According to the National Eye Institute (NEI), more than half of men and women in the U.S. are significantly affected by cataracts by age 80. Cataract surgery can be done to correct this, restoring clearer, crisper vision. This procedure removes the lens of your eye and, in most cases, replaces it with an artificial lens. With over 19 years of experience, Dr. Nemi Lotus Vision uses advanced surgical techniques to perform cataract surgery in Atlanta to help his patients see clearly again.
What Are Cataracts?
Cataracts are a cloudy condition of the natural lens of the eye that is often related to an aging eye structure. When the lens becomes cloudy, it reduces the light and sharpness of the image reaching the retina of the eye.
This clouding can become severe enough to cause symptoms including:
- Blurred vision
- Poor night vision
- Double vision
- Extreme sensitivity to light
- Seeing bright colors as faded or yellow
What Causes Cataracts?
The most common cause of cataracts is the natural aging process. The American Academy of Ophthalmology (AAO), reports that changes in the eye that can lead to cataracts begin to occur at approximately 40 years of age, when proteins that make up the lens of the eye along with water begin to break down. When the protein clumps together, it can cause clouding of the lens, known as a cataract. This issue is what our cataract surgery in Alpharetta addresses.
Other causes of cataracts may include:
- Diabetes and other medical problems
- The use of certain medications
- Previous eye injury or eye surgery
- Excessive sun exposure without UV protection for the eyes
Cataract Surgery Patient Reviews
I've been seeing Dr. Nemi for a few years. Today was pre-op for cataract surgery. Very informative, the staff managed my expectations and I anticipate a positive result.
Dr Nemi did my cataract surgery - I have never felt so safe with any doctor ever. He is excellent at what he does and as well as explaining in detail so I understand and feel comfortable. I have recommended him to everyone!
Dr. Nemi and his staff are excellent. His office is very efficiently run, and I have full confidence in them. Dr. Nemi did my cataract surgeries and I have been a patient of his since late 2016. I highly recommend Dr. Nemi.
Dr Nemi is one of the best eye care professionals/doctors I've ever encountered. Dr Nemi performed successful cataract surgery, and I couldn't be happier with the results.
Dr. Nemi performed cataract surgery on my mother and the results were fantastic!! He also explains in detail of the procedure and postoperative care. Highly recommend Dr. Nemi.
My experience at Lotus Vision was excellent as always. Doctor Nemi treats all patients with respect and was very helpful. The staff and office personnel are also nice and helpful. Easy 5 stars.
I was seen right away, and the entire staff were courteous, respectful, professional, and efficient throughout my visit. Highly recommended.
Cataract Surgery Options
Cataract surgery is done in one of two ways, both of which have their pros and cons and their ideal candidates. Your surgeon will discuss these options with you during a personal consultation and after extensive eye examinations to determine the best possible treatment option.
Phaco, also known as phacoemulsification or small incision cataract surgery, is the most common cataract surgery. In this procedure, a very small incision is made on the side of the eye’s clear dome-shaped cover called the cornea. Through this tiny incision, the surgeon inserts a probe that safely emits ultrasound waves that break down the cloudy lens so that it can be suctioned out and replaced by an artificial IOL (intraocular lens).
The alternative to phaco is a slightly more invasive procedure, called extracapsular surgery, where the incision made spans the side of the cornea, allowing the cloudy core of the afflicted lens to be removed in one piece and the remainder of the lens to be suctioned out.
Phacoemulsification and extracapsular surgery are usually followed by inserting an artificial replacement lens, called an IOL, or intraocular lens, which come in a wide range of types:
- Monofocal IOLs can help you focus on at a distance but may require reading glasses.
- Presbyopia-correcting IOLs can help you to focus on up-close objects
- Multifocal IOLs help you focus both near and far away, and can be personalized to you, possibly making eyeglasses unnecessary.
- Extended Depth of Focus IOLs can provide both excellent distant and medium vision, and improved up-close vision
How Safe is Cataract Removal Surgery?
Cataract removal is one of the most commonly performed surgeries in the U.S., and one of the safest and most effective. The National Eye Institute (NEI) reports that approximately 90 percent of people who have cataract surgery have greatly improved vision after the procedure.
Our Alpharetta cataract surgery is performed on one eye at a time. Anesthesia is administered topically to numb the eye before the procedure, which Dr. Nemi usually completes in less than ten minutes.
How Is Cataract Removal Performed?
Dr. Nemi at Lotus Vision serves Alpharetta and the Atlanta, Georgia area, performing cataract removal using state-of-the-art surgical techniques and the most advanced technology. In most cases, the procedure is completed in less than ten minutes and does not require a needle, stitches, or an eye patch.
Cataract removal in Alpharetta is performed on an outpatient basis under topical anesthesia and intravenous sedation. After you are sedated, and drops are applied to your eyes, Dr. Nemi will carefully remove the cloudy natural lens. Then he will insert an intraocular lens (IOL) as a long-term replacement.
