Cataracts
A cataract is a cloudy area in the lens in the front of the eye. There is no pain associated with the condition but there are other symptoms, including:
- Blurred/hazy vision
- Spots in front of the eye(s)
- Sensitivity to glare
- Causing a film over the eye(s)
Most people develop cataracts simply as a result of aging, with the majority of cases occurring in people over the age of 55. Other risk factors include eye injury or disease, a family history of cataracts, smoking or use of certain medications.
For people who are significantly affected by cataracts, lens replacement surgery may be recommended. During cataract replacement, the most common surgical procedure in the country, the lens is removed and replaced with an artificial one called an intraocular lens or IOL.
Cataract Surgery
Cataract surgery removes the cloudy lens and replaces it with a clear artificial lens called an IOL.
We perform a minimally invasive, small-incision, no-stitch cataract surgery called phacoemulsification ("phaco") surgery. First, the eye is numbed with anesthesia. Then a tiny incision is made in the eye to make room for a small ultrasonic probe. This probe breaks up, or emulsifies, the cloudy lens into tiny pieces.
After the cloudy lens has been removed, a new artificial lens, or IOL, is implanted in the eye. With the recent advance of foldable IOLs (intraocular lenses), artificial lenses can be implanted through the same small incision from the phaco procedure.
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Intraocular Lenses (IOLs)
ReSTOR Lens
Physicians have been using flexible IOLs for years to replace the eye's cloudy lens during cataract surgery and help patients enjoy clear vision again. The ReSTOR lens improves upon the ordinary IOL by using apodized diffractive technology to provide a full range of focusing distances from near to far. A series of 12 gradual "step heights" of 0.2-1.3 microns each (thinner than a human hair and smaller than a red blood cell) in the center of the IOL create seamless focusing ability, while the peripheral refractive region helps to enhance distance vision. Apodization also allows the lens to work with the pupil to distribute light evenly in the eye in different lighting conditions and activity levels. Alcon reports that up to 80% of patients who use the ReSTOR lens don't need glasses after surgery.
CrystalensTM
CrystalensTM is a new cataract replacement lens (IOL) that works naturally with muscles in the eye to retain the eye's ability to “accommodate ” – shift focus between nearby and distant objects – after cataract surgery. It is the first FDA–approved accommodating lens. With other IOLs, patients lose this ability and require corrective measures such as glasses or contact lenses. Crystalens can treat both cataracts and presbyopia.
Unlike rigid lenses, the flexible silicone Crystalens features hinges that allow it to move with the eye's muscles and accommodate seamlessly, thereby reducing or eliminating the need for vision correction.
The Crystalens is implanted using the same, nearly risk–free cataract surgery techniques as with other IOLs.
Most people with cataracts or who have had corneal refractive surgery and retained good eye health are acceptable candidates for Crystalens implantation, but those who have already had cataract surgery are not. People with eye health problems such as chronic infections or diabetes should check with their doctors about eligibility.
AcrySOF Toric IOL
Toric IOLs are specially designed for patients with astigmatism. Traditionally, surgical correction of astigmatism required making a series of small incisions (called LRIs) around the cornea to make it more spherical instead of football-shaped. Implanting toric IOLs often improves vision due to astigmatism without the need for these extra incisions, and also allows patients to enjoy a faster, more comfortable recovery.
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