Cataract Surgery (cont.)
Andrew A. Dahl, MD, FACS
Andrew A. Dahl, MD, is a board-certified ophthalmologist. Dr. Dahl's educational background includes a BA with Honors and Distinction from Wesleyan University, Middletown, CT, and an MD from Cornell University, where he was selected for Alpha Omega Alpha, the national medical honor society. He had an internal medical internship at the New York Hospital/Cornell Medical Center.
Melissa Conrad Stöppler, MD
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
In this Article
- Cataract surgery facts
- What is a cataract?
- What are the symptoms and signs of cataracts?
- How do health-care professionals diagnose cataracts?
- What types of doctors perform cataract surgery?
- Who is a candidate for cataract surgery?
- What are the different types of cataract surgery?
- What are the different types of intraocular lenses implanted after cataract surgery?
- What should one expect prior to and on the day of cataract surgery?
- What are potential complications and side effects of cataract surgery?
- What should one expect after the cataract surgery? What is the recovery time after cataract surgery?
- Find a local Eye Doctor in your town
What are the different types of intraocular lenses implanted after cataract surgery?
As the natural lens plays a vital role in focusing light for clear vision, artificial lens implantation at the time of cataract surgery is necessary as a replacement for the natural lens to yield the best visual results. Because the lens implant is placed in or near the original position of the removed natural lens, vision is restored, and peripheral vision, depth perception, and image size are not negatively impacted. Artificial lenses usually remain permanently in place, require no maintenance or handling, and are neither felt by the patient nor noticed by others.
There are a variety of intraocular lens styles available for implantation, including monofocal, toric, and multifocal intraocular lenses.
- Monofocal lens: These lenses are the most commonly implanted lenses today. They have equal power in all regions of the lens and can provide high-quality distance vision, usually with only a light pair of spectacles necessary for near vision. Monofocal lenses are in sharpest focus at only one distance. They do not correct pre-existing astigmatism, a result of irregular corneal shape that can distort vision at all distances. Your surgeon may correct the astigmatism at the time of cataract surgery by making one or two additional incisions in the periphery of the cornea. This does not make the surgery more dangerous. People with significant astigmatism require corrective lenses for sharpest vision at all distances. Patients who have had monofocal intraocular lenses implanted usually require reading glasses.
- Toric lens: Toric lenses have more power in one specific axis in the lens to correct astigmatism as well as distance vision. Due to the difference in lens power in different areas, the correction of astigmatism with a toric lens requires that the lens be positioned in a very specific configuration. While toric lenses can improve distance vision and astigmatism, the patient still will require corrective lenses for all near tasks, such as reading or writing.
- Multifocal lens: Multifocal intraocular lenses are one of the latest advancements in lens technology. These lenses have a variety of regions with different power that allows some individuals to see at a variety of distances, including distance, intermediate, and near. While promising, multifocal lenses are not for everyone. They can cause significantly more glare and loss of contrasts than monofocal or toric lenses. Multifocal lenses cannot correct astigmatism, and some patients still require spectacles or contact lenses for clearest vision.
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