What is a Cataract and Why Do You Need It Removed?

A cataract is a clouding of the eye's natural lens, which leads to blurry vision, difficulty seeing clearly, and eventually vision loss. Cataracts develop slowly and can make daily tasks like reading, driving, and recognizing faces challenging. Without treatment, cataracts can significantly impair vision and may lead to blindness. Fortunately, cataract surgery is a highly effective and safe procedure that can restore clear vision and improve your quality of life.

At Mudgil Eye Associates, we specialize in cataract diagnosis and treatment using advanced surgical techniques. If you or a loved one has been diagnosed with cataracts, understanding why cataract surgery is necessary and exploring your treatment options is important.

What Causes Cataracts?

Cataracts are most commonly a result of aging, but they can also be caused by various other factors, such as:

  • Genetics: A family history of cataracts increases the likelihood of developing them
  • Eye Injuries or Surgery: Previous trauma or eye surgeries can lead to cataract formation.
  • Medical Conditions: Diabetes, long-term use of corticosteroids, and certain health conditions can increase cataract risk.
  • Smoking and Alcohol: Both habits can accelerate cataract development.
  • UV Light Exposure: Prolonged exposure to ultraviolet (UV) light can contribute to the formation of cataracts.

Symptoms of Cataracts

Cataract symptoms may include:

  • Blurry Vision: Cloudy or hazy vision that gradually worsens.
  • Difficulty Seeing at Night: Cataracts can cause glare and halos around lights, especially at night.
  • Fading or Yellowing of Colors: Colors may appear dimmer or take on a yellowish tint.
  • Glare and Halos: Bright lights can create intense glare or halos.
  • Frequent Prescription Changes: You may need more frequent changes in your glasses or contact lens prescription.

Why Do I Need Cataract Surgery?

Cataracts worsen over time, and while glasses or contacts may temporarily improve vision in the early stages, surgery becomes necessary as cataracts progress. Here’s why cataract surgery is important:

  • Restored Vision: Cataract surgery removes the clouded lens and replaces it with a clear intraocular lens (IOL), leading to significant improvement in vision.
  • Enhanced Quality of Life: Cataracts can limit your ability to perform daily activities such as reading, driving, and hobbies. Cataract surgery restores clear vision, allowing you to enjoy these activities again.
  • Prevent Vision Loss: Left untreated, cataracts can lead to blindness. Cataract surgery prevents further vision loss.
  • Modern Surgical Options: Cataract surgery is one of the most common and safest surgeries performed worldwide. With advanced IOLs like monofocal, multifocal, toric, and light adjustable lenses (LAL), patients can reduce or eliminate their dependence on glasses.

Types of Cataract Surgery: Basic vs. Femtosecond Laser-Assisted Surgery

1. Basic Cataract Surgery (Phacoemulsification):

This is the traditional method, where a small incision is made in the eye, and ultrasound waves are used to break up the cloudy lens before it is removed and replaced with an intraocular lens (IOL). It is highly effective, safe, and widely used.

2. Femto-Second Laser-Assisted Cataract Surgery (FLACS):

This advanced technique uses a femto-second laser to create precise incisions and soften the cataract for removal. FLACS offers greater precision, especially for patients with astigmatism, and can provide quicker recovery times with improved visual outcomes. Click here to learn about Advanced Technology Cataract Surgery.

Additional Cataract Surgery Options: Drops vs. Dropless Cataract Surgery

1. Traditional Drops-Based Cataract Surgery:

After surgery, patients are required to use multiple prescription eye drops to prevent infection, reduce inflammation, and manage healing. While effective, the drops must be used several times daily for several weeks, and some patients may find it challenging to adhere to the regimen.

2. Dropless Cataract Surgery:

This approach involves administering a combination of medications (antibiotics and steroids) directly into and/or around the eye during surgery, eliminating the need for post-operative eye drops. Dropless surgery is convenient for patients who prefer a simpler recovery process and minimizes the chances of missing doses or incorrect application of eye drops. This option is particularly useful for those with mobility issues or difficulty managing eye drop schedules.

At Mudgil Eye Associates, we offer both drops-based and dropless cataract surgery options, and we will help you determine which approach best suits your lifestyle and medical needs.

