High-Tech Procedures Make Cataract Surgery a Breeze

2/3/2021
NEWS BRIEFS
City of Cortez to Introduce Budget Pay Plan to pay your utility bills, utility.billing@cityofcortez.com or 970-564-4012.
Cortez City Council approved a 30-day public comment period for the City of Cortez Draft Source Water Protection Plan, sourcewaterplan@cityofcortez.com.
Feb 20-26, Local Case Count: Montezuma County: 1702 cases, 13 deaths (+0), 7 (+0) among cases, Dolores 68 (+2) San Miguel 815 (+18), montezumacounty.org

When your focus and eyesight deteriorate suddenly, it may be because you've developed cataracts. That means you need to have the lenses inside your eye replaced. But not to worry. With laser surgery and other technologies, replacement is a breeze, and your sight will improve immediately.

VIEW FULL TRANSCRIPT +

1

00:00:00,833 --> 00:00:02,410

"Healthy Living in the Four Corners"

2

00:00:02,410 --> 00:00:05,473

is brought to you by

Southwest Eye Consultants.

3

00:00:08,220 --> 00:00:10,100

Are you experiencing blurry vision

4

00:00:10,100 --> 00:00:11,740

or seem to be seeing double?

5

00:00:11,740 --> 00:00:14,160

Do you have trouble seeing well at night?

6

00:00:14,160 --> 00:00:16,900

You may be experiencing the

development of cataracts,

7

00:00:16,900 --> 00:00:19,470

a condition that affects

one out of every two people

8

00:00:19,470 --> 00:00:21,360

after the age of 60.

9

00:00:21,360 --> 00:00:23,350

We asked Dr. Moss Fenberg

10

00:00:23,350 --> 00:00:26,190

with Southwest Retina

Consultants of Durango

11

00:00:26,190 --> 00:00:28,590

about cataracts and

the latest technologies

12

00:00:28,590 --> 00:00:33,040

that are available to replace

them and improve your vision.

13

00:00:33,040 --> 00:00:36,810

So as we age, there is a

natural clouding that happens

14

00:00:36,810 --> 00:00:38,881

in your lens inside your eye.

15

00:00:38,881 --> 00:00:43,881

Your lens is a clear crystalline

protein that helps to,

16

00:00:44,110 --> 00:00:46,283

of course, focus light inside your eye.

17

00:00:47,560 --> 00:00:51,350

As the birthday candles come,

we tend to have less ability

18

00:00:51,350 --> 00:00:54,350

for that crystalline

lens to focus or move,

19

00:00:54,350 --> 00:00:56,080

which changes our focal point,

20

00:00:56,080 --> 00:00:58,190

meaning our arms are

not long enough anymore.

21

00:00:58,190 --> 00:01:01,620

We can't quite bring

images as close as we want,

22

00:01:01,620 --> 00:01:04,620

and also there's a general

clouding that occurs.

23

00:01:04,620 --> 00:01:08,360

So that light is no longer distributed

24

00:01:08,360 --> 00:01:09,960

through the lens equally,

25

00:01:09,960 --> 00:01:13,730

and we start to develop

opacities there in the lens

26

00:01:13,730 --> 00:01:17,500

and we go see our optometry

colleagues who make our glasses

27

00:01:17,500 --> 00:01:20,980

and do our comprehensive evaluations,

28

00:01:20,980 --> 00:01:23,710

and they say at some

point, "Well, I'm sorry.

29

00:01:23,710 --> 00:01:27,230

I can't get you back to 20-20 any longer.

30

00:01:27,230 --> 00:01:28,720

You need to go see an ophthalmologist

31

00:01:28,720 --> 00:01:30,790

and consider cataract surgery."

32

00:01:30,790 --> 00:01:33,840

Cataract surgery is the removal of that

33

00:01:33,840 --> 00:01:36,870

hard, cloudy crystalline lens in your eye

34

00:01:36,870 --> 00:01:41,870

and the replacement of it with

an acrylic or plastic implant

35

00:01:42,230 --> 00:01:45,580

that is designed to focus

light where it should,

36

00:01:45,580 --> 00:01:48,170

and so although that may

seem strange to think about,

37

00:01:48,170 --> 00:01:50,420

an implant inside your eye,

38

00:01:50,420 --> 00:01:52,210

it's a lot like an implant to replace

39

00:01:52,210 --> 00:01:54,910

a different part of your

body that isn't working well.

40

00:01:55,770 --> 00:01:57,870

Your eye is essentially measured

41

00:01:57,870 --> 00:02:00,110

like a fitting for a shoe,

42

00:02:00,110 --> 00:02:02,660

and all of the angles and curves

43

00:02:02,660 --> 00:02:05,910

and length of the eye are

brought into consideration,

44

00:02:05,910 --> 00:02:09,780

and then a lens is chosen

that is right for you,

45

00:02:09,780 --> 00:02:11,450

and that new lens

46

00:02:11,450 --> 00:02:15,150

then focuses light

properly in the eye again.

