Laser Cataract Surgery
- Laser Cataract Surgery
- AIO Offers New Technology to Optimize Cataract Surgery Outcomes
- Introducing "GoDropless" Cataract Surgery!
- What is a cataract?
- Lens Selection
- FAQs for Cataract Surgery
A revolution in Cataract Surgery from one of Pittsburgh's most trusted laser surgery centers.
AIO is the first eye surgical practice in Western Pennsylvania to offer Laser-Assisted Cataract Surgery. In 2012, we acquired the newest FDA-approved technology for treating cataracts – the Alcon® LenSx® Laser.
In the early days of cataract surgery, patients endured a long and somewhat painful recovery time, with unpredictable visual results. Over the past 20 years, AIO’s cataract surgeons have been at the forefront of further developed surgical technique and technology. These improvements have allowed us to utilize outpatient surgery to perform topical, sutureless cataract surgery with an operating time of 5-10 minutes, resulting in enhanced visual outcomes.
Now at AIO, we have implemented the most advanced cataract removal system currently available. Our surgeons perform blade-free laser cataract surgery. This is the same laser technology we have been using for more than a decade in bladeless LASIK surgery to achieve excellent outcomes.
The femtosecond technology of the LenSx® Laser allows surgeons to make an opening into the lens, create corneal incisions, correct astigmatism, and perform lens fragmentation by using a laser instead of a blade, all before entering the eye to remove the cataract.
Ask your eye doctor if cataract surgery with the LenSx® Laser is right for you.
AIO is proud to announce yet another FDA approved technology aimed at improving visual outcomes with cataract surgery. The newest addition to our cataract surgery technology is called ORA™ (Optiwave Refractive Analysis) System. It is currently the most advanced intraoperative diagnostic tool for cataract surgery available with over 200,000 procedures performed and 500 units placed to date globally.
The ORA™ System, Now Featuring VerifEye+™ provides precise, real-time measurements during surgery that are not possible with conventional measurements and instruments. It works by directing an invisible beam of low intensity light into the eye during cataract surgery. This light then reflects back from the eye and sensors within the ORA device analyze the eye’s unique optical characteristics. This information is utilized by our surgeons to select the most accurate intraocular lens implant and more accurately place intraocular lenses improve the visual outcomes after surgery.
“We continuously seek new ways to address the needs of our cataract patients, particularly those who live with astigmatism and presbyopia,” said Dr. Cibik. “The ORA System provides intraoperative measurements and is designed to help improve patient outcomes through optimal IOL selection and placement during surgery.”
We are pleased to announce that our practice is now offering "Dropless" Cataract Surgery as part of our premium services to all LenSx Laser, Toric and Lifestyle IOL patients. As you know, the traditionally prescribed pre- and post-operative drops are often the most cumbersome challenge associated with the cataract surgery experience.
This revolutionary new treatment option will provide convenience and cost-savings for our patients while reducing patient’s post-operative treatment regimen. During "Dropless" Cataract Surgery, medication is placed in the eye to help reduce the risk of inflammation and infection, and is a critical part of ensuring successful outcomes. “Go Dropless” Cataract Surgery has been used in the United States for almost 2 years, and has been used in over 100,000 cases with no reported infections.
A cataract is a clouding of the natural lens inside your eye. This lens, located behind the iris (colored part of the eye), works like the lens of a camera – focusing light images on the retina, which sends images to the brain. When a cataract forms, this lens can become so clouded it prevents light and images from reaching the retina. Cataracts cannot be prevented and eventually affect 100% of the population.
- Blurred or cloudy vision
- Colors appear faded or dull
- Headlights or streetlights have glare or halos
- Poor night vision
- Sunlight or fluorescent lights may appear to be too bright
- Double or multiple vision in one eye
- Frequent prescription changes in your eyeglasses or contact lenses
- Difficulty reading
Presbyopia (progressively diminished near vision that usually begins in middle age) with nearsightedness, farsightedness, or astigmatism, requires the use of bifocal or “progressive” lenses to see clearly both near and far. The important thing to remember is that now, cataract surgery can often correct refractive errors AND presbyopia. This means that it may be possible for you to gain clear vision with little dependence on glasses or contact lenses.
An intraocular lens (IOL) is an artificial lens that is implanted during cataract surgery. The good news is that you have developed cataracts at a really significant time, when intraocular lens technology has progressed greatly. Recent advances have been so significant that new-generation lenses could allow you to see well at multiple distances with greatly reduced dependence on glasses.
No single lens works best for everyone. During your eye exam, your surgeon and our lens specialists can help determine the best option for you. The information you are given will help you make an informed decision. For many patients, choosing a lifestyle lens over a standard monofocal lens allows for an increased quality of vision and decreased dependency on glasses. For example, passengers may become drivers again; golfers may be able to keep their eye on the ball, enjoy the surrounding scenery, and even mark the scorecard.
