Your Vision After Cataract Surgery – Lens Choices

lens choicesWhen it is time for cataract surgery, you have choices to make that will determine your future vision.

During cataract surgery, Dr. Moran will remove the cloudy lens of your eye and replace it with a clear Intraocular Lens (IOL). Patients have the option to choose from different types of IOLs for their surgery.

While all the IOLs offer improved vision, there are some lens choices that offer additional features, such as astigmatism correction, and vision at fixed points of focus – near, intermediate and far vision. Dr. Moran will discuss these lens choices with you.  He will explain which option(s) are right for you, taking into consideration the health of your eye and your visual needs after surgery.

The chart below compares the features of the IOLs.  

The Basic lens offers 1 area of correction, and may be covered by your insurance. This lens offers clearer vision at one point of focus either distance or near.  For patients who don’t mind wearing glasses, this lens is a good option.

The Toric and ReSTOR lenses do more, so there is additional cost for these lenses. Insurance does not cover the cost of these lenses, since they are considered advanced technology lenses. These lenses are special order for you, so payment for these lenses is due one week prior to the surgery date.

The Toric lens corrects one point of focus, either distance or near, and corrects for astigmatism, which is an irregular shape of the cornea. Patients with a corneal astigmatism greater than 1.25 diopters are good candidates for this lens.

The ReSTOR lens offers multiple points of focus.  This lens is designed with concentric circles, each with a specific prescription power.  Your eye will be able to focus using the right power ring in the lens.  ReSTOR lenses are recommended for patients who have healthy eyes, and who are having surgery on both eyes done within a few weeks of each other.

More information about cataract surgery and your IOL choices will be discussed at your cataract evaluation appointment with Dr. Moran, and again with our surgery coordinator at your scheduling/measurement appointment.  We encourage all patients to check with their insurance company before their cataract surgery to find out specifics about what is covered under their plan.  Some plans have co-pays and deductibles that may affect the amount that the patient will have to pay.

Click to read more about Cataracts

Innovative Cornea Care

Corneal Therapy offers Successful Healing

Moran Eye Associates’ Dr. Bianca Tang recently used an innovative treatment to help a patient’s cornea heal faster and more effectively.  This treatment promotes healing using amniotic membranes suspended in a ring that sits on the eye like a contact lens.

The patient had been using prescription drop therapy over a period of months to help with a painful area of corneal thinning, but her eye wasn’t getting better. She was in pain, and and she was having cloudy vision. She was over 80 years old, and had other health issues that caused slower healing.

What did the patient think of the process?

“Dr. Tang recommended a new procedure that cured my cornea erosion issue. It was a stem cell lens that aided healing of the cornea. I now have my sight back in both eyes with no pain. Thank you so much for using this new procedure. It worked like a charm.”

The treatment Dr. Tang recommended was Prokera.  The amniotic membranes in Prokera are safe, promote new cell growth, and prevent the development of scar tissue. The membrane itself dissolves after one week, and the doctor removes the ring following treatment.

Dr. Tang’s response to the results.

“The outcome was even better than I could have imagined. The area of epithelial defect that covered almost a quarter of her cornea was completely resolved. The most rewarding part of this treatment is knowing that the patient was no longer in pain, and that her vision was much improved.”

Studies show that using amniotic membranes:

  • Reduces pain
  • Reduces inflammation
  • Reduces Scar Formation
  • Introduces essential factors for new cell growth

Whether managing disease, trauma, or post-operative care, healing of the ocular surface is essential to patients’ comfort and vision.

At Moran Eye Associates, our doctors offer excellent care that is personalized, innovative and effective. You can depend on us for all of your eye care needs for your entire family.

Complete Eye Care

A patient asked the other day, “Do you do regular eye exams?” 

Of course we do!  At Moran Eye Associates we offer Complete Eye Care, which includes Vision, Medical and Surgical services.

VISION:  We accept VSP & NVA 

  • Routine Eye Exams
  • Contact Lenses: Traditional & Specialty Lenses

MEDICAL: We accept most medical insurances

  • Diabetic Eye Care: Diabetic Retinopathy
  • Glaucoma Care: Medical and Surgical Treatment Options
  • Macular Degeneration
  • Dry Eye Treatment: Diagnostic Services & Thermal Therapy
  • Eye Emergencies
  • Infection/Inflammation
  • Low Vision Services

SURGICAL: Dr. Moran does surgery at the Surgery Center of Allentown, Sightpath LASIK Center in Bethlehem, as well as some procedures in our Delaware Avenue office

  • Cataracts
  • LASIK
  • PRK
  • Laser Floater Removal
  • Glaucoma Eye Surgery
  • Foreign Body Removal
  • Eye Lid Surgery

Please contact our office if you need an appointment for your eye care. Call or text us at 610-628-2022, or send us an email by filling out the form on the right!

 

 

Treating Cataracts & Glaucoma Together!

The iStent Inject: This procedure, done during your cataract surgery, may eliminate the need for daily glaucoma drops!

