Would You Like Your Cataract surgery With a duplicate Shot?

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Would You Like Your Cataract surgery With a duplicate Shot?

Flavors - Would You Like Your Cataract surgery With a duplicate Shot?
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Cataract surgical operation and coffee have something in common. Five to ten years ago they shared this attribute: there were few, if any options. You wanted coffee? Ok, would you like that with cream or sugar? Had cataracts? Would you like... Actually, there were no real options five to ten years ago. If you needed surgical operation it was scheduled and your surgeon chose the intraocular lens (Iol) for you.
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Now, however, there is a dizzying array of options ready to anyone who saunters up to the barista or the cataract surgeon. Coffee? Would you like that in a Grande or Venti? Cream, lowfat milk, or soy? Vanilla, sugar-free vanilla, caramel, mocha, or flavor-of-the-week? The same is now true of cataract surgery. Would you like a round or aspheric Iol? Astigmatism correction? How about the quality to see distance, intermediate, and up close?, You can now opt for two out of the three -- a major correction over just a few years ago.
So how do you choose? As a cataract surgeon who has performed over 2,000 cataract surgeries, I can tell you it is not an easy decision. You only have two eyes so it's an foremost decision to make if you are presently in need of cataract surgery. (If you're not in need now, you should be assured that the technology improves every year - increasing your menu of choices by the time you're ready.). The best way to begin is to reconsider your goals.
With coffee, there is one initiating decision: caffeinated or decaf? With cataract surgical operation there is one key question: "Do you mind wearing glasses?" If the reply is "No," then you're done. Stop reading this narrative because the rest is not applicable to you.
If you dream of throwing away your glasses after cataract surgery, keep dreaming. There are currently no Iols that will allow you to do that. If, however, you have confident activities that you would like to do without glasses and wouldn't mind wearing glasses "occasionally," then read on - because the newer developed Iols can supply for that. Following is a list of ready alternatives sorted by need. Plainly find the narrative that fits you best to find the Iol for you.
One caveat: all of the options except the first will wish an out-of-pocket expense. Medicare and most insurances do not pay for the Iol "upgrades." If you want your guarnatee to cover the whole tab then option #1 is for you.
Option #1: You don't mind wearing glasses all the time. Congratulations. The standard Iol covered by guarnatee will meet your needs just fine and with the money you've saved you can upgrade your coffee for a year or so at your local barista. Take note, however, Medicare does not cover the fee for refraction (an exam to rule what glasses you will need after surgery), so save back -100 (plus the cost of those designer frames) for this.
Option #2: You would like good distance vision without glasses but don't mind wearing glasses to use the computer and read. You may be a candidate for whether an aspheric or toric Iol. The aspheric Iol corrects what are called "higher order aberrations" resulting in exquisite distance vision. However, if your cornea has any primary astigmatism, this will have to be corrected with whether a "toric" Iol or corneal refractive surgery. Both of these would be at an supplementary cost.
Option #3: You would like good distance and intermediate (computer) vision without glasses but wouldn't mind wearing glasses for reading. You have two options ready to you: the ReZoom multifocal Iol or the Crystalens accommodating Iol. The ReZoom Iol simultaneously focuses two images onto your retina so you can see both distance and intermediate objects at the same time. The trade-off, however, is that there will be small circles (halos) colse to lights at night. Most population get used to this with time but a small estimate of population (about 5%) find these halos to be a primary distraction. The Crystalens uses what is called pseudo-accommodation: it uses tiny muscles in the eye to move the lens back and forth changing the focusing power of the Iol. Although there are no halos connected with this Iol, not all population are able to "train" their eye muscles sufficiently after surgical operation to get the desired range of vision.
Option #4: You would like good distance and reading vision without glasses but wouldn't mind glasses for intermediate (computer) vision. You also have two options ready to you: the Alcon ReStor Iol or the Amo Tecnis Iol. Both use what is called "diffractive optics" to split light into both a distance and a near image. Since two images are simultaneously focused on your retina, there will be small circles (halos) colse to lights at night. As with multifocal Iols, most population get used to this with time but a small estimate of population (about 5%) find these halos to be a primary distraction. Glasses are often still required for intermediate (computer) work.
An supplementary caveat: no matter which Iol you choose, you may still need night-time glasses. The reason for this is that your pupil dilates in the dark allowing rays of light from the edges of your cornea into the eye. These rays are focused at a different compel than those from the town of the cornea so you end up a little near-sighted when driving. Generally, a uncomplicated pair of night-driving spectacles precise this condition.
If you are currently considering cataract surgical operation I hope this helped you make this ever-more-difficult decision. If you don't need surgical operation yet, I promise to supply updates on my blog whenever there are primary technological changes that increase your menu of choices.
Copyright 2009 David D. Richardson, M.D.
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