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

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 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.

An Eye Drop Reminder for your Smartphone

To help maintain your great vision after LASIK, the use of eye drops is key.  A patient recently shared a smartphone alarm app with us that reminds you to use your eye drops regularly!

LASIK surgery is a high-tech procedure that improves your vision in about 20 minutes.  The laser application itself takes just seconds.   

drop information But LASIK is much more than just a quick LASER treatment to the eye. Pre-Operatively, there are multiple exams, measurements, interviews, and calculations.

The Post-Operative period is also important to a successful, stable outcome.   We consider the postoperative period to be ONE YEAR.  

During this year, Dr. Moran highly recommends that patients use a rigorous schedule of artificial tears.  Patients who follow this post-op protocol, do better, heal faster, and have less chance of their vision changing for the worse.

Using eye drops after surgery does a number of things:

  • Prevents Infection
  • Decreases Inflammation
  • Provides Added Moisture
  • Aids in Healing

Remembering to take your drops the first week is easy.

Seeing without glasses or contacts is an amazing change.  Patients are enthusiastic and stay on top of their drop schedule.  As more time passes, patients may not think about their new vision as much.  Although the newness of the better vision wears off,  the need for drops doesn’t!

Studies have shone that your eyes may need supplemental moisture for more than three months after the surgery.  Even though the eyes don’t feel dry, they need the added moisture to maintain quality tear film and to provide the best visual result.  

The Eye Drop Alarm smartphone app is a great way to help you keep up with your drop schedule: 

Eye Drop Alarm LogoA patient recently showed us an iPhone app he downloaded (iPhone only at this point, sorry Android users.) The app is free for download, well written, easy to use and comprehensive.  

The full description can be found at  http://www.eyedropalarm.com/  The app is free and requires no login or personal information. It has a full database of eye drops, even those used for other eye problems like glaucoma.

Eye Drop Alarm FeaturesThe features are useful and extensive. As seen in the illustration, this app also indicates if the drops need any special instructions, for example, the FML should be shaken before use.  Using multiple drops requires you to wait five minutes between each different drop so that the eye can absorb each medicine…the app automatically schedules each drop 5 minutes apart!

If you have an iPhone and have to take drops, we highly recommend EyeDropAlarm. You can download the app by scanning this QR code or through iTunes.

Is $299 LASIK a Real Deal?

I’ve been doing LASIK surgery since the turn of this century, so I keep up on LASIK news. I hadn’t seen deeply discounted LASIK at unbelievable prices in quite a while. But recently, I have started to get emails offering me LASIK at $299 per eye.

As a physician practicing in today’s environment, I have a responsibility to ensure my patients are getting a fair price.  When an EpiPen can cost $500, and drug prices can increase from $7.50 to $750 overnight, I must make sure that I consider price options when making recommendations for my patients.

In the past, knowing what it costs to operate a LASER and the cost of performing a safe and accurate LASIK procedure,  it was evident that there weren’t many LASIK surgeries being performed at the advertised price of $299.  It costs far more than $299 for the doctor to perform LASIK, not to mention the equipment costs for accurate testing and measurements.

I had been told by patients who had investigated the $299 LASIK offer, that the $299 LASIK wasn’t available for them. It seems as though $299 was just the starting price.  The cost escalated soon after the consult started. This was second-hand information so I never really got the specific facts until now…

Recently I got an email offer which finally included the “fine print.” I’m going to break it down.

Following is a breakdown of the disclaimer on their low-cost offer:

“Prices based on prescription: up to -1.00 $299,”

The first phrase in the disclaimer is the main reason why so few $299 LASIK procedures are done. A -1.00 prescription is probably about 20/40 vision. You would still be able to drive an automobile both during the day and night. (There are stronger restrictions for nighttime driving.)

The pricing detail continues:

“…-1.25 to -2.0: $1099;

…-2.25 and up as well as all hyperopic and/or greater than -0.50 diopter of astigmatism: $1799.”

Then the other shoe drops. If you have a half of diopter of astigmatism that raises the price to $1799, which is now approaching a reasonable price for a standard LASIK procedure.  Seventy percent of all prescriptions written in America have some astigmatism. Which means if there if there is a significant enough prescription that needs correction and one is given, three-quarters of the time it’s going to have astigmatism. The price has now hit the $1800 per eye mark.

