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Home » Eye Care Services » Eye Disease Management » Cataract Surgery Co-Management

Cataract Surgery Co-Management

Cataracts is a disease of the eye that results in the clouding of the lens of the eyeball. Cataracts prevent clear images from appearing on the eye’s retina; causing mild, moderate, even severe blurred vision.

Typically an eye disorder associated with aging (over half of the people in America over age 80 have either had a cataract or cataract surgery), cataracts generally occur later in life as the lens structure within the human eye changes and gets older. In addition to age, other risk factors that lead to cataracts include smoking, UV overexposure and diabetes.

During the evaluation of your eye health we will carefully examine your lens for signs of cataract formation. If a cataract is noticed and the clouding is causing visual disruption, the optometrist will refer you to a trusted and respected surgeon for surgery, which is the only known cure for cataracts. Our Eye Care Practice will be there for you providing pre and post cataract surgery care.

Cataract Surgery

Cataract surgery is the removal of the natural lens of the eye (also called “crystalline lens”) that has developed an opacification, which is referred to as a cataract. Metabolic changes of the crystalline lens fibers over the time lead to the development of the cataract and loss of transparency, causing impairment or loss of vision. During cataract surgery, a patient’s cloudy natural lens is removed and replaced with a synthetic lens to restore the transparency of the lens.

Following surgical removal of the natural lens, an artificial intraocular lens implant is inserted (eye surgeons say that the lens is “implanted”). Cataract surgery is generally performed by an ophthalmologist (eye surgeon) in an ambulatory (rather than inpatient) setting, in a surgical center or hospital, using local anesthesia (either topical, peribulbar, or retrobulbar), usually causing little or no discomfort to the patient. Well over 90% of operations are successful in restoring useful vision, with a low complication rate. Outpatient care, high volume, minimally invasive, small incision phacoemulsification with quick post-op recovery has become the standard of care in cataract surgery all over the world.

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CataractsThe more you know about cataracts, the better prepared you will be to deal with them – or help prevent them in the first place!

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Most people between the ages of 40-45 start to have difficulty seeing up close. This is called Presbyopia and slowly progresses until about the age of 65. This is a normal change due to the lens in the eye hardening and losing flexibility.

Vuity is 1.25% pilocarpine. This is not a new drug. It has been on the market for decades and is used to temporarily shrink the pupil size. It is now being rebranded as a drop that can help improve near vision. How does this work? By shrinking the pupil size, physics tells us this can increase our depth of focus. This drop will not CURE presbyopia. It can improve it while the drop is active and the near blur will return when the dose wears off after approximately 4-6 hours. This drop is recommended for individuals ages 40-55.

Dosage: one drop in each eye once per day. Side effects: possible brown ache or a mild headache. The cost at this time is about $80-90 per month at most pharmacies and insurance does not apply.