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Doctor insights on: Cataract Removal Without Surgery

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85 year old with Salzmann's is scheduled for cataract removal surgery. Are there any concerns? Should nodules be removed prior to surgery? Scaring?

85 year old with Salzmann's is scheduled for cataract removal surgery.  Are there any concerns?  Should nodules be removed prior to surgery?  Scaring?

Salzmann's nodules: hyaline deposits between the epithelium and Bowmans membrane of Cornea causing astigmatism. Superficial keratectomy of astigmatism-inducing Salzmann’s nodules should always be performed prior to cataract surgery. Stable keratometry readings and IOL calculations cannot be reliably obtained until 3 to 6 weeks after surgery. Toric IOLs should be avoided because of the risk of recurrent nodule. ...Read more

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Dr. Richard Bensinger
830 doctors shared insights

Cataracts (Definition)

Occurs whent here is a clouding (or change in protein composition) of the normally clear lens (which is located behind the pupil and iris) inside the eye. Cataracts are most commonly due to aging, but can be congenital (born with it), due to trauma or uveitis (eye inflammation). Can be worsened by long-term topical steroid ...Read more


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How much pain with cataract removal surgery?

How much pain with cataract removal surgery?

Minimal: With modern cataract surgery techniques pain either during or after the surgery is generally very mild or even absent. Some patients will experience a mild foreign body sensation or scratching feeling for a day or two, and some have a very mild pressure feeling. Usually, otc medications, typically tylenol or acetaminophen, are all that are required for pain control, and many patients don't use any. ...Read more

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Can lower lid surgery be done after cataract removal?

Can lower lid surgery be done after cataract removal?

Yes: After you heal completely from your cataract surgery, you can have any other surgery. Be sure to get the clearance from your original cataract surgeon. ...Read more

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85 year old with Salzmann's is scheduled for cataract removal surgery. Are there any concerns? Should nodules be removed prior to surgery? Scaring?

Salzmann's nodules: hyaline deposits between the epithelium and Bowmans membrane of Cornea causing astigmatism. Superficial keratectomy of astigmatism-inducing Salzmann’s nodules should always be performed prior to cataract surgery. Stable keratometry readings and IOL calculations cannot be reliably obtained until 3 to 6 weeks after surgery. Toric IOLs should be avoided because of the risk of recurrent nodule. ...Read more

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After cataract removal and laser surgery, I need vitreotomy surgery--is it safe to do all these things?

After cataract removal and laser surgery, I need vitreotomy surgery--is it safe to do all these things?

Yes, if indicated: It is safe to do all these operations on the same eye if there is a medical reason to do so. Your doctor, perhaps with the input from a retinal consultant, will explain the reasons the procedures are required, what is hoped to be accomplished, and the associated risks. ...Read more

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Is Intraocular lens medically necessary for 70yr old's cataract removal? Doc is forcing mom to replace her natural lens during cataract surgery.

Is Intraocular lens medically necessary for 70yr old's cataract removal? Doc is forcing mom to replace her natural lens during cataract surgery.

Very Necessary!: Absolutely. If your mom doesn't get an implant after her surgery, she will be blind without wearing either contact lenses or ultra thick glasses with power of greater than +10. Intraocular lens implants are one of the miracles of modern medicine. They are absolutely necessary, not luxuries fit only for a wealthy young person. Best wishes ...Read more

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Are you put under for cataract surgery?

Are you put under for cataract surgery?

Rarely: Most cataract surgery is performed under local anesthesia, sometimes with a little assist intravenously but not asleep. The only patients consistently put to sleep are children, and adults with movement disorders and mental deficiency;. ...Read more

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Which lens are good for cataract surgery?

Which lens are good for cataract surgery?

Lens options: There are 3 key options for cataract surgery: monofocal (give you ability to see 1 distance); multifocal (see multiple distances but risk of glare/halos); accommodative lenses (allow multiple distances; less risk of glare; but may not work as well for reading vision especially over time). More info: eyedoc2020@blogspot.com Visionary Ophthalmology, Rockville, MD ...Read more

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What are effective alternatives to cataract surgery?

What are effective alternatives to cataract surgery?

No surgery: Cataract surgery is considered an elective procedure. Except for a few situiations, you, as the patient, decide when you want to have the surgery. If you are happy with your vision, you can wait on the surgery as long a you want. ...Read more

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What are possible complications of a cataract surgery?