Dr. Mark Moran is now offering Micro-Invasive Glaucoma Surgery (MIGS) with the iStent Inject.  This option is currently available for glaucoma patients who are having cataract surgery.

Clinical studies have shown significant decrease in eye pressure in mild-to-moderate glaucoma with this implant. The iStent Inject is the smallest medical device known to be implanted in the human body. The picture to the right shows the actual iStent as a tiny speck on the face of a penny!

If using drops to control your glaucoma poses problems for you, this procedure may be a great alternative.  Ask yourself if you have these issues with your glaucoma medication:

  • Do you have problems putting drops in your eyes?
  • Do you forget to use your drops as prescribed?
  • Do you have financial concerns with the cost of prescription drops?

How the iStent works: During cataract surgery, Dr. Moran inserts these tiny stents to create two openings between the front part of the eye and the eye’s natural drainage pathway. This improved flow decreases the pressure in the eye.

The iStent Inject procedure is painless, and is approved by the FDA. You won’t be able to see or feel these microscopic devices. They are so small that you won’t have to worry about going through an airport metal detector or having an MRI.

This combined cataract/stent procedure does not significantly increase the amount of time that you will spend in the operating room.  The recovery time from this procedure is the same as with cataract surgery alone.

Dr. Moran explains the results: “I’ve seen a decrease in pressure in the patients who have had the stents inserted. Many have stopped using their drops altogether. We remind patients that this stent procedure is a treatment, NOT a cure for glaucoma. You still need to follow up with regular appointments to monitor your glaucoma, and maintain the health of your eyes.”

If you have questions about glaucoma, cataracts, or any other vision concern, call to make an appointment at 610-628-2022.  Dr. Moran and Dr. Tang would be happy to review your history and discuss if this procedure is right for you.

What Does 20/20 Vision Mean?

Eye chart and glasses

How Vision is Measured

 

The distance vision of a normal human eye is defined at 20/20.  This number illustrates what a person with normal vision can see at twenty feet.  Your visual acuity is measured on how it relates to vision at 20 feet.

  • If your vision is 20/40, you can see at 20 feet, what a normal eye can see at 40 feet.
  • If your vision is 20/100, you can see at 20 feet, what a normal eye can see at 100 feet.
  • If your vision is 20/400, you can see at 20 feet, what a normal eye can see at 400 feet.

When you read an eye chart, chances are that person testing you is paying attention to what you say, as well as how you say it. They will know if you are seeing clearly or are struggling and making guesses. It never pays to cheat on your eye test!

Driving vision requirements

How well do I need to see to drive?  

Although each state determines their specific requirements, generally 20/40 vision is needed to pass the driving test.  If you need glasses to see 20/40, it will be indicated on your driver’s license. While your distance vision is key to passing the driving test, there are other factors that are considered as well.  For complete information on what is required in Pennsylvania, click on the link.

Pennsylvania Drivers Visual Standards

After vision correction surgery, like LASIK or cataract surgery, you may be able to see well enough to have the vision correction restriction removed from your license.

What is legally blind?

If you cannot see any letters below the 20/200 line, even when wearing glasses or contacts, you are considered legally blind.  If your vision can be corrected by putting on a pair of glasses, you may have poor vision, but you are not legally blind.

Woman in Slit lampI see 20/20, do I need an eye exam?

Absolutely!  Measuring your vision is an important part of your comprehensive exam, but there is so much more that we check at your visit. We will check your pupils, eye pressure and field of vision.  We will record your visual history, health history and medications. The doctor will examine the health of your eyes using a slit lamp microscope, checking for eye disease, including glaucoma, macular degeneration, diabetic retinopathy and cataracts.

Early detection of eye disease is your best defense against vision loss.  So even if you don’t need a new pair of glasses, make sure to schedule your regular check-up, so you can keep seeing your best!

 

FREE Vision Screenings for Children – August 4th!

Your child’s vision is very important to his or her success in school…

which is why Moran Eye Associates is offering:

 

FREE Vision Screenings

for School-Aged Children

Saturday, Aug 4th from 8 am-12 noon
1204 Delaware Avenue, Bethlehem, PA 18015
 No Appointment is Necessary!

 

Vision screenings will be conducted by Dr. Mark Moran and Dr. Bianca Tang.  Our expert doctors and staff will evaluate your child’s vision to see if he or she may have any issues that should be addressed BEFORE school starts.

No appointment is necessary, this is a walk-in event. Parking is available in our lot on Bergen Street.

Mark E. Moran, D.O., M.S.H.I., F.A.O.C.O is a board-certified ophthalmologist and Fellow of the American Osteopathic College of Ophthalmology. He has been practicing in the Lehigh Valley for 25 years.  Dr. Moran specializes in  LASIK vision correction, cataract surgery, medical eye care, and comprehensive eye examinations.

Bianca Tang, O.D.  Dr. Tang is a Summa cum laude graduate of Pennsylvania College of Optometry at Salus University.  She earned her undergraduate degree, also Summa cum laude, in Biological Sciences and Health Professions at Penn State University.  She specializes in comprehensive eye exams, contact lens fittings as well as low-vision solutions for children and adults.

