Cataract Surgery 2024! Laser & Femto, Multifocal & Light Adjustable Explained!
ฝัง
- เผยแพร่เมื่อ 6 ม.ค. 2024
- 0:12 Anatomy Overview - It's important to know what part of the eye does what -
0:58 What are cataracts? - Find out why cataracts cause their classic symptoms
2:11 What happens during the cataract evaluation?
2:54 How is cataract surgery performed?
3:41 What are the risks and benefits of surgery?
4:11 Dry Eyes - you might notice eye pain or blurred vision
4:40 Droopy Eyelids
4:55 Glare -
5:09 Posterior Capsular Opacification (PCO) - sometimes called a "secondary cataract"
6:04 Recurrent Inflammation - when you have prolonged healing
6:39 Retained Lens Fragment - when a small piece of cataract is left behind
7:15 Floaters / Retinal Detachment - an eye emergency
7:50 Endophthalmitis - an eye infection which is an emergency
8:30 Accommodation (visual concept 1) - how your eye sees far away and near
9:40 Visual Zones (visual concept 2) - what is near, intermediate, and distance vision?
10:45 Astigmatism - (visual concept 3) - when your eyeball is shaped like a football!
11:14 Lens Options
11:26 Monofocal Lens - the standard lens, good at EITHER far or near - example: Eyehance Lens
12:20 Multifocal Lens - good at BOTH far and near - example: Panoptix, Synergy,
13:15 Extended Depth of Focus Lens - example: Symfony, Vivity
14:25 Toric Lenses - Used for Astigmatism
16:15 Light Adjustable Lenses - the only lens type we can adjust post-surgery
17:13 Femto Laser Cataract Surgery
18:00 Cataract Surgery Post Op Instructions
19:07 FAQ - Can I use my eyesight right away? When can I expect to see again? When can I go back to work? When should I call my surgeon?
20:35 Catchy Outro :D
👁️ Welcome to the Future of Vision! In this eye-opening video, we dive deep into the cutting-edge world of Cataract Surgery in 2024. 🚀 Discover the latest breakthroughs, explore potential risks, unravel the mysteries of laser technology, Femto innovations, and get insights into revolutionary Multifocal lenses and Light Adjustable options. 🌐 Whether you're considering the procedure or simply curious about the advancements in eye care, join us for a detailed exploration of the techniques shaping the future of crystal-clear vision! Don't miss out on the sight of tomorrow-hit play now! 👓✨ #CataractSurgery #Vision2024 #InnovationsInHealthcare - วิทยาศาสตร์และเทคโนโลยี
I have been watching a lot of cataract related videos and this one tops them all. I am a canadidate for cataract surgery and I wish I had access to this gentleman.
It was very well explained and extremely beneficial for cataract affected patients prior surgeries
Dr. Tran this is the best video explaining the entire process. Places that others missed was explaining Astigmatism such as possibly correcting it with laser surgery and that correction be included in all the other lens. This entire video covers the points in a logical order with all of the points explained in simplified concise ways. I wish you were practicing in the Orlando, Fl area. You would be my choice! Thanks!
Thank you. This really means a lot. Best of luck!
Thank you for this video. I have my consult on May 8th and had questions due to my astigmatism. Your video helped answer questions.
Glad it was helpful! Good luck on surgery!
Excellent video! Clear, creative and best quality I’ve seen.
Thank you. We are trying our best to be informative for not only our patients locally, but to anyone else on the internet curious about their eye and eye health.
The one thing that you did not discuss was drop less cataract surgery. I had the drop less eye surguery and it was amazing. I know that not everyone is a candidate for this method but maybe explaining the risks vs benefit of drop less cataract surgery. Also since I did not have astigmatism but had extreme far sighted I choose the traditional IOL over the multifocal lens. The primary reason was I did not mind having to wear eyeglasses and I do drive at night so for me this was a roaring success. I went from +6.00 in the right eye and +6.25 in the left eye and of course being 66 years old the reading part was +3.00. Now my vision test was 20/20 in the right eye at distance and 20/25 in the left eye at distance and so no correction in the right eye and a +0.25on the left eye and a +2.25 for the bifocal
Love to hear great outcomes!
I had the drops also.surgery were like a piece of cake.am happy I did my 2
Thank u. Very Well said!!
Wow I have watch a million of videos on TH-cam on my cataract surgery, thank you Dr. Tran your charming voice you put me at ease and explain the procedure without yelling thank you so much 🩷💯👏🏻👏🏻👏🏻👏🏻👏🏻
Thank you! Please share with others! It will help others reach my channel!
Dr Tran, my wife is about to have surgery in the next couple of weeks. I may soon follow, this is the most thorough presentation I’ve seen to date. Thank you!!
Thank you. Please share and like so others may find it as well! And best of luck to your wife! Cataract surgery is amazing!
Excellent video! Very thorough and exactly the details I needed.
Glad you enjoyed it!
Excellent content! So thorough Thk u
Thank you for watching! And for the kind words!
