Cataract Surgery

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RxSight™ Light Adjustable Lens Now Available!

Cataract Surgery

The idea behind modern cataract surgery is quite simple: the surgeon removes the clouded natural lens and implants a new, clear lens in its place. Drs. Del Negro, Senft, and Glatman perform cataract surgery on an outpatient basis at Seashore Surgical Institute* and Hackensack Meridian Health Jersey Shore University Medical Center, both state-of-the-art surgical facilities. No hospital stay is required.

Currently there are two methods of performing cataract surgery: LASER and TRADITIONAL. Drs. Del Negro, Senft, and Glatman offer both to their patients. The first step is to evaluate the health of their patient’s eye and the extent of cataract progression. Specialized testing is performed. Ultimately, the impact that the decreasing vision is having on the patient’s life will determine the most appropriate procedure and type of IOL (Intraocular Lens) the doctor will recommend.

Laser Cataract Surgery

No matter what you value most in life – working, reading, golfing, watching your children or grandchildren, or just taking in the scenery – the level of enjoyment you get out of those activities is very dependent upon your sight. If your vision is clouded by cataracts, you may be limited in enjoying the things that are most important to you. Cataract surgery can significantly improve your quality of life.

That’s why we are excited to be the first eye surgeons in the area to offer Laser Cataract Surgery to provide our patients the opportunity to achieve their best possible vision.

CONTINUE READING ABOUT LASER CATARACT SURGERY

WHAT IS THE LENSX® LASER?

The LenSx® laser is a femtosecond laser that gives Drs. Del Negro, Senft, and Glatman computer-controlled precision, allowing more accurate performance of some of the key steps of cataract surgery.

Using a variety of highly advanced technologies, the LenSx captures precise, high resolution images of your eye. To further enhance accuracy, a patient interface connects your eye to the image-guided unit so that the LenSx laser computer and the surgeon commanding it have precise, real time images of your eye at all times during the procedure. These images allow the surgeon to accurately guide the laser in performing cataract surgery with a level of precision not previously possible.

TOPICAL, NO-STITCH CATRACT SURGERY
(Traditional Cataract Surgery)

This means:

  • No stitches
  • No needles
  • No eye patch
  • No hospital stay

On the day of surgery, you may be given medication to help you relax, and the surgeon will numb the eye with eye drops. No injection is necessary and you will remain quite comfortable during the surgery. To prevent infection, the skin surrounding your eye will be cleaned, and strict precautions are observed to maintain a sterile environment.

The surgeon will use a microscope throughout the procedure. Only a very small (1/8 inch) incision is necessary because the surgeon will be using ultrasound energy to break up the lens and make it easy to remove. The surgeon then implants a clear lens in its place, and the incision seals itself closed naturally. No stitches are needed, and there are only a few restrictions on daily activities as healing takes place after surgery. No eye patch is necessary. Traditional cataract surgery is when this procedure is done without the use of the femtosecond laser.

Intraocular Lens Options

Do I have a choice of IOL (Intraocular Lens)?

During cataract surgery, the surgeon implants an intraocular lens to replace the natural lens removed due to the cataract. A monofocal lens is the traditional type of lens replacement. This is an excellent lens but is not designed to correct astigmatism or presbyopia therefore it cannot provide the patient with both distant and near vision and patients with astigmatism would likely need glasses for both distance and near to achieve their best vision. There are other options.

CONTINUE READING ABOUT INTRAOCULAR LENSES

Is there an alternative to the standard replacement lens?

For many people, the answer is YES. Revolutionary technology makes it possible to take vision correction to a new level by restoring youthful ability to focus on objects at varying distances. If it is important for you to be less dependent on reading glasses or bifocals, you may want to consider an advanced technology replacement lens implant. These lenses are designed to provide sharper vision with less reliance on glasses or contacts.

Which replacement lens is right for me?

This question can be answered only after careful consideration of the health of your eyes, your individual lifestyle, and the demands of your occupation and hobbies. For cataract patients, the choice is between a standard lens plus glasses or an advanced technology replacement lens implant that may help them recapture a full range of quality vision with less dependence on corrective lenses.

Before advising you, your eye surgeon will want to know more about:

  • The kind of work you do
  • How many hours a day you read and what types of reading you do
  • How many hours a day you spend using a computer
  • The types of outdoor activities you enjoy
  • Your hobbies, and whether you do close work like sewing or knitting
  • How much driving you do at night
  • Whether you like to travel
  • How bothered you are by wearing glasses

Ultimately, the decision is yours. Ask yourself, “What would my life be like if I was less dependent on glasses?” If you opt for an advanced technology replacement lens implant, your surgeon will select the technology that best meets the visual demands you face.

*Drs. Del Negro & Senft have an ownership interest in Seashore Surgical Institute.

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Our goal is to contact you by phone within 24 hours of submission. If you find yourself in an EMERGENCY situation, please CALL 732-774-5566 instead.

