North Shore Eye Care, with it's main location in Smithtown New York in Long Island and second location soon to open in Riverhead New York, is a leader in cataract surgery. Our board certified cataract experts, Dr. Larry Zweibel, Dr. Jeffrey Martin, Dr. John Mauro, Dr. Paul Choinski, Dr. Grace O'Malley, and Dr. Sonya Dhar, use the most modern techniques and technology in cataract care to give their patients the very best vision possible. All cataract surgery at North Shore Eye Care is done through a small incision without the need for stitches, an eye patch or needles around the eyes. The makes cataract surgery quick and painless for our patients and allows them to return home the very same day using their improved vision and able to use important eye drops to prevent inflammation and infection the very first day.
Cataract Surgery in Special Settings
At times, cataract surgery can be more than the usual simple case. North Shore Eye Care's cataract experts specialize in difficult cases of cataract surgery. One such special circumstance is pseudoexfoliation. With pseudoexfoliation, the cataract of the eye is loosely attached to the wall of the eye, making it more difficult to remove the cataract and more difficult to place the new implant in the eye. This problem of loose attachments called zonules makes cataract surgery tricky and it is of the utmost importance to be gentle during cataract surgery and preserve the safety net of the lens as much as possible. In some cases, the eye surgeon has to take extra steps to secure the capsule of the lens so that the intraocular implant can sit in a stable position for years to come.
Another difficult cataract scenario is when the cornea of window of the has a weak pump. This is called Fuchs Dystrophy and in a case like this, the cornea is borderline. A normal cataract surgical procedure can cause the cornea to become so weak that is can not clear. If this is to happen, a corneal transplant or partial corneal transplant may be necessary. By using gentle settings in phacoemulsification (cataract technique) and by using gels during surgery that are protective to the cornea usually allows our cataract specialists to complete the cataraact procedure without difficulty and the cornea clears without incident. It is important in cases of Fuchs Dystrophy to be as cornea friendly during surgery as possible.
For patients that have had LASIK in the past, determing the intraocular lens power can be difficult. Because the corneal power has been changed by LASIK, we are no longer able to simply plug the numbers into the formula that gives us the intraocular lens power. In this situation, we try to obtain the old LASIK records so that we can calculate the change in the cornea. If old records are not available, we use a variety of methods including a special program on our Pentacam corneal topographer that estimates the power of the implant needed as closely as possible. Of course, if the power is not correct, we offer laser vision correction to fine tune the result. With that said, only about one in twenty need a touch-up or enhancement with LASIK following cataract surgery in those that have had previous LASIK.
The previous illustrations are just a few reasons why trusting the eye doctors at North Shore Eye Care is prudent. Of course, there are clinical situations in any surgical procedure that can lead to a poor outcome, but having a wealth of experience and access to the best technology gives our patients the best chance at the visual result that they desire.
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