Cataract Lens Implants vs. Eyeglasses

“Lens implants offer cataract patients a real possibility of reducing or eliminating the need for eyeglasses after cataract surgery,” explained Cataract Surgeon Leslie Doctor, M.D. with Fairfield County offices in Norwalk, Westport and Wilton, Connecticut. “As a greater number of “baby boomers” enter the age of cataracts we hear many more questions about cataract Surgery, lens implants and the need-or not-for eyeglasses,” she said.

In the past, the goal of cataract surgery was to remove the cloudy crystalline lens and replace it with an intraocular lens implant (IOL) of equivalent optical power so as to achieve “emmetropia” thus allowing patients to have good distance vision. The goal of refractive surgery is to help patients decrease or possibly even eliminate their dependence on eyeglasses or contact lenses. Today, a rapidly growing cataract patient population wants to achieve both the benefits of cataract surgery and refractive surgery in one combined procedure.

In order to meet patient expectations of being “glasses free” and help patients achieve their personal vision correction and lifestyle goals, it is necessary for us to first carefully select the type and design of lens implant as well as to accurately calculate the IOL power. The types and designs of lens implants that we work with include the following:

Monofocal Lens Implants

Monofocal lens implants are the most basic type of Lens Implant used to correct vision after removal of the crystalline lens. A Monofocal Lens Implant can provide very good vision after cataract surgery-but only at one set distance-usually for seeing things at a distance such as for driving or going to the movies. A Monofocal Lens Implant does not correct intermediate or arm’s length vision for doing things like playing cards and seeing the golf ball on the tee, or even seeing computer screens clearly. Monofocal lens implants do not correct near vision for doing things up close like seeing medicine bottles, reading, or keeping your golf score, as these tasks require the correction of presbyopia.

Toric Lens Implants

Toric lens implants correct astigmatism. For patients who have significant amounts of astigmatism prior to cataract surgery, and who do not wish to wear eyeglasses to see clearly at a distance, choosing a toric lens implant can help them be independent of glasses for tasks such as driving that require clear distance vision. Toric Lens Implants do not correct presbyopia, so that most patients still require reading glasses or bifocals to be able to comfortably perform near vision tasks such as reading and intermediate vision tasks such as computer work.

Near Vision Presbyopia Correcting Lens Implants

Near vision presbyopia correcting lens implants provide vision correction at the full range of distances-far or distance vision, arm’s length or intermediate vision and up close near vision. Depending on the specific vision requirements of the patient, there are several types of presbyopia correcting multifocal and accommodating lens implants that can be used including the Crystalens® Accommodating Lens Implant, the AcrySof®ReSTOR® Multifocal Lens Implant and Tecnis™ Multifocal Lens Implant. Each of these works in a different way to help the patient achieve their vision correction goals of being able to see at a variety of distances without being dependent on eyeglasses or reading glasses. Patients choosing to have a presbyopia correcting lens implant will likely find that they can drive, watch television, play golf and keep score, read a menu, play cards or do crafts-without the need for glasses. Patients choosing a multifocal or accommodating lens implant typically experience a greater overall freedom from glasses, allowing them to participate in most everyday activities without the dependence on, or hassle of glasses.

“As a corneal specialist who is a cataract and refractive surgeon, I work to realistically shape patient expectations and then provide the medical, surgical and optical care necessary help patients meet or exceed them,” commented Leslie Doctor, M.D. “When patients ask me, “Do I have to wear glasses after my cataract surgery?”, I  make sure to help them understand that we can offer them the possibility of a lifestyle that minimizes or possibly eliminates their need for glasses through careful lens implant counseling,” said  Dr. Doctor.

If you or someone you know has questions about cataracts, cataract surgery or lens implants (IOL) please free to call and schedule an appointment at Doctor & Associates by calling 203-227-4113, or visiting Doctor & Associates in Fairfield County or facebook.com/doctorandassociates.

Doctor & Associates is a leading Fairfield County Connecticut eye care practice providing eye examinations for adults and children, cataract surgery and intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, diagnosis and management of diseases of the retina including diabetes and age related macular degeneration and diagnosis and treatment of glaucoma as well as contact lenses, eyeglasses and optical services. For those patients in need of eye surgery, as a founding member of the Wilton Surgery Center, Doctor & Associates eye surgeons are able to provide eye surgery in a convenient, close to home and cost effective ambulatory surgery center.

Whatever your eye care, eye health or vision correction needs might be-Doctor & Associates can serve as a Connecticut ophthalmic consultant and will be conveniently located for patients from Fairfield County and southern Connecticut including Danbury, Stamford, Greenwich, Westport, Weston, Wilton, New Canaan, Norwalk, Fairfield, Bridgeport, Cannondale, Aspetuck, Redding, Trumbull, Shelton, Monroe, Darien, Glenbrook and Ridgefield Connecticut.

