
GEORGIOS Kontos MD OPHTHALMOLOGIST
Cataract surgery
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Cataract surgery is a common and highly effective procedure that may improve your vision and quality of life.​
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What are Cataracts?
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Cataracts occur when the natural lens of the eye becomes cloudy, causing blurred or dim vision. This common age-related condition can develop gradually over time and may eventually interfere with daily activities such as reading, driving, or watching television.
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Understanding Cataract Surgery:
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Cataract surgery involves removing the cloudy lens and replacing it with an artificial intraocular lens (IOL) to restore clear vision.
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The procedure is typically performed on an outpatient basis and takes about 15 to 30 minutes to complete.
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Preoperative Evaluation:
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Before surgery, you will undergo a comprehensive eye examination to assess the health of your eyes and determine the most appropriate treatment plan.
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Different types of IOLs are available including a free option. We help you choose the option that best suits your visual needs and lifestyle.
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The Surgical Procedure:
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Cataract surgery is usually performed using a technique called phacoemulsification, which involves using ultrasound energy to break up the cloudy lens and remove it from the eye.
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A small incision is made in the cornea, and the IOL is inserted into the eye to replace the natural lens.
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In some cases, additional procedures are performed during cataract surgery aiming to lower the intraocular pressure.
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Recovery and Aftercare:
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Most patients experience improved vision within a few days to weeks after surgery.
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You may be prescribed eye drops to prevent infection and promote healing, which should be used as directed by your surgeon.
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It is important to attend all scheduled follow-up appointments to monitor your progress and address any concerns.
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Expected Results:
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Cataract surgery has a high success rate but as any medical intervention it has risks.
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Many patients achieve clearer, sharper vision and may no longer require glasses or contact lenses for certain activities. Generally glasses are needed for very near fine vision.
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Risks and Complications:
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While cataract surgery is generally safe, like any surgical procedure, it carries some risks, including infection, inflammation, and retinal detachment.
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Your surgeon will discuss these risks with you and take steps to minimize the likelihood of complications.
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If you are considering cataract surgery or have been scheduled for the procedure, we hope this information is useful.
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Intraocular lens (IOL) Options
Choosing the right intraocular lens (IOL) is an important decision for patients undergoing cataract surgery. I offer a variety of IOL options to suit your individual needs and lifestyle preferences. The different types of IOLs available:
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Monofocal IOLs:
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Monofocal IOLs are designed to provide clear vision at one distance, typically either near, intermediate, or far.
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Many patients opt for monofocal IOLs set for distance vision and use glasses for near tasks, such as reading.
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Toric IOLs:
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Toric IOLs are specifically designed to correct astigmatism, a common refractive error that can cause blurry vision.
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By addressing both cataracts and astigmatism in a single procedure, toric IOLs can help patients achieve clearer, sharper vision without the need for glasses.
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Extended Depth of Focus (EDOF) IOLs:
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EDOF IOLs offer an extended range of vision, providing clear vision at multiple distances with minimal compromise in contrast sensitivity.
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Patients may experience improved visual acuity across a range of distances, reducing the need for glasses in most situations.
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Multifocal IOLs:
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Multifocal IOLs provide vision correction at multiple distances, reducing the need for glasses or contact lenses after surgery.
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These lenses can improve near, intermediate, and distance vision simultaneously, offering greater convenience and freedom from corrective eyewear.
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During your IOL selection consultation we will discuss your visual goals, lifestyle preferences, and unique eye characteristics to help you select the most suitable IOL for your needs.
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Pre-op considerations
To ensure a smooth and successful procedure, please carefully review the following preoperative instructions:
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Medication Management:
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Continue taking your prescribed medications as usual unless otherwise instructed by your physician.
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Inform us of any allergies or sensitivities you may have to medications.
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Fasting:
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Do not eat or drink anything (including water) for at least 6 hours prior to your surgery. This reduces the risk of complications related to anesthesia.
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Transportation:
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Arrange for a responsible adult to drive you home after surgery. You will not be able to drive immediately following the procedure.
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Personal Care:
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Shower or bathe the night before or the morning of your surgery.
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Do not wear makeup, lotions, perfumes, or jewelry on the day of surgery.
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Wear comfortable, loose-fitting clothing.
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Assistance:
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If you have any mobility issues or special needs, please inform us in advance so we can make appropriate accommodations.
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Contact Lenses:
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Remove contact lenses at least 24 hours before surgery. If you wear rigid gas permeable lenses, stop wearing them at least 3 weeks prior to surgery.
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Eye Drops:
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Follow the prescribed regimen for using preoperative eye drops as instructed.
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Health Conditions:
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Inform us of any changes in your health status, especially if you develop a fever, cold, or any other illness before surgery.
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Communication:
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If you have any questions or concerns before your surgery, address those prior to the day of surgery.
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Arrival Time:
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Arrive on time. Consider traffic and parking delays.
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Postoperative Instructions for Cataract Surgery Patients
Please carefully review the following instructions:
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Rest and Recovery:
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Rest at home for the remainder of the day following your surgery.
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Avoid strenuous activities, heavy lifting, and bending over for at least 24 hours.
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Keep your head elevated while resting to minimize swelling and discomfort.
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Eye Protection:
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Wear the protective eye shield provided while sleeping for the first week following surgery.
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Use sunglasses to protect your eyes from bright lights and sunlight when outdoors.
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Eye Drops:
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Follow the prescribed regimen for using postoperative eye drops as instructed.
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Administer eye drops exactly as directed to prevent infection and promote healing.
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Discomfort and Irritation:
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It is normal to experience mild discomfort, itching, or irritation in the operated eye(s) following surgery.
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Use over-the-counter pain killers as recommended by your doctor to alleviate any discomfort.
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Avoid Rubbing or Touching:
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Refrain from rubbing or touching your eyes to prevent infection and other complications.
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If you need to wipe away discharge or tears, use a clean tissue and gently dab the area.
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Follow-Up Appointments:
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Attend all scheduled follow-up appointments for postoperative examinations and assessments.
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Inform your doctor of any unusual symptoms or changes in your vision during these visits.
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Driving and Activities:
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Do not drive until your doctor confirms that it is safe to do so, typically after your first follow-up appointment.
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Avoid swimming, hot tubs, and strenuous activities for at least two weeks following surgery.
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Vision Changes:
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Your vision may initially be blurry or hazy immediately after surgery, but it should gradually improve over time.
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It is normal to experience fluctuations in vision as your eyes heal. This typically resolves within a few weeks.
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Contact Your Doctor:
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If you experience severe pain, sudden vision loss, increased redness, or discharge from your eye(s), contact the office immediately. Attend the emergency department if out of hours.
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Patience and Healing:
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Be patient with your recovery process, as it may take several weeks for your vision to stabilize and improve fully.
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If you have any questions or concerns during your recovery, especially during the first 10-14 days of surgery do not hesitate to reach out.