Tuesday, July 31, 2012

Dry Eyes after Cataract Surgery

Question: I had cataract surgery on both eyes and now have to be treated for dry eyes. It has been 3 weeks on my left eye and 2 weeks for my right eye. I feel like I am looking through a dirty ocean on both eyes. My cataract surgeon is treating me for dry eyes with extra tears and Genteal® drops at night. Can this be fixed or is it something I will have to live with? 

Answer: If in fact your Cataract Surgeon has determined that you have dry eyes after your Cataract Surgery this is not a terribly uncommon problem. First, many people have low level chronic inflammation of their eyelid margins, called blepharitis, that can create oily secretions and debris in the tear film. This is often exacerbated after Cataract Surgery and can sometimes be confused with or be co-existing with dry eye problems. Second, during the Cataract Surgery procedure, and really any time there are incisions in the cornea, there is the potential for a temporary dry eye problem. Last, as part of the Cataract operation it is common to use many different types of eye drops and solutions that can also temporarily disrupt the ocular surface and tear film and cause dry eye complaints. What you need to know is that there is a solid range of help for dry eyes after Cataract Surgery. The key thing to make sure is that in fact your complaints are due to dry eye. If they don't resolve to your satisfaction within a reasonable period of time then seek a second opinion with a Cataract Surgeon who is also a Corneal Specialist who can address the ocular surface and tear film in greater depth. 

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, July 30, 2012

Toric Lens Implant & Astigmatism Uncorrected

Question: I had a toric lens implant after cataract surgery that left me with a good bit of astigmatism. The cataract surgeon said that it was implanted correctly but since my correction fell between a T5 and a T6 this was the best result I could expect. Does this sound right? 

Answer: It is not possible to tell why you have uncorrected astigmatism after Cataract Surgery with the toric lens implant without really knowing what the preoperative corneal curvature measurements were, what the corneal topography demonstrated and whether the residual uncorrected astigmatism is of the same axis of orientation as the preoperative astigmatism. The AcrySof® Toric Lens Implant is available up to a T9 and capable of correcting considerably greater amounts of astigmatism than the T6, so one would need to know where the residual astigmatism is coming from. Then, you need to discuss the options for correcting the astigmatism with your Cataract Surgeon which might include eyeglasses, corneal laser eye surgery such as PRK or perhaps Limbal Relaxing Incisions. Under certain circumstances one could consider a Lens Implant exchange but this poses significantly greater risk.

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.

Maine Cataract & Eye Care Mobile Web Site

Eyecare Medical Group, a leading Maine Cataract and Ophthalmology practice is pleased to announce the launch of its new cataract and eye care mobile web site. Patients who use an iPhone, Android or any mobile smartphone or computer tablet like an iPad and wish to learn more about cataracts, cataract surgery or lens implants, or who want to schedule an eye exam for a cataract and lens implant consultation can simply search Eyecare Medical Group and click through to get information and dial the practice directly with the touch of a finger. 

If you are at a desktop computer and want to use a regular phone to schedule an appointment reach us at 888-374-2020 or for greater detail and more in depth information visit Eyecare Medical Group or to just be social come see us at facebook.com/eyecaremedicalgroup

Best Cataract Surgeon in Florida

Question: How can I determine who is the best and most experienced cataract surgeon in my area of Florida? 

Answer: To find the best cataract surgeon in your area of Florida requires a little legwork. But, keep in mind that there are many “best” Cataract Surgeons who are extremely well trained, have a great deal of experience and expertise. So, some of the investigation and decision comes down to the personal chemistry you develop with the Cataract Surgeon and the staff. Here are some steps you can take in the process. 

Ask People You Trust for a recommendation. Ask your friends, co-workers and family-but most importantly ask you primary care physician who they would go to or who they would send a parent to for cataract surgery. 

Don’t Limit Yourself to Insurance Lists. Just because a cataract surgeon is “in network” isn’t a reason to use them if you are able to identify a top cataract surgeon you wish to go to who isn’t listed. Paying a slightly higher co-pay or deductible may be very worthwhile to get the Cataract Surgeon of your choice. If the best Cataract Surgeon in your area happens to be in the insurance list then you are all set.

Use the Power of the Internet. Take a minute to search “cataract surgeons in (insert your town/city/state)” or “best cataract surgeon in (insert your town/city/state)”. This will at least give you a starting place to begin creating a list of eye surgeons to investigate further. 

