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Cataract surgery

CATARACT SURGERY

What is cataract?
Cataract is cloudiness of the natural lens in the eyes. The natural lens inside the eye is transparent and helps to focus light rays entering the eye to create a clear image. This lens can become cloudy with age, or due to certain    medications, or eye diseases. The cloudiness of the lens or cataract distorts the light entering the eye and affects   the quality of vision.
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  What are the symptoms of cataracts?
  • Blurriness of vision
  • Difficulty in seeing street signs 
  • Difficulty in reading books/tablet/phone
  • Need for more light to read
  • Faded colors
  • Seeing halos around lights
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What is a cataract surgery?
Cataract surgery involves removal of the cloudy lens and replacement with a clear artificial lens called IOL(intraocular lens).
The procedure is painless and done under light sedation. It takes about 20 minutes to perform the procedure.
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What are the different lens options?
There are different lens options for you to choose from ranging from basic or standard monofocal IOL  to an advanced multifocal IOL, and astigmatism corrections IOL.
Monofocal IOLs: I These IOls  improve vision at a set distance of your choice- either far or mid range or near only
Advanced multifocal IOLs: They improve vision at all distance and reduce the need for readers. 
Astigmatism correction IOLs: These correct or reduce astigmatism. 
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Your surgeon will discuss different options with you to help you choose a lens that is best suited for your lifestyle, visual needs and preferences.
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What is laser assisted cataract surgery?
There are two ways of doing a cataract surgery. In the traditional way the surgeon uses hand held instruments for the procedure. the laser assisted technique is a bladeless method of performing cataract surgery.  Many of the crucial steps in the surgery are done by a laser machine which makes the steps more precise and allows less energy use for removing the cataract from the eye.
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Do I need cataract surgery?
This depends on the severity of cataract and how it is affects how vision, and daily functions. If you think your vision is impairing your daily activities you probably need a cataract surgery.
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LASIK

LASIK

 

What is LASIK?
LASIK is a procedure where a laser reshapes the cornea to correct near sightedness, far sightedness and astigmatism. 
We offer all laser LASIK which uses 2 types of lasers. On of the lasers makes a thin flap of the top part of the cornea. After gently lifting the flap, a second laser is used to ablate or vaporize the underlying tissue to reshape the cornea.
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How soon can I see after LASIK surgery?
Most people notice significant improvement in vision a few hours to one  day following the procedure. The sharpness in vision continue to improve over the next few days.
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How do I know if I qualify for the surgery?
The best way to determine if you are a good candidate for surgery is to schedule a consultation with us. Per FDA guidelines you must be 18 years of age, have a stable refractive error(glass or contact lens prescription) for atleast a year. We will do  various eye tests during your free consultation to measure your corneal thickness, map its shape and check your prescription to determine your candidacy.
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Are there any other options besides LASIK to correct my vision?
PRK, ICL (Implantable Collamer Lens ) and CLE (Clear lens exchange) are other great options.
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What is PRK?
PRK stands for photorefractive keratectomy.
After numbing the eyes  the superficial thin later of the cornea is removed. A laser is then used to reshape the cornea and correct nearsightedness, far sightedness and astigmatism. The vision correction and results are almost the same as LASIK. Some people may not qualify for Lasik  due to thin cornea, high prescription or unusual corneal shape. PRK could be a more suitable option in such cases. 
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ICL

EVO ICL

 

