Cataract surgery is no longer used just to remove cloudy lenses, it is also an opportunity to correct vision at the same time. Many have the goal to be less dependent on glasses, and there are many ways to get there, which is exciting but sometimes confusing! Today, I'll discuss the various ways that astigmatism can be corrected during cataract surgery, the resulting vision expectations, and the vision correction that may be expected to be necessary for each option.
Keep in mind that these expectations assume that there are no other significant ocular diagnoses and surgical results may vary. It's best to discuss with your provider and surgeon what your expectations and desires are for your vision, what lens and treatment options you may be a candidate for, and what is likely to get you the most ideal result possible.
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Lens Implant Options:
• No Glasses After Catar...
Light Adjustable Lens:
• Change Your Prescripti...
Reasonable Vision Correction Expectations for Lens Implants and Other Surgical Options:
Toric IOL:
Mid-range and near glasses needed
Toric Multifocal IOL:
May need reading glasses for some circumstances
Monovision:
May need glasses for some circumstances like night driving and long-term near work
Light Adjustable Lens:
Minimal dependence
Standard IOL:
Will not correct astigmatism
Still dependent on glasses for all distances
AK & LRI (Incisions used to correct astigmatism):
Varies Depending on intraocular lens choice
CCI (Incisions used to correct astigmatism. *Note: No additional incisions made other than what are needed to perform a typical cataract surgery):
Varies Depending on intraocular lens choice
Methods to assist with cataract surgery:
Femtosecond Laser-Assisted Cataract Surgery (FLACS):
Can be utilized to correct astigmatism with LRI, AK, CCI
Intraoperative Aberrometry:
Additional measurements taken DURING cataract surgery after cataract is removed. Goal to increase the likelihood of an excellent visual result.
The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis, or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional. Content used with educational and transformative intent within Fair Use Guidelines.
-Doctor Elisabeth Hottel