Laser Refractive Cataract Surgery

Cataract Surgery Using The Alcon Femtosecond Laser

For many years’ cataract surgeons have been making incisions and removing cloudy cataractous lenses using instruments and blades. Today, Dr. Lippman is able to perform many of these critical steps in the cataract surgery process using an image guided femtosecond laser; thereby making cataract surgery safer and more precise.

After creating a high resolution image of the eye using optical coherence tomography, the laser then performs surgical tasks with greater precision than hand held blades, allowing for both improved safety, comfort, and precision during surgery, as well as reduced healing time afterward. The laser also treats preexisting corneal astigmatism. This takes cataract surgery to a whole new, higher level of precision.

Improves Safety & Precision

The LenSx laser from Alcon was the first femtosecond laser to receive FDA approval in the United States. The LenSx Laser allows for a level of precision not possible with manual surgical methods.

During surgery the LenSx laser first precisely images your eye and a procedure is planned which is unique to you. A bladeless, computer directed, femtosecond laser then helps Dr. Lippman perform your surgery with exacting individualized precision, simply not attainable with traditional cataract surgical methods. Your surgery is performed with less chance of complication and with significantly greater precision and comfort.

With the LenSx’s superior imaging system, Dr. Lippman is able to more precisely make the incisions necessary to remove your cataract, as well as to divide and soften the cataract prior to removal to help ensure the appropriate conditions necessary for the most accurate placement of your lens implant. This is especially important if you wish to have a toric or multifocal implant, which allow for the best visual outcomes, and the goal of spectacle free vision postoperatively. The imaging system also allows for astigmatism reduction by the precise placement of surgically perfect arcuate cuts, creating a more spherical cornea.

LenSx Laser Cataract Surgery Benefits

Dr. Lippman strongly believes that cataract surgery using the LenSx femtosecond laser will allow you a safer, more precise, customized, surgical procedure; allowing for greater comfort during your procedure as well as a more precise outcome afterward.

Dr. Lippman Performing Cataract Surgery

Common Refractive Cataract Surgery Questions

A cataract is a clouding of the natural lens of your eye that causes your vision to appear hazy. Cataracts happen gradually as your eyes get older, and the natural lens will eventually need to be removed and replaced with an artificial intraocular lens in order for you to see clearly.

Symptoms of cataracts include

  • Clouded, blurred, or dim vision
  • Reduced quality of night vision
  • Light sensitivity
  • Difficulty reading
  • Fading of colors

Double vision in a single eye

An intraocular lens (IOL) is an artificial lens that is implanted during surgery to replace your cataract lens. You can choose from many different types of IOLs—some are designed to provide only distance vision, while trifocal lenses deliver near, intermediate, and distance vision for clear, complete focus.3 After Dr. Lippman removes your cataract-clouded lens, he will implant the IOL that you chose before your procedure.

Yes, there are many different types of lenses. Talk to us to find out which might be right for you.

Cataract surgery is an outpatient procedure that is usually completed within 10 to 20 minutes. Recovery time is based on the person and the case, but most people rest for a few hours after surgery.

Cataract surgery is one of the safest, most common, and most effective procedures performed in the United States. Most people experience little to no discomfort during the process and say that cataract surgery is easier than they expected.

Before cataract surgery, you’ll meet with Dr. Lippman and our surgical coordinator to talk about your lens options and to clarify any questions or concerns you may have. Remember to disclose any current prescriptions or medications you’re taking. Before the begins the procedure, they’ll dilate your pupils and apply preoperative medication.6

During the procedure:

  1. Anesthetic is applied to your eye.
  2. The surgeon makes a small incision in your cornea in order to access the cataract.
  3. The cataract is gently broken up and removed.
  4. Your chosen IOL is implanted to replace the original lens.

Cataract surgery incisions are very small and can be made manually or with a laser. Talk to us to find out more about bladeless laser-assisted surgery, manual surgery, and the differences between them. When you’re preparing for cataract surgery, it’s important that you feel confident and ready. Double check that you’re ready with our pre-surgery checklist.

What should I expect after cataract surgery?

While most people notice an improvement right away, you may experience some blurred vision as you heal.7 You may need to wear a protective eye shield for a brief amount of time to protect your eye. Be sure to plan for a friend or relative to stay with you to make sure you react as expected to the anesthetic and procedure.

The cost of your surgery is based on a lot of things—like your location, your doctor, your co-pay requirement, and the lens you choose. Talk to your surgeon’s office; they will work with your insurer to determine how much you will need to pay.

It’s recommended that you don’t drive for up to 24 hours after your cataract surgery, so you’ll need to ask a friend or relative to drive you home. They’ll need to stay with you to make sure your recovery goes as expected. Consult with us about the length of time you’ll need assistance. Usually, you’ll have a follow-up appointment with us the day after cataract surgery. Dr. Lippman will then assess your vision and decide whether you’re clear to drive.

Most people are able to fly within a few days, but you should ask us at your follow-up visit if you are cleared to travel.

Generally, you should avoid strenuous activities for a few weeks after cataract surgery. Talk to us if you have questions about certain activities.

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