Visit the Cataract Surgeon’s Web Site. Once you have compiled a list, visit their web sites. 

And get a feel for their practice culture and philosophy. While a web site by itself can’t tell you much about surgical skills, it can tell you about how well he or she presents information and explains detail to patients. This is important in how comfortable you may feel in that practice. 

Schedule a Consultation and Meet the Cataract Surgeon. The only sure fire way to find out if you are comfortable and get a sense of trust from a cataract surgeon is to schedule a consultation and meet the surgeon personally. They should be able to clearly explain your eye health and vision as well as the cataract procedure and answer any questions you have in understandable language and terms. Whether or not you find the right cataract surgeon right off the bat it is never inappropriate to……… 

Get a Second Opinion. Making a decision about eye surgery is a big deal. Getting to a place where you feel confident, relaxed and comfortable is important. 

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, July 23, 2012

Red Spot after Cataract Surgery

Question: My mother had cataract surgery last week and now has a small red spot is in her eye today. She has no pain and can see great. What could it be? 

Answer: It is impossible to know what the red spot that you can see on her is actually is, but one would guess that it is a small broken blood vessel-called a subconjunctival hemorrhage-that occurs in the very fine blood vessels in the clear thin layer of tissue called the conjunctiva. This can happen from simply manipulating the conjunctiva during surgery or even from sneezing or coughing. If it is a subconjunctival hemorrhage it may appear to get worse and spread around the surface of the eye and then spontaneously get better. The key things to be cautious about are of course are, as you say, there should be no pain, no discharge, no light sensitivity or any signs or symptoms of inflammation and the vision should remain stable and good. If any of these become a noticeable problem or the vision changes then you need to visit her Cataract Surgeon right away. 

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 Second Opinion

Question: My brother recently had a dense cataract removed from his left eye and complications arose when the cataract cracked and fell behind his eye. This has required additional surgery by a retinal specialist and the outcome will not be known for several months.Meanwhile, the cataract in the right eye must be removed and is considered to be even more difficult than the left. Are some cataract surgeons more skilled at removal than others? Should he find another ophthalmologist for the second surgery?
 

Answer: What you describe is most likely a Cataract Surgery complication whereby there was a ruptured lens capsule allowing a fragment of the crystalline lens to fall into the vitreous. While this is an uncommon complication is does seem to occur more often with complex or difficult Cataract operations such as where the Cataract is especially dense. This does indeed require a Vitrectomy-a surgical removal of some of the citreous along with the lens fragment and is performed by a Vitreoretinal Surgeon rather than a Cataract Surgeon. Certainly more difficult Cataract Surgery procedures are best performed by highly experienced Cataract Surgeons. However, the density of the Cataract may be the greater contributor to the complication rather than the inexperience of the surgeon. It is always acceptable to seek a second opinion-especially in surgical choices-if this makes you more comfortable. However keep in mind that there just may be difficulties no matter how experienced the surgeon is if the Cataract is dense, hard and difficult to extract. This is one of the reasons patients are encouraged to have a Cataract removed when it begins to disturb there vision rather than waiting for the Cataract to "ripen". 

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.

Baltimore Cataract & Eye Care Mobile Web Site

Baltimore Washington Eye Center, a leading Baltimore Cataract and Ophthalmology practice serving patients from throughout the greater D.C. area, is pleased to announce the launch of its new cataract and eye care mobile web site. Patients who use an iPhone, Android or any mobile smartphone or computer tablet like an iPad and wish to learn more about cataracts, cataract surgery or lens implants, or who want to schedule an eye exam for a cataract and lens implant consultation can simply search Baltimore Washington Eye Center and click through to get information and dial the practice directly with the touch of a finger. 

If you are at a desktop computer and want to use a regular phone to schedule an appointment reach us at 800-495-3937 or for greater detail and more in depth information visit Baltimore Washington Eye Center or to just be social come see us at facebook.com/baltimorewashingtoneyecenter

Monday, July 16, 2012

Boston Cataract & Eye Care Mobile Web Site

D’Ambrosio Eye Care, a leading Boston Cataract and Ophthalmology practice serving the greater Boston and central Massachusetts area is pleased to announce the launch of its new cataract and eye care mobile web site. Patients who use an iPhone, Android or any mobile smartphone or computer tablet like an iPad and wish to learn more about cataracts, cataract surgery or lens implants, or who want to schedule an eye exam for a cataract and lens implant consultation can simply search D’Ambrosio Eye Care and click through to get information and dial the practice directly with the touch of a finger.