What types of Intraocular Lens (IOL) are available

During cataract surgery, the clouded lens is replaced with a clear intraocular lens (IOL). At Mudgil Eye Associates, we offer several IOL options to meet your visual needs:

1. Monfocal Lenses

These lenses offer clear vision at a single distance, typically for far vision, but may not correct astigmatism. Reading glasses might still be necessary for close-up tasks.

2.  Toric Lenses

Ideal for patients with astigmatism, toric lenses correct refractive errors and provide sharper vision. Reading glasses might still be necessary for close-up tasks. Click here to learn more.

3. Multifocal Lenses

Premium lenses such as PanOptix, Vivity and Odyssey allow for clear vision at multiple distances, reducing or eliminating the need for glasses or contact lenses. Click here to learn more.

4. Light Adjustable Lenses (LAL)

A cutting-edge option that allows patients to fine-tune their vision after surgery using UV light adjustments. The LAL is an ideal choice for those seeking highly personalized visual outcomes and greater control over their post-surgery vision. The adjustability makes it unique, offering unprecedented precision in customizing vision correction after surgery. Click here to learn more.

Monofocal IOL

What is a Monofocal Lens for Cataract Surgery?

A Monofocal Lens is a type of intraocular lens (IOL) used to replace the eye’s natural, clouded lens during cataract surgery. Unlike multifocal or advanced lenses, a monofocal lens provides clear vision at one specific distance—either near, intermediate, or far. It’s a reliable, cost-effective option for many cataract patients, helping restore vision after cataract removal.

At Mudgil Eye Associates, we offer the monofocal lens to patients as a trusted solution for regaining clear vision. Whether you’re looking to improve distance vision for tasks like driving or near vision for reading, the monofocal lens can significantly enhance your quality of life after surgery.

Why Choose a Monofocal Lens for Cataract Surgery?

Here are some reasons why a monofocal lens might be the right choice for your cataract surgery:
  • Excellent Distance Vision: If your priority is to improve distance vision (for activities like driving, watching TV, or recognizing faces), the monofocal lens offers sharp, clear results at a single focal point, if no astigmatism or other underlying pathology.
  • More Affordable Option: Monofocal IOLs are typically a more cost-effective option compared to advanced lenses like multifocal or accommodating IOLs. This makes it a great value for patients who want to improve vision without added costs.
  • Reliable and Proven: Monofocal lenses have a long history of providing effective and reliable results for cataract surgery patients. It’s a trusted choice for those looking for clear vision at one distance.
  • Minimal Side Effects: Monofocal lenses offer a more straightforward visual experience with fewer side effects, such as glare or halos, which can sometimes occur with multifocal lenses.

What are some of the limitations of Monofocal Lens?

It’s important to note that while the monofocal lens improves vision at a specific distance, if you have underlying astigmatism or other ocular pathologies (such as macular degeneration or diabetic retinopathy), your vision may not reach optimal clarity. In these cases, additional vision correction, such as glasses or toric lenses, may be needed to achieve the best possible results.

To learn about the advanced cataract surgery options click here.

FAQ'S about Cataract Surgery & Beyond

1. What is the surgery like?

Cataract surgery is a painless outpatient procedure where the cloudy lens is removed and replaced with an intraocular lens (IOL) implant. This quick surgery restores clear vision and is one of the most common and successful eye surgeries performed today.

2. How long is the cataract surgery?

The actual surgery is only 15-20 minutes long. However, you will need to block of appoximately 2.5 hours for the entire procedure.

3.  What kind of anesthesia is used?

Generally, IV sedation and local anesthesia is administered during the cataract surgery.

4. Do I have to be off of blood thinners?

Patients on blood thinners (anticoagulants) may have concerns when undergoing cataract surgery due to the potential for bleeding. However, cataract surgery is generally considered a low-risk procedure in terms of bleeding, and most surgeons can safely perform it without stopping blood thinners.

5. Will I have both cataracts removed at the same time?

Cataracts usually develop in both eyes but progress at different rates. Cataract surgery is typically done one eye at a time, with a few weeks in between to allow proper healing. Your eye doctor will plan the cataract surgeries based on your specific vision needs.

