A Cataract is caused by cloudiness that occurs in the naturally clear lens of the eye. The lens sits behind the iris (or the colored part of the eye). A cataract causes vision to become blurry or dimmer over time. Patients may experience dulling of colors and/or glare and halos when driving at night.
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At Eye Consultants of North Dakota, we are committed to providing you with the highest quality surgical care to remove your cataracts and improve your vision, so that you can get back to the activities you enjoy. We offer the most advanced diagnostic and premium implant options and will walk with you each step of the way. Prior to cataract surgery, we will schedule a clinic consultation with you. During your clinical consultation with one of our surgeons, we will examine your eyes, complete several tests and review all of the options for lens implants and cataract surgery. Please plan to spend up to 2 hours at our clinic. If you wear soft contact lenses, please do not wear your contacts for 2 weeks prior to this visit. If you wear rigid gas permeable or “hard” lenses, please contact our office for further instructions. Your pupils will be dilated for this exam, so we would suggest you have someone drive you to and from this appointment.
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These advanced lenses/implants are the most common implant used in cataract surgery and are covered by insurance. They will focus the vision to either distance, intermediate, or near, but will not correct astigmatism and most patients will require glasses for reading after surgery. Some patients may request monovision where one eye is targeted for distance vision and the other eye is targeted for reading vision. These patients will typically be able to get by without glasses for most tasks, but may still require glasses for night time driving or reading for prolonged periods of time.
These advanced technology lenses/implants are designed to provide distance, intermediate, and near vision for each eye. In other words, each eye independently will have very good distance, intermediate, and near vision, but the vision will be even better when both eyes have the multifocal implant and can work together. There are limitations to these implants and some patients will experience halos with lights and glare with night time driving. Not all patients are a candidate for this implant due to other eye problems that may exist, which would be discussed at your cataract evaluation prior to surgery. There is also an additional out of pocket cost for these implants.
For patients who have astigmatism, the Toric implant is another advanced technology lens/implant available to correct this at the time of cataract surgery. It works very well to provide excellent distance or near vision for those patients who are candidates for this implant. There are implants that will correct the astigmatism and provide distance, intermediate, and near vision for patients that are candidates for this implant. Like the Multifocal implants, there is an additional out of pocket cost for the Toric Implant.
Accommodating Implants are an alternative to the Multifocal Implant. They provide a range of vision that is greater than a Monofocal implant, but typically the range is less than that provided by a Multifocal Implant. The advantage of an Accommodating Implant is that they typically have less halos or glare associated with them compared to a Multifocal Implant.
However, some patients will still need reading glasses with their accommodating lens implant. There is an additional out of pocket cost for these implants.