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Eyes of York is proud to be the first practice in the area to offer patients such a high level of service and a truly bladeless surgical experience. Within the last few years, femtosecond laser technology has created a new ultra-modern technique for refractive cataract surgery. The LENSAR Laser Cataract System is one such instrument that uses high resolution 3-D imaging with advanced laser applications. This gives surgeons the ability to make more precise incisions in the cornea and lens allowing for a procedure that is customized to an individual eye’s own unique anatomy. The manual techniques used by the most excellent and experienced eye surgeons cannot match the extraordinary accuracy of the femtosecond laser incisions.

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How is Bladeless Cataract Surgery Performed?

 At Eyes of York, Dr. Denise Visco and Dr. Jerome Benz incorporate the unique properties of the LENSAR Laser Cataract System for refractive cataract surgery patients. Using the laser, our surgeons can tailor the procedure for each individual patient with the goal of reducing dependency on glasses or contact lenses. With an improved level of precision, premium intraocular lenses are placed with the most advanced technology available.

Before Your Surgery

Before your surgery, our team will discuss various types of lens implants with you. How you see after surgery will depend on the type of lens implant used. It is vital that you discuss your lifestyle and vision expectations so that we can determine the right premium lens implant for you.

During Your Surgery

Cataract surgery is relatively “patient-friendly.” It is usually performed as an outpatient procedure in less than 15 minutes. “Phacoemulsification” is the microsurgical technique used. It requires a tiny incision and breaks up the cataract with ultrasound waves.

  • Patients are given topical numbing drops and IV sedation, or twilight anesthesia, to ensure that they are comfortable and relaxed. 
  • The surgeon makes an incision and uses ultrasound waves to break up the hard, yellow proteins that form the cataract, leaving the lens membrane in place.
  • Next, a soft, flexible synthetic Intraocular Lens (IOL) is inserted into the lens capsule of the eye.
  • The lens is a permanent fixture that helps your eye to focus. You will not be able to feel or sense the implanted lens in any way.

Cataract Surgery. Three eye balls in a row. The first eye has a clouded lens. The second and third each show the Intraocular lens (IOL) implanted in place.

After Your Surgery

Because there are no needles or injections, only a tiny incision, stitches and an eye patch are often not required after the surgery. In most cases, the incision is so small that the eye heals rapidly, with little or no discomfort, and the patient experiences a quick visual recovery. Patients can typically return to normal activities within a few days.

What is LENSAR?

Although it’s a common belief that lasers have been used in cataract surgery for years, this is not true. With the introduction of the LENSAR™ Laser Cataract System, laser refractive cataract surgery has become a reality, and Eyes of York can now remove your cataract in a more advanced way. Laser refractive cataract surgery is made even more precise by Augmented Reality™, a unique imaging system that provides your surgeon with a sophisticated, 3-D view of your eye.

With this advanced technology, your surgeon can offer you a better, more precise refractive cataract removal procedure that is customized to your eye’s own unique size and shape.

How does LENSAR work?

We offer the LENSAR™ Laser Cataract System as part of your refractive cataract procedure because it is safe, effective, and uses the same proven laser technology that’s been used in laser vision correction procedures for over a decade. Other benefits include:

  • A unique, high-resolution, 3-D view of your eye that allows your surgeon to tailor your treatment, which can improve visual outcomes.
  • The most advanced technology available, which may reduce the time it takes to remove your cataracts.
  • A system designed with comfort in mind, so you can relax, knowing the latest technology available is being used to treat one of your most valuable senses – your sight.

Click here to learn more!

Will LENSAR make a difference for me?

Refractive cataract surgery is designed to improve your vision and reduce your dependency on glasses or contact lenses. During your procedure, your surgeon will use the most advanced technology available, including premium intraocular lenses and the LENSAR Laser System™ with Augmented Reality™, an advanced imaging system.

LENSAR’s superior Augmented Reality imaging system represents a more intelligent approach to cataract surgery. With Augmented Reality, your surgeon can see everything inside your eye in greater detail. This allows the surgeon to precisely soften the cataract in preparation for removal, and to ensure the appropriate condition for the most accurate placement of your intraocular lens.

It is LENSAR’s precision, imaging, and laser incisions that allow your surgeon to ensure that the cataract is safely removed and that the new intraocular lens is perfectly placed, resulting in outstanding refractive visual outcomes.

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Types of Intraocular Lenses (IOL)

Choices in Refractive Cataract Surgery

Refractive Cataract Surgery
Dr. Denise Visco and Dr. Jerome Benz are recognized leaders in cataract surgery and lens replacement. Until recently, cataract patients had virtually no choice regarding the lens implant used to restore their vision. With lifestyle lenses, you now have several refractive choices based on your individual visual needs and lifestyle. Eyes of York is proud to be the first practice in the area to provide such a wide range of refractive choices for your surgery. Our refractive cataract surgical packages offer patients choices about where and how they prefer to see clearly without glasses. Dr. Visco and Dr. Benz have extensive experience with many different brands of premium lens implants. Dr. Visco and Dr. Benz spend one on one time with you to help guide your decision towards a lens that will fulfill your lifestyle needs and maximize your clarity.

