Cataracts

image34

Cataracts

Cataracts gradually deteriorate your quality of life and rob you of your ability to see colors and objects, often preventing you from doing things at night, like driving. But you don’t have to suffer or give up the things you enjoy. We can treat your cataracts safely and effectively with laser-assisted cataract surgery. We also offer a variety of lenses to choose from to give you a second chance to see more beauty, more joy, and more goodness in your life.

 

The procedure to restore your vision before further vision loss occurs can change your life, and, according to research published in the Journal of the American Medical Association, it could even lengthen it. It’s our mission to make sure you can see a brighter, better world, so we offer a variety of lenses to fit your unique needs. These lenses include:


  • Panoptix (Trifocal)
  • Restor 2.5, 3.0
  • Symfony (EDOF)
  • Restor – toric (multifocal)
  • Acrysoft IQ Toric


Dropless Cataract Surgery

 

Proudly serving cataract treatments to our clients throughout the Brookfield area and Shenango Valley, we do our best to improve our patients’ experience with cataract surgery, we offer patients the option of having cataract surgery performed in such a way that most patients no longer need to take eye drops before or after surgery.


This procedure is called “Dropless Cataract Surgery.” In Dropless Cataract Surgery, a  combination of antibiotics and an anti-inflammatory medicines are placed in the eye during cataract surgery, which is absorbed by the eye over the next month, providing patients the benefit of antibiotics and anti-inflammatory medicines without needing drops.



Dropless Cataract Surgery:


  • Is low risk.
  • Eliminates drops for most patients.
  • Has a low rate of infection and retinal swelling (similar to drops).
  • Dramatically simplifies the postoperative regimen.
  • Reduces the chance of side effects from eye drops.
  • Can save patients hundreds of dollars in eye drop expenses.


Should you and your surgeon decide to proceed with Dropless Cataract Surgery, drops will not be needed before surgery. Most patients will also not need drops after surgery; however, a small percentage will need an anti-inflammatory eye drop if inflammation develops.


What is a cataract?

 

A cataract is a clouding of the natural lens inside your eye. This lens, located behind the iris (colored part of the eye), works like the lens of a camera – focusing light images on the retina, which sends images to the brain. When a cataract forms, this lens can become so clouded it prevents light and images from reaching the retina. Cataracts cannot be prevented and eventually affect 100% of the population. 


Symptoms: 

  • Blurred or cloudy vision
  • Colors appear faded or dull
  • Headlights or streetlights have glare or halos
  • Poor night vision
  • Sunlight or fluorescent lights may appear to be too bright
  • Double or multiple vision in one eye
  • Frequent prescription changes in your eyeglasses or contact lenses
  • Difficulty reading


Presbyopia (progressively diminished near vision that usually begins in middle age) with nearsightedness, farsightedness, or astigmatism, requires the use of bifocal or “progressive” lenses to see clearly both near and far. The important thing to remember is that now, cataract surgery can often correct refractive errors AND presbyopia. This means that it may be possible for you to gain clear vision with little dependence on glasses or contact lenses.

What You Should Expect Before and on the Day of Surgery


Prior to the day of surgery, your surgeon will discuss the steps that will occur during surgery. Your surgeon or a staff member will ask you a variety of questions about your medical history. You will be sent to your primary care physician for a history and physical. You should discuss with your surgeon which, if any, of your routine medications you should stop taking prior to surgery. Prior to surgery, several eye scans will be done and calculations made to determine the appropriate power intraocular lens to implant. A specific artificial lens is chosen based on the measurements of your eyes.  

It is important to remember to follow all of your preoperative instructions. 

Arrangements should be made with family or a friend to be with you and to transport you to and from the surgery center. 


After leaving the operating room, your will be brought to a recovery area for a brief time. The nurses will go over the instructions for the eye drops that your surgeon has prescribed. You will need to use them for a few weeks following your surgery. While you may notice some discomfort, most patients do not experience significant pain following cataract surgery. If you do experience decreasing vision or significant pain, you should contact your cataract eye doctor immediately. 


What You Should Expect After Cataract Surgery 


Following surgery, you will need to return for visits within the first few days and again within the first few weeks after surgery to assure your eye is healing properly. During this time period, you will be using several eye drops that help protect against infection and inflammation. You will have some restrictions on activities such as not driving for a day or so, no swimming for a week, no heavy lifting. Within several days, most people will notice that their vision is improving. You will likely be able to return to work and resume normal physical activities after the first few days

Laser Cataract Surgery

image35

Femtosecond Laser Assisted Cataract Surgery (FLACs)

Millions of Americans suffer from cataracts. More than three million cataract surgeries are performed in the U.S. annually. One in three, mostly seniors, will have cataract surgery in their lifetime. The surgery performed is intended to remove the natural lens in the eye, that has become clouded or milky, over time. To restore focus, a permanent artificial lens replacement is implanted at the time of cataract removal.

Although our eyes share similar anatomy, each and every eye is different in how it sees, much like a fingerprint. By using the computer controlled LenSx Laser, Dr. Joseph can obtain special high resolution images of your eyes to identify these differences, thus customizing your cataract surgery experience in ways not attainable with traditional methods. With increased surgeon control, Dr. Joseph can perform some of the more intricate parts of the surgery with more precision. This results in more predictable outcomes.


Traditional cataract surgery has always involved the use of a surgical blade, used by hand, to create several small incisions in the eye. A bent needle or forceps is used to make an opening in the cataract outer membrane, which is referred to as the capsulotomy. With Laser Assisted Cataract Surgery, these incisions and the opening in the cataract membrane are now made by a laser. This technology allows Dr. Joseph to plan and perform various parts of the cataract surgery with laser precision. The laser also softens the central core of the cataract permitting easier removal of the cataract. Ultrasonic energy has traditionally been used to remove the core, but now with laser assisted cataract surgery, the amount of ultrasonic energy necessary can be reduced. This results in less damage to the intraocular structures.


The laser can also be employed to plan, locate, and perform precise incisions on the cornea to customize treatment of astigmatism during cataract surgery. For patients who are seeking glasses independence, the laser may be utilized to improve their outcome in conjunction with advance technology intraocular lenses, both for those with cataracts and those without cataracts who are interested in Refractive Lens Exchange (RLE).