No Injection, No Stitch, No Patch Cataract Surgery
Cataract remains the most common cause of blindness in the world today. The term comes from its original meaning of "waterfall," because that is how vision seems when the cataract is dense, as though you are looking through a waterfall.
The eye is an amazing structure that works something like a camera. The "window" at the front of the eye is the cornea. You can see the colored part of the eye, the iris, through the cornea. The opening in the middle of the iris is the pupil. Just behind
that is the lens of the eye. This is a living tissue that works like a camera lens to focus light back on to the retina, the light-sensitive membrane that works something like the film in a camera, continually sending images focused upon it to the brain
via the optic nerve.
Time, heredity and the elements combine to cause deterioration in the lens. As we age, the lens yellows and hardens. That can cause an individual to have difficulty seeing to drive at night and require much more light to read. Other
changes can occur as a result of disease, medication and unknown factors that cloud the lens even more dramatically. Vision slowly deteriorates causing problems with everyday activities such as watching TV or following a golf ball. Eventually, if allowed
to progress, the lens becomes opaque, or "mature" and completely blocks vision. The condition can be relieved by surgery. There are no known remedies short of surgery to reverse cataracts.
The timing of surgery can be a tricky business. Since vision often deteriorates slowly, individuals adapt to the changes and barely notice the problems until they run into difficulties such as getting lost while driving at night, because
they could not see a road sign, or worse, breaking a bone when they trip over something they simply did not see. In most cases, people know they have a problem, especially if the cataract is worse in one eye than the other. However, sometimes people find
it hard to believe they no longer meet vision requirements for driving or that they are wearing two different color socks, because they just could not tell the difference.
The history of cataract surgery is fascinating dating back thousands of years. Even so, not too many years ago cataract surgery involved an in-hospital stay for up to a week followed by restrictions in physical activities for a month.
Visual recovery was often delayed for three months and required thick spectacles or contact lenses to achieve good vision, since the eye's cloudy lens is removed at surgery. The advent of the intraocular lens implant, or "IOL," improved the speed and
quality of visual recovery. The invention and perfection of phacoemulsification, a means of breaking up the cataract with ultrasound, allowed for performing the surgery through a small incision.
Until recently, IOL's corrected vision for limited distances. That is, a patient might receive an IOL for distance or near vision. Just as most people over 45 require reading glasses or glasses for both distance and near since the eye
loses its ability to focus around that time of life, after cataract surgery, though the need for glasses may be very much reduced, patients still often require spectacles for certain activities. Now there is an IOL that enables good vision in almost all
ranges. Manufactured by Allergan, this lens was approved in the United States Food and Drug Administration in the Fall of 1997. Dr. Goldman is one of a few physicians in the area approved to implant this lens. Not all patients are candidates, but it is
certainly something to think about when considering cataract surgery.
Dr. Goldman performs surgery through a tiny incision placed to avoid blood vessels. Patients no longer need to discontinue blood thinning medications such as aspirin and coumadin prior to cataract surgery. No stitch is needed to seal
this incision. Not only is it very small, but it is constructed like a "trap-door" which seals itself almost immediately after surgery. That is the reason there are virtually no physical restrictions after this sort of cataract surgery. In most cases,
surgery can be performed without the need for injections around the eye. Not only does this reduce the risk of bleeding and other problems, but it also usually means no patch or other dressing is needed over the eye after surgery! Vision is blurry immediately
following surgery, but usually clears by the following day.
Our new ambulatory surgical center, the Outpatient Surgery Center of Boca Raton, located in the back of our offices is approved by the Medicare, the Florida Agency for Health Care Administration and the Joint Commission on Accreditation
of Health Care Facilities. It is state-of-the-art equipped for ophthalmic surgery.
Though there is no such thing as risk-free surgery, we do everything we can to avoid problems before, during and following surgery. There is over a 95% chance of improved vision following surgery and a very small chance of a serious
problem, such as infection or internal eye bleeding. Dr. Goldman specializes in anterior segment surgery, particularly cataract surgery and has performed many thousands of procedures since starting in practice in 1977. Our practice tries to simplify the
whole process for you with written instructions concerning what to do before and after surgery to help the healing process. Further, we always have a physician on call if you have emergency problems. |