated eye is the one your father depends on and for that reason while anxiety provoking to operate on the good eye, waiting for a more advanced Cataract to develop would actually be riskier as the surgery gets more difficult.
In many cases after Cataract Surgery, IOP, or intraocular pressure, is reduced in the long run. So if your father has reduced ability to accomplish daily tasks due to declining vision, then cataract removal is appropriate with careful technique and careful post operative watch.
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 or 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: After Cataract Surgery there certainly can be a pressure rise which if there is already advanced nerve damage from Glaucoma, it can be site threatening. It sounds as if the unoperated eye is the one your father depends on and for that reason while anxiety provoking to operate on the good eye, waiting for a more advanced Cataract to develop would actually be riskier as the surgery gets more difficult.
In many cases after Cataract Surgery, IOP, or intraocular pressure, is reduced in the long run. So if your father has reduced ability to accomplish daily tasks due to declining vision, then cataract removal is appropriate with careful technique and careful post operative watch.
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 or 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.
Blurry Vision after Cataract Surgery
Question: I had cataract surgery and a lens implant about 2 weeks ago and my vision is blurry and has not cleared. It is like the cataract is still in my eye. The cataract surgeon doesn't seem to be concerned. What should I do and why did this happen?
Answer: It is impossible to tell you why your visual recovery from Cataract Surgery is not quicker as you do not know whether there may have been some complication during Cataract removal or what the overall health of your eye is, including the Cornea and the Retina. However, what we can tell you is that you should carefully follow the instructions given by your Cataract Surgeon. Some blurry vision 2 weeks after Cataract Surgery is possible is there is Corneal swelling, inflammation, certain reactions of the Retina and other situations tat can sometimes occur after Cataract Surgery. If you are uncomfortable with the information your Cataract Surgeon is sharing then it is never inappropriate to find the best Cataract Surgeons near your home and schedule an appointment 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 or 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: It is impossible to tell you why your visual recovery from Cataract Surgery is not quicker as you do not know whether there may have been some complication during Cataract removal or what the overall health of your eye is, including the Cornea and the Retina. However, what we can tell you is that you should carefully follow the instructions given by your Cataract Surgeon. Some blurry vision 2 weeks after Cataract Surgery is possible is there is Corneal swelling, inflammation, certain reactions of the Retina and other situations tat can sometimes occur after Cataract Surgery. If you are uncomfortable with the information your Cataract Surgeon is sharing then it is never inappropriate to find the best Cataract Surgeons near your home and schedule an appointment 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 or 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, April 13, 2012
Light Intensity after Cataract Surgery & Lens Implant
Question: Light seems extremely intense now that I have had cataract surgery and a lens implant upon the removal of my cataract-is this normal?
Answer: Yes, it is normal to experience extreme light intensity after a Cataract Surgery and Lens Implant, especially if there was a progressively worsening Cataract and it was gradually diminishing light getting into the back of the eye. Patients often comment that the "before and after" comparison can be intense-however, it subsides in relatively short order. If, for some reason, it seems to persist, please bring this to the attention of your 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 or 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: Yes, it is normal to experience extreme light intensity after a Cataract Surgery and Lens Implant, especially if there was a progressively worsening Cataract and it was gradually diminishing light getting into the back of the eye. Patients often comment that the "before and after" comparison can be intense-however, it subsides in relatively short order. If, for some reason, it seems to persist, please bring this to the attention of your 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 or 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, April 12, 2012
Laser Cataract Surgery?
Question: Should I have laser cataract surgery and lens implant with the femtosecond laser or regular cataract surgery?
Answer: Laser Cataract Surgery using the femtosecond laser is slowly becoming available across the United States and may offer a more consistent quality of Cataract Surgery, especially with regard to the precision required for advanced technology Lens Implants. The femtosecond laser allows the Cataract Surgeon to perform a number of manually complex and skill intense steps using computer controlled laser application rather than simply relying on the skill of the surgeon alone. This has the potential to level the playing field in terms of consistency of outcome-even among those Cataract Surgeons who may not be as skilled.
The fact of the matter is that today, modern Cataract Surgery using the current technology is extremely successful with excellent outcomes and results-especially in the hands of skilled and experienced Cataract Surgeons. Also, some of the most critical steps in Cataract Surgery involve using a microscopic probe to actually remove the cloudy lens material-called phacoemulsification. This step is very technically demanding and IS NOT PERFORMED BY ANY LASER.
Thus, whether some steps in Cataract Surgery are performed by laser or not, there are still other remaining steps that require an experienced Cataract Surgeon in order to get the best results. So, over time Laser Cataract Surgery may very well provide more consistent results, BUT all Cataract Surgery depends on the best Cataract Surgeons using the tools they have available.
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 or 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 using the femtosecond laser is slowly becoming available across the United States and may offer a more consistent quality of Cataract Surgery, especially with regard to the precision required for advanced technology Lens Implants. The femtosecond laser allows the Cataract Surgeon to perform a number of manually complex and skill intense steps using computer controlled laser application rather than simply relying on the skill of the surgeon alone. This has the potential to level the playing field in terms of consistency of outcome-even among those Cataract Surgeons who may not be as skilled.
