So You've Got a Cataract - Health Talk at Crowell Public Library

Editor's Notes

1. San Marino Library Cataract Surgery Talk (Jan 8th, 2016)   Title of Talk: “So, You’ve Got a Cataract?” Subtitle: What you need to know about modern cataract surgery
2. Who am I and why am I giving this talk? David D. Richardson, MD Harvard Medical School Author of “So, You’ve Got a Cataract” Adjunct Assistant Professor of Clinical Ophthalmology,University of Southern California
3. Brief Introduction to the Eye Anatomical image of eye
4. Brief Introduction to the Eye Anatomical image of eye
5. How the eye works camera metaphor
6. What is a cataract?
7. What is a cataract?
8. Yellowing of Lens with Age (Source: The human crystalline lens at various ages from Sidney Lerman's "Radiant Energy and the Eye")
9. Symptoms of cataracts?
10. Blurred Vision
11. Cloudy/Hazy Vision
12. Double Vision
13. Glare, Sensitivity to light
14. Yellowing of Vision
15. When should I consider cataract surgery? When “activities of daily living” are limited by vision reading driving computer work hobbies
16. How is cataract surgery done? Animation of small incision ultrasound
17. Replacing the natural lens with a synthetic one. Common materials used: Acrylic Silicon Collamer(R)
18. Types of Intraocular Lenses (IOLs)
19. Types of Intraocular Lenses (IOLs) Monofocal Toric Multifocal Pseudo-accommadative
20. Monofocal IOLs Show image of typical three-piece IOL Benefits Covered by Medicare and most commercial insurances Limitations Will likely need spectacle correction for most (or even all) activities
21. Toric IOLs Show image of toric IOL(s) Benefits Provides excellent distance vision without the need for spectacles Limitations Will still need “cheaters” for near activities Not covered by Medicare and most commercial insurances
22. Multifocal IOLs Show image of multifocal IOL Benefits Provides range of daytime vision without the need for spectacles Limitations Halos around point sources of light (e.g., headlights, street lights Will likely need spectacles for night vision and certain near activities Not covered by Medicare and most commercial insurances
23. Pseudo-accommodating IOLs Show image of Crystalens and nanoFLEX(R) Benefits Provides range of daytime vision without the need for spectacles No halos expected
24. Pseudo-accommodating IOLs Limitations Will likely need spectacles for night vision and certain near activities Not covered by Medicare and most commercial insurances
25. Limitations of ALL intraocular lenses (IOLs) No currently available IOL can provide a full range of vision in all lighting conditions without the need for spectacle correction.
26. What does that mean? Even with “premium” IOLs you may need glasses for certain activities Reading in low light Reading at a particular distance Night driving
27. “Laser Cataract Surgery”
28. “Laser Cataract Surgery” Advertised as: “More precise” “Gentler” “Safer”
29. “Should I pay to have Femto Laser-Assisted Cataract Surgery?” You may not even have the option if you choose a monofocal IOL and don’t have astigmatism
30. “Should I pay to have Femto Laser-Assisted Cataract Surgery?” May be as much as $1,500 more per eye for FLACS
31. What is “laser cataract surgery”?
32. Femto Laser-Assisted Cataract Surgery (FLACS) images of laser units
33. What does the laser do? Create corneal incisions
34. Create an opening in the capsular bag Capsulorhexis
35. Correct astigmatism
36. What does the laser do? In short… Nothing that couldn’t already be done without the laser
37. But, what about it being “more precise”, “safer”, and “gentler” on the eye? Marketing terms with little evidence of fact
38. Indeed, FLACS may actually be less safe than cataract surgery performed without the use of a laser...
39. What do I recommend? First, find a skilled cataract surgeon
40. What do I recommend? First, find a skilled cataract surgeon Second, choose an IOL that meets your needs
41. What do I recommend? First, find a skilled cataract surgeon Second, choose an IOL that meets your needs Third, don’t fret about the tools used for cataract surgery
42. What do I recommend? First, find a skilled cataract surgeon Second, choose an IOL that meets your needs Third, don’t fret about the tools used for cataract surgery Fourth…
43. Enjoy the vibrant clarity of your new vision!
44. Enjoy the vibrant clarity of your new vision!
45. Enjoy the vibrant clarity of your new vision!
46. Thank you