The Medical Eye Center Difference.
At Medical Eye Center, our top priority is providing exceptional eye care to every patient who comes through our doors. As one of our specialties, cataract surgery is something we are passionate about; we know the impact of this life-changing procedure. Cataracts are the second leading cause of visual impairment worldwide, and cataract surgery is the most commonly performed surgery in the United States (Source).
Choosing Medical Eye Center provides you access to proficient and compassionate eye care services. Our facility boasts highly skilled and experienced professionals who are equipped to meet all your vision needs.
Unmatched Quality
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Exceptional Experience
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Personalized Care
Trusted Resources
Our compassionate and expertly trained surgeons have performed over 17,000 cataract procedures, placing them among the most experienced cataract providers in the nation. The breadth of experience has created providers who believe in holistic care and the overall outcomes for their patients. In addition, they are well-versed in curating personalized and personable care plans and following through after each surgery.
Click on the doctor images to view relevant resources.
Matt Oliva, MDChristine Petersen, MDHelen Koenigsman, MDPoorav Patel, MDJohn Welling, MDKatherine Joltikov, MDMatt Oliva, MDMatt Oliva, MD
CORNEA, CATARACT, & REFRACTIVE SURGERY SPECIALIST
Why Medical Eye Center?
What do you love most about working at Medical Eye Center?
Working as a collaborative team is imperative at the Medical Eye Center and shapes the experience our patients receive. The dedicated providers and employees help to elevate the experience of any patients that come through the door. We love what we do, and love being able to help you on your complete vision experience.
What makes Medical Eye Center Different?
The quality of care that Medical Eye Center provides is exceptional, allowing for the most state of the art care amongst our Southern Oregon and Northern California region. Our staff is equipped to provide care for everything from routine generalized visits to more advanced highly specialized cases.
What makes eye care special to you?
Dr. Oliva never gets tired of being able to make a lasting impact on his patients quality of life. Whether that is at home in the Rogue Valley of Southern Oregon, or abroad while performing surgery with his non-profit Cure Blindness Project.
What are Cataracts?
Why is Medical Eye Center a great place to get Cataract Surgery?
Our facility provides a great place for our entire care team to be truly invested in the patient care and experience. Operating in the region for over 100 years, Medical Eye Center is one of the longest standing institutions in Southern Oregon and all of our staff takes pride in the service you would expect from our rich history.
What is a cataract?
A cataract is a clouding of the eye’s lens. Cataracts can occur gradually, though the side effects can be temporarily helped by things like eyeglasses or lighting. The condition generally affects both eyes but can occur at different rates in each eye. Cataracts can develop due to multiple factors, including age, injury, diabetes, genetic conditions, or previous eye surgeries.
Over time, cataracts cause severe problems such as clouded or blurry vision, difficulty seeing at night or in dim light, seeing halos around objects, and faded colors or yellowed hues.
Who is most susceptible to cataracts?
It’s important to note that cataracts can affect anyone, but the primary risk factor for cataracts is age. Other factors that may increase the risk of developing cataracts include exposure to UV rays, smoking, alcohol consumption, obesity, high blood pressure, and certain medical conditions such as diabetes.
Individuals with a family history of cataracts or previous eye injuries or surgeries may also be more likely to develop cataracts. Additionally, certain medications such as corticosteroids and those used to treat mental health conditions may also increase the risk of cataracts.
What are some symptoms and signs of cataracts?
As cataracts develop, they can cause a range of symptoms that can significantly impact your vision and quality of life, making daily activities challenging. Here are some of the common signs and symptoms of cataracts:
- Blurred vision: Vision may be described as “cloudy”, making visibility hard during everyday activities.
- Sensitivity to light: Individuals who have cataracts may experience increased sensitivity, making it uncomfortable to be in bright environments.
- Reduced night vision: Cataracts can cause difficulty seeing in low light conditions, which can make driving or navigating at night more stressful.
- Seeing halos: Cataracts can cause scattered light within the eye and create a halo effect around items.
- Faded colors: As cataracts progress, colors may appear less vibrant or may have a yellowish hue.
- Double vision: In some cases, cataracts can cause double vision in one or both eyes.
What to expect before surgery
What is Cataract Surgery and what does that process look like?
During the surgery, the area will be numbed, and you will also be given medication to help you relax. Although you will be awake and conscious during the procedure (under the supervision of a Certified Registered Nurse Anesthetist), the surgery itself typically takes around 15-20 minutes and is painless.
First, the cataract surgeon will create small incisions around the lens and use ultrasound waves to break it up and remove it. After removing the cataract, a new Intraocular Lens (IOL) will be inserted. Patients can go home on the same day as the surgery and should begin to see improvement in their vision in as little as two to four weeks.
What to expect during surgery
What to expect during Cataract surgery?
On the day of your cataract surgery, you can expect to arrive at the surgical center several hours before your scheduled procedure time. This allows for time to complete any necessary paperwork and prepare you for surgery. Once it’s time for your surgery, you will be given medication to help you relax and a local anesthetic to numb the eye area. Although you will be awake during the procedure, you should not feel any pain.
During the surgery, your surgeon will make a small incision in your eye and use ultrasound waves to break up the cloudy lens. Then, they will remove the pieces and replace the lens with a new, clear intraocular lens. After your surgery, you will be taken to a recovery area to rest and have your eye monitored. Although you will be able to go home the same day, it’s important to have someone else drive you home.
What to expect after surgery
What to expect after Cataract surgery?
What is the recovery like for Cataract surgery?
In the days following the surgery, you may experience some mild discomfort, such as itching, swelling, or redness. Your eye may also be sensitive to light, and you may be instructed to wear an eye patch or protective shield to prevent accidental rubbing or bumping of the eye. It’s important to avoid any strenuous activity or heavy lifting during the first few weeks after surgery to allow your eye time to heal. Most people can return to their normal activities within a few days to a week after surgery, and you may be able to resume driving and work activities as soon as the day after surgery. However, following your eye doctor’s instructions for postoperative care ensures the best possible recovery and outcomes.