Diabetes Eye Problems & Retinopathy

"The negative effects of diabetes on your eyes can be very damaging,” commented Fairfield County Ophthalmologist Leslie Doctor, M.D. “Diabetes is a disease that impairs your ability to properly metabolize and process glucose. Too much blood glucose can cause microangiopathy-or damage to the small blood vessels throughout the body-including the heart, kidneys and eyes, particularly the blood vessels in the retina,” she said.
Diabetic retinopathy results when the blood vessels in the retina close off, balloon, leak, or close off completely or if abnormal new blood vessels grow on the surface of the retina. Those at the greatest risk of diabetic retinopathy include people with poor blood sugar control, women who are pregnant, and people with high blood pressure, high blood lipids or both. Also, people who are from certain ethnic groups, such as African-Americans, Hispanics and Native Americans, are more likely to develop Diabetic Retinopathy.
Diabetes can cause vision in your eyes to change even if you do not have retinopathy. If your blood sugar levels change quickly, it can affect the shape of your eye’s crystalline lens, causing blurry vision, which goes back to normal after your blood sugar stabilizes. Maintaining good control of your blood sugar helps reduce episodes of blurry vision.
If you or someone you know has diabetes or even high blood sugar, especially if there is a family history of diabetes-you should have regular eye exams to help protect your eye health and vision. Please feel free to call Doctor & Associates-203-227-4113, visit Doctor & Associates in Fairfield County or facebook.com/doctorandassociates to schedule an appointment.
Doctor & Associates is a leading Fairfield County Connecticut eye care practice providing eye examinations for adults and children, cataract surgery and intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, diagnosis and management of diseases of the retina including diabetes and age related macular degeneration and diagnosis and treatment of glaucoma as well as contact lenses, eyeglasses and optical services. For those patients in need of eye surgery, as a founding member of the Wilton Surgery Center, Doctor & Associates eye surgeons are able to provide eye surgery in a convenient, close to home and cost effective ambulatory surgery center.
Whatever your eye care, eye health or vision correction needs might be-Doctor & Associates can serve as a Connecticut ophthalmic consultant and will be conveniently located for patients from Fairfield County and southern Connecticut including Danbury, Stamford, Greenwich, Westport, Weston, Wilton, New Canaan, Norwalk, Fairfield, Bridgeport, Cannondale, Aspetuck, Redding, Trumbull, Shelton, Monroe, Darien, Glenbrook and Ridgefield Connecticut.

Connecticut Diabetic Eye Disease Awareness Month

Connecticut eye specialist, Leslie Doctor, M.D. emphasized the need for patients with diabetes to follow the recommended guidelines for diabetic eye exams in order to avoid diabetic vision loss and prevent the potentially blinding complications of diabetic retinopathy. “It is concerning and troublesome that a recent study found that more than one third of those diagnosed with diabetes do not adhere to vision care guidelines recommending a dilated eye exam every year. The vision loss from diabetic retinopathy can be prevented if it's caught and treated in time, yet there are a growing number-some 8,000 or more new cases of diabetic blindness each year,” stressed Dr. Leslie Doctor, a Fairfield County Ophthalmologist with offices in Norwalk, Westport & Wilton, CT.

The longer a person has diabetes, the greater his or her risk for developing diabetic retinopathy. However, diabetic retinopathy does not only affect people who have had diabetes for many years, it can also appear within the first year or two after the onset of the disease.

Patients can help to reduce the risk of developing diabetic eye disease  by not smoking, controlling their cholesterol and lipid profile and blood pressure, as well as working to eat a heart-healthy diet rich in fish, fruit and green leafy vegetables and exercising. 

The key to successful treatment of diabetic retinopathy is early detection and intervention. If you or someone you know suffers from Diabetes please make sure that they are getting regular eye exams to help preserve their eye health and vision. Feel free to call Doctor & Associates at 203-227-4113, visit Doctor & Associates in Fairfield County or facebook.com/doctorandassociates for an appointment

Doctor & Associates is a leading Fairfield County Connecticut eye care practice providing eye examinations for adults and children, cataract surgery and intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, diagnosis and management of diseases of the retina including diabetes and age related macular degeneration and diagnosis and treatment of glaucoma as well as contact lenses, eyeglasses and optical services. For those patients in need of eye surgery, as a founding member of the Wilton Surgery Center, Doctor & Associates eye surgeons are able to provide eye surgery in a convenient, close to home and cost effective ambulatory surgery center. Whatever your eye care, eye health or vision correction needs might be-Doctor & Associates can serve as a Connecticut ophthalmic consultant and will be conveniently located for patients from Fairfield County and southern Connecticut including Danbury, Stamford, Greenwich, Westport, Weston, Wilton, New Canaan, Norwalk, Fairfield, Bridgeport, Cannondale, Aspetuck, Redding, Trumbull, Shelton, Monroe, Darien, Glenbrook and Ridgefield Connecticut.

