Cataract surgery is a simple, relatively painless procedure. This surgery is the most frequently performed procedure in the United States, and also one of the most successful. During surgery, a small incision is made in the eye to remove the cloudy lens and replace it with a clear silicone lens, called an implant. Once the opaque lens is removed by your surgeon, there is now opportunity to replace it with a variety of lenses. Before cataract surgery, an intraocular lens implant (IOL) measurement is made to determine the lens power. This measurement will incorporate your glasses prescription. Without an implant, you would need to wear very strong glasses or contact lenses.
Are there different types of lens implants?
Yes, there are standard lens implants and special custom lens implants. Careful discussions with your surgeons lead to a recommendation that best fits your vision needs.
Who is a good candidate for multifocal and accommodative lens implants?
Patients who are highly motivated to be functionally free of glasses for reading, computer work and driving are good candidates. A multifocal lens compensates for the eye’s inability to change shape by allowing the eye to see at distance and near simultaneously through the same optic. A good candidate has realistic expectations and understands that these lenses are not the same as the natural lens of a young person.
Will you see 20/20 after surgery?
We hope so, but there is no guarantee. You are paying for the service and the implant and not for a guaranteed result. We counsel each patient that they should expect to use glasses on occasions where they wish very fine detail.
If you receives a multifocal lens there is a good chance you won’t need glasses. Eighty percent of patients implanted with the diffractive and refractive lenses in their respective FDA clinical trials did not need glasses after surgery for distance or near vision. Of course, not every patient in the trial was spectacle independent.
ORA Optiwave Refractive Analysis System
The ORA System gives your surgeon an analysis of your eye during your procedure, enhancing the outcome of your premium cataract procedure. ORA measurements are taken after the clouded cataract is removed, when the surgeon has a clear view of your eye. It is at that time that a final determination of the best lens implant is made. An ORA-guided cataract procedure offers fully customized premium lens placement, helping ensure you have great vision for life.
The use of the ORA is included in the global fee for premium lens upgrades. However, patients who wish to use this feature during surgery may opt to pay a nominal fee to assure they will receive the best implant outcome for distance.
How Fast Will I Recover From Surgery?
Your vision may be blurry up to 24 hours following your surgery since your eye will still be dilated. Most patients leave without a patch. Clear Cornea Cataract Surgery involves no stitches or sutures. Because topical anesthesia is used, fast restoration of vision is possible. The incision required is very small and is made through clear corneal tissue which has no areas of blood vessels. A safer, topical anesthesia is used in place of the traditional injection block of days past. These differences allow our surgeons to perform surgery on patients with preexisting medical conditions without interfering with those conditions.
Postoperatively you will be asked to avoid swimming and makeup for two weeks, free to enjoy your restored vision.
We are here to help answer your questions. Please feel welcome to call our staff at 360.435.8595.
The Harman Eye Clinic
903 Medical Center Drive, Arlington WA 98223
360-474-2561 360-435-8595 FAX 360-435-5233