“Individual results will vary.”

I got a chuckle from this portion of the disclaimer. Pretty obvious observation.

“Candidacy determined by an independent doctor located within or adjacent to the LASIK Vision Institute’s (LVI) facility. All procedures performed by an independent surgeon. Punctal plugs, assurance plans and other technologies available at additional cost. This offer may not be combined with other offers. Other conditions may apply.”

And then there’s the “additional cost” disclaimer. So even with the maximum quoted price of $1799 there are still add-on charges to consider.

The take-home message:  you’re not likely to get LASIK  (or do you need LASIK)  at $299. There may be small variations in price for LASIK surgery by area doctors, but the costs for procedure tend to be similar.

The smart consumer considering LASIK surgery should be looking for other factors in making their decision.  Choose your surgeon based on:

  • Level of Experience,
  • Successful Patient Outcomes,
  • Equipment and Technology Used,
  • Patient Satisfaction & Reviews, 
  • Overall Quality of Care.

caveat emptor.

Ask the Expert on WLEV 100.7

…or as we like to call it, “ASK DR. MORAN”!

Dr. Mark Moran will be featured on 100.7 WLEV’s Morning Show with Selena & Crockett each Thursday on 100.7 WLEV.

Dr. Moran was selected to be a part of “Ask the Experts,” a drive-time feature aired between 8-8:15 am weekdays.   Dr. Moran will provide medical expertise on the Thursday edition of this program.  He will answer questions about keeping your eyes healthy and getting the most from your vision.  The Morning Show’s Kevin Crockett will ask Dr. Moran questions sent in by morning show listeners.

Our expert will answer questions about: 

  • LASIK Surgery
  • Dry Eyes
  • Screen Time Solutions
  • Your Risk factors for Eye Diseases
  • Your Eyes as You Get Older – Cataracts

Patient education has always been a priority at Moran Eye Associates because Dr. Moran knows that an informed patient makes the best healthcare decisions.  We invite you to listen in every Thursday for great advice on eye care.

Have a question?

If you have a question for Dr. Moran, you can send a message to the Morning Show, or email us directly with your question.  Of course, we will reply to the emails sent to [email protected].  We will also pass along your inquiry to WLEV, where Crockett might read it on the air!

Mark your calendars, and be sure to listen in to Ask the Experts with Dr. Mark Moran Thursdays at 8 am!

 

Curious About Cataracts?

Most people over the age of 50 will develop cataracts at some time in their lives.

The good news is that cataract surgery is an outpatient procedure that takes just minutes to perform with a quick recovery time.

How would I know if I have a cataract?    A cataract develops gradually, so you may not notice a big change in your vision from one day to the next.  A cataract can easily be detected during a routine eye exam.  If you are starting to notice any of the following issues, you should make an appointment with Dr. Moran.

  1. Glare or Halos    
  2. Poor Night Vision  
  3. Cloudy or Blurry Vision                               –
  4. Colors Look Faded    
  5. Double Vision in One Eye

Many patients say that after cataract surgery they have the best vision of their lives.

During your cataract surgery, Dr. Moran will remove the cloudy lens of the eye, and replace it with a clear intraocular lens (IOL).  When we take your surgery measurements you will have some choices when it comes to the type of lens implant you will have.

You can choose:

  • A Mono-focal IOL will provide you with one point of focus (like regular eyeglasses)
  • A Toric IOL provides one point of focus and corrects your astigmatism.
  • A Multi-focal IOL (ReSTOR) allows for a full range of vision – near, intermediate and distance – greatly reducing your need for glasses.
  • A Multi-focal IOL (ReSTOR/TORIC) which allows for a full range of vision – near intermediate and distance  & corrects your astigmatism.

We will talk to you about your daily life and your visual needs before we schedule your surgery.   We will review your lens choice options so that you get the right lens for you.  Dr. Moran will use his expertise to help you get the best outcome.

If you have questions about cataracts, contact our office for an appointment. When you are ready for cataract surgery, we will make sure that you have all the information that you need to make the best decisions for you, 610-628-2022.