Eyes of York provides three options for Refractive Cataract Surgery:

  • Forever Young: This option is designed to give patients the best distance and near vision with less dependence on glasses after surgery by utilizing a multifocal or extended depth of focus lens implant.
  • Legal To Drive: This option is designed for patients that have moderate to high astigmatism requiring correction with a Toric lens implant. Patients can choose to have distance or near vision and will need glasses for the option not selected.
  • Standard: This option utilizes a monofocal lens combined with corneal treatment of mild astigmatism and will correct one range of vision - usually distance. Patients will rely on OTC readers for intermediate and near vision.

*Patients who choose to have cataract surgery without refractive surgery are expected to have their best vision with glasses or contact lenses full time – we call this "Basic Option."

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Advanced Diagnostic Testing

Preoperative OPD Wavefront Analysis and Corneal Topography

The OPD is an advanced form of corneal topography which assesses the health of the eye structures responsible for your visual focus. It analyzes your whole visual system and measures possible distortion from dry eye or previous eye surgery or astigmatism. It can also evaluate which refractive lens implant might be best for your eye. After surgery, the OPD provides assistance in diagnosing problems with visual focus to aid in surgical enhancement.

Cassini Point-To-Point Total Corneal Astigmatic Analysis

The Cassini topographer provides our surgeons with further details specific to your cornea. This topographer has a unique measuring guide that detects astigmatic imperfections in the front and back of your cornea which may otherwise go undetected. When untreated, astigmatism will remain post-operatively causing visual distortion. With one quick test, the Cassini topographer moves your surgery one step closer to perfection.

Pentacam Imaging of the Anterior Segment of the Eye

The Pentacam supplies a detailed analysis of all eye structures in the anterior chamber, or front of the eye. This provides the surgeon with additional measurements to determine the true total corneal refractive power and corneal thickness. Also, by sending light through the pupil the Pentacam presents a precise snap shot of the natural lens and degree of the cataract. It can also be used as a tool for detection of corneal diseases such as keratoconus.

Zeiss IOL Master 700

The Zeiss IOL Master 700 is a key component to choosing the most accurate lens implant for all cataract surgeries. It provides the surgeon with measurements of eye length and corneal curvature which is crucial in determining the appropriate lens implant power.

Advanced Intraocular Lens Calculations (especially for previous LASIK patients)

The standard measurements taken for the calculation of lens implants with cataract surgery are not accurate in patients who have had previous refractive surgery such as LASIK or PRK. At Eyes of York, we employ multiple advanced methods of lens implant calculations. Your surgeon will tailor your calculation based on any previous eye history data and use sophisticated new technology measurements adjusted with modern formulas. Finally, we use intraoperative wavefront technology called ORA Optiplus which will provide real time intraoperative measurements for lens implant accuracy selection during surgery.

OCT Evaluation of the Retina

The Optical Coherence Tomography (OCT) for the retina provides an extensive scan of the posterior segment, or back of the eye. This helps to rule out or identify possible abnormalities or diseases that are not visible during a standard dilated exam. Certain posterior segment diseases are incompatible with specific lens implant choices. The information provided by a retinal OCT is vital in deciding the proper refractive technology to maximize the personal best vision.

YAG Capsulotomy

“After-Cataract”

A YAG Capsulotomy, or posterior capsulotomy, is performed on the lens capsule. This procedure is frequently necessary following all types of cataract surgery and is necessary when the growth of scar tissue blurs vision. Most but not all post-cataract surgical patients require this procedure eventually. Those experiencing clouding of the capsule may notice symptoms, much like those of cataracts, beginning anywhere from a few weeks to a few years after cataract surgery. The formation of a cloudy posterior capsule is frequently referred to as an “after-cataract”. The average period of time for this to occur is two to five years after cataract surgery.

The YAG capsulotomy is a simple outpatient procedure performed with a laser to create an opening in the back of the capsule, clearing any scar tissue obstruction. Anesthetic eye drops are administered prior to the procedure to eliminate any discomfort.There are no restrictions following a YAG Capsulotomy. Many patients drive themselves to and from their appointment and return to work the same day. Dilation is necessary to perform the laser procedure, resulting in light sensitivity and blurred near vision for a few hours in the operated eye.