 

 

Now Scheduling FRIDAYS!

Making an appointment just got easier…we have now added  Fridays to our schedule!

 

To schedule your visit contact our office at 610-628-2022  – OR – click to request an appointment ONLINE.

Any way that you schedule it, you can be certain that you are making an appointment for quality eye care, with less time in the waiting room, more time in the exam room.

You can trust Moran Eye Associates to care for all of your vision needs including:
  • Comprehensive Exams
  • LASIK
  • Cataract Surgery
  • Dry Eye Treatment
  • Laser Treatment
  • Diabetic Eye Care
  • Macular Degeneration 
  • Glaucoma. 

 

We participate in most medical insurances and now accept VSP Vision Insurance as well!

 

What do Cataracts and M&Ms Have in Common?

The Cataract-M&M Connection!

Peanut M&M cross-section

If you know Dr. Moran, you know that he is an expert at making analogies to better explain vision and visual issues to our patients.  One of our favorite examples is how he explains what happens during cataract surgery.

 

Yes, that’s where the Peanut M&M comes in!

Dr. Moran explains that a mature cataract is like a peanut M&M. It has 3 major parts: capsule, cortex and nucleus.

  1. The capsule = candy coating.
  2. The cortex = chocolate.
  3. The nucleus = the peanut inside!

During cataract surgery, Dr. Moran will remove the nucleus and cortex (peanut & chocolate), while leaving

the capsule (the candy shell) in place.

After the cortex and the cataract are removed, he will insert a new lens in its place. This new intraocular lens (IOL) has a prescription in it, just like the lenses in your eyeglasses have a prescription in them.

After Cataract Surgery

Many patients tell us that they have the best vision of their lives following cataract surgery! They see more clearly and colors seem more vibrant.  Depending on the type of lens implant that they choose, they may not need to wear glasses at all!

If you, or someone you know, has noticed a change in their vision, come in for a cataract evaluation with Dr. Moran. He will dilate your eyes to see if cataracts are developing, and he will let you know if you are ready to have your cataracts removed.

Click here for more information about Cataracts.

 

 

 

 

 

Continuing to Learn and Innovate

Rooftop viewEducational Excursion 

Dr. Moran, Bobbi, and Cindy attended the ASCRS (American Society of Cataract and Refractive Surgeons) Conference in our nation’s capital, Washington, DC. The conference ran over a “long” April weekend and presented a great opportunity to learn more about the diagnosis and treatment of cataracts and glaucoma, as well as vision correction procedures like LASIK.

 

The ASCRS Conference a great way to learn.

“Ongoing education is a priority not only for physicians.  It is important for every member of our team to be up-to-date on innovations and technology now available to offer the best eye care.  While at this conference, we were able to learn from industry experts on ways to more effectively care for our patients.  It was also a chance to share what we do at Moran Eye Associates,”  Dr. Moran explains.

Information sessions at the conference included new treatment techniques to manage dry eye, cataract surgery case studies, and advances in pre-surgical measurements.  There was much to learn in classes and from networking and exchanging ideas with other professionals there.  They were able to talk about how our new in-office procedures for floaters and dry eye are helping our patients see more clearly.

Cindy uses Virtual Reality to LearnNew Ways to Learn

In addition to the formal educational sessions, there were also many opportunities for hands-on learning.

Using Virtual Reality, Bobbi & Cindy were able to have a 360-degree view inside the eye.  They were able to witness how the eye is affected by glaucoma, macular degeneration, and cataracts.  They agreed it was a little disorienting to be “floating” around inside an eye, but it was a memorable experience to see detailed images of changes to retina, vitreous and lens.

We look forward to using the knowledge gained to improve the care of our patients. After a busy and productive few days away, it is back to the office!

Improving Patient Education

New Patient Education Screens in the Exam Rooms.

Dr. Moran knows that an informed patient makes the best health care choices, which is why we take the time to make sure that you have all the information you need to make the right choices for you and your family.

As part of our commitment to patient education, we have recently installed education screens in our exam rooms.  Dr. Moran’s goal has always been to give patients the information they need  to maintain healthy vision.  The addition of these screens takes us to the next level in increasing patient understanding.

It’s best to Show & Tell! 

Now during your exam, not only can we explain what is happening with your vision, we can show you too!  We can choose images and videos to help better explain treatment options.  The best part is that these boards are interactive!  Dr. Moran can draw and write notes on them to help you better understand your eye health and safety.

Educational topics include:

  • Dry Eye
  • LASIK & PRK
  • Cataracts
  • Glaucoma
  • Macular Degeneration
  • Understanding Vision: Myopia, Hyperopia, Astigmatism & Presbyopia.

And we are doing our part to save trees, too!

With this new technology, we can take the information from the screen and email it directly to you!  We also have the ability to print directly from the screen as well.

As always, if you have any questions about caring for your eyes, please ask our staff.  We are happy that we can now SHOW & Tell!  To schedule your next appointment call or text 610-628-2022.