Cataract Surgery

What is unique about Insight Vision Group?

We offer in house Cataract surgery! No need to be referred anywhere else for your procedure.

What Are Cataracts?

A cataract is a clouding of the natural lens of the eye that occurs slowly as we age. Cataracts are an incredibly common occurrence- The majority of Americans have a visually significant cataract or have had cataract surgery by age 80. Every human will eventually develop cataracts if they live to be old enough.

Did you know?
  • 25 million Americans have cataracts
  • 90% of people will develop cataract by the age of 65
  • 85% of people will have clear vision after cataract surgery

Symptoms of Cataracts

Cataracts can form in one or both eyes and can cause blurry vision. The symptoms of cataract can include blurry or hazy vision that cannot be improved with glasses, poor night vision, glare and/or halo at night, difficulty reading and yellowing of the vision.

When a cataract is causing vision loss that decreases the quality of life for a patient, many opt to regain their vision with cataract surgery.

Are you experiencing any of these symptoms?

  • Vision is cloudy or hazy
  • Glare/Halos at night
  • Difficulty reading fine print
  • Do not feel comfortable driving at night
  • Colors appear faded
  • Your eyeglass prescription changes often or is not working
  • LASIK or previous refractive surgery is no longer working

Do you have cataracts? Get a LIVE simulation of what your vision could be like afterword! Check out the TECNIS Visual Simulator.

Cataract Surgery

Cataract surgery is the most common procedure performed in the United States. Cataract surgery is more advanced than ever. The solution to cataracts is to gently remove the cloudy lens and replace it with the clear, artificial lens, called an IOL (Intraocular lens). Cataract surgery is a quick outpatient procedure that does not require an overnight stay or general anesthesia. Risk factors include age, diabetes, steroids, eye trauma, smoking, and excessive sun exposure.

The first step is to schedule a cataract exam (typically covered by your medical insurance) or free cataract surgery consultation. During this examination, you will undergo a comprehensive eye exam to examine your eye, test your vision, and discuss the options available to you.

Cataract surgery is a relatively safe and effective procedure. A high percentage of patients get significantly improved vision after cataract surgery. The risks of cataract surgery are low but exist. Your doctor will discuss this in detail prior to surgery.

During cataract surgery, your surgeon will remove the cloudy lens of your eye and replace it with an artificial lens called an Intraocular Lens (IOL) in a procedure that typically takes 7-10 minutes and is performed under topical (eyedrop) anesthesia in addition to a relaxing medication that is given by mouth or IV. Cataract surgery is typically comfortable and often results in much better vision in the first few days after surgery.

Type of Cataract Surgery – Traditional vs. Laser

Traditional Cataract Surgery

Traditional cataract surgery has been used successfully for years and involves using a manual metal or diamond blade for incisions into the eye and lens followed by removal of the cloudy natural lens with an ultrasound device. Traditional cataract surgery is covered by your medical insurance.

Laser-Assisted Cataract Surgery

Laser-assisted cataract surgery involves the use of a femtosecond laser (Ziemer Femto Z8) to assist in making incisions during the cataract surgery. These incisions are more precise than manual incisions. As a result of the laser dissecting the natural lens, less ultrasound power is used for its removal, resulting in a faster recovery of vision than traditional cataract surgery.

While laser-assisted surgery offers benefit for any patient, it may be even more useful in patients with certain medical conditions of the eye including dense cataracts, traumatic cataracts, Fuch’s dystrophy (an inherited condition of the eye that can lead to significant corneal swelling after surgery) and pseudoexfoliation (a disease of the eye of unknown origin where whitish material is deposited in the front of the eye that causes small pupils and weak zonules – the delicate strings that attach the natural lens to the eye).

In Dr. Dougherty’s hands, laser-assisted is slightly safer than traditional treatments and multiple studies have demonstrated increased precision of the vision correction outcome with laser-assisted surgery. The downside of laser-assisted cataract surgery is that it is not covered by any insurance and is an out-of-pocket expense as part of a vision correction package.

Insight Vision Group is the first Ophthalmologist on the West Coast to use the FEMTO LDV Z8 laser.

The Ziemer Femto LDV Z8 for Cataract Procedures

Ziemer’s Femto LDV Z8 laser is Swiss-engineered and FDA-approved. The Z8 technology provides precision in the cornea and power in the lens with fragmentation. In traditional cataract surgery, these incisions are performed manually, with a blade, in a linear fashion. Ziemer’s laser technology, however, allows for the incision to be made in a variety of patterns with an incredibly fast sequence of low-energy laser pulses, lending procedures consistently optimal results.

