How To Correct Astigmatism During Cataract Surgery-Eye Doctor Explains
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- čas přidán 30. 03. 2024
- Cataract surgery is no longer used just to remove cloudy lenses, it is also an opportunity to correct vision at the same time. Many have the goal to be less dependent on glasses, and there are many ways to get there, which is exciting but sometimes confusing! Today, I'll discuss the various ways that astigmatism can be corrected during cataract surgery, the resulting vision expectations, and the vision correction that may be expected to be necessary for each option.
Keep in mind that these expectations assume that there are no other significant ocular diagnoses and surgical results may vary. It's best to discuss with your provider and surgeon what your expectations and desires are for your vision, what lens and treatment options you may be a candidate for, and what is likely to get you the most ideal result possible.
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Lens Implant Options:
• No Glasses After Catar...
Light Adjustable Lens:
• Change Your Prescripti...
Reasonable Vision Correction Expectations for Lens Implants and Other Surgical Options:
Toric IOL:
Mid-range and near glasses needed
Toric Multifocal IOL:
May need reading glasses for some circumstances
Monovision:
May need glasses for some circumstances like night driving and long-term near work
Light Adjustable Lens:
Minimal dependence
Standard IOL:
Will not correct astigmatism
Still dependent on glasses for all distances
AK & LRI (Incisions used to correct astigmatism):
Varies Depending on intraocular lens choice
CCI (Incisions used to correct astigmatism. *Note: No additional incisions made other than what are needed to perform a typical cataract surgery):
Varies Depending on intraocular lens choice
Methods to assist with cataract surgery:
Femtosecond Laser-Assisted Cataract Surgery (FLACS):
Can be utilized to correct astigmatism with LRI, AK, CCI
Intraoperative Aberrometry:
Additional measurements taken DURING cataract surgery after cataract is removed. Goal to increase the likelihood of an excellent visual result.
The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis, or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional. Content used with educational and transformative intent within Fair Use Guidelines.
-Doctor Elisabeth Hottel
I will be 63 in a few days. I have had to wear glasses since I was seven years old due to severe astigmatism. I had cataract surgery in Nov of 2023 and second surgery 3 weeks later. I chose to have toric lens implants. For me, this was a miracle! I no longer need to wear glasses. I have had no problems whatsoever with the implants. I am in awe of how good my vision is now. I still find myself after all these months pushing my glasses back onto my nose properly even though I’m not wearing any lol. People are still getting used to seeing me without glasses. I still need reading glasses and have purchased those from the drugstore as my eye doctor said they’re perfectly fine for reading. I highly recommend the Toric lenses if you have astigmatism. The surgery itself is pain free and only takes 10 or 15 minutes. I am so happy I chose these lenses!
Thank you so much for the very concise explanation. I don't speak English very well, but when I listen to you I understand everything without the help of subtitles!!🌹
Excellent video, subject well explained 👏
Dr. Elizabeth, very good description of options available to patients going to have cataract surgery. Thank you.
I had cataract surgery in March 2024 and the decision made between the doctor and myself was just doing the standard IOL. I knew in advance that I need glasses as I had a mild astigmatism and extreme far sightness. I was just so happy after the operation to not have to wear the thick heavy glasses I had my entire life it was life changing. What I wanted and expected were completely far exceeded with the vast improvement of my vision after the operation. Yes I still need glasses but that is for the near vision and I just got a pair of simple bifocals as the for the distance vision in the right eye is none now and the left eye a +0.25 Before I was in the +6.00 for the right eye and a +6.25 and a slight astigmatism correction in the left eye.
Thanks for summarizing, I will be having the multifocal toric lens in surgery in May.
Sorry I hit the wrong button to respond. So the response is general for everyone.
Do you have a practice? Where?
Surgery went very well, just before the second surgery start having floaters. They should gradually go away. I did the toric panoptic. Two weeks into the second eye. The clarity is great but eyes are very sensitive to light. Need to get darker sunshades. Things will get much better in the coming months.
I'm sure most people couldn't afford the out of pocket price for any premium service!
If I understand correctly, the astigmatism value as measured by laser is a different number than what is in your eyeglass prescription. The eyeglass prescription cyl is a value that is the combination (net) of the corneal and lens astigmatism.
My eyeglass prescription is -0.75 D but today's laser scan technician said my astigmatism in that same eye was 1.5.
So is that a number that is most accurately treated with a toric lens or a regular lens with one of the laser enhancements mentioned? The surgeon intends on using Eyhance by J&J.
If you have had far sightedness induced crossed eyes due to fatigue, will lens implants help that? I mean the ciliary muscles will be disconnected. Would your eyes still cross?
Do you have accomodative esotropia?
Is a .5 astigmatism in both eyes warrant the $4,200 expense to correct? I want great far vision but it doesn’t need to be spectacular as I’m 70 and not a pro athlete.
I have the same question except mine would be $4500 additional to correct the tiny amount of astigmatism.