LASIK in the Setting of Premium Cataract Surgery
By Jeffrey Martin, MD
Published on March 31, 2010
Cataract surgery is a successful outpatient procedure that helps over one million patients improve the quality of their life each year. Cataract surgery is performed through a microscopic incision and many surgeons use topical or eye drop anesthesia along with IV sedation to make patients comfortable. Dr. Jeffrey Martin states that he rarely uses needle injections around the eyes, stitches, or even an eye patch. Cataract surgery routinely takes a few minutes and patients return to the comfort of their own home the very same day. There is little to no discomfort or pain in most cases.
After a cataract is removed, an intraocular lens implant or IOL is placed to restore vision. Eye surgeons can use standard implants that are designed to give adequate distance vision in most cases, but patients must use glasses for near tasks such as reading. If a patient chooses a premium implant or IOL like the Crystalens, ReSTOR, or TECNIS Multifocal, they are more likely to see far and near, reducing or eliminating the need for glasses at all distances. The Crystalens is an accommodating lens that moves in the eye and ReSTOR and TECNIS Multifocal are multifocal lenses designed with rings for simultaneous far and near vision. It is important that you fully discuss the pros and cons of each implant with your cataract surgeon before choosing one.
With premium cataract surgery, the final refractive result is very important. Measurements for implant power must be done with the best accuracy possible. Dr. Martin feels that this includes corneal topography, IOL Master, manual and automatic keratometry. Even in the best of hands, the refractive result can be slightly off. In these cases, it is important to be skilled in the best technology in laser vision correction, namely iLASIK or bladeless custom LASIK. With laser vision correction, Dr. Martin is able to fine-tune his refractive result if necessary making certain that each patient have the best chance for success. For his cataract patients, Dr. Martin chooses bladeless custom LASIK or custom advanced surface ablation depending on the case. All laser eye surgery done should include iris registration for the best placement of the laser vision correction ablation.