How long does the recovery take?
The recovery time for cataract surgery can vary from person to person, but most people are able to resume normal activities within a few days to a week after surgery. However, in the first few days following the surgery, you may experience some mild discomfort or sensitivity in the affected eye.
What happens after surgery?
After cataract surgery, your eye doctor will provide specific aftercare instructions. These instructions may include the following:
- Using eye drops: Your doctor will prescribe eye drops to help prevent infection, reduce inflammation, and control eye pressure.
- Wearing an eye shield or glasses: Your doctor may recommend wearing an eye shield or glasses to protect your eye from any accidental bumps/jarring.
- Keeping the eye clean: Your doctor may recommend using a sterile saline solution or other cleaning solution to help keep your eye clean.
- Avoiding certain activities: You should avoid swimming or getting water in your eye for at least a week after surgery and avoid rubbing your eye or touching it with your hands. It’s also important to avoid dusty or dirty environments that could increase the risk of infection.
- Your provider at Medical Eye Center will provide follow-up care to ensure your success during recovery, and our staff will make sure you feel supported.
Do cataracts ever reappear after surgery?
After undergoing cataract surgery, you may wonder if the cataract will reoccur. It’s essential and comforting to understand that once it’s been removed surgically, a cataract cannot return. The cloudy lens is removed during cataract surgery and replaced with an artificial lens implant. This implant is designed to be a permanent replacement for the natural lens.
However, some individuals may experience a clouding of the capsule that surrounds the implant, which can cause vision to become cloudy again. This condition is called posterior capsule opacification (PCO) and can be easily treated with a quick laser procedure that removes the cloudy capsule. Although it’s important to note that cataracts themselves do not reoccur after surgery, individuals who have had cataract surgery may still develop other eye conditions that can affect their vision. Regular eye exams and good eye health practices can help to prevent or manage these conditions and preserve vision over time.
Will I need glasses after Cataract Surgery?
It depends on a few factors, such as the type of intraocular lens (IOL) you receive during your cataract surgery and your individual eye health needs. In some cases, the IOL can be selected to correct vision issues like nearsightedness, farsightedness, or astigmatism. This exciting fact means that you may be able to reduce your dependence on glasses or contact lenses after surgery. However, it’s important to note that you may still need glasses for certain activities, such as reading small print or driving at night. Your eye doctor will be able to provide you with more information about what to expect after your cataract surgery and whether you will still need to wear glasses or contact lenses. They will also work closely with you to determine the best options for your individual vision needs.
What is an Intraocular Lens?
What should I consider with the Intraocular lens options?
What is an IOL?
An intraocular lens (IOL) is a small, artificial lens that is surgically implanted inside the eye to replace the eye’s natural lens. IOLs are commonly used to treat cataracts, a condition where the eye’s natural lens becomes cloudy and affects vision. During cataract surgery, the cloudy lens is removed and replaced with an IOL. The IOL helps to restore clear vision by focusing light onto the retina at the back of the eye. IOLs can also be used to correct certain refractive errors, such as nearsightedness or farsightedness.
What makes one lens better than another?
There are several factors that can determine the quality and suitability of an intraocular lens (IOL) for cataract surgery:
- Lens design: IOLs come in different designs, including multi-focal, extended depth of focus (EDOF), Toric, and mono-focal or single-distance focus.
- Each design has its advantages and disadvantages, and the lens choice will depend on the patient’s individual needs and preferences.
- Material: IOLs can be made from different materials, including silicone, acrylic, and polymethylmethacrylate (PMMA). Each material has unique properties, such as flexibility and durability. The choice of material will depend on the patient’s individual factors, such as their age and the health of their eyes.
- Optical quality: The optical quality of an IOL is important for achieving clear vision after surgery. Factors that affect the optical quality include the lens surface quality, the optical design, and the refractive index of the lens material.
- Surgeon skill and experience: The skill and experience of the surgeon performing the cataract surgery is also a critical factor in determining the success of the procedure and the quality of vision after surgery.
How long do the intraocular lenses last?
The lifespan of an intraocular lens (IOL) can vary depending on several factors, including the type of IOL, the patient’s age, and any underlying medical conditions that may affect the eye. In general, IOLs are designed to be a permanent replacement for the eye’s natural lens and can last a lifetime. However, some IOLs may require replacement if they become damaged or if the patient’s vision changes over time.
The most commonly used IOLs are made of durable materials such as silicone or acrylic, which are designed to withstand the rigors of daily life. However, the long-term performance of the IOL can also depend on the patient’s eye health and any other conditions that may affect the eye, such as diabetes or glaucoma.
If you have an IOL and are experiencing changes in your vision, it is important to see your eye doctor for an evaluation to determine if any adjustments or replacements are needed.
Christine Petersen, MDChristine Petersen, MD
CATARACT & GLAUCOMA SPECIALIST
Why Medical Eye Center?
What do you love most about working at Medical Eye Center?
Medical Eye Center is made up of a culture that is centrally focused around giving the best care possible to anyone that walks through our doors. With a large team made up of professionals we strive to make sure everyone feel welcome and taken care of.
What makes Medical Eye Center different?
At Medical Eye Center, our top priority is providing exceptional eye care to every patient who comes through our doors. As one of our specialties, cataract surgery is something we are passionate about; we know the impact of this life-changing procedure. Cataracts are the second leading cause of visual impairment worldwide, and cataract surgery is the most commonly performed surgery in the United States.
What inspired you to get started in Opthalmology?
Dr. Petersen was first inspired by her mother working as a nurse when she was young. From then on the knew she wanted to work in the medical field but was largely drawn to a practice that would incorporate surgery and give the largest beneficial impact to her patients in just a short period of time.
What are Cataracts?
What is a cataract?
A cataract is a clouding of the eye’s lens. Cataracts can occur gradually, though the side effects can be temporarily helped by things like eyeglasses or lighting. The condition generally affects both eyes but can occur at different rates in each eye. Cataracts can develop due to multiple factors, including age, injury, diabetes, genetic conditions, or previous eye surgeries.
