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Our Cataract Surgery Program

If your vision has become blurry, cloudy or dim, or things you see are not as bright or colorful as they used to be, a cataract may have developed in one or both of your eyes. Many people say that their vision with cataracts is similar to the effect of looking through a dirty car windshield.

As a cataract slowly begins to develop, you may not notice any changes in your vision at first.  But as the cataract progresses, you may begin to find that it interferes with your daily activities, such as reading, watching TV, playing golf or driving.

Advanced Eye Care, SC is pleased to offer the latest in surgery technology, laser-assisted cataract surgery (Femtosecond) and advanced lens options. Dr. Timothy Kisla performs cataract surgery at Silver Cross Hospital Same Day Surgery, at the Center for Minimally Invasive Surgery, and at Little Company of Mary Hospital.

What happens before cataract surgery?

You will need a dilated eye exam to determine whether you need cataract surgery. If surgery is deemed necessary, your surgeon will discuss the options for the best type of lens implant for you.

At that time, you will make an appointment for additional testing, your surgery, and all necessary follow-up visits. Cataracts typically occur in both eyes but are usually treated one at a time, to allow the first eye to recover. In most cases, there is an interval of several weeks or months between each operation.

What happens during cataract surgery?

The surgery usually only lasts around 10 to 20 minutes and is performed under a local anesthetic which numbs the eye area. Your eye surgeon will make a tiny incision on the surface of your eye that is so small stitches are rarely necessary. Your surgeon removes your cloudy lens – the cataract – through a small tube. Once the cataract is removed, a new artificial lens will be put into your eye. This intraocular lens is a clear, acrylic lens that requires no care and remains permanently in your eye. You will not see or feel this new lens.

What happens after cataract surgery?

You should have someone available to drive you home the day of the surgery. We’ll schedule a follow-up visit the very next day. At first, vision is usually blurry. However, within a few days, your vision will clear dramatically. Most people are able to return to normal activities within 48 hours, including showering, driving, shopping, and cleaning.

For the first two weeks, the eye will need extra protection. This can be provided by glasses during the day and you may be required to wear a shield at night. For three to four weeks after surgery, drops will need to be placed in the eye regularly to reduce inflammation. After six weeks, your eye is completely healed and your vision is restored. This is a once-in-a-lifetime procedure since cataracts do not grow back.

Glaucoma Treatment During Cataract Surgery

For patients with combined cataract and mild to moderate open-angle glaucoma, we are pleased to offer the latest technology in glaucoma treatment. The iStent is the smallest medical device ever approved by the FDA.  It is placed in your eye during cataract surgery and is so small that you won’t be able to see or feel it after the procedure is over. iStent is designed to improve the aqueous outflow of fluid from your eyes to help control eye pressure and may reduce your medication burden. Only your doctor can determine if iStent is right for you. For more information about iStent, click here.

Lens Choices

The Basic Lens
For more than 30 years, doctors have treated cataracts by replacing them with a conventional IOL, which allows you to focus clearly at one distance only. Typically, patients would choose to have the doctor aim for the best distance vision with the understanding that glasses would still be needed for close work, such as reading.

Multifocal: ReSTOR 
Multi-focal lenses work by using various optical zones seen as rings on the surface of the lens. These optical zones have different powers which determine the focal point based on what you are looking at. A ReSTOR lens offers you the best chance at freedom from glasses

Astigmatism Correction: Toric
For patients with astigmatism who are having cataract surgery, you now have an additional option; an IOL that makes it possible to treat the cataract and correct your astigmatism at the same time.

If you want to learn more about the life-changing procedures involved in modern cataract surgery, we will be happy to answer all your questions. Although most insurance companies cover the cost for removal of your cataract, no insurance company will pay the additional amount charged for Toric, ReStor or femtosecond cataract surgery. If you are interested in any of these products or services, please understand that you will pay an additional fee per eye.