The IOL provides focusing power as a substitute for the natural lens. IOLs are made of different materials and designed for different functions. Dr. Nemi will select the most appropriate IOL for your eyes. Various types are available, including astigmatism-correcting and multifocal IOLs.
What Are the Benefits of Cataract Removal?
People with cataracts often make gradual lifestyle changes to compensate for their loss of vision. In addition to improving your vision, our Atlanta cataract surgery may have other important benefits.
Better Quality of Life
Better vision allows you to do more. Cataracts can interfere with everyday tasks, such as driving and reading, and with other things you do for pleasure. When vision is severely affected by cataracts, it can make you feel less independent and less socially engaged.
Lower Risk of Falls and Fractures
Falls are a leading cause of injury and death among older people, and loss of vision is a major contributing factor. In a study published in the Journal of the American Medical Association (JAMA), researchers found that patients age 65 and older diagnosed with cataracts had significantly decreased risk of hip fracture at one year after cataract removal.
Improved Chances of Longer Life
In addition to improving quality of life, cataract removal may improve the odds of living longer for people with cataracts. In a recent study published by the National Institutes of Health (NIH), researchers found that cataract surgery is associated with significantly better long-term survival among older people. The study found a 40 percent reduction in mortality risk for people with cataracts who have surgery to remove them, as compared to those who do not.
WHAT IS THE BEST LENS TO GET FOR CATARACT SURGERY?
Monofocal IOLs have one focusing distance which will be set to focus on close work or reading, medium range sight, or distance vision. The most common choice is the distance vision setting. This is ideal for driving, walking and seeing people at a distance. Monofocal IOLs usually require eyeglasses for seeing things close up.
Toric IOLs lenses are designed to correct astigmatism (as well as short-sightedness or long-sightedness) and allow you to see well at a distance.
A multifocal IOL is designed to help a patient see both near and far early, but the way the lenses alter light in order to achieve this can be difficult for some patients to tolerate.
Which is the best lens for you? The best lens to choose for cataract surgery depends on your specific vision needs. If you’re comfortable wearing glasses after cataract surgery, a monofocal lens may be the right choice. If you wants greater freedom from eyeglasses at distance and near and can tolerate potential glare or halos around lights, the multifocal intraocular lens may be an option. This decision comes down to what you want in terms of improving your eyesight and lifestyle.
CAN EYESIGHT DETERIORATE AFTER CATARACT SURGERY?
Your eyesight won’t deteriorate after cataract surgery unless another vision problem arises, such as macular degeneration or glaucoma.
If you work with an outstanding surgeon who uses the most modern technology, the chances of vision issues arising because of your cataract surgery are very rare. The most common cause of blurriness in an eye after cataract surgery is posterior capsule opacification. This occurs when a layer of cells grows behind the lens implant. These cells block or scatter light and can cause visual blurring. When this happens, the treatment is a simple YAG laser capsulotomy procedure.
DOES CATARACT SURGERY RESTORE 20/20 VISION?
While many people will obtain 20/20 best-corrected vision from their IOL, 30-50% of people who choose a monofocal IOL will still require corrective lenses after surgery. It’s likely you’ll be able to see much better after cataract surgery, but you may still need to wear glasses or contacts, especially for reading, close work and driving. Some patients prefer to achieve this with LASIK.
HOW LONG DO CATARACT LENSES LAST?
IOLs never break down or have to be replaced. However, it’s important to follow aftercare instructions from your doctor to ensure your eyes heal well and properly. Your cataract lens should last a lifetime, and the vast majority of patients don’t experience complications after cataract surgery.
HOW PAINFUL IS CATARACT SURGERY?
During your cataract surgery, eye drops are used to numb the eye. You will be awake during your cataract surgery, and you won’t feel pain. A mild intravenous sedative may be administered before the surgery if you prefer this. The surgery takes less than ten minutes. The recovery is relatively painless, with few or no side effects. After your surgery, it's normal to feel itching and mild discomfort for a couple of days. It’s important to avoid rubbing or pushing on your eye, and to follow the aftercare directions from your doctor.
Cataract Surgery FAQs
How long will the procedure take?
The surgery itself may take from 20 - 30 minutes. For this procedure, patients are usually in the office for 2 - 2 ½ hours.
Is it painful?
Cataract surgery is pain-free. Numbing drops are used before the procedure and you won’t feel any pain.
How can one avoid getting cataracts?
Cataracts are considered a natural result of aging, however, some things can be done to possibly prevent them including: not smoking or drinking alcohol, maintaining a healthy diet, wearing sunglasses, and addressing any health problems.
How much does cataract surgery cost?
Cataract surgery is often covered by one’s vision insurance and tends to cost approximately $3,500 - $5,000 per eye depending on the conditions a patient presents with and what surgical techniques are required.