Cataracts are a clouding of the lens inside of the eye. It is a process that happens to everyone. As a result, it is the most commonly performed surgery in the United States. Modern Cataract Surgery is done through small incisions that do not require a stitch or suture. An ultrasound probe is used to remove the cataract and a lens implant is inserted in its place. The procedure is painless and most patients return home and resume most normal activities the same day. This type of surgery has the lowest complication rate of any surgery performed in the United States.
Over the past decade Cataract Surgery has advanced and new technologies have made the procedure safer and more reliable. Many patients have become less dependent on glasses as a result of the procedure. The surgeons at Eye Associates of Bucks County continue to stay on the cutting edge of Cataract Surgery. We are proud to offer all of the new technologies in Cataract Surgery. EABC is the only practice in the area to offer many of these advances. During our consultations we help you decide if these advancements will be beneficial to you.
Cataract Consultations at EABC
While Cataract Surgery is a very common procedure, at EABC, we understand that no procedure is routine when it is your eye. Our patients are offered surgical consultations with our surgeons. These appointments are scheduled for longer increments so that our surgeons can spend the necessary time with their patients. Our patients are educated about Cataract Surgery and the many new options they have. The education is provided through videos, literature, and most importantly, uninterrupted time with the surgeons during which patients are given the time to ask questions. Our doctors and staff remain accessible throughout the pre- and post-op period to answer additional questions. Since some options require out of pocket expense by the patient, we also work to create a no pressure environment so that you can make the right decision for yourself.
Every patient during a cataract consultation has their eye measured by the LenStar LS 900 and the Nidek OPD-III. These pieces of equipment have been proven to provide the most accurate data and are both the most recent models available. The information obtained from them help our surgeons chose which lenses and other technologies you may be a candidate for. Each patient that chooses a premium lens implant also has a scan of the retina (OCT scan) to ensure that there are no retinal problems that may limit the vision post-operatively.
Femtosecond Laser Assisted Cataract Surgery
The Femtosecond Laser is the newest advance in Cataract Surgery. It utilizes a Femtosecond Laser to make incisions, open the lens capsule, and cut the cataract into The Femtosecond Laser is the newest advance in Cataract Surgery. It utilizes a Femtosecond Laser to make incisions, open the lens capsule, and cut the cataract into small pieces that can be extracted. Dr. Pendse was one of the first surgeons in the Delaware Valley to be certified to use this technology. He is also one of a handful of surgeons in the world that is certified in two different laser platforms (Alcon LenSx and Optimedia Catalys). He is one of the most experienced laser cataract surgeons in the area.
The incisions creased by the laser have been shown to seal tighter and heal quicker. This may reduce the dangerous risk of infection with cataract surgery. Separate incisions may also be created that are more accurate and precise than can be made by blades. These incisions can reduce astigmatism (Limbal Relaxing Incisions), which means less dependence on glasses after surgery.
Creating a more precise opening in the lens capsule is thought to be important in more reliable and stable positioning of the lens implant after surgery. This ensures more accurate results with surgery and more stability long term.
Cutting the lens into small fragments enables the surgeon to remove the cataract with less trauma to the eye. This is critical in patients with advanced cataracts, Fuchs Corneal Dystrophy, Pseudoexfoliation Syndrome, and a history of previous trauma to the eye. In all patients, the reduced trauma leads to quicker visual recovery after surgery.
Femtosecond Laser Assisted Cataract Surgery is an advance that makes cataract surgery safer, more precise, and speeds recovery. If you are interested in learning more about FLACS view the video below and make an appointment for a consultation at Eye Associates of Bucks County.
ORA System (Intraoperative Aberrometry)
ORA is a system that basically obtains a real time assessment of the refractive error of the eye (glasses prescription) during surgery. It has been proven to be the most reliable way to select a lens implant in a patient that has had previous refractive surgery (Radial Keratectomy (RK), LASIK, or PRK). ORA is also a valuable tool in ensuring the most accurate placement of a lens implant in patients with astigmatism.
Dr. Pendse was the first surgeon in Bucks County to be certified and utilize the ORA system.
The doctors at EABC utilize many techniques to reduce and eliminate astigmatism. Patients with mild to moderate astigmatism may opt for Femtosecond Laser Assisted Cataract Surgery. Patients also have the option of astigmatism correcting intraocular lens implants or toric implants. Our surgeons use the Alcon AcrySof IQ Toric, AMO Tecnis Toric and the Bausch and Lomb Trulign Toric implants to reduce or eliminate astigmatism. To learn more about astigmatism and toric lens implants, view the video or make an appointment at Eye Associates of Bucks County. View Video
Multifocal Intraocular Lenses
Multifocal lens implants have two separate points of focus. Patients who select these lenses are able to see distance as well as near without glasses. This provides functional independence from glasses. Many times, Femtosecond Assisted Laser Cataract Surgery is necessary to reduce astigmatism to an acceptable level for use of a multifocal implant. Our surgeons use the Alcon AcrySof IQ ReStor, and the AMO Tecnis Multifocal lens implants. For more information about Multifocal lens implants, view the video or make an appointment at Eye Associates of Bucks County.
Accommodating Intraocular Lenses
The Bausch and Lomb Crystalens is an intraocular lens that is designed to move slightly within the eye after implantation, this movement provides a range of focus that enables patients to have excellent distance and intermediate to near vision. Trulign is a version of the Crystalens that also reduces astigmatism. To learn more about accommodating lens implants, view the video or make an appointment at Eye Associates of Bucks County.
Dropless Cataract Surgery
At EABC, we have heard the complaints from our patients about the cost of their post-operative drops and the inconvenience the drops cause. We now offer Dropless Cataract Surgery. Our surgeons inject medications at the conclusion of Cataract Surgery. This injection, in most patients will eliminate the need for post-operative drops. Best of all, the injection will not cost our patients anything!
Additional informational videos