Cataract surgery: Cataract surgery is usually very safe. There can be complications. More common ones are posterior capsule opacification requiring a later laser procedure, wound leak, posterior capsule rupture. Less common ones are retinal detachment, infection, and prolonged inflammation. For more information please check out: http://www.allaboutvision.com/conditions/cataract-complications.htm ...Read more

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What happens generally before a cataract surgery operation?

A brief summary: Prior to the procedure you are given an I.V. And your eye is dilated. You will also be given antibiotic eye drops. Sedation is given to you just before the procedure starts and your face is cleaned and a sterile drape covers everything but your eye. By this time, you should not have any memory of the procedure. There should also be no discomfort at all. ...Read more

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What is the definition or description of: cataract surgery?

What is the definition or description of: cataract surgery?

Lens surgery: Cataract surgery is the surgical procedure performed when the natural lens in the eye becomes opaque affecting vision. The cloudy lens is removed surgically and replaced with an artificial intra-ocular lens (iol). ...Read more

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What are the different techniques used in cataract surgery now?

What are the different techniques used in cataract surgery now?

Ultrasound: The vast majority of cataract surgery in the U.S. Is performed with a small corneal incision (usually less than 3mm) followed by phacoemulsification, or ultrasound, to destroy the cataract. The lens implant is folded, inserted through the small corneal incision, and then unfolds while in the eye. You have some choice in the lens implant selection as lenses now have multifocal capability. ...Read more

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Are there any benefits and disadvantages associated with a cataract surgery?

Are there any benefits and disadvantages associated with a cataract surgery?

Many Advantages: There are over 3 million cataract surgeries performed annually, and it enjoys amongst the highest patient satisfaction of any surgery. Removal of the cataract improves vision, restores clarity, makes colors brighter, and often eliminates the need for glasses post-operatively. Complications are very rare, but include infections or other potential causes of loss of vision or blindness.. ...Read more

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Is cataract surgery done with a laser?

Is cataract surgery done with a laser?

Femto Laser: The femtosecond laser was approved about 2 years ago to assist with certain steps of cataract surgery. It is not widely used because it is prohibitively expensive and not covered by insurance. Modern cataract surgery is done by ultrasound and utilizes sophisticated lens implants to correct for pre-existing refractve errors. Laser or no laser, modern cataract surgery is a miraculous operation. ...Read more

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Could medicare pay for cataract surgery?

Medicare pays for CS: Medicare pays for majority of cataract surgery. Extra costs if a patient desires a refractive implant or advanced implant to correct for astigmatism &/or reading vision & for laser cataract surgery, which helps many patients in long term recovery, decreased risk, complication rates. But medicare pays for about 80% or more depending on benefits. See: eyedoc2020@blogspot.com ...Read more

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What are cataract surgery complications?

What are cataract surgery complications?

CS Complications: post Cataract Surgery Issues/Complications: need for glasses still, need YAG laser: PCO, dry eye sx/worsening, eyelid droop, recurrent uveitis, eye bleeding, needing another surgery/laser (for multiple reasons: refractive surprise, swelling of macula CME, IOL dislocation, failing cornea), rare: infection,retinal hole, detachment, loss of vision, loss of eye, loss of life; eyedoc2020@blogspot.com ...Read more

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Does medicare part a cover cataract surgery?

Does medicare part a cover cataract surgery?

No: Medicare part b covers cataract surgery and follow-up care, while medicare part a covers hospital and long-term care. Patients who only have part a are not covered for cataract surgery, unless they have additional insurance from another company. ...Read more

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How effective is the new laser cataract surgery?

Good for parts: Laser assisted cataract surgery is just that. The new femtosecond laser helps make the incision part of cataract surgery more precise and predictable than traditional methods. The laser does not do the entire operation--only parts of it. There is a considerable extra expense to using the laser that is paid for by the patient. ...Read more

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If I get cataract surgery will I still need glasses?

If I get cataract surgery will I still need glasses?

Not necessarily: Cataract surgery's main goal is to clear up the "cloudy" vision and glare effects. With today's modern technology, it is quite possible to end up not needing glasses for distance or near work. In order for that to happen, the eye has to have the ability to see 20/20 in the first place, and the patient would need to select a lens technology that can help achieve this goal. The technology is not covered by insurance, however. Speak to your eye surgeon about your vision goals after surgery. ...Read more

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Dr. Michael Ham
76 doctors shared insights

Cataract Removal (Definition)

Cataract removal is a procedure to remove a clouded lens (cataract) from the eye. Cataracts are removed to improve vision. The procedure almost always includes placing an artificial ...Read more