When you and Dr Khalil decide to
to undergo cataract
operation, you will be faced with several choices. While
cataract surgery has advanced
tremendously in recent years, most of the advances have
had to do with transformation of cataract surgery from a
medical procedure to a refractive procedure. Cataract
surgery can now allow patients to completely eliminate
dependence on glasses for distance, near and/or
intermediate.
There are a variety of intraocular
lenses (IOLs) that can be used in
cataract surgery, and
they each have their own set of advantages and
disadvantages. No single IOL works best for everyone. Dr
Khalil will discuss with you which intraocular lens
options and vision enhancements are available for your
particular case. Dr Khalil will help you make the best
decision for your case, taking into account your
lifestyle demands and hobbies as well and any other
limitations. At the time of cataract surgery other
procedures can be performed simultaneously to eliminate
and/or reduce
Astigmatism,
presbyopia,
Farsightedness and
Nearsightedness
Monofocal IOLs
are used in the majority of cataract procedures. These
lenses have the advantage of excellent quality distance
vision under a variety of lighting conditions. Since
these lenses have a fixed focal point which is generally
set for distance vision, reading glasses are typically
required for good near vision(1). For patients willing
to use reading glasses for near tasks, these IOLs are an
excellent choice. Several million lenses of this variety
have been used for decades with an excellent safety
record. Recent refinements in the optical quality of
these lenses have allowed an even higher quality of
vision than previously achievable. Basic Monofocal IOLs
allow patients to see at distance, but not at near.
Patients who have this kind of lens implanted will still
have to utilize reading glasses, contact lenses or
monovision after surgery.
Monofocal lenses and Eyeglasses:
Bifocals, progressive lenses and trifocals are the
most common correction, and allow for correcting
astigmatism as well as near- or far-sighted results.
They are safe, effective and highly reliable
Monofocal lenses and Monovision: People who have
worn "monovision" contacts, or who naturally have one distance eye and one
focused for near are good candidates to have one eye corrected far and one
for near in the selection of the implant for their cataract surgery. Glasses
may still be helpful for such activities as night driving and prolonged
reading.
Multifocal IOLs

Multifocal lenses such as the
ReSTOR lens and
ReZoom lens are designed to correct
a full range of vision, near through distance. In clinical
trials 80% of patients who had the ReSTOR lens implanted
never used glasses for any activities following their
surgery. These lenses have highly specialized optical
properties that can divide light to bring it into focus at
more than one point at the same time. This allows the eye to
see both near and far, usually without glasses. Excellent
results for distance and near vision have been achieved by
both of these lenses which are FDA approved.