Dr. Bob Harbin was the first ophthalmic surgeon to bring “modern” cataract surgery to our area over 20 years ago. Today, both Dr. Harbin and Dr. Harton perform state-of-the-art small incision no-stitch cataract surgery. This surgery is not only available in Rome, but also in some of our satellite locations. (See locations) In addition to performing surgery in Rome, Dr Harbin also operates at DeKalb Medical Center in Ft. Payne, Alabama. Dr. Harton also performs cataract surgery in Rome, GA, as well as at Higgins General Hospital in Bremen, GA, Cherokee Baptist Hospital in Centre, AL, and at Buckhead Ambulatory Surgery Center in Atlanta.
With
few exceptions, most of us are born with a clear lens in each eye.
This
lens functions to focus light onto the retina —the layer of
light-sensing
cells lining the back of the eye. When this focusing occurs properly
in a healthy eye, sharp vision is the result.
A cataract is a clouding of this naturally clear lens. When the
lens
becomes cloudy, light rays can no longer pass through the lens
easily,
and vision is blurred.
Cataract development is a normal process of aging, but cataracts
also
develop from eye injuries, certain diseases, or medications. Your
genes
may also play a role in cataract development.
A cataract may not need to be treated. In fact, almost everyone will develop cataracts if they live long enough. Simply having a cataract is not a reason for surgery if your vision is only slightly blurry. In some cases, changing your eyeglass prescription may help to improve your vision for a while.
However, when cataracts interfere with your vision so that you are no longer able to see well enough to do the things you like to do, cataract surgery should be considered. There are no medications, eye drops, exercises, or glasses that will cause cataracts to disappear or to prevent them from forming. Surgery is the only way to improve blurry vision that is due to a cataract.
Our doctors can determine if cataract surgery is likely to be helpful for a patient by performing a thorough eye examination in our office.
Symptoms of cataracts are variable but can include any of the following:
· Sensitivity to light and glare, especially while driving at night
· Blurred vision
· Distorted images in either eye
· Changes in the way you see colors, or colors seem faded
· Cloudy, filmy or fuzzy vision
· Double vision
· Frequent changes in your eyeglass prescription
· Changes in the color of the pupil
· Poor night vision
· Increased nearsightedness or farsightedness
 |
| Instrument removing Cataractous lens from the eye. |
Surgery is performed on an outpatient basis, either in one of our hospitals or at our ambulatory surgery center. Typically, only mild sedation is needed and topical anesthetic eye drops are used to numb the eye.
Using an operating microscope, a small incision, usually around 3 millimeters long, is made in the eye. Precise surgical instruments are used to break apart and remove the cloudy lens from the eye.
 |
| Clear IOL injection into eye after lens is removed. |
In most cases, the natural lens is then replaced with a permanent intraocular lens (IOL) implant. This IOL is clear and is intended to stay in the eye forever.
2 types of standard intraocular lenses
The incision typically does not require stitches. This small incision, no-stitch technique, has drastically reduced the recovery time for modern cataract surgery. Most patients have very few limitations after their surgery and can return to normal activity within days.
Cataract surgery has improved vision for thousands of our patients. Many of these patients can now perform daily tasks with minimal use or even without the use of glasses or contacts. This is possible because prior to cataract surgery the eye is measured to determine the proper power of the IOL to be placed during surgery. While not the case for everyone, cataract surgery is becoming an increasingly important tool for our doctors to reduce the dependence on corrective eyewear.
Contrary to popular belief, today’s state-of-the-art cataract
surgery is not done with a laser. The surgery is typically
accomplished
by a process called phacoemulsification that employs advanced
ultrasound
technology. In addition, a new technology called Aqualase can be
used to remove some forms of cataract. This technique actually uses
small water pulses to remove the cataract. Call or visit to find out
more about this exciting advance in cataract surgery technique.
However, lasers are used to “clean” the IOL if it becomes
necessary. The lens capsule (the part of the eye that holds the IOL
in place) sometimes becomes cloudy several months or years after the
original cataract operation. If this cloudy capsule begins to cause
blurry vision, your doctor can perform a procedure, called a
posterior
capsulotomy in our office. During this procedure, a YAG laser is
used
to make an opening in the cloudy lens capsule, restoring normal
vision.
No sedation is required for a posterior capsulotomy. The procedure literally takes a few minutes and requires no stitches or restrictions afterwards. Most patients recover their normal vision within hours of this procedure.
The success rate of cataract surgery is excellent. Improved vision is achieved in the vast majority of patients if other vision-limiting problems are not present.
There are, however, cases in which even successful cataract surgery does not improve vision as much as we would like. This is usually due to other eye problems such as macular degeneration, glaucoma, or diabetic retinopathy. Even with these problems, cataract surgery may still be worthwhile.
Your doctor will counsel you on your chances of improving vision with cataract surgery and what, if any vision limiting factors might be present on your exam.
There are risks with any surgery including cataract surgery. Fortunately, serious complications are rare. If cataract surgery is recommended, your doctor will discuss potential risks, benefits and alternatives with you during your visit.
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