47

00:02:15,150 --> 00:02:18,060

Cataract surgery traditionally

has been performed

48

00:02:18,060 --> 00:02:22,290

by hand with surgeons magnifying

the eye with a microscope.

49

00:02:22,290 --> 00:02:25,540

Dr. Fenberg also employs laser technology

50

00:02:25,540 --> 00:02:28,530

to ensure the finest precision possible.

51

00:02:28,530 --> 00:02:31,250

With laser assisted cataract surgery,

52

00:02:31,250 --> 00:02:33,190

before the physician does anything,

53

00:02:33,190 --> 00:02:36,950

the laser makes that incision

with a laser, essentially.

54

00:02:36,950 --> 00:02:38,040

The laser then opens

55

00:02:38,040 --> 00:02:40,880

with a perfectly round capsulotomy

56

00:02:40,880 --> 00:02:44,870

here on the center of

the lens in the capsule,

57

00:02:44,870 --> 00:02:48,120

and then the laser sculpts

this lens into multiple pieces.

58

00:02:48,120 --> 00:02:50,960

You imagine cutting a

pie into multiple wedges.

59

00:02:50,960 --> 00:02:53,870

It's all broken into those

pieces, but not removed.

60

00:02:53,870 --> 00:02:55,300

So then the patient is moved

61

00:02:55,300 --> 00:02:57,530

under the microscope with the physician.

62

00:02:57,530 --> 00:02:58,770

These incisions that have been

63

00:02:58,770 --> 00:03:01,360

perfectly made with the laser are opened.

64

00:03:01,360 --> 00:03:03,810

The capsulotomy is essentially removed,

65

00:03:03,810 --> 00:03:06,910

because it's already been

placed perfectly in the eye,

66

00:03:06,910 --> 00:03:10,690

and then with much less power

and much less manipulation,

67

00:03:10,690 --> 00:03:13,250

each of these little quadrants is removed

68

00:03:13,250 --> 00:03:14,800

from the eye of the lens,

69

00:03:14,800 --> 00:03:18,260

and then you began the process of,

70

00:03:18,260 --> 00:03:22,100

on the table, measuring

the patient one more time

71

00:03:22,100 --> 00:03:25,100

to ensure that the lens you've

chosen is the proper lens.

72

00:03:25,100 --> 00:03:29,750

So the lens is essentially

loaded by my assistant

73

00:03:29,750 --> 00:03:33,060

on the table into this very

thin profile, like a scroll,

74

00:03:33,060 --> 00:03:35,890

and so it's smaller than

that two millimeter size.

75

00:03:35,890 --> 00:03:39,100

It goes in the eye like

a scroll, all rolled up,

76

00:03:39,100 --> 00:03:40,840

and then once it gets into your eye,

77

00:03:40,840 --> 00:03:44,110

your body temperature starts to heat up.

78

00:03:44,110 --> 00:03:44,943

Well, it doesn't.

79

00:03:44,943 --> 00:03:45,776

Your body temperature isn't hot.

80

00:03:45,776 --> 00:03:47,580

It's just hotter than the operating room.

81

00:03:47,580 --> 00:03:50,100

Once the lens goes into the eye,

82

00:03:50,100 --> 00:03:52,750

and your normal body temperature

starts to impact that lens,

83

00:03:52,750 --> 00:03:57,070

it then rolls and opens into

its own natural configuration,

84

00:03:57,070 --> 00:04:00,570

which is much larger, of

course, then that incision,

85

00:04:00,570 --> 00:04:03,800

and it has two little arms

that hold it out and stretch it

86

00:04:03,800 --> 00:04:07,030

and keep it in a centered

position where it should be.

87

00:04:07,030 --> 00:04:09,680

Most health insurance

covers cataract surgery

88

00:04:09,680 --> 00:04:11,830

for traditional lens replacement,

89

00:04:11,830 --> 00:04:13,810

but if you're willing

to spend a little more

90

00:04:13,810 --> 00:04:17,320

on out-of-pocket expenses,

you may be a candidate for

91

00:04:17,320 --> 00:04:20,430

one of two types of specialty lenses.

92

00:04:20,430 --> 00:04:23,180

The multiple focal lens

can give you both close-up

93

00:04:23,180 --> 00:04:24,730

and long distance vision,

94

00:04:24,730 --> 00:04:28,770

and the more common toric

lens can correct astigmatism.

95

00:04:28,770 --> 00:04:30,630

Patients who have large

levels of astigmatism

96

00:04:30,630 --> 00:04:33,710

who may have had to have worn

a contact or a rigid contact

97

00:04:33,710 --> 00:04:38,260

and gas-permeable, scleral

lens, things like that.

98

00:04:38,260 --> 00:04:40,200

Those patients are amazed,

99

00:04:40,200 --> 00:04:41,610

because they're out of their contacts.

100

00:04:41,610 --> 00:04:43,440

They've now corrected their astigmatism

101

00:04:43,440 --> 00:04:45,440

with something inside their eye

102

00:04:45,440 --> 00:04:47,160

and their distance vision is excellent.

