Cataract Surgery is one of the most common procedures performed on a regular basis by eye surgeons. Modern cataract surgery involves using the small incision phacoemulsification technique. Basically, the smallest incision possible is created so that the unwanted lens material can be removed with an ultrasonic needle.
This cataract removal procedure is performed in an ambulatory surgery center or hospital on an outpatient basis. The eye is numbed with anesthetic drops. Then, using an operating microscope Dr. Feinerman makes a small incision in the cornea. The incision is about 2.5 millimeters in length and is created at the junction of the cornea and the sclera. An anesthetic is then administered inside the eye through this incision.
The front part of the lens envelope, known as the lens capsule, is delicately opened so that the unwanted lens material can be removed. A thin ultrasound probe, which is often confused with a laser by patients, is inserted into the eye and uses ultrasonic vibrations to dissolve (phacoemulsify) the clouded lens– vaporizing the hardened and yellow proteins that make up the cataract. As the cataract is vaporized, a vacuum is used to remove the tiny particles from the eye. These tiny fragmented pieces are suctioned out through the same ultrasound probe. Once the cataract is removed, Dr. Feinerman places an artificial lens into the capsular bag that the cataract previously occupied. This lens is essential to help your eye focus after surgery.
What Types of Intraocular Lens Implants Are Available?
Once the cataract has been successfully removed from the eye an intraocular lens (IOL) is implanted through the incision. The lens is then put into the capsular bag (lens capsule) and centered. The IOL will remain permanently inside your eye in this location, focusing light rays onto your retina. IOLs cannot be felt or sensed in any way by the patient. Dr. Feinerman will discuss with you which FDA approved IOL is right for you.
In the past, cataract patients only had the option of a standard monofocal intraocular lens implant. Monofocal meant they would only be correct vision for only one focal point, usually distance vision. Thus, patients would still require glasses for computer and reading vision. In recent years the FDA has approved several advanced technology intraocular lens implants (IOLs) to be used by ophthalmologists for cataract patients. The advanced technology IOLs have the advantage of allowing people to be able to see both NEAR AND FAR distances after surgery. If you wear glasses, this might be an opportunity to see better without glasses. Thus, the main difference between the standard IOL and advanced technology IOLs is in the ability to focus at multiple distances.
Dr. Feinerman has over 15 years of experience as a cataract surgeon for the Newport Beach area. He was the first surgeon in southern CA to implant the crystalens (advanced technology IOL) after it was FDA approved. He was also the first surgeon in CA to implant the Trulign IOL, as part of an FDA study. To learn more about our practice and all of the services we offer contact us today!
Our phone number is 949.631.4780. You can also request an appointment on our website.