Cataract surgery is one of the most frequently performed surgeries in the United States, with over 3.5 million surgeries done each year. It is also one of the most successful surgeries, with a success rate of about 95% or higher. However, it is important to keep in mind that this is a delicate surgery, and with all surgery, comes some risk. At Malouf Eye Center, we take these risks very seriously, which is why we don't recommend surgery to every cataract that walks in our doors. In addition, we utilize the newest techniques and technologies to ensure that your surgery is as safe as possible. We perform cataract surgery using a 2.4mm incision. This tiny incision helps to ensure a tight, self-sealing closure after the surgery, which helps to reduce the risk of infection and rarely needs any stitches. We are the only eye surgeons in our region to offer Laser-assisted cataract surgery using the LenSx® laser system. We also utilize the Centurion® vision system to perform the cataract surgery, which is one of the newest systems on the market. These excellent technologies are tools that we combine with our experience, surgical skills, and detication in order to provide you with the best and safest cataract surgery experience possible.
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At Malouf Eye Center, we are pleased to offer our patients cataract surgery using the LenSx® Laser System. Using this technology, we can automate certain steps of the surgery with laser precision. The laser is used to make special incision in your eye to help reduce astigmatism and help provide you with the sharpest vision after surgery. In addition to treating astigmatism, the laser is also used to make incision inside your eye and break the cataract into small pieces, all off which help provide a safer surgery experience. We have been using this new technology for several years with great results.
What is Astigmatism?
Astigmatism is an imperfection in the curvature of the eye. Most eyes are not perfectly round, which means that most people have some level of astigmatism. The less spherical the eye, the more astigmatism is present and this can cause your vision to be blurry. Glasses and contacts are often used to correct the astigmatism in order to help you see more clearly. Many people are not even aware that they have astigmatism and that it is being corrected with their glasses. Cataract surgery will usually improve the quality of your vision and allow you to see more clearly. However, if you have astigmatism, then this may need to be corrected with glasses or contacts after cataract surgery in order to get the best vision possible. Basic cataract surgery alone will not correct astigmatism, but laser-assisted surgery can. With this technology, special incision are made in the cornea to neutralize the astigmatism and reduce your need for glasses after cataract surgery.
Cataract surgery involves the removal of your cloudy, natural lens and replacing it with an artificial lens, to help you see more clearly. An important part of your pre-operative process will involve choosing a lens implant that is right for your personal lifestyle. Some people do lots of reading or have hobbies such as knitting that require better near vision. Others enjoy tasks such as driving or golfing and would befit from better distance vision. Then there are some who seek a full range of vision (both distance and near), with the least dependency on glasses or contacts after surgery. For these reasons, we offer a variety of lens implants to fit your needs and we will help guide you through the process of picking the right lens for your eyes.
Basic (monofocal) lens: A monofocal lens is designed to focus at one point. This lens can provide either good near or distance vision, but usually not both. When using this lens, we typically set your vision for distance, since most people like to drive and walk around with less need for glasses. However, this means that you will likely need glasses for reading and near vision tasks like knitting.
Multifocal lens: The multifocal lens is like having a bifocal lens in your eye. This advanced technology lens is capable of providing both distance and near vision with minimal need for glasses. Due to the complexities of this lens, it cannot be used on everyone. During your preoperative evaluation, we will evaluate your eyes to see if this lens will work well for you. We are pleased to offer the AcrySof IQ Restor® multifocal lens to our patients, which has a long history of success in minimizing the need for glasses after cataract surgery.
Toric lens: When only mild amount of astigmatism is present in your eye, often times this can be corrected using laser-assisted cataract surgery alone. When high amounts of astigmatism is present, this requires the additional use of a toric lens. This advanced lens is designed to neutralize higher levels of astimgatism in order to maximize your vision after surgery and minimize the need for glasses. Using the AcrySof IQ Toric® lens, we have had considerable success in treating astigmatism and providing patients with excellent vision after surgery.
Secondary lens implant is one that is done as a separate surgery, after cataract surgery has already been done. Typically a lens implant is placed at the time of cataract surgery. However, there are a variety of circumstances that may prevent safe placement of a lens implant at the time of cataract surgery, and thus require a separate surgery to place a lens implant. Alternatively, if you have previously had a lens implant placed in your eye but it has shifted out of position, then this may require removal and replacement with a new lens. This often requires that the lens be sutured (stitched) inside your eye to secure it properly, and it is a surgery that can be difficult to perform. There are only a few eye surgeons in our region that offer this complex surgery. At Malouf Eye Center, we are pleased to offer both iris-fixated and scleral-fixated secondary lens placement surgery. During your preoperative evaluation, we will discuss with you further which option is best for your eyes.