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Cataract Surgery & Advanced Implants

Cataract Surgery | ReSTOR Lens | AcrySOF Toric IOL | Stuart FLA 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
  • Sensitivity to glare
  • A feeling of "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. Over 1.2 million Americans are diagnosed with cataracts each year. 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 surgery, the most common surgical procedure in the country, the lens is removed and replaced with an artificial one called an intraocular lens (IOL).

Multifocal Intraocular Lenses (IOLs)

Artificial lenses (IOLs) are implanted in the eye to replace natural lenses for patients with cataracts, presbyopia or severe refractive errors. Until recently, IOLs were only available to correct distance vision. These monofocal lenses helped improve distance vision after cataract surgery, but patients still needed glasses or contact lenses for near vision activities like reading and playing cards. Now, advancements in technology have produced multifocal IOLs that allow patients to see clearly at all distances -- near, far and many distances in between. Multifocal IOLs such as ReSTOR® and TECNIS® preserve distance vision and correct near vision so cataract surgery patients -- and patients seeking treatment for presbyopia alone -- can enjoy clear sight without relying on glasses.

The procedure to replace a patient's natural lens with a multifocal IOL is the same as that used in cataract surgery.

ReSTOR® Lens

Cataract Surgery | ReSTOR Lens | AcrySOF Toric IOL | Stuart FLUsing apodization, diffraction and refraction technologies, the ReSTOR® lens improves upon ordinary replacement lenses (IOLs) by providing comprehensive focusing capabilities so patients can see clearly in a range of lighting conditions and at all distances -- at noon or midnight, nearby or far away, and many distances in between. Up to 80% of patients who use the ReSTOR® lens don't need to rely on glasses or contact lenses after surgery.

TECNIS® Multifocal IOL

TECNIS Multifocal IOL Stuart FLThe TECNIS® Multifocal IOL helps cataract patients achieve clear vision at all distances after surgery, including improved night vision and driving capabilities. Using wavefront technology, the TECNIS lens allows patients to restore the clear, functional vision of their youth. After surgery, up to nine out of ten patients no longer need to wear glasses, results much more successful than those achieved with standard multifocal lenses. It is the only lens FDA-approved to enhance functional vision and night-driving performance.

The advanced TECNIS lens is ideal for patients who have difficulty reading and seeing objects closely, as well as those with poor night vision. This lens is implanted during the same procedure that removes the cloudy lens, and does not require any additional incisions. Patients can enjoy immediate vision improvement in most cases.

Tecnis Symfony IOL- an extended range of vision IOL

As with other multifocal IOLs the Symfony IOL provides an extended depth of focus. The Symfony IOL provides high-quality continuous vision so patients can see clearly at near, far away and intermediate distances, and points in between, while wearing glasses less. The IOL also provides seamless, day to night vision. This IOL has demonstrated a low incidence of halo and glare, which provides better night vision.

Astigmatism Correcting IOL's

Toric IOLs

 AcrySOF Toric IOL Stuart FLIntraocular lenses are used to correct vision problems during cataract surgery by replacing the old lens with an artificial lens that clears up and corrects vision, often leaving patients with little to no dependence on glasses. While cataract surgery corrects cloudy lenses, it still leaves patients who have astigmatism with distorted vision. Toric IOLs are specially designed to correct astigmatism along with overall vision during cataract surgery, offering more comprehensive vision correction.

Before Tecnis Toric IOLs, people with astigmatism would need to undergo corneal refractive surgery after their lenses were implanted, or would remain dependent on glasses or contact lenses. The advanced Toric IOLs correct the imbalance caused by an irregular cornea shape in patients with astigmatism. There are several different types of FDA approved Toric IOLs, including Tecnis Toric Lenses.

Symfony Toric IOL- an extended range of vision IOL that also corrects astigmatism

While a standard IOL can improve an eye's cloudy natural lens, if you have astigmatism you will still need glasses or contacts to see clearly. However, depending on your priorities and lifestyle your doctor may recommend a premium multifocal toric IOL, such as the Symfony Toric IOL. Its advanced design replaces your cloudy natural lens with the cataract and also corrects your astigmatism. This typically provides patients crisp, clear vision with much less reliance on glasses for distance, intermediate and near vision. However, after surgery you may need low powered reading glasses for optimal near vision.

Accommodating IOLs

Crystalens®

Crystalens Stuart FLCrystalens® is a replacement lens (IOL) that works naturally with muscles in the eye to retain the eye's ability to "accommodate" -- to shift focus between nearby and distant objects. With older IOLs, patients lose this ability and require corrective eyewear to see clearly at near and intermediate distances.

Unlike rigid lenses, the flexible silicone Crystalens features innovative 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 cataract surgery techniques as with other IOLs.

Limbal Relaxing Incisions

Patients with astigmatism who are undergoing cataract surgery can choose to have limbal-relaxing incisions to reduce their dependence on glasses for clear vision. Limbal-relaxing incisions are tiny cuts made around the edge of the cornea, called the limbus. These incisions "relax" the cornea's steep curvature and improve the way the eye focuses light. Limbal-relaxing incisions have been shown to heal faster and cause fewer side effects than other astigmatic keratotomy (AK) procedures.

YAG Capsulotomy

During cataract surgery, your doctor replaces the clouded, blurry area of the lens with an artificial one to correct vision. However, after surgery, many people experience a gradual clouding on the covering of the new lens, a condition known as aftercataract or secondary membrane. Cloudy vision or glare are the most common complications of cataract surgery and can cause blurred vision to return, but a solution is available to treat this side effect.

A procedure called a posterior capsulotomy, using an Nd: YAG laser, can be performed to remove the back lining of the lens capsule and let light pass through to the retina. The laser cuts a hole in the back lining and helps remove cloudiness in the lens. The capsulotomy is a painless procedure that does not require any anesthesia.

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Helpful Links

- American Academy of Ophthalmology