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Cataract


Cataract Surgery

A cataract is a clouding of the natural lens resulting in blurry vision, as well as symptoms of glare, halos, or double vision (“ghosting”). Cataracts are a normal change with age; some doctors liken getting cataracts to “getting grey hair”. No nutritional supplements or eye drops have been found to stop or slow cataracts. Some risk factors for developing cataracts earlier than other patients include a history of diabetes, trauma to the eye, inflammation in the eye, or frequent use of oral or topical steroids such as prednisone.


When considering cataract surgery, keep these questions in mind:

Cataract Surgery Procedure

Cataract surgery is almost never an emergency. Other than impaired vision, cataract patients will suffer no other symptoms. The time for surgery is when a cataract is causing blurry vision to the point that the patient is having difficulty performing the visual tasks they need or like to do. While surgery may seem daunting, cataract surgery at Nashua Eye Surgery Center is extremely advanced and can be a very easy experience for our patients.

Cataract surgery is performed at the Nashua Eye Surgery Center, conveniently located on the ground floor of the main Nashua Eye office. The surgery center is fully accredited and is a dedicated eye surgery facility. The highly skilled nursing staff and anesthetists work exclusively with eye patients and provide a calm and caring environment.

Cataract surgery has evolved enormously over the past 20 years. The cloudy cataract lens is removed from the eye and replaced with a clear implant. The implants, in particular, have undergone remarkable technological improvements. Implants at Nashua Eye Center in New Hampshire can now be tailored to a patient’s specific vision problems and goals.

Preparing For Your Cataract Surgery

Prior to surgery, you will have a pre-surgical evaluation where measurements will be taken of your eyes and you will arrange for a surgical date. 

The surgery center will call you 2-3 days prior to your surgical date with the specific time to arrive at the center. You will be instructed not to eat or drink anything after midnight prior to surgery.  In most cases, you will be advised to take your usual essential morning medications with a sip of water. Let your surgeon know if you take any medications for prostate problems, as some of these drugs can interfere with cataract surgery.

On the day of surgery, you will need a driver to bring you to and from the Nashua Eye Surgery Center. Please expect to be at the center for at least 2 hours to allow for plenty of time for paperwork, dilation drops, surgery and recovery. When you return home, arrange for help around the home because your doctor may limit certain activities during the post-operative healing phase. 

After cataract surgery, expect your vision to begin improving within a few days. Your vision may be blurry at first as your eye heals and adjusts. It’s normal to feel itching and mild discomfort for a couple of days after surgery. Avoid rubbing or pushing on your eye.

Cataract Premium Lens Options

The Panoptix, Symphony, and Crystalens are presbyopic implants that allow for clear distance vision, as well as a range of near vision without glasses. Another implant, called “toric”, corrects astigmatism, reducing dependency for glasses in patients who otherwise would need spectacles for distance vision. For more information about lens options, visit our implant options page!

Monofocal IOL

Monofocal lenses are often referred to as the standard lens because they can correct vision at a single distance. During cataract surgery, this lens is the only one that Medicare will usually cover.

Because it’s a basic intraocular lens, it does not correct astigmatism, and patients will need to wear glasses after cataract surgery. This is to ensure that they can see at other distances that the monofocal lens can’t correct.

There are no extra out-of-pocket expenses for patients that choose this lens, as Medicare covers this and cataract surgery.


Lens Brands

Acrysof IQ (Monofocal), Tecnis, Staar NanoFLEX IOL

Multifocal IOL

Multifocal lenses offer a continuous range of sight from distance to intermediate distances. Patients that choose multifocal lenses report fewer visual disturbances like halos.

Patients with a multifocal lens may need to use reading glasses when performing tasks like reading things with fine print. Multifocal IOLs are premium lenses, meaning you will have to pay out of pocket for them. These lenses have several regions with different powers. This allows people to see up-close, far away, and intermediate distances.

This lens can cause more glare and loss of contrast than monofocal or toric lenses. Multifocal lenses cannot correct astigmatism unless the lens comes in a toric model. Some patients may still need to wear glasses or contact lenses after cataract surgery for clear vision.


Lens Brands

Acrysof IQ Restor, Symfony, Symfony Toric, AcrySof™ IQ Vivity™ Extended Vision Intraocular Lens (IOL), AcrySof™ IQ Vivity™ Toric Extended Vision IOLs, AcrySof™ IQ Vivity™ Extended Vision UV Absorbing IOL, and AcrySof™ IQ Vivity™, Toric Extended Vision UV Absorbing IOLs

Toric IOL

Toric lenses share some similarities with monofocal lenses, but they are specifically designed to correct astigmatism. This allows patients with astigmatism to see well at a distance or far away.

They will then need to wear glasses to compensate for the distance that the lens didn’t correct for. Insurance, Medicare, and secondary insurances do not cover this lens, so there is an out-of-pocket expense. Many advanced lens implants will have a toric component. This enables an extended range of vision as well as astigmatism correction.


Lens Brands

Tecnis Toric, Staar C2 Aspheric Optic

If you have been considering cataract surgery but still have questions or concerns, our doctors at Nashua Eye Center in New Hampshire are here to help. Call Nashua Eye Center today to schedule your cataract consultation!

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All About Cataract Surgery in Nashua

Cataract surgery is the most commonly performed operation in the world. In the United States alone, in 2021, 4 million cataract surgeries were performed. Major improvements in technology and technique have allowed for vast improvements in results and safety over the last three decades. What is a Cataract? A cataract is a normal change in the…
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