The fact of the matter is that today, modern Cataract Surgery using the current technology is extremely successful with excellent outcomes and results-especially in the hands of skilled and experienced Cataract Surgeons. Also, some of the most critical steps in Cataract Surgery involve using a microscopic probe to actually remove the cloudy lens material-called phacoemulsification. This step is very technically demanding and IS NOT PERFORMED BY ANY LASER.
Thus, whether some steps in Cataract Surgery are performed by laser or not, there are still other remaining steps that require an experienced Cataract Surgeon in order to get the best results. So, over time Laser Cataract Surgery may very well provide more consistent results, BUT all Cataract Surgery depends on the best Cataract Surgeons using the tools they have available.
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 or 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, April 11, 2012
Too Young for Cataract Surgery?
Question: I need to know if I am too young for cataract surgery and a lens implant. I had headaches and had an eye exam and was told one eye is 20/20 and the other has a fast growing cataract that is causing me to have bad vision in that eye. The eye doctor said I am rather young for cataract surgery-I'm 43 years old. He said if I had cataract surgery I would forever lose a lot of my eyesight in that eye and will be forced to wear glasses from that time. Knowing that sight technology has progressed very quickly over that past few years I was wondering do I have a better option that would be good at my age?
Answer: If you have a Cataract, the time to have Cataract Surgery and a Lens Implant is when it causes a significant enough disturbance of your vision that you experience symptoms that are uncomfortable or troubling to you. Your age is relatively immaterial in the decision to have Cataract Surgery. As long as your health is otherwise good and your eye heath is otherwise unremarkable, you can have Cataract Surgery to improve the vision in that eye any time you choose. However, at 43 years old you are likely to be entering the age of presbyopia onset which means you are likely to experience near vision focusing problems sometime soon whether on not you have a Cataract. This would require the use of reading glasses or bifocals even without a Cataract. If you have Cataract Surgery and a Lens Implant it might be possible to have a Multifocal Lens Implant to give you a better range of vision, if the Cataract Surgeon feels this is a good choice for you. Typically Multifocal Lens Implants work best when implanted in both eyes so there is some question here. Your next step is to find the best Cataract Surgeon in your area and schedule an examination and consultation for evaluation of the Cataract and to discuss the possibility of Cataract Surgery as having headaches is enough of a symptom to warrant further investigation. Again you are not too young and age is NOT a reason to avoid Cataract Surgery.
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 or 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 you have a Cataract, the time to have Cataract Surgery and a Lens Implant is when it causes a significant enough disturbance of your vision that you experience symptoms that are uncomfortable or troubling to you. Your age is relatively immaterial in the decision to have Cataract Surgery. As long as your health is otherwise good and your eye heath is otherwise unremarkable, you can have Cataract Surgery to improve the vision in that eye any time you choose. However, at 43 years old you are likely to be entering the age of presbyopia onset which means you are likely to experience near vision focusing problems sometime soon whether on not you have a Cataract. This would require the use of reading glasses or bifocals even without a Cataract. If you have Cataract Surgery and a Lens Implant it might be possible to have a Multifocal Lens Implant to give you a better range of vision, if the Cataract Surgeon feels this is a good choice for you. Typically Multifocal Lens Implants work best when implanted in both eyes so there is some question here. Your next step is to find the best Cataract Surgeon in your area and schedule an examination and consultation for evaluation of the Cataract and to discuss the possibility of Cataract Surgery as having headaches is enough of a symptom to warrant further investigation. Again you are not too young and age is NOT a reason to avoid Cataract Surgery.
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 or 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, April 6, 2012
Light Streaks after Cataract Surgery
Question: I had cataract surgery 2 weeks ago and now see streaks of light. I see one long left to right line and a shorter up and down line at every bright point source of light. When will this subside?
Answer: It is difficult to actually know the exact cause of what you are experiencing and thus what length of time it might take to subside. But here is some general information that might be helpful. A temporal line or shadow or flicker is often described by patients after Cataract Surgery.
It goes away.
As long as your Cataract Surgeon has examined you and determined that there is no Retinal cause, then in all likelihood what you are experiencing is due to either internal reflections from the lens implant or its edge, or perhaps a crease or a fold in the posterior capsule that is left in place to support the Lens Implant.
Different edge designs of Lens Implants are implicated more often than others. Once the Lens Implant and posterior capsule settle with the capsule stiffening and less movement occurring the visual symptoms usually go away. Sometimes it can take weeks-sometimes months.
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 or 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: It is difficult to actually know the exact cause of what you are experiencing and thus what length of time it might take to subside. But here is some general information that might be helpful. A temporal line or shadow or flicker is often described by patients after Cataract Surgery.
It goes away.
As long as your Cataract Surgeon has examined you and determined that there is no Retinal cause, then in all likelihood what you are experiencing is due to either internal reflections from the lens implant or its edge, or perhaps a crease or a fold in the posterior capsule that is left in place to support the Lens Implant.
Different edge designs of Lens Implants are implicated more often than others. Once the Lens Implant and posterior capsule settle with the capsule stiffening and less movement occurring the visual symptoms usually go away. Sometimes it can take weeks-sometimes months.