If you are at a desktop computer and want to use a regular phone to schedule an appointment reach us at 800-325-3937 or for greater detail and more in depth information visit D’Ambrosio Eye Care or to just be social come see us at facebook.com/dambrosioeyecare

Hemorrhage after Cataract Surgery

Question: My grandpa had cataract surgery a week ago as still unable to see out of that eye. There is some blood right at the center of his eye and his eye doctor days that is the reason he is still unable to see. I am worried, does this sound normal?

Answer: It is not really possible to understand the reason for your grandpa's difficultly with vision after his Cataract Surgery as it is not obvious what the actual location of the hemorrhage is-inside the vitreous, in the retina or in the macula of the retina indicating the possibility of age related macular degeneration being present. Each of these will impact vision to a different degree. It would be very important to get clarification and a prognosis from your Cataract Surgeon that you are comfortable with. Otherwise, you should seek a second opinion from another 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.

NJ Cataract & Eye Care Mobile Web Site

The Eye Care & Surgery Center, a leading NJ Cataract and Ophthalmology practice serving patients from throughout New Jersey, is pleased to announce the launch of its new cataract and eye care mobile web site. Patients who use an iPhone, Android or any mobile smartphone or computer tablet like an iPad and wish to learn more about cataracts, cataract surgery or lens implants, or who want to schedule an eye exam for a cataract and lens implant consultation can simply search Eye Care & Surgery Center and click through to get information and dial the practice directly with the touch of a finger.

If you are at a desktop computer and want to use a regular phone to schedule an appointment reach us at 908-789-8999 or for greater detail and more in depth information visit The Eye Care & Surgery Center or to just be social come see us at facebook.com/eyecareandsurgerycenter

Squiggly Line after Cataract Surgery & Lens Implant

Question: I had cataract surgery and a lens implant a month ago and since that time I see a half circle and a squiggly line. What does that mean? 

Answer: Seeing a half circle and squiggly line after Cataract Surgery and a Lens Implant could have a number of causes that would require an examination with your Cataract Surgeon. It would be important to have the vitreous and the retina carefully evaluated as your symptoms could be due to normal or abnormal changes in either or both that may or may not be related to your Cataract operation. Once that is ruled out it would be important to evaluate the Lens Implant itself and if the IOL was in fact in the proper position, then it might be that you are simply seeing the edge effect of the Lens Implant as many people report this and then adapt to it sometime after their 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.

Baltimore Washington Eye Center Milestone

Congratulations to Baltimore Washington Eye Center in the achievement of a significant patient care milestone. “On June 28, 2012 we officially registered patient number 100,000 into our electronic medical records system-a real growth milestone that speaks to our dedication and longevity in providing routine eye health and vision care as well as care for eye diseases and eye surgery in our community,” reported Phillip Harrington, Baltimore Washington Eye Center Administrator. 

“We have worked diligently since 1969 to create a comprehensive eye care center that incorporates the full range of ophthalmology services. Whether patients need routine eye exams for adults or children, diagnosis and treatment of cataracts with cataract surgery and lens implants, LASIK or laser eye surgery for vision correction or the diagnosis and treatment of diabetic retinopathy, age related macular degeneration or glaucoma-we have the expertise, experience and skilled staff to provide personalized, compassionate and quality care right here in our facility,” said Baltimore Washington Eye Center Medical Director Arturo Betancourt, M.D. 

“Patients visiting us for the first time routinely comment about the convenience and customer service approach we offer in two particular areas-our optical center for eyeglasses and eyewear-and the Baltimore Washington Eye Surgery Center, our on-site surgery center that is fully certified by the Accreditation Association for Ambulatory Health Care (AAAHC) and Medicare licensed. Safe, successful and convenient eye surgery is our top priority,” explained Brad Spagnolo, M.D., Director of Refractive Services. 

