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

A cataract surgery procedure 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, thus eliminating 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):

The fibrosis of the capsular bag around the implant secures the positioning but can cause visual impairment within 1-3 months after a cataract surgery procedure. Once 3-6 months have passed after the procedure, YAG will be performed. 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):

We will assess a patient’s vision approximately 3 months after the YAG treatment. To determine whether enhancement may be needed, we must ensure that a patient’s vision is stable for over 3 months with no notable refractive changes. The most important part of the process is to address the refractive outcome with enhancement if needed. Refractive enhancement is usually necessary 30% of the time. LASIK or a surface ablation will be performed to obtain the best possible corrected vision.