We Offer Laser Assisted Cataract Surgery

Associates in Eyecare is pleased to offer laser assisted cataract surgery for our patients using the Catalys Laser Platform. Key benefits include a state-of-the-art laser, advanced 3D imaging, sophisticated software and other unique features that deliver a precise, customized procedure with exceptional patient comfort. Click here to learn more about this.

Associates in Eyecare also offers the iStent for cataract patients with glaucoma. Click here to learn more.

What is a Cataract?

A cataract is a clouding of the natural lens of the eye, producing a frosted, cloudy or foggy view through the affected eye. For people with cataracts, many daily tasks are made more difficult due to the cataracts, including driving, watching television, reading, and using medication. In most cases, cataracts develop gradually with a slow worsening of visual symptoms.

Initially, the patient may manage the cataract symptoms with stronger lighting and frequent changes in eyeglasses. However, ultimately cataract surgery becomes necessary. Fortunately, cataract surgery is a very safe and effective procedure.

Signs and Symptoms of Cataracts

Signs and symptoms of cataracts may include:

  • Clouded, blurred or dim vision
  • Increasing difficulty with vision at night
  • Sensitivity to light and glare
  • Seeing "halos" around lights
  • Frequent changes in eyeglass or contact lens prescription
  • Fading or yellowing of colors
  • Double vision in a single eye

When Should I Consider Cataract Surgery?

It's up to you and your doctor to decide when cataract surgery is advisable. For most people, there is no urgency to remove cataracts because they usually don't medically harm the eye. Delaying the procedure won't typically worsen your ultimate prognosis if you eventually decide to have cataract surgery. Take time to consider the benefits and risks of cataract surgery with your doctor. Most eye doctors suggest considering cataract surgery when your cataracts begin to affect your quality of life or interfere with your ability to perform normal daily activities, such as reading or driving at night.

Lenses

A cataract is treated by removing the old clouded lens and replacing it with a new artificial lens to restore your vision. This lens is called an implant.

The surgeons of Associates in Eyecare implant every type of FDA approved lenses including monofocal, multifocal (ReSTOR and Tecnis Multifocal), accommodating (Cyrstalens and Trulign) and toric lenses (Alcon and Tecnis Toric). Every eye is unique and every patient has individual vision goals so a customized plan is developed before every cataract surgery. During your consultation, we will take multiple maps and measurements of your eye to help develop your customized treatment plan. Together we will decide which lens is the best option.

Technology

We are committed to offering our patients all of the latest technology that has been shown to improve patient outcomes. We offer all of our patients pre-operative testing with topography and OCT retinal scanning free of charge. Cataract surgery is now refractive cataract surgery, helping our patients achieve their goals for their vision. Examples of our technology include the following:

  • ORA intra-operative aberrometry for lens power determination, especially useful for post-refractive patients
  • LenStar, the most modern machine available for lens power measurement, one of only a handful in Denver
  • Holladay2 and Olsen lens formulas, 4th and 5th generation formulas, used by only a handful of surgeons to ensure optimum results
  • Pentacam testing for corneal astigmatism

Definition of Cataract Removal

Cataract removal is a procedure to remove a clouded lens from the eye. Cataracts are removed to improve vision. The procedure almost always includes placing an artificial lens in the eye.

Description

Surgery is usually recommended for people who cannot see well because of their cataracts. The surgery is performed at the Cherry Creek Surgery Center, Harvard Park, Lowry Surgery Center or Rose Surgery Center.

Patients are normally awake for the procedure. You will receive local anesthesia (numbing medicine) for pain control and a sedative to relax you.

Looking through a microscope, the doctor will make a small incision (cut) in the eye. The surgeon then removes the lens. It can be removed in several ways, depending upon the type of cataract you have. Cataract removal involves the use of instruments and a machine that uses sound waves (ultrasonic energy) to break up the lens and suction it out. This is called phacoemulsification. A man-made lens, called an artificial intraocular lens (IOL), is usually placed next. It will help improve your vision.

The surgery usually lasts less than 15 minutes. One eye is done at a time. If both eyes need cataract removal, your surgeon may recommend waiting a few weeks before having cataract surgery on the other eye.

To watch a video of our surgeons performing and narrating a real case of cataract surgery, see our video:

Dr. Kruger enjoys sharing his advanced cataract surgery techniques with other cataract surgeons. If you are interested in seeing these videos, please see Dr. Kruger's YouTube channel.

Cataract Patients With Glaucoma

Associates in Eyecare is proud to offer the iStent.

What is iStent?

iStent The iStent Trabecular Micro-Bypass stent is a new surgical therapy for glaucoma that is designed to improve aqueous outflow to safely lower eye pressure and may reduce the number of glaucoma drops that you take, but this will be at the discretion of your doctor.

iStent is the smallest medical device ever approved by the FDA and is placed in your eye during cataract surgery. It is so small, you won't be able to see or feel it after surgery but it will be continuously working to help reduce your eye pressure.

How can iStent help me?

Every day, you are probably taking one or more eye drops to control your eye pressure. By improving the outflow of fluid from your eyes, iStent works to help control your eye pressure. After implantation of iStent, many patients are able to control their eye pressure.

Controlling eye pressure is extremely important to reduce the risk for vision loss due to glaucoma. If you forget to take your eye drops or 'skip a dose', this can cause large changes in your eye pressure. Large changes in eye pressure can increases the risk for vision loss.

If you have both glaucoma and cataracts, ask your eye doctor if iStent is right for you.