6. Can I drive after surgery?

You should not drive after surgery and will be required to arrange for a ride home in order to be discharged fro surgery center. No rideshare.

7.  Will I see clearly immediately after the surgery?

Your vision immediately after cataract surgery may be blurry due to pupil dilation, and your eye may feel a little grainy. However, as your pupil constricts throughout the day, you will begin to see more clearly. Over the next few days, your vision will progressively improve. We will follow up with you one day post-op and again at one month, or as medically necessary, to ensure proper healing and vision clarity.

8. What limitations will I have after surgery?

Immediately after cataract surgery, there are several limitations to ensure proper healing:Use prescribed eye drops to aid healing and reduce inflammation.

  • Avoid rubbing your eyes to prevent infection or damage.
  • No heavy lifting or strenuous activities for at least a week.
  • Avoid bending over to reduce pressure on the eye.
  • No swimming or hot tubs for minimum of 4 weeks to prevent infection.
  • Wear an eye shield at night and sunglasses during the day to protect the eye from accidental bumps or bright light.

9. Will I need glasses after cataract surgery?

Patients who receive standard or toric IOLs for distance vision will typically still need reading glasses after cataract surgery. However, with multifocal IOLs, many patients can enjoy clear vision at all distances, reducing or eliminating the need for glasses altogether. Your eye surgeon can assess whether you are a good candidate for this advanced type of lens, which offers a wider range of vision correction and increased convenience.

10. Can the cataract come back?

No, cataracts cannot grow back since the natural lens is replaced with an intraocular lens (IOL) implant during surgery. However, a cloudy film, known as a secondary cataract, can form behind the IOL. This is easily treatable with a quick, painless laser procedure called YAG laser capsulotomy.

11. Does insurance cover premium lens options?

Insurance generally covers basic intraocular lenses (IOLs) for cataract surgery, but premium IOL options like multifocal or toric lenses are not covered. These lenses are considered elective upgrades and come with additional out-of-pocket costs.

iStent® for Glaucoma with Cataract Surgery

For patients with mild to moderate glaucoma, the iStent® device is an exciting FDA approved implant option for lowering intraocular pressure. The iStent is literally the world’s smallest medical implant device. It is implanted into the trabecular meshwork at the same time as the cataract surgery, without need for additional incisions or anesthesia. Clinical trials demonstrated that patients who had cataract surgery combined with iStent® placement had lower eye pressures and required fewer glaucoma drops, than glaucoma patients who had cataract surgery alone. The iStent® may help reduce a patient’s medication burden, reducing the cost, inconvenience, or side effects of topical glaucoma therapy. The iStent® may also help delay or avoid the need for more risky surgical interventions in the future. The iStent® is covered by most insurances, and it is considered a minimally invasive form of glaucoma surgery. If you are on drops for glaucoma and are to undergo cataract surgery, this may be a suitable procedure for you to achieve better glaucoma control and/or reduce your dependency on eye drops.The main risks of the iStent® procedure are predominantly the same as those associated with cataract surgery alone. Additional risks unique to the iStent® include:

  • Failure to significantly improve eye pressure, in which case you would continue with the same glaucoma medications. In general, it takes at least 6 weeks to determine intraocular pressure outcome.
  • Dislocation of the iStent®, which may require a second surgical procedure to reposition or remove the device.
  • Obstruction of the lumen of the iStent® by your iris or other tissue within the eye.
  • Bleeding at the site of the iStent® insertion. This is common and usually self-limiting. Rarely, this may be significant and result in delay of visual recovery or eye pressure rise.

Schedule Your Cataract Surgery Consult Today

At Mudgil Eye Associates, we use the latest technology to provide the best cataract care. Whether you opt for traditional cataract surgery or laser-assisted cataract surgery, our experienced ophthalmologists will guide you through every step of the process to ensure optimal results.We offer personalized treatments, including laser-assisted cataract surgery, dropless cataract surgery, and premium IOL options. Our goal is to restore your vision and enhance your quality of life with the most advanced cataract surgery techniques available.

If you are experiencing symptoms of cataracts or have been diagnosed, schedule a consultation with Mudgil Eye Associates. Our team will help determine the best time for surgery and the treatment options best suited to your vision and lifestyle needs.