Laser Cataract Surgery (continued)

 

Customized to Your Eyes

All human eyes may share the same basic anatomic structure, but every eye is unique in terms of size, depth and curvature of the cornea, size of the lens, and length of the eye. These parameters are carefully measured and mapped prior to surgery. The LenSx® laser uses optical coherence tomography to capture the precise, high resolution images of your eye. This, along with the information obtained prior to surgery, allows Drs. Del Negro, Senft, and Glatman to plan and perform surgery specific to each eye.

With standard cataract surgery, the incision is made with a blade and access to the cataract is obtained using a needle. Not only does the LenSx laser create extremely precise cataract incisions and break up the cloudy lens for easier removal, it also provides the surgeons with the ability to correct/improve astigmatism with more accuracy and precision than ever before.

Drs. Del Negro, Senft, and Glatman’s expert micro-surgical technique, along with LenSx’s gentle, accurate, and precise features strengthen their reputation for providing premier cataract surgery in Ocean and Monmouth Counties.
 

The Advantages Are Clear

The femtosecond laser makes more precise incisions when compared to the traditional method.

The LenSx laser technology gives Drs. Del Negro, Senft, and Glatman the ability to reduce astigmatism with greater accuracy. This allows for better performance of the advanced technology lenses and, ultimately, provides the best possible visual outcome.

Laser precision creates a uniform, circular opening in the capsular bag that is perfectly centered; this is critical for effective lens position to ensure your best visual outcome.

 

Advanced Technology Lens Options

 

If I'm a candidate, what lens options will my surgeon recommend?

 

Introducing the RxSight® Light Adjustable Lens

Treats: Presbyopia, astigmatism, excellent visibility in all lighting conditions.

RxSight® Light Adjustable Lens

The RxSight® Light Adjustable Lens is the first and only intraocular lens (IOL) that can be customized after cataract surgery. The Light Adjustable Lens is made of a special photosensitive material that can be adjusted in response to ultraviolet (UV) light. This optimization is completed by Dr. Del Negro in the weeks following lens implantation through a series of non-invasive light treatments that take only a few minutes each.

You will have the unique ability to adjust and preview your vision until it meets your personal desires and lifestyle requirements. The Light Adjustable Lens delivers superior vision outcomes that non-adjustable IOLs cannot match.

You may need 3 to 5 total light treatments over a period of 4 to 5 weeks to reach your vision goals.

UV-Blocking Glasses

During the period immediately following surgery until 24 hours after your last light treatment is completed you will be required to wear special UV-blocking glasses during all waking hours. Wearing ONLY the glasses we supply will prevent exposure to both INDOOR and OUTDOOR sources of UV light that can cause uncontrolled changes to the Light Adjustable Lens.

Detailed instructions will be provided.

Presbyopia Correction at the time of Cataract Surgery

If you are interested in pursuing functional vision for normal, everyday activities a presbyopia correcting IOL may be the right choice for you such as Alcon’s AcrySof® IQ PanOptix®, or Johnson & Johnson’s TECNIS®. A presbyopia correcting intraocular lens (IOL) allows for correction of vision at near, intermediate, and distance and provides a full range of high-quality vision at functional distances. It supplies uninterrupted vision and less dependence on glasses when driving, using your computer, or using your mobile device.

Two Options:

#1

  • Corrects for presbyopia
  • Excellent visibility in all lighting conditions

 
#2

  • Corrects for presbyopia AND astigmatism
  • Excellent visibility in all lighting conditions

 

CLEAR, COMPLETE VISION


UP CLOSE

Crafting, reading a book or magazine


ARM’S LENGTH

Read a menu, see yourself in the mirror


FAR AWAY

Recognize a familiar face, drive, watch TV, see a show

Your surgeon will carefully evaluate the visual demands of your individual lifestyle before recommending a particular lens. If you have astigmatism, your surgeon may recommend a Toric or presbyopic-correcting lens designed to correct that condition. There are circumstances where another lens option may be more beneficial for a particular patient. All options would be discussed during your exam.

Astigmatism Correction at the time of cataract surgery?

A person who has both a cataract and corneal astigmatism will not regain quality distance vision after cataract surgery unless the astigmatism is also corrected. Alcon’s AcrySof® IQ TORIC or Johnson & Johnson Vision’s TORIC Tecnis® II lens makes it possible to correct astigmatism and cataracts at the same time and provides quality distance vision. Its unique design makes it possible to reduce, or eliminate, corneal astigmatism and significantly improve uncorrected distance vision.

Who should consider having an advanced technology replacement lens implanted?

Candidates for these advanced-technology lenses include patients age 45 or older who desire a full range of vision in each eye with less dependence on reading glasses, bifocals, or progressive lenses as well as individuals with cataracts that impair vision. Patients with health problems, such as diabetes or a chronic infection, should wait until those conditions are under control before scheduling the procedure.

Drs. Del Negro, Senft, or Glatman will perform a careful examination before making any recommendation.