103

00:04:47,160 --> 00:04:51,040

Now, they don't have near

vision with that lens,

104

00:04:51,040 --> 00:04:52,620

but many of them are okay with that.

105

00:04:52,620 --> 00:04:55,270

And they want what we refer

to as custom distance.

106

00:04:55,270 --> 00:04:58,390

They want the clear,

beautiful distance vision

107

00:04:58,390 --> 00:05:00,470

and they're okay having near vision.

108

00:05:00,470 --> 00:05:02,290

Some of them are okay

wearing glasses still

109

00:05:02,290 --> 00:05:06,360

with almost no correction

above, but with a bifocal below,

110

00:05:06,360 --> 00:05:09,270

and they just like the ability

to take those glasses off

111

00:05:09,270 --> 00:05:11,620

when they need to, to ski or do whatever,

112

00:05:11,620 --> 00:05:13,270

and still have great distance vision

113

00:05:13,270 --> 00:05:15,930

and put them on for their near work.

114

00:05:15,930 --> 00:05:17,000

With a multifocal,

115

00:05:17,000 --> 00:05:19,960

or what's called an enhanced

depth of field lens,

116

00:05:19,960 --> 00:05:23,490

you now bring in your world

much, much, much closer.

117

00:05:23,490 --> 00:05:26,090

You can pick up the things

in the grocery store,

118

00:05:26,090 --> 00:05:27,350

or read the price tag.

119

00:05:27,350 --> 00:05:30,033

You can read most things

that you need in your world.

120

00:05:30,900 --> 00:05:33,090

If you're doing something like tying flies

121

00:05:33,090 --> 00:05:35,500

or reading the fine print

on a pill bottle, well,

122

00:05:35,500 --> 00:05:38,450

you may need to put a pair

of readers on for fine work,

123

00:05:38,450 --> 00:05:41,300

but for most of your activity,

you're able to do that.

124

00:05:41,300 --> 00:05:42,760

These lenses work by essentially

125

00:05:42,760 --> 00:05:46,180

casting multiple images onto the retina,

126

00:05:46,180 --> 00:05:50,380

and your brain then

learns to ignore the image

127

00:05:50,380 --> 00:05:54,250

that's out of focus for the

given distance that you're in.

128

00:05:54,250 --> 00:05:56,160

Dr. Fenberg warns that patients

129

00:05:56,160 --> 00:05:58,440

who elect to have one

of the specialty lenses

130

00:05:58,440 --> 00:06:01,680

implanted in their eyes will

need to be evaluated first

131

00:06:01,680 --> 00:06:03,490

to ensure that they're a good candidate,

132

00:06:03,490 --> 00:06:05,690

both physically and emotionally.

133

00:06:05,690 --> 00:06:09,000

Adjusting to the new lenses can take time.

134

00:06:09,000 --> 00:06:12,160

I tell patients, we change

your visual system instantly

135

00:06:12,160 --> 00:06:13,760

when we do cataract surgery,

136

00:06:13,760 --> 00:06:16,410

and it takes some time to adapt to that.

137

00:06:16,410 --> 00:06:18,470

So if I go and get a new pair of glasses

138

00:06:18,470 --> 00:06:20,900

from my favorite local optometrist,

139

00:06:20,900 --> 00:06:23,260

no matter how well I actually

see when I put them on

140

00:06:23,260 --> 00:06:25,980

and they tell me I'm 20-20,

I'm still not adjusted yet.

141

00:06:25,980 --> 00:06:27,510

I don't like them initially,

142

00:06:27,510 --> 00:06:29,120

because the astigmatism

is a little different,

143

00:06:29,120 --> 00:06:31,120

and the focal point and the size,

144

00:06:31,120 --> 00:06:32,950

and it just takes a little bit to adapt,

145

00:06:32,950 --> 00:06:34,950

and so they always tell

you, you know, I'm sorry.

146

00:06:34,950 --> 00:06:37,140

You got to give it a couple

of weeks and see how you do

147

00:06:37,140 --> 00:06:38,703

before we make an adjustment.

148

00:06:39,780 --> 00:06:42,401

With surgery, we do that

permanently and instantly,

149

00:06:42,401 --> 00:06:45,100

and we take your patch off the next day,

150

00:06:45,100 --> 00:06:46,760

and for most patients,

151

00:06:46,760 --> 00:06:50,410

they're not quite certain

how great it is initially,

152

00:06:50,410 --> 00:06:54,220

but by a few days to a few

weeks, they're loving it.

153

00:06:54,220 --> 00:06:58,210

They are loving their

spectacle independence.

154

00:06:58,210 --> 00:07:00,300

If you'd like to know more

about cataract surgery

155

00:07:00,300 --> 00:07:02,170

and the options available to you,

156

00:07:02,170 --> 00:07:05,700

contact SWEyeConsultants.com.

157

00:07:05,700 --> 00:07:07,993

I'm Deborah Uroda for Healthy Living.

PAST montezuma NEWS STORIES

Copyright © Local News Network Inc. All Rights Reserved. | Privacy Policy
JOIN OUR TEAM