You can reach Baltimore Washington Eye Center by calling 800-495-3937, visiting Baltimore Washington Eye Center or facebook.com/baltimorewashingtoneyecenter

Baltimore Washington Eye Center is a leading eye care practice serving the greater Baltimore and Washington, D.C. area staffed by a team of Ophthalmologists, Optometrists, Opticians, technical and administrative staff who provide eye examinations for adults and children, diagnosis and treatment of cataracts including cataract surgery and intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease, care for diseases of the retina including diabetes and age related macular degeneration (AMD) and diagnosis and treatment of glaucoma as well as contact lenses, eyeglasses, eyewear and optical services. Baltimore Washington Eye Center is conveniently located for patients from Arbutus, Carney, Clarksville, Columbia, Dundalk, Edgemere, Essex, Ellicott City, Ferndale, Glen Burnie, Kenwood, Laurel, Linthicum, Lutherville, Millersville, Odenton Owings Mills, Reisterstown, Towson, Parkville, Randallstown, Rivera Beach, Pasadena, Severna Park, South Gate and Woodlawn Maryland.

Wednesday, July 11, 2012

Crystalens® Lens Implant Double Vision

Question: I had cataract surgery with the Crystalens® Lens Implant 3 weeks ago and now have double vision. My immediate double vision was explained that the muscle had been injected with anesthesia and the double vision would disappear in a few days. This has not been the case and I continue to have a problem with focusing with both eyes. Covering one eye I have clear vision, with the uncovered eye. The unoperated eye is ok with glasses. I feel disoriented, as depth perception is off. My cataract surgeon is away and the replacement eye doctor told me everything if fine and it will go away. Will it? How much longer?

Answer: If in fact you had an anesthesia injection in the muscle cone, any effects would have disappeared after a few days at most. It does take patients some time after having Cataract Surgery with a Crystalens® Lens Implant to relearn how to focus and unless you have the Crystalens® in BOTH eyes it can be very annoying to adjust the focus. It is entirely possible that you will need to have the Crystalens® in the second eye as adapting to any near vision correcting Lens Implant in one eye can be a real challenge and could cause double vision. Your best course of action would be to return to your primary Cataract Surgeon and discuss the double vision and see what he or she recommends as a solution.

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, July 9, 2012

Cataract Surgery Capsule Complication

Question: I had cataract surgery and the cataract surgeon tore the lens capsule and pieces of the lens fell into the back of my eye. Should the doctor be able to repair this during the surgery or would he have to send me to a specialist 5 days later?
Answer: A capsular rupture or tear is an infrequent but known possible complication of cataract surgery. The timing of the removal of lens fragments with a vitrectomy is really quite variable. Vitreoretinal surgeons who do this type of surgery have varying clinical requirements for surgery depending on a number of factors that might include the size of the lens fragments, presence of inflammation and the ability of the surgeon to control the post operative intraocular pressure (IOP). On average, waiting 5 days after the primary cataract operation is not really outside the norms depending on the exact clinical findings.
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.

ReSTOR® Lens Implant & Blurry Vision

Question: I had cataract surgery 7 days ago with the ReSTOR® Lens Implant and have blurry vision. In spite of my cataract surgeon saying I have 20/20 vision, I still cannot see clearly. Things are fuzzy: I cannot see clearly at any distance. I had the ReSTOR® Lens Implant because it's supposed to give you "sharp/clear" vision. Shouldn't I have that sharp/clear vision now in that eye? I understood, by the brochure and other information given to me that I would. What do you think could be wrong?
Answer: It is impossible to know why you have blurry or fuzzy vision after Cataract Surgery with the ReSTOR® Lens Implant. It could many factors related to the Lens Implant itself in terms of its optics, position, general design or perhaps residual refractive error such as astigmatism or aberrations. It also could be due to factors related to the Cataract Surgery itself or could be due to the health and condition of your eye itself-especially the Macula. There is no way to tell and you should consider getting a second opinion from another Cataract and Lens Implant Specialist if you are dissatisfied with the opinion of 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 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 Medicare Lens Implant Exchange

Question: About a year ago my wife had a cataract operation with the lens implant that Medicare pays for. Now her close up near vision is bad. Can she now have these lens implants replaced and exchanged with lens implants to correct this?

