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Decatur Medical Office
(404) 298-5557

Snellville Medical Office
(770) 736-7020

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About Cataract Surgery

Cataract SurgeryToday’s cataract surgery has come a long way since your parent’s generation had the procedure performed. It is now done on an outpatient basis, and usually requires no stitches. Patients can often resume their normal activities as early as the next day.

When the cloudy lens (cataract) has been removed and replaced with a clear lens – most patients will say that they have never seen clearer and brighter in their life.

Most patients who have traditional cataract surgery performed still require glasses at least for reading. However, we have entered an age of technology that has transformed cataract surgery into refractive surgery. We are now able to offer a full range of vision, which will minimize your dependence on glasses, including reading glasses and bifocals.

Advanced cataract technology offers options for multifocal, accomdative or toric lenses. Before scheduling your cataract surgery with our surgical coordinator, you will need a consultation. To start, click here to find out which lens is right for you!


Cataract Surgery for Glaucoma - iSTENT

Patients with both cataracts and glaucoma require special consideration. Cataracts may naturally coexist with glaucoma, have a causative effect on glaucoma, and/or may even be a result of glaucoma surgery.

Cataract surgery may be combined with one of several glaucoma surgeries including trabeculectomy, glaucoma drainage devices, canaloplasty, endocyclophotocoagulation, and the newer micro-invasive glaucoma surgeries (MIGS). The MIGS procedures are especially suited for combining with cataract surgery since they can usually be performed by using the same incision through which the cataract is removed. However, they rely on the eye’s natural drainage system and may not get the eye pressure to a low enough level for some patients. The iStent is a MIGS procedure that is currently FDA approved for use in combination with cataract surgery.

In certain situations, cataract surgery alone may also be considered. For example in some patients with narrow angles, the cataract becomes too big and crowds the other structures in the eye (especially the drainage angle). When this occurs, performing a cataract surgery with a lens replacement may open the drainage angle and improve the eye pressure.

The decision of whether or not combined cataract-glaucoma surgery should be performed, and the choice of glaucoma surgery, depends on various factors including the type of glaucoma and its severity. Your doctor will take all these important factors into consideration when advising what is best for your eye.

Cataract surgery in a patient with glaucoma may give rise to unique concerns. For example, in patients with exfoliation glaucoma there is a higher risk of complications due to inherent weakness in the supportive structure of the natural lens (the zonules). Some newer types of intraocular lenses may not be suitable for patients with advanced glaucoma because they affect contrast sensitivity (the ability to distinguish between an object and its background) or may cause additional sensitivity to glare. Eye pressure spikes after cataract surgery may be more common in patients with underlying glaucoma and importantly, glaucoma patients are more likely to be susceptible to damage from a transient increase in eye pressure.

To conclude, in patients with coexisting cataract and glaucoma, surgical treatment poses unique challenges. There are several treatment options and many variables factor into the decision to choose a particular procedure. A detailed discussion with your doctor is important in order to determine the best option for you.

A cataract is a clouding of the lens inside the eye which leads to a decrease in vision. When a patient has glaucoma that requires an operation, there may be a unique opportunity to remove the coexisting cataract without significantly increasing the risk of the glaucoma surgery. Additionally, when a patient has cataracts affecting their vision along with glaucoma, removing the cataract may provide an opportunity to perform a glaucoma surgery at the same time that may decrease the patient’s need for glaucoma eye drops or improve eye pressure control.

Article by Davinder S. Grover,MD, MPH. Dr. Grover is an Attending Surgeon and Clinician at the Glaucoma Associates of Texas, located in Dallas, Texas. He specializes in the medical and surgical management of complex glaucoma as well as cataract surgery.

 

It’s an exciting time in cataract surgery, in which you can have improved vision at all ranges, for driving, computer work and reading a book.

Call our Decatur office at (404) 298-5557 extension 230 or request an appointment online!