Read Frequently Asked Questions About The FEMTO LDV Z8

Cataract Vision Correction Packages: Lens Options

Premium IOL Package

At the time of cataract surgery, an intraocular lens (IOL) must be placed into the eye to replace your natural lens in order for you to see. Traditionally, a basic IOL was placed at the time of surgery with the expectation that glasses, or contacts would be needed to maximize vision after surgery. At Insight Vision Group, we offer a range of IOL’s as part of a Premium IOL package that can help improve vision and decrease or eliminate the need for glasses or contact lenses at the time of surgery. Unlike many surgeons, at Insight Vision Group, we see each cataract surgery as a unique opportunity to correct your vision to minimize the use of glasses. Each Premium IOL Package offered at our center includes astigmatism diagnosis and correction as well as Laser Vision Correction (LASIK or PRK) at no charge after surgery, if necessary, to maximize your vision without glasses.

Intraocular Lenses (IOL) Available at Insight Vision Group
Softec HD Lens Implant

Softec HD Lens was developed to meet higher patient expectations for higher quality vision.

The Softec HD is manufactured as a bi-aspheric IOL, which improves quality of vision compared to traditional IOL’s. In addition, this lens is one of the most precisely manufactured IOL’s in the world. As a result, the Softec HD comes 0.25 D increments which allow for a more precise vision correction outcome; most IOLs on the market are only available in less accurate 0.5 D steps. Lastly and most importantly, the Softec HD is made of a hydrophilic acrylic material, which studies have shown allows for an increased depth of focus and better intermediate vision without glasses. While the Softec HD will not eliminate reading glasses unless monovision (1 eye set for distance, and 1 eye set for near) is employed, many patients get good intermediate vision in addition to excellent distance vision without glasses.

Find out more about the Softec HD Lens, watch the video below.

Intraocular Lenses (IOL) Available at Insight Vision Group

Softec HD Lens Implant

Softec HD Lens was developed to meet higher patient expectations for higher quality vision.

The Softec HD is manufactured as a bi-aspheric IOL, which improves quality of vision compared to traditional IOL’s. In addition, this lens is one of the most precisely manufactured IOL’s in the world. As a result, the Softec HD comes 0.25 D increments which allow for a more precise vision correction outcome; most IOLs on the market are only available in less accurate 0.5 D steps. Lastly and most importantly, the Softec HD is made of a hydrophilic acrylic material, which studies have shown allows for an increased depth of focus and better intermediate vision without glasses. While the Softec HD will not eliminate reading glasses unless monovision (1 eye set for distance, and 1 eye set for near) is employed, many patients get good intermediate vision in addition to excellent distance vision without glasses.

Find out more about the Softec HD Lens, watch the video below.

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Toric Astigmatism Correcting IOLs

The cornea (clear window in front of the eye) on a normal eye has a circular shape whereas, in an eye with astigmatism, the cornea is shaped more like an oval. This oval shape creates 2 points of focus in the eye.

Astigmatism is a common eye condition that affects millions of people and often leads to blurred or impaired vision at both distance and near. With advancements in lens technology, it is now possible to correct astigmatism with Toric lenses that correct astigmatism. The FDA Approved premium Toric lens is a single “vision” lens that is implanted during cataract surgery to replace the clouded lens.

Multifocal IOLs

If you’re looking to release yourself from the dependency of glasses after surgery and you cannot tolerate monovision (1 eye set for distance and 1 eye set for near), you should ask about the options for multifocal lenses to expand your range of vision. Multifocal IOL’s work by using diffraction rings on the lens that optically split the incoming light into distance and near so that you can see both distance and nearby the brain paying attention to the appropriate image.

AcrySof IQ PanOptix

PanOptix Trifocal IOLs to See Near, Intermediate and Far

The PanOptix Trifocal IOL is designed to optimize intermediate vision without sacrificing near or far distance vision, providing many benefits to cataract patients, especially those with astigmatism.

Trifocal IOLs are ideal for patients who enjoy a modern, active lifestyle – indoors and outdoors, from mobile screen to computer screen to TV screen, and other common daily activities. According to recent study data, more than 99% of patients who had a procedure with the PanOptix lens would choose the lens again.

Acrysof IQ Vivity

The Vivity IOL is designed to optimize a high-quality distance and intermediate vision with minimal effect on vision quality. The Vivity IOL is an extended depth-of focus IOL that uses a new, non-diffractive technology called X-Wave that uses all available light to create a continuous, extended range of vision. The Vivity lens is available in a Toric IOL model, so that astigmatism can be corrected at the time of refractive lens exchange. Vivity IOL is a great option for patients who are monovision intolerant and are not candidates of Panoptix IOL (multifocal) due to previous refractive surgery or retinal issues. Vivity IOL is a fantastic lens for distance, intermediate, and some reading but less reading than Panoptix.

Basic Monofocal IOLs

Monofocal IOL’s are lenses that have been used for decades as part of cataract surgery. The advantage of a Monofocal lens it that they allow your doctor to set different ranges of focus. After your consultation, your doctor will suggest setting the distance for near or far vision. Based on the focus setting of your Monofocal lens, a patient will still need to wear glasses for distance vision or reading

glasses for close up. Most cataract patients that choose the Monofocal lens elect to set the IOL’s for distance vision, then relying on reading glasses for close up objects.