Cataract Surgery Results with Macular Degeneration



“Because there is a common risk factor for both cataracts and age related macular degeneration patients wonder about their cataract surgery results if they have macular degeneration,” noted Fairfield County Cataract Surgeon & Corneal Specialist Leslie Doctor, M.D. “The development of a cataract and the need for cataract surgery as well as the frequency and incidence of macular degeneration increase with age. So-it’s pretty common to have one, the other or both as we head through our 50’s, 60’s and 70’s,” she further explained. “The real question that challenges patients is whether to have cataract surgery-what their results might be-if they have macular degeneration.”

The general consensus among cataract surgeons is that with proper preoperative diagnostic testing, examination and consultation patients who have age related macular degeneration and who develop a cataract should be able to have cataract surgery after being counseled on what to expect with regard to overall vision improvements and lifestyle benefits. While macular degeneration is not a reason to completely avoid cataract surgery, realistic expectations must be established by and between you and your cataract surgeon. Further, the most current and widely accepted studies on AMD progression after cataract surgery found that there was no difference in the frequency of the disease among patients who had Cataract Surgery as compared to those who did not.

If you have any questions or concerns about cataracts, cataract surgery and macular degeneration please call Doctor & Associates-203-227-4113, visit Doctor & Associates in Fairfield County or facebook.com/doctorandassociates to schedule an appointment.

Doctor & Associates is a leading Fairfield County Connecticut eye care practice providing eye examinations for adults and children, cataract surgery and intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, diagnosis and management of diseases of the retina including diabetes and age related macular degeneration and diagnosis and treatment of glaucoma as well as contact lenses, eyeglasses and optical services. For those patients in need of eye surgery, as a founding member of the Wilton Surgery Center, Doctor & Associates eye surgeons are able to provide eye surgery in a convenient, close to home and cost effective ambulatory surgery center.

Whatever your eye care, eye health or vision correction needs might be-Doctor & Associates can serve as a Connecticut ophthalmic consultant and will be conveniently located for patients from Fairfield County and southern Connecticut including Danbury, Stamford, Greenwich, Westport, Weston, Wilton, New Canaan, Norwalk, Fairfield, Bridgeport, Cannondale, Aspetuck, Redding, Trumbull, Shelton, Monroe, Darien, Glenbrook and Ridgefield Connecticut.

Connecticut Cornea Specialist on Halloween Contact Lenses

Connecticut Cornea Specialist Leslie Doctor, M.D. urged some eye health caution when considering adding decorative contact lenses to your Halloween costume. “Decorative contact lenses can seem like a pretty cool part of your Halloween costume-but your eyes and non prescription decorative contacts may not be a great combination,” said Dr. Leslie Doctor of Doctor & Associates in Fairfield County. “Without a proper contact lens fitting, changing your eye color from blue or green to some far out appearance or ghoulish look by using over-the-counter, decorative contact lenses can lead to serious vision-threatening problems.”

According to the Food and Drug Administration, all contact lenses are regulated medical devices that require a prescription and proper fitting by an eye-care professional. “Even someone with perfect vision would still require an eye exam and a prescription in order to wear any kind of contacts, including cosmetic lenses,” she further explained.

Some websites advertise decorative contacts as if they were fashion accessories or toys with fanciful, playful packaging in order to attract teens and young adults, especially girls. The problem is not that people use decorative, noncorrosive lenses-sometimes called Plano-or zero-powered lenses, but that they buy the devices without a prescription through unlicensed vendors on the Internet or at flea markets and specialty shops.

The buyer of these over-the-counter contact lenses faces a huge risk including scratched corneas, pink eye and more serious types of blinding infection as a result of a corneal ulcer.

In 2005, a federal law was passed that classified all contact lenses as medical devices and restricted their distribution to licensed eye-care professionals. Illegal sale of contacts can result in civil penalties of up to $11,000 per violation.
 

The safe and effective use of contact lenses-whether decorative or not-requires proper fitting and education about their care to prevent the potential for serious eye  problems from becoming a reality. If you or a friend would like to learn more about contact lenses of any type including decorative contacts please call Doctor & Associates at 203-227-4113.

If you have any questions or concerns about your eyes or would like to learn more about eye melanoma or eye cancers condition please call Doctor & Associates-203-227-4113, visit Doctor & Associates in Fairfield County or facebook.com/doctorandassociates.

Doctor & Associates is a leading Fairfield County Connecticut eye care practice providing eye examinations for adults and children, cataract surgery and intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, diagnosis and management of diseases of the retina including diabetes and age related macular degeneration and diagnosis and treatment of glaucoma as well as contact lenses, eyeglasses and optical services. For those patients in need of eye surgery, as a founding member of the Wilton Surgery Center, Doctor & Associates eye surgeons are able to provide eye surgery in a convenient, close to home and cost effective ambulatory surgery center. Whatever your eye care, eye health or vision correction needs might be-Doctor & Associates can serve as a Connecticut ophthalmic consultant and will be conveniently located for patients from Fairfield County and southern Connecticut including Danbury, Stamford, Greenwich, Westport, Weston, Wilton, New Canaan, Norwalk, Fairfield, Bridgeport, Cannondale, Aspetuck, Redding, Trumbull, Shelton, Monroe, Darien, Glenbrook and Ridgefield Connecticut.