January 5, 2021
Who is a Candidate for
Refractive Cataract Surgery?
Refractive cataract surgery in Kansas City is recommended when your vision begins to affect your quality of life or interfere with your ability to perform daily activities. Some signs of a cataract include:
- Clouded, blurred, or dim vision
- Increasing difficulty with vision at night
- Fading or yellowing of colors
- Double vision in a single eye
- Sensitivity to light and glare
- Halos around lights
- Difficulty reading in dim light
- Frequent changes in glasses or contact lens prescriptions
Refractive Cataract Surgery vs.
Traditional Cataract Surgery
Refractive Cataract Surgery:
- Multifocal, Extended Depth-of-Focus, and Toric IOLs available
- Real-time IOL power calculation with ORA used during cataract surgery to optimize vision correction
- Corneal laser vision correction (LASIK, PRK) to optimize visual outcome if needed post-operatively
- Vision restored at near, intermediate, and far distances to eliminate the need for readers or bifocals post-operatively
Traditional Cataract Surgery:
- Only standard, monofocal intraocular lens available
- Does not correct common refractive errors – nearsightedness, farsightedness, astigmatism, and presbyopia
- Readers or bifocals prescribed for distance and near vision following surgery
Refractive Cataract Surgery in Kansas City is an outpatient experience. The procedure is done one eye at a time, typically at least one week apart.
On the day of surgery, patients can expect to be in our office for 90 minutes though the procedure itself takes only 10-15 minutes.
Before the surgery
Prep the Eye
Remove the natural lens
Place the new lens
One day after the procedure, most patients can resume normal daily tasks along with a few restrictions to protect the eye. As with any eye surgery, there is a healing period that must be completed for visual stabilization. You will be using antibiotic and anti-inflammatory eye drops for a few weeks following surgery.
Standard post-op visits are 1 day, 1 week, 1 month, 3 months, and 1 year. Patients are required to have a driver take them home after the surgery and drive them to their 1 day post-op visit. Patients can usually return to work after the first post-op visit.
Is Refractive Cataract
Surgery right for you?
Find out through our signature
Advanced Ocular Analysis
The first and most critical step in determining candidacy for a procedure is to schedule a complimentary Advanced Ocular Analysis, or AOA.
Going above and beyond a traditional LASIK screening, the AOA sets the foundation for exceptional visual outcomes with each patient’s long-term needs in mind.
Examine the health of your eye
When it comes to refractive surgery, a routine eye exam or LASIK screening may ignore details that are critical to your outcomes. For this reason, Durrie Vision developed the AOA. Featuring the most advanced combination of diagnostic testing available today, the AOA uses cutting-edge technologies to provide a three-dimensional visualization and analysis of the entire ocular system.
Recommend a treatment plan
After your exam, we’ll share with you an in-depth analysis of your eyes, taking all the time necessary to explain what the evaluation revealed. You will leave with a comprehensive report of everything we discussed along with any recommendations for treatment, cost, financing, and recovery time.
Refractive Cataract Surgery FAQs
- What causes the loss of near vision?
When you are young, the natural lens acts like the zoom function in a camera, allowing you to focus up close, without the need for reading glasses or bifocals. As you age, the lens progressively becomes dysfunctional, resulting in loss of near vision (presbyopia) that requires the use of reading glasses or bifocals. With aging, the lens also progressively becomes hard, yellow, and cloudy (cataract). Cataracts block and scatter light, and they reduce visual quality, quantity, and color perception. This progressive loss of function of the natural lens inside the eye is referred to as Dysfunctional Lens Syndrome.
- Does the new lens zoom?
We utilize three main categories of lenses to help you achieve distance and near vision after RLE surgery. Your surgeon will discuss these lenses with you and help you choose the best type of lens to meet your vision and lifestyle needs.
Presbyopia correcting: These lenses allow the patient to see distance and near/intermediate range in the same eye. They can be used in different combinations to increase the range of vision and reduce the need for reading glasses.
Aspheric: These are monofocal (single focus) lenses that are designed for the best quality of vision at an optimum distance for the patient. Depending on the goals of the patient, there are options regarding where the eye is targeted – distance vision only, near vision only, or blended vision (one eye set for distance; one near).
- Will my eye ever reject/react against the lens?
Intraocular lenses are made of a specialized acrylic material, which is inert inside the eye. Unlike other organic materials, glass, or metal, the eye will not react against the lens. This allows the lens to remain clear, avoiding the degradation and color change occurring in the natural lens with time.
- Will this procedure prevent conditions like macular degeneration?
No. Macular degeneration affects the retina in the back of the eye; whereas, like cataract surgery, Refractive Lens Exchange addresses the lens in the front of the eye. Patients should continue to schedule annual eye exams to check for naturally occurring eye problems such as macular degeneration, glaucoma, retinal degeneration, or detachment.
- What are the restrictions post-surgery?
Patients are encouraged to relax immediately following surgery, but are free to resume normal activities as comfort allows. For the first week, you should avoid rubbing or bumping the eye as well avoid getting soap or water in your eyes while bathing or showering. Use caution with heavy lifting (greater than 25-30 lbs) and physical exertion for 1 month. Patients should also avoid hot tubs or swimming in a pool, lake, or ocean for 1 month.