Abell’s Six Steps over a 12-Month Period Process for Refractive or Multi-Focal Lens Cataract Surgery Package

Cataract Surgery and Implantation of IOL Lens (Left and Right):

Cataract surgery is more difficult after LVC, LASIK, ASA, or PRK. Further refractive surgery or IOL lens exchange is to be expected.

  • LASIK: A laser is used under a corneal flap to resurface the cornea and correct refractive error, the need for glasses.
  • ASA/PRK: A laser is used on top of the cornea to correct refractive error.

Implantation of IOL Lens:

  • Standard Lens: The standard lens, while very high tech, may not completely correct a refractive imbalance. This lens will not provide treatment for astigmatism and glasses are expected to be needed.
  • Monovision: A specific refractive endpoint will be obtained, including astigmatism correction, for distance and near vision. This lens provides about 70%-80% spectacle freedom.
  • Distance: A specific refractive endpoint will be obtained, including astigmatism correction, for distance only vision. You should expect to need readers with a small chance of needing glasses for distance vision also.
  • Premium Multifocal Lens Package: A specific refractive endpoint will be obtained, including astigmatism correction, for distance and near vision. You can expect to see halos at night but this usually resolves. This lens provides 70%-90% spectacle freedom.

YAG Laser Capsulotomy (Left and Right):

Fibrosis of the capsular bag around the implant secures the positioning but can cause visual impairment within 1-3 months after cataract surgery. A YAG is performed 3 to 6 months after cataract surgery. It is very important to open the capsule before a refractive enhancement to avoid a refractive change. Although ex-plantation is extremely rare, it is advantageous to be performed prior to the YAG laser.

Refractive Enhancement (Right and Left Eye):

Assess vision approximately 3 months after YAG treatment. Insure vision is stable over 3- months with no refractive changes to determine if an enhancement may be needed. The most important part of the process is to address the refractive outcome with enhancement if needed. 30% of the time, a refractive enhancement is necessary. LASIK or a surface ablation will be performed to obtain the best possible corrected vision.

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