Over time, cataracts cause severe problems such as clouded or blurry vision, difficulty seeing at night or in dim light, seeing halos around objects, and faded colors or yellowed hues.
What are some symptoms and signs of cataracts?
As cataracts develop, they can cause a range of symptoms that can significantly impact your vision and quality of life, making daily activities challenging. Here are some of the common signs and symptoms of cataracts:
- Blurred vision: Vision may be described as “cloudy”, making visibility hard during everyday activities.
- Sensitivity to light: Individuals who have cataracts may experience increased sensitivity, making it uncomfortable to be in bright environments.
- Reduced night vision: Cataracts can cause difficulty seeing in low light conditions, which can make driving or navigating at night more stressful.
- Seeing halos: Cataracts can cause scattered light within the eye and create a halo effect around items.
- Faded colors: As cataracts progress, colors may appear less vibrant or may have a yellowish hue.
- Double vision: In some cases, cataracts can cause double vision in one or both eyes.
Why is Medical Eye Center a great place to get Cataract Surgery?
Our facility provides a great place for our entire care team to be truly invested in the patient care and experience. Operating in the region for over 100 years, Medical Eye Center is one of the longest standing institutions in Southern Oregon and all of our staff takes pride in the service you would expect from our rich history.
What technology does Medical Eye Center use to perform Cataract Surgery?
Using the most up to date technology starts at the beginning of an exam and includes the equipment for pre-operative assessments and carries throughout the patients journey while exploring an array of different intraocular lens options.
Who is most susceptible to cataracts?
It’s important to note that cataracts can affect anyone, but the primary risk factor for cataracts is age. Other factors that may increase the risk of developing cataracts include exposure to UV rays, smoking, alcohol consumption, obesity, high blood pressure, and certain medical conditions such as diabetes. Individuals with a family history of cataracts or previous eye injuries or surgeries may also be more likely to develop cataracts. Additionally, certain medications such as corticosteroids and those used to treat mental health conditions may also increase the risk of cataracts.
What to expect before surgery
What is Cataract Surgery and what does that process look like?
During the surgery, the area will be numbed, and you will also be given medication to help you relax. Although you will be awake and conscious during the procedure (under the supervision of a Certified Registered Nurse Anesthetist), the surgery itself typically takes around 15-20 minutes and is painless.
First, the cataract surgeon will create small incisions around the lens and use ultrasound waves to break it up and remove it. After removing the cataract, a new Intraocular Lens (IOL) will be inserted. Patients can go home on the same day as the surgery and should begin to see improvement in their vision in as little as two to four weeks.
How long does cataract surgery take?
Cataract surgery is typically a relatively quick procedure, often taking around 15 to 30 minutes to complete. This efficiency is due to the use of modern techniques like phacoemulsification, which involves breaking up and removing the cloudy lens, and often does not require sutures. However, you should plan for additional time for pre-operative preparations and post-operative recovery and instructions.
Is cataract surgery safe?
Cataract surgery is generally considered a safe and highly successful procedure. The risk of complications is relatively low, and the vast majority of patients experience improved vision and quality of life after surgery. However, like any surgery, there are potential risks and complications, so it’s essential to consult with an eye care professional to discuss the specific benefits and risks based on your individual circumstances.
What to expect during surgery
What to expect during Cataract surgery?
On the day of your cataract surgery, you can expect to arrive at the surgical center several hours before your scheduled procedure time. This allows for time to complete any necessary paperwork and prepare you for surgery. Once it’s time for your surgery, you will be given medication to help you relax and a local anesthetic to numb the eye area. Although you will be awake during the procedure, you should not feel any pain. During the surgery, your surgeon will make a small incision in your eye and use ultrasound waves to break up the cloudy lens. Then, they will remove the pieces and replace the lens with a new, clear intraocular lens.
The length of cataract surgery can vary depending on the patient and the surgeon, but it generally takes around 15 to 20 minutes per eye. The actual surgical process of removing the cataract and inserting an intraocular lens implant typically only takes a few minutes. However, the patient will need some time for preparation before the surgery and postoperative monitoring afterward.
Overall, most cataract surgeries are completed within an hour or less. Although you will be able to go home the same day, it’s important to have someone else drive you home.
What to expect after surgery
What to expect after Cataract surgery?
What is the recovery like for Cataract surgery?
In the days following the surgery, you may experience some mild discomfort, such as itching, swelling, or redness. Your eye may also be sensitive to light, and you may be instructed to wear an eye patch or protective shield to prevent accidental rubbing or bumping of the eye. It’s important to avoid any strenuous activity or heavy lifting during the first few weeks after surgery to allow your eye time to heal. Most people can return to their normal activities within a few days to a week after surgery, and you may be able to resume driving and work activities as soon as the day after surgery. However, following your eye doctor’s instructions for postoperative care ensures the best possible recovery and outcomes.
How long does the recovery take?
The recovery time for cataract surgery can vary from person to person, but most people are able to resume normal activities within a few days to a week after surgery. However, in the first few days following the surgery, you may experience some mild discomfort or sensitivity in the affected eye.
What happens after surgery?
After cataract surgery, your eye doctor will provide specific aftercare instructions. These instructions may include the following:
- Using eye drops: Your doctor will prescribe eye drops to help prevent infection, reduce inflammation, and control eye pressure.
- Wearing an eye shield or glasses: Your doctor may recommend wearing an eye shield or glasses to protect your eye from any accidental bumps/jarring.
- Keeping the eye clean: Your doctor may recommend using a sterile saline solution or other cleaning solution to help keep your eye clean.
- Avoiding certain activities: You should avoid swimming or getting water in your eye for at least a week after surgery and avoid rubbing your eye or touching it with your hands. It’s also important to avoid dusty or dirty environments that could increase the risk of infection.
- Your provider at Medical Eye Center will provide follow-up care to ensure your success during recovery, and our staff will make sure you feel supported.