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About Cataract Surgery

Cataract SurgeryToday’s cataract surgery has come a long way since your parent’s generation had the procedure performed. It is now done on an outpatient basis, and usually requires no stitches. Patients can often resume their normal activities as early as the next day.

When the cloudy lens (cataract) has been removed and replaced with a clear lens – most patients will say that they have never seen clearer and brighter in their life.

Most patients who have traditional cataract surgery performed still require glasses at least for reading. However, we have entered an age of technology that has transformed cataract surgery into refractive surgery. We are now able to offer a full range of vision, which will minimize your dependence on glasses, including reading glasses and bifocals.

Advanced cataract technology offers options for multifocal, accomdative or toric lenses. Before scheduling your cataract surgery with our surgical coordinator, you will need a consultation. To start, click here to find out which lens is right for you!


Cataract Surgery for Glaucoma - iSTENT

Patients with both cataracts and glaucoma require special consideration. Cataracts may naturally coexist with glaucoma, have a causative effect on glaucoma, and/or may even be a result of glaucoma surgery.

Cataract surgery may be combined with one of several glaucoma surgeries including trabeculectomy, glaucoma drainage devices, canaloplasty, endocyclophotocoagulation, and the newer micro-invasive glaucoma surgeries (MIGS). The MIGS procedures are especially suited for combining with cataract surgery since they can usually be performed by using the same incision through which the cataract is removed. However, they rely on the eye’s natural drainage system and may not get the eye pressure to a low enough level for some patients. The iStent is a MIGS procedure that is currently FDA approved for use in combination with cataract surgery.

In certain situations, cataract surgery alone may also be considered. For example in some patients with narrow angles, the cataract becomes too big and crowds the other structures in the eye (especially the drainage angle). When this occurs, performing a cataract surgery with a lens replacement may open the drainage angle and improve the eye pressure.

The decision of whether or not combined cataract-glaucoma surgery should be performed, and the choice of glaucoma surgery, depends on various factors including the type of glaucoma and its severity. Your doctor will take all these important factors into consideration when advising what is best for your eye.

Cataract surgery in a patient with glaucoma may give rise to unique concerns. For example, in patients with exfoliation glaucoma there is a higher risk of complications due to inherent weakness in the supportive structure of the natural lens (the zonules). Some newer types of intraocular lenses may not be suitable for patients with advanced glaucoma because they affect contrast sensitivity (the ability to distinguish between an object and its background) or may cause additional sensitivity to glare. Eye pressure spikes after cataract surgery may be more common in patients with underlying glaucoma and importantly, glaucoma patients are more likely to be susceptible to damage from a transient increase in eye pressure.

To conclude, in patients with coexisting cataract and glaucoma, surgical treatment poses unique challenges. There are several treatment options and many variables factor into the decision to choose a particular procedure. A detailed discussion with your doctor is important in order to determine the best option for you.

A cataract is a clouding of the lens inside the eye which leads to a decrease in vision. When a patient has glaucoma that requires an operation, there may be a unique opportunity to remove the coexisting cataract without significantly increasing the risk of the glaucoma surgery. Additionally, when a patient has cataracts affecting their vision along with glaucoma, removing the cataract may provide an opportunity to perform a glaucoma surgery at the same time that may decrease the patient’s need for glaucoma eye drops or improve eye pressure control.

Article by Davinder S. Grover,MD, MPH. Dr. Grover is an Attending Surgeon and Clinician at the Glaucoma Associates of Texas, located in Dallas, Texas. He specializes in the medical and surgical management of complex glaucoma as well as cataract surgery.

 

It’s an exciting time in cataract surgery, in which you can have improved vision at all ranges, for driving, computer work and reading a book.

Call our Decatur office at (404) 298-5557 extension 230 or request an appointment online!

(404) 298-5557
465 Winn Way, #10 - Decatur, GA 30030

(770) 736-7020
1700 Tree Lane Road, #135 - Snellville, GA 30078