That was so great! Thanks.
Glad you enjoyed it!
So informative but explained easily, great video. Thanks Dr Tran
My pleasure!
Great video. You rock.
Thank you!!!!
Excellent video
Wish I would have seen it before
My❤ surgery
Thank you! I worked really hard on this
Thank you Dr! This was very informative, helpful information to understand what the difference of lenses and the procedures, what to expect after. Thank you!
Glad it was helpful! Share with your friends if they are about to have surgery!
Thank you doc very informative.
You are very welcome
Wow, so informative Dr. Tran!!
Thank you!
Very helpful video thanks. If prisms are in reading, computer length and distance glasses, presumably they can be worn in glasses still. Best Regards JB
Yes. Think about in this case just cataract surgery changing the Clarity, color of your vision. Not the alignment
I’m up for surgery next May on my right eye. Doctor recommended a toric lense due to my keratoconus. I can’t wait to see clear and have depth perception again.
Good luck!! Post updates
@@DrJeffreyTran
Thanks. I have been watching videos like this for a while as preparation for what it’s coming. God bless Dr’s like yourself, that take the time to explain in detail these procedures and make us less worried and more informed.
I have Keratoconus and of course astigmatism, greater in the right eye which I had a cornea transplant in 20 to 30 years ago. Right eye vision is almost useless at this point with high astigmatism . Now with cataracts having IOL. Advised to have monofocal toric placed in right eye week after next and an LAL+ in the left two weeks later. Have you experienced such a lens combination and is there a reasonable expectation of outcome? I have had CXL done in both eyes.
I don't get why almost every one of these videos seems to give short shrift to EODF lenses. The newer technologies have a greatly reduced the chances for halos, etc and they are quite capable of giving you functional near vision. I just had two implanted and I can't read my smart phone and Kindle from 12 inches without readers something which would've been impossible before. When I do use readers, I've gone from 1.75 or 2.0 to 1.25.. Nice thing is that there was no adaptation required at all. They just worked.
Dr. Tran Thank you for taking the time to respond to my concerns. Just one more question, if you clear the capsule with the Yag Laser, if there are any more issues, can a new lens be put in to correct??? or would LASIK be an option. My glare is really bad at night and the slight double vision on massive road signs is worrisome as I could see those clearly before.
Thanks for any advice you can offer.
You can get an IOL exchange after a YAG procedure. It's something that only some surgeons offer. I would avoid LASIK if possible after cataract surgery as this can add additional glare.
Thank u doc
Good luck on your cataract surgery!
Thank u I did it Tuesday the 9th of March.2024.and am doing good.no laser. It's were no problem.i thank God I. Did the 2 now.now is me to take care of my eyes.now.😊
I wish I had seen your video prior to my cataract surgery. Your video is very informative, thanks so much!
I had surgery on my left eye three months ago, unfortunately, I am having major eye issues.
I had the Johnson and Johnson Comfort lens with distance and intermediate vision.
Prior to surgery, I hardly ever used my glasses for reading or distance.
Now I can not read my phone, laptop and have issues with blurring, double vision and halos.
Extreme dry eye and the constant feeling that there is something in my eye. I am using drops at least 20 times per day and they really don't make a difference.
I have been told that I have PCO but fear having this done as I have had a lot of laser to spot weld my small retina tears and twelve years ago had Lasik.
They are blaming all my issues on having had the Lasik, I find that hard to believe as I hardly ever had my glasses on in the last 12 years.
Do you have any suggestions?
Thanks!
This is a complex case and without examining your eyes, I cannot say without uncertainty. Also, since this is a social media platform - please note this is not medical advice. I will speak vaguely about cataracts, lasik and posterior capsular opacification as a whole. LASIK makes cataract surgery more complicated because it does cause dry eyes and it affects our calculations. Also, I find patients tend to have more glare and dysphotopsias in general. After cataract surgery, regardless of lasik or not, you can get a posterior capsular opacification.
A PCO is a common issue after cataract surgery. This can be easily corrected with a YAG laser. Take a look at my other video. In general, a PCO is something I’m not to worried about as an eye surgeon and readily address in my clinic. It seems like I would work on dry eyes first and also addressing the PCO. Of course, always seek a second or even third opinion
I read an article that suggested that if I have my bad eye done with Cataracs that I should have the good eye done to even though it is 2020 vision, because I will need continuity of vision between both eyes and doing both eyes is strongly advised
I am surgically conservative, meaning I dont push surgery UNLESS it’s really needed. For my patietns, I usually do the bad eye first. Then at month 1, I ask them if they are happy with their vision in other eyes. If they are, I dont do surgery. But, in many cases, if the prescription difference is really strong - patients will still pursue surgery. For example, the surgical eye is about a -0.25, and the non-surgical eye is a -6.00. Both eyes may be 20/20, but together, they have that distortion.
How does one qualify in general for an eyelid lift? I always wondered about this. Thanks.