Will I need glasses after Cataract Surgery?
After undergoing cataract surgery, you may wonder if the cataract will reoccur. It’s essential and comforting to understand that once it’s been removed surgically, a cataract cannot return. The cloudy lens is removed during cataract surgery and replaced with an artificial lens implant. This implant is designed to be a permanent replacement for the natural lens.
However, some individuals may experience a clouding of the capsule that surrounds the implant, which can cause vision to become cloudy again. This condition is called posterior capsule opacification (PCO) and can be easily treated with a quick laser procedure that removes the cloudy capsule. Although it’s important to note that cataracts themselves do not reoccur after surgery, individuals who have had cataract surgery may still develop other eye conditions that can affect their vision. Regular eye exams and good eye health practices can help to prevent or manage these conditions and preserve vision over time.
What is an Intraocular Lens?
What is an Intraocular Lens (IOL)?
There are several factors that can determine the quality and suitability of an intraocular lens (IOL) for cataract surgery:
- Lens design: IOLs come in different designs, including multi-focal, extended depth of focus (EDOF), Toric, and mono-focal or single-distance focus. Each design has its advantages and disadvantages, and the lens choice will depend on the patient’s individual needs and preferences.
- Material: IOLs can be made from different materials, including silicone, acrylic, and polymethylmethacrylate (PMMA). Each material has unique properties, such as flexibility and durability. The choice of material will depend on the patient’s individual factors, such as their age and the health of their eyes.
- Optical quality: The optical quality of an IOL is important for achieving clear vision after surgery. Factors that affect the optical quality include the lens surface quality, the optical design, and the refractive index of the lens material.
- Surgeon skill and experience: The skill and experience of the surgeon performing the cataract surgery is also a critical factor in determining the success of the procedure and the quality of vision after surgery.
Helen Koenigsman, MDHelen Koenigsman, MD
CATARACT & GLAUCOMA SPECIALIST
Why Medical Eye Center?
What do you love most about working at Medical Eye Center?
Working as a collaborative team is imperative at the Medical Eye Center and shapes the experience our patients receive. The dedicated providers and employees help to elevate the experience of any patients that come through the door. We love what we do, and love being able to help you on your complete vision experience.
What makes Medical Eye Center different?
At Medical Eye Center, our top priority is providing exceptional eye care to every patient who comes through our doors. As one of our specialties, cataract surgery is something we are passionate about; we know the impact of this life-changing procedure. Cataracts are the second leading cause of visual impairment worldwide, and cataract surgery is the most commonly performed surgery in the United States.
How did you get started in Ophthalmology?
During medical school, Dr. Koenigsman considered a number of different surgical specialties. As she was shadowing in surgery, she noticed a difference in the ophthalmology practice, people were happy and always smiling. It demonstrated the environment she wanted to dedicate her new career to and she has never looked back.
What is a fun fact about you?
Dr. Koenigsman has lived a number of different chapters of life, going from an engineer, to mother, to going back to school and becoming a specialized medical doctor. She can truly do anything she puts her mind to!
What are Cataracts?
What is a cataract?
A cataract is a clouding of the eye’s lens. Cataracts can occur gradually, though the side effects can be temporarily helped by things like eyeglasses or lighting. The condition generally affects both eyes but can occur at different rates in each eye. Cataracts can develop due to multiple factors, including age, injury, diabetes, genetic conditions, or previous eye surgeries.
Over time, cataracts cause severe problems such as clouded or blurry vision, difficulty seeing at night or in dim light, seeing halos around objects, and faded colors or yellowed hues.
What are some symptoms and signs of cataracts?
As cataracts develop, they can cause a range of symptoms that can significantly impact your vision and quality of life, making daily activities challenging. Here are some of the common signs and symptoms of cataracts:
- Blurred vision: Vision may be described as “cloudy”, making visibility hard during everyday activities.
- Sensitivity to light: Individuals who have cataracts may experience increased sensitivity, making it uncomfortable to be in bright environments.
- Reduced night vision: Cataracts can cause difficulty seeing in low light conditions, which can make driving or navigating at night more stressful.
- Seeing halos: Cataracts can cause scattered light within the eye and create a halo effect around items.
- Faded colors: As cataracts progress, colors may appear less vibrant or may have a yellowish hue.
- Double vision: In some cases, cataracts can cause double vision in one or both eyes.
Why is Medical Eye Center a great place to get Cataract Surgery?
Our facility provides a great place for our entire care team to be truly invested in the patient care and experience. Operating in the region for over 100 years, Medical Eye Center is one of the longest standing institutions in Southern Oregon and all of our staff takes pride in the service you would expect from our rich history.
What technology does Medical Eye Center use to perform Cataract Surgery?
Using the most up to date technology starts at the beginning of an exam and includes the equipment for pre-operative assessments and carries throughout the patients journey while exploring an array of different intraocular lens options.
Who is most susceptible to cataracts?
It’s important to note that cataracts can affect anyone, but the primary risk factor for cataracts is age. Other factors that may increase the risk of developing cataracts include exposure to UV rays, smoking, alcohol consumption, obesity, high blood pressure, and certain medical conditions such as diabetes. Individuals with a family history of cataracts or previous eye injuries or surgeries may also be more likely to develop cataracts. Additionally, certain medications such as corticosteroids and those used to treat mental health conditions may also increase the risk of cataracts.
What to expect before surgery
What is Cataract Surgery and what does that process look like?
During the surgery, the area will be numbed, and you will also be given medication to help you relax. Although you will be awake and conscious during the procedure (under the supervision of a Certified Registered Nurse Anesthetist), the surgery itself typically takes around 15-20 minutes and is painless.
First, the cataract surgeon will create small incisions around the lens and use ultrasound waves to break it up and remove it. After removing the cataract, a new Intraocular Lens (IOL) will be inserted. Patients can go home on the same day as the surgery and should begin to see improvement in their vision in as little as two to four weeks.
How long does cataract surgery take?
