Cataract Surgery

Cataracts

A cataract is a common condition that causes a clouding of the eye’s natural lens, and affects millions of people each year, including more than half of all Americans over the age of 65. Cloudiness develops as a result of a buildup of protein in the lens

Cataracts cause a progressive, painless loss of vision. The lens clouds naturally as we age, causing people over the age of 65 to see a gradual reduction of vision. However, cataracts are not considered part of the natural aging process and are a serious condition that requires prompt medical attention. The exact cause of cataracts is unknown, although it may be a result of injury, certain medications, illnesses (such as diabetes), prolonged exposure to ultraviolet light and smoking.

Symptoms of Cataracts

Patients with cataracts often do not experience any symptoms when the condition first develops. Cataracts will continue to progress with no apparent pain, although patients may experience:

  • Blurred or hazy vision
  • Double vision
  • Poor vision in bright light
  • Seeing halos around lights
  • Poor vision at night
  • Yellowish tinged vision
  • Frequent changes in eyeglasses or contact lens prescription

Dr. Farbowitz may perform a series of tests in order to diagnose a cataract. A dilated eye exam will be performed to test the vision and to examine the condition of the lens and other parts of the eye. Dr. Farbowitz may also perform tonometry, a procedure that measures the pressure in the eye.

Treatment of Cataracts

If visual impairment begins to interfere with your ability to read, work or do the things you enjoy, you may want to consider cataract surgery to restore your vision. Cataract surgery is the most commonly performed surgical procedure in the US, and can be performed quickly and easily with a success rate of over 90 percent and a minimal risk of complications.

Cataract Surgery

Cataract surgery is a minimally invasive procedure that involves numbing the eyes with anesthesia and then making a tiny incision into which an ultrasonic probe is inserted. The probe breaks up, or emulsifies, the cloudy lens into tiny pieces and then suctions them out of the eye. Once the cloudy lens has been removed, a new artificial lens is implanted into the eye. This lens is known as an intraocular lens (IOL), and can often be inserted through the same incision that the old lens was removed from.

Surgery usually takes only a few minutes to perform and is painless for most patients. After the procedure, a patch may be placed over the eye and you will be asked to rest for a while. Patients can return home the very same day, but will need someone to drive them home. For the next few days, you may experience itching, mild discomfort, fluid discharge and sensitivity to light and touch. Dr. Farbowitz may prescribe eye drops to help the healing process and to reduce the risk of infection.

Dr. Farbowitz is proud to be among the first doctors in New Jersey to offer patients femtosecond laser assisted cataract surgery with the Catalys Precision Laser System. Using this exciting new technology, Dr. Farbowitz can provide a gentle, highly customized cataract procedure with a new level of precision not achievable with traditional manual techniques. Using the Catalys system in combination with multifocal lens implants and treatment of astigmatism, Dr. Farbowitz can perform state of the art cataract surgery, resulting in excellent outcomes for his patients.

What is Catalys?

Developed by Silicon Valley based Optimedica Corp., Catalys is a new FDA market cleared medical device that features a state of the art laser, advanced 3D imaging and many other innovative features that can bring numerous benefits to patients.

How does it work and what are the steps?

Every eye has a unique size and shape. Catalys’ advanced 3D imaging technology builds a 3D map of each eye and tailors the treatment to that map. This enables Dr. Farbowitz to create a customized treatment plan that matches the uniqueness of each eye.

Next, Dr. Farbowitz use Catalys to create a circular opening in the outermost membrane of the cataract in order to access and remove the cataract. Clinical studies have shown that this opening is approximately 10 times more accurate when performed with the laser than what is achievable by hand. Catalys then softens and breaks up the hard cataract into tiny pieces, allowing for gentler, easier cataract removal.

Depending on the patient’s preoperative vision and desired result, Dr. Farbowitz may recommend a tailored treatment plan that could include creating precise laser incisions in the cornea and a premium lens implant such as a multifocal or toric IOL. This tailored treatment may reduce a patient’s need for glasses or contacts after surgery.

IOL Options

Options to meet various budget and lifestyle needs.

There are several different IOLs available to help each patient achieve the best possible results from his/her cataract surgery. Multifocal IOLs allow for full vision correction at near, intermediate and far distances, completely eliminating the need for eyeglasses or contact lenses in most patients. Some IOLs can also correct astigmatism.

These choices were not always available for cataract patients. In the past, cataract surgery only involved monofocal lenses, which could only focus on objects near or far, but could not adjust to accommodate varying distances. These patients still had to rely on glasses or contact lenses after surgery in order to see clearly at all distances, especially in older patients suffering from presbyopia.

Monofocal_Intraocular_Lens_Image

Toric IOL

Astigmatism Correction

If you have astigmatism and cataracts, Dr. Farbowitz may recommend an advanced lens called the Toric lens. It’s the first IOL that treats preexisting astigmatism at the same time it corrects cataracts, so you don’t have to undergo two separate procedures. You will also enjoy improved quality distance vision.

Toric IOLs are specially designed for patients with astigmatism. Traditionally, surgical correction of astigmatism required making a series of small incisions called Limbal Relaxing Incisions (LRI) around the cornea to make it more spherical instead of football-shaped. Implanting toric IOLs often improves vision due to astigmatism without the need for these extra incisions, and also allows patients to enjoy a faster, more comfortable recovery.

Presbyopia_Intraocular_Lens_Image

Multifocal IOL

Vision Correction

Through recent advancements in lens technology, an IOL is now available that can provide the patient with a greater range of vision while reducing the need for glasses and contacts. The Multifocal intraocular lens provides a full range of functional vision for patients that desire a significant decrease in their dependence on glasses or contacts.

The Multifocal lens is a breakthrough because, unlike traditional monofocal IOLs, it’s a multifocal IOL, designed to restore your full range of vision, from the pages of a book, to your computer screen, to scenic landscapes. As the name implies, monofocal lenses can only give you clear distance vision–you still need reading glasses.

Monofocal_Intraocular_Lens_Image

Standard IOL

Monofocal Lens

Traditionally, when a cataract develops, the eye lens is replaced with an artificial intraocular lens (IOL). The lens is usually focused for distance vision, requiring that the patient need to wear reading glasses to focus in on nearer objects. Our practice now uses Natural IOLs in cataract surgery. These state-of-the-art lenses not only block ultraviolet light like other IOLs but also filter blue light. Research suggests that blue light may contribute to Age-Related Macular Degeneration (AMD), a progressive, irreversible disease that is one of the leading causes of blindness. Previously, patients lost the ability to filter blue light after cataract surgery, possibly increasing their risk for AMD. These lenses reduce this risk without affecting color perception or the ability to see in dim light.

Next Steps…

If you have scheduled your surgery, click here to download your forms and watch your educational consent video.  If you have not, please contact our surgical coordinator at 973-379-2544 x5 to schedule an evaluation or schedule your pre-operative appointment. Please remember, you must be out of contacts for 10 days prior to your pre-operative appointment for optimal results.   Click here to learn more about financing premium IOL options!