The surgeons of Delray Eye Associates, PA provide custom cataract surgery with intraocular lenses. This procedure has helped patients throughout South Florida live free of the vision-obscuring effects of cataracts. With the use of the most sophisticated premium intraocular lenses even refractive errors such as nearsightedness, farsightedness and presbyopia can be corrected.
A cataract is a clouding or opacification of the eye’s natural lens which affects vision. The cataract is generally a result of aging or other factors such as injury, diabetes or the use of steroids. Patients may experience blurred or dull vision and/or sensitivity to bright lights. This light sensitivity can make driving difficult, particularly at night (due to glare from oncoming headlights) or during bright, sunny conditions. These symptoms can initially be treated with glasses or other visual aids. However, once the cataracts grow to a degree that seriously impairs vision, surgery becomes the only effective treatment option. Cataract surgery is typically performed when the visual impairment is interfering with one's quality of life.
This surgery involves the removal of the hard, cloudy lens, or cataract. In most cases, the cataract is replaced with an artificial lens implant known as an intraocular lens (IOL). There are many lens options, each tailored to the individual needs of our patients. Toric lenses can correct astigmatism. Presbyopia-correcting lenses such as Crystalens, ReSTOR and the Tecnis Multifocal can correct computer and/or reading vision as well as distance vision and allow a decreased dependence on reading glasses. The newer Trulign lens can correct astigmatism and also help with computer vision.
We routinely perform small-incision, no-stitch cataract surgery. Our cataract patient receives eye drops to dilate the pupil as well as anesthetic gel or injection to numb the eye. Next, the surgeon makes a small incision in the eye and uses ultrasound and vacuum respectively to break up and remove the lens, a process known as "phacoemulsification." Once the natural lens is removed, the artificial lens, typically made of acrylic or silicone, is inserted into the eye through the same small incision. Once the cataract is removed it will not come back. Occasionally, the capsule holding the lens may cloud over later on, requiring a routine laser treatment in the office. Due to the small size of the incision, stitches are often not needed following the procedure. With modern techniques patients enjoy a very low complication rate and high success rate.
Lasers have come on the market to assist with cataract surgery. There is no current evidence that the results are better with “laser-assisted” cataract surgery, and it has been shown not to be cost effective. The procedure still involves an incision and mechanical removal of the lens. That being said, for patients interested in this technology, we are evaluating the purchase of a lens unit.
Crystalens is an "accommodating" lens, meaning that it moves in the eye to accommodate, or focus, at both intermediate-distance and far objects. The newer Trulign lens corrects astigmatism and functions like the Crystalens to provide computer-distance vision. ReSTOR and Tecnis Multifocal are multifocal lenses containing zones that focus at different distances. AcrySof Toric is an astigmatism-correcting lens that restores clear distance vision for patients with astigmatism. After examining your eyes and discussing your goals, your surgeon will recommend the lens that will best meet your vision needs.
Following cataract surgery, your Delray Eye Associates surgeon will provide you with detailed postoperative instructions regarding the use of eye drops and other steps to take to aid the healing process. If surgery is needed in both eyes, the surgeon will typically allow one eye to heal for a few weeks before performing surgery on the other. In the vast majority of cases, our cataracts patients are thrilled with their newfound ability to see clearly. Often this can be achieved both near and far without the need for corrective eyewear.
If you would like to schedule a one-on-one consultation with one of our cataract surgeons or learn more about your treatment options, please contact our Delray Beach office at (561) 498-8100 or (561) 734-0267. We are proud to perform surgery at the Boca Raton Outpatient Surgery and Laser Center.