Several lens options are available to our patients. Please discuss the following lens types with your doctor to determine which one best fits your lifestyle and vision needs.
- Intended to only give clear vision at one distance, usually far
- Will still need glasses for all near and intermediate, and distance activities to be perfectly corrected to full potential)
- Insurance will typically cover at least 80% of surgery, including this standard lens
- Hinged to work within the eye, allows lens to move forward as the eye focuses on near objects and backward to focus on distant objects
- Good intermediate and distance vision
- Will most likely need weak readers (+1.25 to +1.50) for small print or lengthy reading
- 24-month, no-interest financing available
Introducing the Restor Multifocal Toric IOL; see the big picture without missing the details
Director of Cataract Services, Lisa Cibik, MD, FACS was the first surgeon in Western PA to implant the AcrySof® IQ ReSTOR® Multifocal Toric IOL, a revolutionary astigmatic correcting lens that improves vision in a range of distances — from near to far.
Why choose the AcrySof® IQ Multifocal lenses?
The ReSTOR® Toric lens is a breakthrough lens for cataract surgery that lets patients see from near to far, usually without glasses. An innovative optical technology called “apodization” makes the lens uniquely effective, especially when placed in both eyes. A similar technology has been used for years in microscopes and telescopes to improve image quality and has now been patented for use in intraocular lenses by Alcon. Most patients find that they can read a book, work on the computer, drive a car — day or night — and play golf or tennis with an increased freedom from glasses. Four out of five lens recipients reported never wearing glasses after having the lens placed in both eyes.
AIO is the first practice to offer extended range of vision for cataract patients
Lisa Cibik, MD, FACS and John Nairn, MD, leading cataract surgeons at Associates in Ophthalmology, were the first surgeons in Western Pennsylvania to implant the FDA approved Symphony Multifocal Toric intraocular lens (IOL) that provides cataract patients with an extended depth-of-focus and astigmatism correction. This allows patients with significant astigmatism to receive the benefits of a multifocal IOL which is one of the first of its kind.
“While IOLs have been the mainstay of cataract treatment for many years, we are thrilled to offer this advancement in technology to our patients,” said Lisa Cibik, MD, Director of Cataract Services. “The Tecnis Symfony Extended Range of Vision IOL provides a new option for patients that may result in better vision across a broader range of distances.”
Traditional monofocal IOLs have been limited to improving distance vision. The Symfony IOL improves visual acuity at close, intermediate and far ranges and, therefore, may reduce the need for patients to wear contact lenses or glasses after cataract surgery.
- Specifically designed for patients with astigmatism
- Can reduce or eliminate the effects of astigmatism and significantly improve uncorrected distance vision
- Most patients will still need glasses for all near and mid-vision activities
- 24-month, no-interest financing available
What You Should Expect Before and On the Day of Surgery
Prior to the day of surgery, your surgeon will discuss the steps that will occur during surgery. Your surgeon or a staff member will ask you a variety of questions about your medical history. You will be sent to your primary care physician for a history and physical. You should discuss with your surgeon which, if any, of your routine medications you should stop taking prior to surgery. Prior to surgery, several eye scans will be done and calculations made to determine the appropriate power intraocular lens to implant. A specific artificial lens is chosen based on the measurements of your eyes.
Eye drops will be prescribed for you to use several days before your surgery.
It is important to remember to follow all of your preoperative instructions.
Arrangements should be made with family or a friend to be with you and to transport you to and from the surgery center.
After leaving the operating room, your will be brought to a recovery area for a brief time. The nurses will go over the instructions for the eye drops that your surgeon has prescribed. You will need to use them for a few weeks following your surgery. While you may notice some discomfort, most patients do not experience significant pain following cataract surgery. If you do experience decreasing vision or significant pain, you should contact your cataract eye doctor immediately.
What You Should Expect After Cataract Surgery
Following surgery, you will need to return for visits within the first few days and again within the first few weeks after surgery to assure your eye is healing properly. During this time period, you will be using several eye drops that help protect against infection and inflammation. You will have some restrictions on activities such as not driving for a day or so, no swimming for a week, no heavy lifting. Within several days, most people will notice that their vision is improving. You will likely be able to return to work and resume normal physical activities after the first few days.
- Anterior Capsulotomy – an incision that opens the clear, cellophane-like capsule which wraps the eye’s natural lens
- Lens Fragmentation – softening and breaking up of the eye’s cataract
- All corneal incisions – all incisions of the cornea related to cataract surgery, including astigmatism-lessening relaxing incisions.