Cataract surgery is typically a relatively quick procedure, often taking around 15 to 30 minutes to complete. This efficiency is due to the use of modern techniques like phacoemulsification, which involves breaking up and removing the cloudy lens, and often does not require sutures. However, you should plan for additional time for pre-operative preparations and post-operative recovery and instructions.
What to expect during surgery
What to expect during Cataract surgery?
On the day of your cataract surgery, you can expect to arrive at the surgical center several hours before your scheduled procedure time. This allows for time to complete any necessary paperwork and prepare you for surgery. Once it’s time for your surgery, you will be given medication to help you relax and a local anesthetic to numb the eye area. Although you will be awake during the procedure, you should not feel any pain. During the surgery, your surgeon will make a small incision in your eye and use ultrasound waves to break up the cloudy lens. Then, they will remove the pieces and replace the lens with a new, clear intraocular lens.
The length of cataract surgery can vary depending on the patient and the surgeon, but it generally takes around 15 to 20 minutes per eye. The actual surgical process of removing the cataract and inserting an intraocular lens implant typically only takes a few minutes. However, the patient will need some time for preparation before the surgery and postoperative monitoring afterward.
Overall, most cataract surgeries are completed within an hour or less. Although you will be able to go home the same day, it’s important to have someone else drive you home.
What to expect after surgery
What to expect after Cataract surgery?
What is the recovery like for Cataract surgery?
In the days following the surgery, you may experience some mild discomfort, such as itching, swelling, or redness. Your eye may also be sensitive to light, and you may be instructed to wear an eye patch or protective shield to prevent accidental rubbing or bumping of the eye. It’s important to avoid any strenuous activity or heavy lifting during the first few weeks after surgery to allow your eye time to heal. Most people can return to their normal activities within a few days to a week after surgery, and you may be able to resume driving and work activities as soon as the day after surgery. However, following your eye doctor’s instructions for postoperative care ensures the best possible recovery and outcomes.
How long does the recovery take?
The recovery time for cataract surgery can vary from person to person, but most people are able to resume normal activities within a few days to a week after surgery. However, in the first few days following the surgery, you may experience some mild discomfort or sensitivity in the affected eye.
What happens after surgery?
After cataract surgery, your eye doctor will provide specific aftercare instructions. These instructions may include the following:
- Using eye drops: Your doctor will prescribe eye drops to help prevent infection, reduce inflammation, and control eye pressure.
- Wearing an eye shield or glasses: Your doctor may recommend wearing an eye shield or glasses to protect your eye from any accidental bumps/jarring.
- Keeping the eye clean: Your doctor may recommend using a sterile saline solution or other cleaning solution to help keep your eye clean.
- Avoiding certain activities: You should avoid swimming or getting water in your eye for at least a week after surgery and avoid rubbing your eye or touching it with your hands. It’s also important to avoid dusty or dirty environments that could increase the risk of infection.
- Your provider at Medical Eye Center will provide follow-up care to ensure your success during recovery, and our staff will make sure you feel supported.
Will I need glasses after Cataract Surgery?
After undergoing cataract surgery, you may wonder if the cataract will reoccur. It’s essential and comforting to understand that once it’s been removed surgically, a cataract cannot return. The cloudy lens is removed during cataract surgery and replaced with an artificial lens implant. This implant is designed to be a permanent replacement for the natural lens.
However, some individuals may experience a clouding of the capsule that surrounds the implant, which can cause vision to become cloudy again. This condition is called posterior capsule opacification (PCO) and can be easily treated with a quick laser procedure that removes the cloudy capsule. Although it’s important to note that cataracts themselves do not reoccur after surgery, individuals who have had cataract surgery may still develop other eye conditions that can affect their vision. Regular eye exams and good eye health practices can help to prevent or manage these conditions and preserve vision over time.
What is some feedback you hear from your patients?
During the post operative appointments we often hear that our patients left feeling comforted and taken care of. Its not uncommon to feel a little nervous coming in for an initial surgery, but by the time patient returns for the second surgery, they often feel completely at ease. This is attributed to the incredible staff taking all the measures to ensure a great experience.
What is an Intraocular Lens?
What is an Intraocular Lens (IOL)?
There are several factors that can determine the quality and suitability of an intraocular lens (IOL) for cataract surgery:
- Lens design: IOLs come in different designs, including multi-focal, extended depth of focus (EDOF), Toric, and mono-focal or single-distance focus. Each design has its advantages and disadvantages, and the lens choice will depend on the patient’s individual needs and preferences.
- Material: IOLs can be made from different materials, including silicone, acrylic, and polymethylmethacrylate (PMMA). Each material has unique properties, such as flexibility and durability. The choice of material will depend on the patient’s individual factors, such as their age and the health of their eyes.
- Optical quality: The optical quality of an IOL is important for achieving clear vision after surgery. Factors that affect the optical quality include the lens surface quality, the optical design, and the refractive index of the lens material.
- Surgeon skill and experience: The skill and experience of the surgeon performing the cataract surgery is also a critical factor in determining the success of the procedure and the quality of vision after surgery.
How long do the intraocular lenses last?
The lifespan of an intraocular lens (IOL) can vary depending on several factors, including the type of IOL, the patient’s age, and any underlying medical conditions that may affect the eye. In general, IOLs are designed to be a permanent replacement for the eye’s natural lens and can last a lifetime. However, some IOLs may require replacement if they become damaged or if the patient’s vision changes over time.
The most commonly used IOLs are made of durable materials such as silicone or acrylic, which are designed to withstand the rigors of daily life. However, the long-term performance of the IOL can also depend on the patient’s eye health and any other conditions that may affect the eye, such as diabetes or glaucoma.
If you have an IOL and are experiencing changes in your vision, it is important to see your eye doctor for an evaluation to determine if any adjustments or replacements are needed.
What should I consider with my lens options?
There are several factors that can determine the quality and suitability of an intraocular lens (IOL) for cataract surgery:
- Lens design: IOLs come in different designs, including multi-focal, extended depth of focus (EDOF), Toric, and mono-focal or single-distance focus. Each design has its advantages and disadvantages, and the lens choice will depend on the patient’s individual needs and preferences.