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 or 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.
Eye Pain & Osteoporosis Medication
An increased risk of eye inflammation such as scleritis and uveitis and associated eye pain might accompany the use of certain osteoporosis medication. “We see patients taking osteoporosis medications such as Fosamax®, Boniva® and Actonel® quite often,” commented Galveston & Houston Ophthalmologist Dr. Da-Thuy Van of The Eye Clinic of Texas. According to a study published in the Canadian Medical Association Journal, users of oral bisphosphonates such as Fosamax®, Boniva® and Actonel® were 45% more likely to develop uveitis and 51% more likely to develop scleritis compared with patients who had never used these medications. If you take medicine for osteoporosis, you will also need to get enough calcium and vitamin D, eat a healthy diet, and exercise regularly. A large part of treating or reducing the effects of osteoporosis is getting enough calcium and vitamin D. “If your physician does start you on any type of osteoporosis medication you should not ignore the symptoms of eye pain no matter how mild they might seem. Even at your regular eye exam, make sure to tell your eye doctor if you have started bisphosphonates medication such as Fosamax®, Boniva® and Actonel®. We need to know as sometimes the associated side effects of these osteoporosis medications can be subtle-but they are important,” noted Fairfield County Ophthalmologist Leslie Doctor of Doctor & Associates.
Cataract Surgery-Never Too Old!
“From time to time patients or their relatives ask if a family member is just too old for cataract surgery,” commented Corneal Specialist & Norwalk Cataract Surgeon Leslie Doctor, M.D. of Doctor & Associates in Fairfield County, Connecticut. “If we do a cataract evaluation and find that their vision is indeed compromised from cataracts rather than other eye problems, conditions or diseases, we will give the patient the okay to proceed with cataract surgery if it is interfering with their quality of life-regardless of their age,” stated Dr. Leslie Doctor.
After enduring a decade of poor vision, 109-year-old Guo Liansheng has been given back her sight by having Cataract Surgery with a Lens Implant, potentially setting the new world record for the Oldest Cataract Surgery Patient. Madam Guo was keen to move quickly so she would be able to see members from five generations of her family, who would be visiting for the Year of the Dragon New Year celebrations. The surgery is now pending a Guinness World Record for World's Oldest Cataract Surgery Patient.
“A patient’s chronological age is, not in and of itself, a reason not to have a cataract removed, if it is causing them to avoid the daily activities they need or want to do and especially if it results in a challenge to their getting around safely,” noted Corneal Specialist & Baltimore Cataract Surgeon Brad Spagnolo, M.D. of Baltimore Washington Eye Center. “Of course, we want to be certain that older patients are free of retinal diseases such as age related macular degeneration that might prevent getting the best and most predictable results.”
“As our cataract surgery and lens implant procedures have evolved and become more and more patient friendly with easier and shorter recovery time, age has become less of an obstacle for those thinking about having a cataract removed at almost any age,” emphasized Oklahoma Cataract Surgeon Darrell Pickard, M.D. of McGee, Pickard & Robinson Eye Associates in Midwest City, Oklahoma. “Our patients want to be able to get around safely and comfortably. Pretty much at any age, if a cataract is preventing them from doing so, we are happy to consider their eye health and vision and determine if cataract surgery is a good choice for them,” said Dr. Pickard.
After enduring a decade of poor vision, 109-year-old Guo Liansheng has been given back her sight by having Cataract Surgery with a Lens Implant, potentially setting the new world record for the Oldest Cataract Surgery Patient. Madam Guo was keen to move quickly so she would be able to see members from five generations of her family, who would be visiting for the Year of the Dragon New Year celebrations. The surgery is now pending a Guinness World Record for World's Oldest Cataract Surgery Patient.
“A patient’s chronological age is, not in and of itself, a reason not to have a cataract removed, if it is causing them to avoid the daily activities they need or want to do and especially if it results in a challenge to their getting around safely,” noted Corneal Specialist & Baltimore Cataract Surgeon Brad Spagnolo, M.D. of Baltimore Washington Eye Center. “Of course, we want to be certain that older patients are free of retinal diseases such as age related macular degeneration that might prevent getting the best and most predictable results.”
“As our cataract surgery and lens implant procedures have evolved and become more and more patient friendly with easier and shorter recovery time, age has become less of an obstacle for those thinking about having a cataract removed at almost any age,” emphasized Oklahoma Cataract Surgeon Darrell Pickard, M.D. of McGee, Pickard & Robinson Eye Associates in Midwest City, Oklahoma. “Our patients want to be able to get around safely and comfortably. Pretty much at any age, if a cataract is preventing them from doing so, we are happy to consider their eye health and vision and determine if cataract surgery is a good choice for them,” said Dr. Pickard.
Wednesday, April 4, 2012
Cataract Risk & Prevention Factors
Charlie Daniels Cataract Surgery Recovery
“From my 30+ plus years experience as a Cataract Surgeon I as well as all his fans are confident that with his doctor’s guidance, his recovery from Cataract Surgery will be quick and that Charlie will be back entertaining us shortly,” said Dr. Michelson.
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