Affordability and Financing

Medicare and most insurance plans cover the costs for cataract surgery with a single focus lens and traditional (manual) surgery, with additional out-of-pocket charges for multifocal and toric lenses and bladeless laser cataract surgery. With this one-time opportunity, many patients find the extra expense well worth the exchange for freedom from glasses or contacts.

Financing is also available for a portion of the premium lens charge. Our staff will review all of this information with you before your surgery.

We offer several payment options to suit your needs:

  • Flexible Spending Accounts (FSA): You can save up to 30% by using tax-free dollars to pay for your cataract surgery. Many employers offer an FSA or Health Savings Account.
  • Financing: Eyes of York is pleased to offer up to 18 months interest-free financing through CareCredit
  • Credit Cards: Many patients opt to pay for their procedure using a personal credit card. This may be a good option, especially if you have a card that carries a low interest rate or offers points and other rewards.

Contact our staff today to review the best financing options for you.

Quick Cataract FAQs

What is a Cataract?

A cataract is the clouding that develops in the eye’s crystalline lens. As the leading cause of vision loss among adults age 60 or older, cataracts impair vision, making everyday activities increasingly difficult. 

What Causes a Cataract?

The most common factor for developing a cataract is age. Other contributing factors may include increased exposure to sunlight, diabetes, ocular inflammation, ocular trauma and family history. Certain medications can also promote cataract formation.

Are Cataracts Found Only in Older People?

Nearly 22 million Americans age 40 and older are affected by cataracts and by age 80 over half of the population has at least one cataract. Cataracts can also occur at earlier stages in life due to diabetes, long-term steroid use, or trauma to the eye. Children and adolescents can also acquire cataracts during fetal development due to hereditary factors or infectious diseases present during pregnancy.

What are the Symptoms?

Cataracts may cause a decrease in vision, glare or poor night vision. Some people experience double vision or muted colors. Patients may not notice a cataract has formed, as a cataract typically forms in one eye first and the other eye compensates for any visual loss. It can take anywhere from a few months to several years for a cataract to fully develop.

What is “No-Stitch” Cataract Surgery?

Using only topical anesthetics, standard cataract surgery is performed with an advanced procedure called phacoemulsification. This involves dissolving and removing the cataract using a delicate ultrasonic technique through a small microscopic corneal incision. Once the cataract is removed, a small foldable intraocular lens is placed where the cataract once was located. Since the micro-incision is self-healing, no stitches are typically required.

Dr. Visco and Dr. Benz have extensive experience delivering outstanding cataract surgery results with each surgeon performing thousands of modern “no-stitch” procedures to date.

Is Cataract Surgery Effective?

Yes! Many patients report vision that is even better than before they developed cataracts. Modern cataract surgery is considered one of the most effective medical procedures used today. 

Over time, the lens implant can develop a "film" behind it, which can again cause symptoms of blurred vision. A simple laser capsulotomy procedure can be performed to create an opening in the film in order to restore normal vision. Laser capsulotomy does not require going to the operating room nor does it involve any incision into the eye. It only takes a few minutes and is painless. 

Is Cataract Surgery Serious?

Although all surgical procedures are serious, cataract surgery is the most commonly performed surgery in the United States. Our surgeons have extensive surgical experience having completed more than 25,000 ocular surgeries throughout their careers. Even though the procedure only takes 10 minutes, Eyes of York follows strict protocols to ensure patients are healthy enough to undergo surgery safely.

When Should Cataract Surgery Be Done?

Because cataracts have a different rate of progression in each patient, surgical necessity will vary for each individual. Surgery can be recommended by your surgeon when cataracts begin to impact your daily lifestyle. It is important to inform your doctor when you begin to experience a decrease in vision or increased difficulties when performing activities such as driving, reading, or watching television.

Where is Cataract Surgery Performed?

Your cataract procedure is performed on an outpatient basis and takes less than 10 minutes. In most cases patients can resume daily activities such as driving or reading, almost immediately.

What Can I Expect After Cataract Surgery?

Cataract surgery will restore the vision a patient had prior to developing the cataract. Discoloration, cloudiness, and glare are usually caused by cataract obstruction and will be relieved with surgery. The result of cataract removal is a clear window of vision allowing all light to pass through the eye. Standard lens replacement will result in the necessity of full time glasses, although premium options offered at Eyes of York can be discussed with your surgeon to eliminate or reduce dependence on corrective lenses.

How Long Does it Take to Heal?

Each individual’s healing time varies based on their overall health and ocular condition. Some patients experience a slight foreign body sensation the day of surgery. Blurred vision is expected during the healing process and typically clears within a day or two. Eye drops are given as part of your postoperative care regimen and facilitate the healing process.

Does Insurance Cover Cataract Surgery?

Yes. Medicare and most insurance plans cover approved cataract surgeries. There is an additional charge for advanced technology lenses and laser surgery. Our staff will review all of this information with you.

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