Board-Certified Fellowship-Trained Ophthalmologist
Lawrence C. Chao, M.D.

 
Cataracts | Age-Related Clouding of the Natural Lens

A cataract is a clouding of the natural lens inside your eye. This natural crystalline lens, located behind the iris, works just like the lens of a camera - focusing light images on the retina, sending images to the brain. A result of the natural aging process, the natural lens can become clouded, not allowing light and images to reach the retina, making vision cloudy or blurry.

While vision with cataracts has been described as seeing life through cloudy film, a cataract is not a "film" over the eye, and neither diet nor lasers will make it go away. Rather, a cataract is like a scratched windshield that needs to be replaced. A cataract can be the reason sharp objects become blurred, bright colors become dull, or seeing at night is more difficult. Often, cataracts may be the reason eye glasses no longer provide clear vision.

Cataract Surgery | What is Involved

Cataract eye surgery is the only way to remove a cataract and restore clear vision. The first step is to schedule a Cataract Consult with a cataract eye surgeon to have your eyes examined.

When cataract surgery is recommended, patient instructions are provided. At Chao Vision Institute, Dr. Chao prefers to schedule cataract eye surgery for one eye at a time.  The actual cataract eye surgery is an outpatient procedure performed at an Ambulatory Surgery Center or ASC. All office visits, eye exams and testings are performed at Chao Vision Institute in Irvine, CA.

While only topical anesthetic eye drops and eye gels will be used and injections or shots usually are not needed, an anesthesiologist or anesthetist is always present to provide constant monitoring and additional medications if needed. Applying advanced cataract surgery techniques, the surgeon makes a tiny micro incision (less than 3 mm) in the cornea. Through an ultrafast ultrasound process called phacoemulsification or phaco, the cloudy lens is safely broken into pieces and removed. After the natural lens is removed, the surgeon implants an artificial lens, an intraocular lens, that will do the work of the natural crystalline lens. 

The incision is self-sealing (often requires no stitch) and patients usually spend just a few hours at the ASC returning to Chao Vision Institute the next day for post-operative care.

Lens Power Calculation

Whether one chooses the basic Medicare-covered or upgrades to a custom intraocular lens, the lens power must be measured very carefully prior to surgery.  

At Chao Vision Institute, we offer IOL Master measurements to provide patients with the greatest accuracy possible in lens power calculations.  Despite the best efforts in lens power calculations, if lens power result is not ideal then corrective lens or further surgical intervention may be needed. For patients with previous refractive surgery such as radial keratonomy, LASIK or PRK, your lens power calculations will be adjusted accordingly.

Intraocular Lenses (IOLs) Implantation | Custom IOL Options

All intraocular lens implants are measured for your specific eye and ordered for your cataract surgery. Many considerations are placed into the choice of IOL and this should be an important discussion to have with your cataract eye surgeon.

Aside from the basic monofocal or single vision IOL, custom IOLs are available as an upgraded option to correct for presbyopia, the need for reading glasses due to age, or astigmatism.

Patients choosing to upgrade to a custom IOL (also called lifestyle IOLs or premium IOLs) can benefit from not only clear vision as a result of cataract eye surgery but fuller range of vision as a result of a custom IOL implant such as the Crystalens, ReStor, or Toric IOL lenses.

YAG Capsulotomy

After cataract surgery, your vision should be clearer. Sometimes the capsule that holds the new lens become cloudy. This may happen months or years after cataract surgery. If this occurs, your eye surgeon can perform a procedure called Yag Capsulotomy, using a laser to to make a small opening in the capsule. The YAG capsulotomy procedure can be performed during an office visit.

Refractive Lens Exchange (RLE) or Natural Lens Exchange

Select patients may chose to lessen or eliminate their dependence on glasses or contact lenses by removing the natural lens prior to cataracts maturing. This is an elective procedure which must be given great consideration with the help of your surgeon.

Risk and Benefits

Millions of people every year undergo cataract surgery, one of the safest procedures. After cataract surgery and intraocular lens implantation, objects you couldn't see clearly can be bright, clear, and vivid again. For many people, they haven't seen life so clearly in years. 

As with any surgical procedure, there are risks. You and your eye doctor should consider the potential risk and benefits, and determine if cataract surgery with intraocular lens (IOL) implantation is right for you. If you are considering eye surgery including cataracts removal, please call us at 949.679.2426 to make an appointment to have Dr. Chao examine your eyes. 

See Patient Forms, Maps and Directions

Chao Vision Institute specializes in cataract, cornea, LASIK, and refractive vision correction, providing patients with university-level expertise and personalized care. See Dr. Lawrence Chao for a consult or second opinion if you are considering eye surgery, including Crystalens ™, ReStor™, Visian ICL™, and LASIK surgery in Irvine, Orange County, or the Los Angeles , Riverside, and San Diego areas.

Call us at 888.OCEYEMD in our Irvine, Orange County office in the Los Angeles area to make an appointment or get more information.

 

 

Cataract surgeryCRYSTALENS  |  Refractive Lens Exchange | ReSTORToric IOL
Dr. Lawrence C. Chao, MD - Corneal Refractive Subspecialist  | Your Focus  | Experience CVI
Custom LASIK | Visian ICL | Wavefront Technology | Corneal Care & Surgery

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CHAO VISION INSTITUTE
2500 Alton Parkway Ste 102
Irvine, CA 92606

Experience CVI 
Comments, Highlights, & Reviews

"Dr. Chao...performed the cataract removal brilliantly..  I can see long distance quite clearly now, and only need glasses to read." - Marjorie E, Irvine, CA.

"I enjoy concerts and theatre more. I can see everything so much more clearly and I'm sure my driving has improved!" - CVI Patient, Newport Coast, CA

"Simply said, the professionalism and the high standards of Dr. Chao and the Chao Institute Staff exceeded my expectations." - Ray P, Retired/ Current Author, Irvine, CA.

"Wonderful - Dr. Chao is so gentle, explains eveyrthing, very kind, and caring.  He also has a wonderful staff, ...  I can see so much of life I could not see before." - Patricia C, Homemaker.

More Reviews on Dr. Chao and the Chao Vision Difference

Are My Cataracts Ripe?

Cataracts are not painful. If you experience one or more of these symptoms, consult a cataract eye surgeon to get a cataract evaluation. 

  • Blurry or foggy vision
  • Details are hard to see
  • Colors seem dull or muted
  • Eye glasses are no longer working
  • Light seem overly bright or glaring
  • More light is needed for reading  
  • Decreased night vision 
  • Halos around lights.

Cataracts do not have to be "ripe" or matured before they can be removed. Often, cataract removal can be performed as soon as they interfere with your quality of life. 

If you are experiencing vision changes, consult Dr. Chao to see if cataract surgery is right for you.

You'll learn about risk and benefits of cataract surgery as well as the latest in upgradable Custom intraocular lens (IOLs) options including Crystalens HD, ReStor, and Toric IOL.  

Ask Us...

What are Custom IOLs?

Is LASIK Safe?

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(888-OC-EYE-MD)

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