- Material: IOLs can be made from different materials, including silicone, acrylic, and polymethylmethacrylate (PMMA). Each material has unique properties, such as flexibility and durability. The choice of material will depend on the patient’s individual factors, such as their age and the health of their eyes.
- Optical quality: The optical quality of an IOL is important for achieving clear vision after surgery. Factors that affect the optical quality include the lens surface quality, the optical design, and the refractive index of the lens material.
- Surgeon skill and experience: The skill and experience of the surgeon performing the cataract surgery is also a critical factor in determining the success of the procedure and the quality of vision after surgery.
Poorav Patel, MDPoorav Patel, MD
CATARACT & GLAUCOMA SPECIALIST
Why Medical Eye Center?
What do you love most about working at Medical Eye Center?
Medical Eye Center is made up of a culture that is centrally focused around giving the best care possible to anyone that walks through our doors. With a large team made up of professionals we strive to make sure everyone feel welcome and taken care of.
What makes Medical Eye Center different?
At Medical Eye Center, our top priority is providing exceptional eye care to every patient who comes through our doors. As one of our specialties, cataract surgery is something we are passionate about; we know the impact of this life-changing procedure. Cataracts are the second leading cause of visual impairment worldwide, and cataract surgery is the most commonly performed surgery in the United States.
How did you get started in Ophthalmology?
During his time in medical school Dr. Poorav Patel decided to shadow an Ophthalmologist at OHSU, realizing that he can practice Ophthalmology anywhere he wanted. This allowed him to make the decision to practice a type of medicine that can benefit any number of different patients in different places.
What is a fun fact about you?
Dr. Patel is an identical twin, whose brother is also a doctor on the coast in Southern Oregon.
What are Cataracts?
What is a cataract?
A cataract is a clouding of the eye’s lens. Cataracts can occur gradually, though the side effects can be temporarily helped by things like eyeglasses or lighting. The condition generally affects both eyes but can occur at different rates in each eye. Cataracts can develop due to multiple factors, including age, injury, diabetes, genetic conditions, or previous eye surgeries.
Over time, cataracts cause severe problems such as clouded or blurry vision, difficulty seeing at night or in dim light, seeing halos around objects, and faded colors or yellowed hues.
What options are available for cataracts?
Cataract treatment options typically include surgical procedures, such as phacoemulsification, where the cloudy lens is removed and replaced with an artificial intraocular lens.
In the early stages of cataracts, vision correction with eyeglasses or contact lenses may be sufficient to improve vision.
Lifestyle modifications, such as wearing sunglasses with UV protection and managing underlying health conditions, can help slow the progression of cataracts and reduce their impact on vision.
Why is Medical Eye Center a great place to get Cataract Surgery?
Our facility provides a great place for our entire care team to be truly invested in the patient care and experience. Operating in the region for over 100 years, Medical Eye Center is one of the longest standing institutions in Southern Oregon and all of our staff takes pride in the service you would expect from our rich history.
What technology does Medical Eye Center use to perform Cataract Surgery?
Using the most up to date technology starts at the beginning of an exam and includes the equipment for pre-operative assessments and carries throughout the patients journey while exploring an array of different intraocular lens options.
Who is most susceptible to cataracts?
It’s important to note that cataracts can affect anyone, but the primary risk factor for cataracts is age. Other factors that may increase the risk of developing cataracts include exposure to UV rays, smoking, alcohol consumption, obesity, high blood pressure, and certain medical conditions such as diabetes. Individuals with a family history of cataracts or previous eye injuries or surgeries may also be more likely to develop cataracts. Additionally, certain medications such as corticosteroids and those used to treat mental health conditions may also increase the risk of cataracts.
What are some symptoms and signs of cataracts?
As cataracts develop, they can cause a range of symptoms that can significantly impact your vision and quality of life, making daily activities challenging. Here are some of the common signs and symptoms of cataracts:
- Blurred vision: Vision may be described as “cloudy”, making visibility hard during everyday activities.
- Sensitivity to light: Individuals who have cataracts may experience increased sensitivity, making it uncomfortable to be in bright environments.
- Reduced night vision: Cataracts can cause difficulty seeing in low light conditions, which can make driving or navigating at night more stressful.
- Seeing halos: Cataracts can cause scattered light within the eye and create a halo effect around items.
- Faded colors: As cataracts progress, colors may appear less vibrant or may have a yellowish hue.
- Double vision: In some cases, cataracts can cause double vision in one or both eyes.
What to expect before surgery
What is Cataract Surgery and what does that process look like?
During the surgery, the area will be numbed, and you will also be given medication to help you relax. Although you will be awake and conscious during the procedure (under the supervision of a Certified Registered Nurse Anesthetist), the surgery itself typically takes around 15-20 minutes and is painless.
First, the cataract surgeon will create small incisions around the lens and use ultrasound waves to break it up and remove it. After removing the cataract, a new Intraocular Lens (IOL) will be inserted. Patients can go home on the same day as the surgery and should begin to see improvement in their vision in as little as two to four weeks.
Is cataract surgery safe?
During the surgery, the area will be numbed, and you will also be given medication to help you relax. Although you will be awake and conscious during the procedure (under the supervision of a Certified Registered Nurse Anesthetist), the surgery itself typically takes around 15-20 minutes and is painless.
First, the cataract surgeon will create small incisions around the lens and use ultrasound waves to break it up and remove it. After removing the cataract, a new Intraocular Lens (IOL) will be inserted. Patients can go home on the same day as the surgery and should begin to see improvement in their vision in as little as two to four weeks.
How long does cataract surgery take?
Cataract surgery is typically a relatively quick procedure, often taking around 15 to 30 minutes to complete. This efficiency is due to the use of modern techniques like phacoemulsification, which involves breaking up and removing the cloudy lens, and often does not require sutures. However, you should plan for additional time for pre-operative preparations and post-operative recovery and instructions.