Answer: Technically and mechanically it might be possible for your wife to have a Lens Implant exchange to replace the Monofocal Lens Implants Medicare paid for with near vision correcting Multifocal Lens Implants, however it really depends on the health and condition of the eye and the tissues supporting the Lens Implant-and even so could pose a significant enough risk with somewhat unpredictable results that it is not likely that too many Cataract Surgeons would consider doing this. Your best next step is to return to the Cataract Surgeon who performed the primary Cataract Surgery and ask for their opinion and frank recommendation. This should be done after a thorough examination and discussion of your wife’s needs and expectations from Multifocal Lens Implants.
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, July 4, 2012

Choosing Multifocal Lens Implants

Question: I am scheduled for cataract surgery and lens implants. Overall my surgical counselor did a good "job" explaining procedure as well as additional costs that will occur IF I would decide to "go" with the ReZoom™ Is there any place to go to see/read first hand accounts (+ and -) from others who have opted for ReZoom™? I would love to NOT have to wear glasses but in that I am a basketball referee I do not want vision not as clear as need be for this activity. I realize that "normal" cataract surgery would give me clearer long range vision but would require reading glasses for "normal" reading activity. Are the possible halos around lights etc. with the ReZoom™ Lens that much of a problem etc.? Obviously nighttime driving is a must during the b-ball season. Thanks for any help/suggestions you may have.

Answer: Multifocal Lens Implants are extremely complex optical designs-all of which have some visual limitations and potential for optical side effects. Each design produces differing degrees of symptoms such as decreased contract, the potential for night vision disturbances, compromised close vision-intermediate vision or distance vision If one REALLY has a lifestyle that would be more comfortable and convenient being LESS dependent-NOT necessarily independent of glasses after Cataract Surgery, them Multifocal Lens Implants can be an excellent choice. Let's stress LESS DEPENDENT, as regardless of what the manufacturer's data, literature and marketing hype suggest, it would be an unrealistic expectation to select a Multifocal Lens Implant if you were only going to be satisfied if you were totally "glasses free." Again, contrary to the manufacturer's hype and with all due respect to the surgical counselors involved, the ReZoom™ Lens is notorious for causing significant night driving problems, glare and halo and in many instances will also produce less than useable near vision. It has all but been replaced by the manufacturer AMO, and in clinical practice by a newer generation Multifocal Lens called the Tecnis® Multifocal Lens which to date seems far superior to its predecessor from AMO, the ReZoom™ Lens. To satisfy your own curiosity, simply go to Google. Then search "halo problem with ReZoom", "night driving problems with ReZoom", etc.-and you can read for yourself. Each patient will get a differing result and many of these lenses are dependent on pupil size and pupil anatomy as well as the exact placement of the lens which requires perfect centration. Thus, selecting the BEST Multifocal Lens Implant requires careful examination, consultation and discussion as it is quite individual and should NOT depend on what the Cataract Surgeon "offers" but is the best physical, anatomical and optical choice for the individual patient. There is NOTHING wrong with seeking a second, or even third opinion regarding the choice of a Multifocal Lens Implant-AND, even then it is the skill of the Cataract Surgeon that ultimately delivers the lens performance.

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.

Multifocal Lens Implant Vision Problems

Question: After having multifocal lens implants, I have noticed that I do not see clearly and I feel like I am underwater. The cataract surgeon informed me that with this type of lens, water gets in-between the lens. I can see best when I am in bright light and if I am in a situation that is dark, I need a flashlight such as for a restaurant menu. Are there any kind of drops that might help this situation or do I just have to live with the problem?
Answer: While is difficult to identify the cause of the vision problem with your Multifocal Lens Implants, there are some things that you should know and consider. First, there is "no water in between the lens". What you are describing are most likely symptoms of reduced contrast sensitivity produced by the multifocal lens implants as well as perhaps some aging effects of the Macula, or center of the Retina-which will actually compound the reduced contrast produced by the Lens Implant. Multifocal Lens Implants are very complex lens optical designs and some-more than others-do in fact result in a reduction in contrast sensitivity. In addition, the normal aging process of the Retina and Macula also cause a reduction in contrast sensitivity. Further, certain Multifocal Lens Implants also require absolutely perfect positioning and centration or they result in reduced contrast sensitivity. So, as you can see there are a number of variables here that can contribute individually or interactively in causing symptoms of reduced contrast. Your Cataract Surgeon should be able to evaluate each of these items and advise you as to whether the Multifocal Lens Implants you have are as good as they get or whether you might wish to have them removed and replaced with lens Implants that will not impact contrast but also might not offer you the near vision correction. This requires careful examination, discussion and consultation and may require that you get a second opinion from other Cataract Surgeons in your area.
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.