Good question! Usually, if it impedes your vision (its so low that it blocks your pupil) insurances will over it. Some patients elect for surgery sooner. Usually insurances classify this as cosmetic!
Recommendation for anxious woman age 82, dense cataracts, pupils do not dilate well, mild astigmatism but opting to not correct and use monofocal implant lens and glasses. Any significant benefit or lower risk using the laser? Or is phaco fine and has same risk and healing times? Seems to me the predicted outcome is the same if either approach is used.
I think both are equally valid options. From a technique standpoint, I prefer the laser. But both options will yield equally good results! You nailed it! Best of luck!
This video describes the non Lazer option to remove the lens. Correct? Is manual removal still used regularly?
Of course. I use a car analogy in another video of mine. Essentially, the Toyota Corolla is always a solid pick. Some people want more luxury so they get a BMW or an Escalade. There are pros and cons to all options. In this case, cost vs astigmatism correction
😢chào bác sĩ,tôi năm nay 66 tuổi và đả làm hẹn catarac surgery in 5/6/ 2024
Hiện tại mặt tôi đang bị allergies và tôi đang drop thuốc lastacaft one drop for everyday vậy xin bác sĩ cho tôi biết tôi Có nên mổ không,và mắt tôi đang bị đau và rát burning and sore,xin bác sĩ vui lòng cho tôi biết,please help me ❤
Dr. I’m a cop that works patrol and often at night. I have astigmatism. I had a vitrectomy last month. I guess I need to have cataract surgery. Which implanted lense do you recommend ? The cataract is only in one eye. Thanks in advance.
If you are concerned about night time glare, I would really consider a monofocal lens. A toric monofocal toric lens would benefit you if you have enough astigmatism.
Dr Tran, Could you talk about the ORA system? I heard that the ORA system helps with determining how strong your IOL would be. I’m planning to use the laser for my cataract surgery. My astigmatism on left eye is 1.54D @105. So, it’s going to be monofocal toric IOL, I believe. I have intermediate AMD. I plan to do the surgery during summer. Thank you!
I truthfully do not see much of a benefit for the ORA system. Our biometric devices are pretty accurate and ORA is a cost I personally would forego
@@DrJeffreyTran And for patients with high astigmatism + advanced cataracts that affect measurements, is there any advantage in using the ORA system ?
What is considered high astigmatism. I have oner eye at 1.25 and one at 1.75. Would this require a toric lens or could I get away with out?
I think the 1.75D would likely need a toric. There are equations and algorithms that we use to pick a lens. Its very math and science based
Light Adjustable Lens can be Adjustable back and forth or just in one direction?
They can go both ways! That’s why they are pretty cool!
Zones. Graphics said Distance is 10+ feet, Intermediate is 2 to 4 feet, and Near is
Typically, in between 4-10 feet range, you are kind of in your "almost" distance range. Our lenses are measured in units called diopters. A diopter is calculated as 1/meters. To oversimplify, once you are beyond that 5-6 foot range the difference between standing 6 feet away vs 7 feet away is minor. In contrast, the difference between standing 1 foot away versus 2 feet away is astronomical in optics.
Does the Dr choose the lens? Mine just ignored my discussion of different types of lenses.
Yes and no. Usually you and your doc decide what type of lens you want. Remember, only certain types of patients qualify for a multifocal or toric lens
Do you do surgery for a patient
👍👏👏🎖🙋♂️
Thank you! I hope it was a helpful video
What number is considered high astigmatism?
I usually use around 1.5 diopters as my cut off between deciding between a toric lens or letting a corneal incision correct the astigmatism. There are algorithms that help surgeons decide
😂🙏🙏🙏🙏❤👍👋👋👋👋THANKS
A MILLION , good DR.👍
I worked hard on it. Thank you for commenting
no bending or heavy exertion for how LONG?
Always ask your surgeon. I tell my patients 2 weeks. It depends on your surgeon’s technique. As most modern surgeon, I do sutureless (stitch free) surgery. The concern is that anytime you bend or exercise, you can increase the pressure inside the eye which would stress the incisions
What about when things go wrong no one talks about that?
I had left eye done 11/22 and right one 1/23. My daily migraines were unbearable and I was given so many different combinations of contact lenses. My distance vision is good and I can see my surroundings without glasses, but I am very off balance. I bump into objects and have bruises/cuts/bumps on a regular basis. When I'm seated, everything looks normal, but as soon as I walk, I have a see sickness feeling and am very unsteady and unbalanced. Before the surgery my eyes were balanced and I had no problems moving around. The colors are brighter now, but I still need to wear contacts and reading glasses and regret to have agreed to this surgery
Where are u located
Im in North Atlanta. But to be clear, there are amazing eye surgeons everywhere. I think the difference between good and great doctors is their level of communication!
At the day, 40 years over people also can get cataract?
Yes I'm 49 and I have an appointment Thursday
@@traceysmadhouse7184 Ok.Take care and get well soon.
Yes. Cataracts can affect everyone of all ages