What to expect during surgery
What to expect during Cataract surgery?
On the day of your cataract surgery, you can expect to arrive at the surgical center several hours before your scheduled procedure time. This allows for time to complete any necessary paperwork and prepare you for surgery. Once it’s time for your surgery, you will be given medication to help you relax and a local anesthetic to numb the eye area. Although you will be awake during the procedure, you should not feel any pain.
During the surgery, your surgeon will make a small incision in your eye and use ultrasound waves to break up the cloudy lens. Then, they will remove the pieces and replace the lens with a new, clear intraocular lens. After your surgery, you will be taken to a recovery area to rest and have your eye monitored. Although you will be able to go home the same day, it’s important to have someone else drive you home.
What to expect after surgery
What to expect after Cataract surgery?
What is the recovery like for Cataract surgery?
In the days following the surgery, you may experience some mild discomfort, such as itching, swelling, or redness. Your eye may also be sensitive to light, and you may be instructed to wear an eye patch or protective shield to prevent accidental rubbing or bumping of the eye. It’s important to avoid any strenuous activity or heavy lifting during the first few weeks after surgery to allow your eye time to heal. Most people can return to their normal activities within a few days to a week after surgery, and you may be able to resume driving and work activities as soon as the day after surgery. However, following your eye doctor’s instructions for postoperative care ensures the best possible recovery and outcomes.
How long does the recovery take?
The recovery time for cataract surgery can vary from person to person, but most people are able to resume normal activities within a few days to a week after surgery. However, in the first few days following the surgery, you may experience some mild discomfort or sensitivity in the affected eye.
What happens after surgery?
After cataract surgery, your eye doctor will provide specific aftercare instructions. These instructions may include the following:
- Using eye drops: Your doctor will prescribe eye drops to help prevent infection, reduce inflammation, and control eye pressure.
- Wearing an eye shield or glasses: Your doctor may recommend wearing an eye shield or glasses to protect your eye from any accidental bumps/jarring.
- Keeping the eye clean: Your doctor may recommend using a sterile saline solution or other cleaning solution to help keep your eye clean.
- Avoiding certain activities: You should avoid swimming or getting water in your eye for at least a week after surgery and avoid rubbing your eye or touching it with your hands. It’s also important to avoid dusty or dirty environments that could increase the risk of infection.
- Your provider at Medical Eye Center will provide follow-up care to ensure your success during recovery, and our staff will make sure you feel supported.
Will I need glasses after Cataract Surgery?
After undergoing cataract surgery, you may wonder if the cataract will reoccur. It’s essential and comforting to understand that once it’s been removed surgically, a cataract cannot return. The cloudy lens is removed during cataract surgery and replaced with an artificial lens implant. This implant is designed to be a permanent replacement for the natural lens.
However, some individuals may experience a clouding of the capsule that surrounds the implant, which can cause vision to become cloudy again. This condition is called posterior capsule opacification (PCO) and can be easily treated with a quick laser procedure that removes the cloudy capsule. Although it’s important to note that cataracts themselves do not reoccur after surgery, individuals who have had cataract surgery may still develop other eye conditions that can affect their vision. Regular eye exams and good eye health practices can help to prevent or manage these conditions and preserve vision over time.
Do cataracts ever reappear after surgery?
After undergoing cataract surgery, you may wonder if the cataract will reoccur. It’s essential and comforting to understand that once it’s been removed surgically, a cataract cannot return. The cloudy lens is removed during cataract surgery and replaced with an artificial lens implant. This implant is designed to be a permanent replacement for the natural lens. However, some individuals may experience a clouding of the capsule that surrounds the implant, which can cause vision to become cloudy again. This condition is called posterior capsule opacification (PCO) and can be easily treated with a quick laser procedure that removes the cloudy capsule. Although it’s important to note that cataracts themselves do not reoccur after surgery, individuals who have had cataract surgery may still develop other eye conditions that can affect their vision. Regular eye exams and good eye health practices can help to prevent or manage these conditions and preserve vision over time.
What is an Intraocular Lens?
What are the Intraocular Lens options?
The lifespan of an intraocular lens (IOL) can vary depending on several factors, including the type of IOL, the patient’s age, and any underlying medical conditions that may affect the eye. In general, IOLs are designed to be a permanent replacement for the eye’s natural lens and can last a lifetime. However, some IOLs may require replacement if they become damaged or if the patient’s vision changes over time.
The most commonly used IOLs are made of durable materials such as silicone or acrylic, which are designed to withstand the rigors of daily life. However, the long-term performance of the IOL can also depend on the patient’s eye health and any other conditions that may affect the eye, such as diabetes or glaucoma.
If you have an IOL and are experiencing changes in your vision, it is important to see your eye doctor for an evaluation to determine if any adjustments or replacements are needed.
How long do the intraocular lenses last?
The lifespan of an intraocular lens (IOL) can vary depending on several factors, including the type of IOL, the patient’s age, and any underlying medical conditions that may affect the eye. In general, IOLs are designed to be a permanent replacement for the eye’s natural lens and can last a lifetime. However, some IOLs may require replacement if they become damaged or if the patient’s vision changes over time.
The most commonly used IOLs are made of durable materials such as silicone or acrylic, which are designed to withstand the rigors of daily life. However, the long-term performance of the IOL can also depend on the patient’s eye health and any other conditions that may affect the eye, such as diabetes or glaucoma.
If you have an IOL and are experiencing changes in your vision, it is important to see your eye doctor for an evaluation to determine if any adjustments or replacements are needed.
John Welling, MDJohn Welling, MD
CORNEA, CATARACT, & REFRACTIVE SURGERY SPECIALIST
Why Medical Eye Center?
What do you love about working here?
Choosing Medical Eye Center provides you access to proficient and compassionate eye care services. Our facility boasts highly skilled and experienced professionals who are equipped to meet all your vision needs. At Medical Eye Center, our top priority is providing exceptional eye care to every patient who comes through our doors.