What is EVO ICL?
ICL often referred to as Implantable contact lens actually stands for Implantable Collamer lens. It is similar to a contact lens except that it it an implanted inside the eye by a surgeon.  EVO ICL is the latest version of ICL which has simplified the procedure and made it more convenient and comfortable for the patient.
The ICL corrects moderate to high amounts of near sightedness (-3D to -16 D) with and without astigmatism. Is made of a biocompatible material that is gentle on the eyes. The ICL is placed in the eye behind the colored part of eye called iris and in front of the natural lens. It is both permanent yet reversible. 
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How soon can I see after the ICL procedure?
Most patients can notice significant improvement in vision in a day after surgery.
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What are the benefits of ICL procedure?
The procedure is quick
The ICL is permanent yet reversible
It can stay in the eye as long as needed and you are happy with the vision.
It can be easily removed from the eye by the surgeon if needed.
It maintains the shape of cornea which allows  possibility of other vision correction procedures in the future.
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Am I good candidate for the surgery?
You should be at least 18 years of age.
You refraction (Glass or contact lens prescription ) should be stable for at least a year.
You should not be pregnant or nursing.
The best way to know you are a good candidate is to schedule a consultation with us. We will perform a variety of  eye tests with special equipment to scan your eyes and obtain important measurements that allow us to determine if  ICL is the right option for you.  We will discuss the results with you and help you in making the decision.
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Refractive Lens Exchange

REFRACTIVE LENS EXCHANGE

What is Refractive lens exchange?
Refractive lens exchange, also known as clear lens exchange is a vision correction procedure where the natural lens is replaced by an artificial intraocular lens to correct the focusing power of the eye. It corrects near sightedness , far sightedness, astigmatism and presbyopia.​
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 Who is a good candidate for RLE?
​ Generally patients above 40 who need glasses or are completely dependent on glasses for reading as well as for seeing far away or distant objects benefit from this procedure.
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How does RLE work?
The surgery is similar to cataract surgery and involves removing the clear natural lens which has not yet become cloudy (cataract) and replacing it with an artificial lens to correct vision for far, mid range, and near depending on the lens choice. It is different from LASIK in that it does not reshape the cornea but replaces the natural lens for vision correction.
The procedure is painless and done under light sedation. It takes about 20 minutes to perform the procedure. Most patients can start driving in a day or two after the procedure.
The procedure provides a continuous range of vision. Occasionally you may need readers for specific tasks  like reading fine print or in certain situations like reading in dim lights.
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Will I need cataract surgery after RLE?
One of the biggest advantages of RLE is that you will never develop cataracts since the natural lens is removed in the procedure. So a single RLE surgery improves vision at all distances as well as eliminates the need for cataract surgery in the future.
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What are the benefits of RLE procedure?
No need for cataract surgery in the future
Improved vision at all distances
Permanent vision correction
Reduced dependence on glasses
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How will I know if RLE is the right procedure for me?
We are happy to offer you a consultation in our office. During your visit we will perform various eye tests and an eye examination to get information about your eyes. Dr. Sane with discuss the results of the exam and the different diagnostic tests. She will go over the various lens (IOL) options to help you choose the lens that best fits your visual requirements based on your lifestyle and outcome of the eye tests. 
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Corneal Cross Linking

CXL
What is Cross Linking (CXL)?
Cross Linking is a procedure to strengthen a cornea a weak cornea like keratoconus. The goal of the treatment is to prevent further progression of Keratoconus by halting or slowing the changes.
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How is the procedure done?
The procedure begins with de-epithelialization to gently remove a thin layer of surface cells after numbing the eye. A combination of Riboflavin drops and UVA is then used to treat the cornea . the entire procedure takes about an hour to hour and fifteen minutes. 
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Will Cross linking improve my vision?
No, it does not improve vision.
Cross linking is intended to strengthen the cornea, by increasing the bonds between the collagen fibers that make the bulk of the cornea. You will still need to continue wear glasses or contact lens after the procedure. 
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Pterygium surgery

Pterygium removal

What is pterygium removal surgery?

The surgery involves peeling back and excising  the fleshy growth from the edge of the cornea.  The defect is then covered by a conjunctival autograft which is generally taken from under the upper lid and secured to the eye surface with glue or fine sutures.  It typically takes 45 minutes to perform the procedure meticulously. 
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Can my pterygium recur?
While we take all the necessary steps to remove the pterygium , there is always chance that it might regrow. We recommend you always use sun glasses when outdoors for sun protection to reduce risk of recurrence
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