What makes Medical Eye Center different?
Our compassionate and expertly trained surgeons have performed over 17,000 cataract procedures, placing them among the most experienced cataract providers in the nation. The breadth of experience has created providers who believe in holistic care and the overall outcomes for their patients. In addition, they are well-versed in curating personalized and personable care plans and following through after each surgery.
What makes the Medical Eye Center team exceptional?
Our team loves what we do. From holding the patients hand before surgery to making sure all their questions are answered, our team takes every step to make sure any patient feels comfortable, heard and empowered over their health and vision journey.
What is some feedback you hear from your patients?
During the post operative appointments we often hear that our patients left feeling comforted and taken care of. Its not uncommon to feel a little nervous coming in for an initial surgery, but by the time patient returns for the second surgery, they often feel completely at ease. This is attributed to the incredible staff taking all the measures to ensure a great experience.
How did you get started in Ophthalmology?
During his first year in medical school, Dr. John Welling saw a video of other surgeons performing cataract outreach procedures in the Himalaya’s. This immediate transformation inspired Dr. Welling to acquire a fellowship under Dr. Geoff Tabin. His love for the life changing overseas efforts became a life long initiative for him that he continues to practice through of Daybreak Vision Project.
What is a fun fact about you?
Dr. John Welling spend a lot of his time hiking and getting to enjoy the outdoors with his family, that consists of 5 kids, all 11 and under! When he is not enjoying Southern Oregon’s beauty, he serves as the CO-Founder and CEO of Daybreak Vision Project, providing sight restoring surgeries to those in need in Africa.
What are Cataracts?
Cataracts Overview
There are a variety of reason why a person can develop a cataract, although this is often though of as an age-related development, people of all ages can get a cataract for various reasons. Symptoms can include blurred visions, haloing around the visual field and glare.
The technologies that can be used to treat cataracts are highly advanced, with safe, commonly performed surgery to replace the natural lenses of the eyes with artificial ones that can be tailored to a patients desired visual outcomes.
What is a cataract?
A cataract is a clouding of the eye’s lens. Cataracts can occur gradually, though the side effects can be temporarily helped by things like eyeglasses or lighting. The condition generally affects both eyes but can occur at different rates in each eye. Cataracts can develop due to multiple factors, including age, injury, diabetes, genetic conditions, or previous eye surgeries.
Over time, cataracts cause severe problems such as clouded or blurry vision, difficulty seeing at night or in dim light, seeing halos around objects, and faded colors or yellowed hues.
Why is Medical Eye Center a great place to get Cataract Surgery?
Our compassionate and expertly trained surgeons have performed over 17,000 cataract procedures, placing them among the most experienced cataract providers in the nation. The breadth of experience has created providers who believe in holistic care and the overall outcomes for their patients. In addition, they are well-versed in curating personalized and personable care plans and following through after each surgery. Our team blends the best technology available with the most personalized level of patient care, meeting and exceeding the needs of patients.
What technology does Medical Eye Center use to perform Cataract Surgery?
We stay on the cutting edge of the newest technologies, from pre-operative testing to a variety of intra-ocular lens technologies allowing the patient to customize and tailor their experience and achieve the best possible outcome.
What to expect before surgery
What is Cataract Surgery and what does that process look like?
During the surgery, the area will be numbed, and you will also be given medication to help you relax. Although you will be awake and conscious during the procedure (under the supervision of a Certified Registered Nurse Anesthetist), the surgery itself typically takes around 15-20 minutes and is painless.
First, the cataract surgeon will create small incisions around the lens and use ultrasound waves to break it up and remove it. After removing the cataract, a new Intraocular Lens (IOL) will be inserted. Patients can go home on the same day as the surgery and should begin to see improvement in their vision in as little as two to four weeks.
What to expect during surgery
What to expect during Cataract surgery?
On the day of your cataract surgery, you can expect to arrive at the surgical center several hours before your scheduled procedure time. This allows for time to complete any necessary paperwork and prepare you for surgery. Once it’s time for your surgery, you will be given medication to help you relax and a local anesthetic to numb the eye area. Although you will be awake during the procedure, you should not feel any pain.
During the surgery, your surgeon will make a small incision in your eye and use ultrasound waves to break up the cloudy lens. Then, they will remove the pieces and replace the lens with a new, clear intraocular lens. After your surgery, you will be taken to a recovery area to rest and have your eye monitored. Although you will be able to go home the same day, it’s important to have someone else drive you home.
What to expect after surgery
What to expect after Cataract surgery?
What is the recovery like for Cataract surgery?
In the days following the surgery, you may experience some mild discomfort, such as itching, swelling, or redness. Your eye may also be sensitive to light, and you may be instructed to wear an eye patch or protective shield to prevent accidental rubbing or bumping of the eye. It’s important to avoid any strenuous activity or heavy lifting during the first few weeks after surgery to allow your eye time to heal. Most people can return to their normal activities within a few days to a week after surgery, and you may be able to resume driving and work activities as soon as the day after surgery. However, following your eye doctor’s instructions for postoperative care ensures the best possible recovery and outcomes.
How long does the recovery take?
The recovery time for cataract surgery can vary from person to person, but most people are able to resume normal activities within a few days to a week after surgery. However, in the first few days following the surgery, you may experience some mild discomfort or sensitivity in the affected eye.
What happens after surgery?
After cataract surgery, your eye doctor will provide specific aftercare instructions. These instructions may include the following:
- Using eye drops: Your doctor will prescribe eye drops to help prevent infection, reduce inflammation, and control eye pressure.
- Wearing an eye shield or glasses: Your doctor may recommend wearing an eye shield or glasses to protect your eye from any accidental bumps/jarring.
- Keeping the eye clean: Your doctor may recommend using a sterile saline solution or other cleaning solution to help keep your eye clean.
- Avoiding certain activities: You should avoid swimming or getting water in your eye for at least a week after surgery and avoid rubbing your eye or touching it with your hands. It’s also important to avoid dusty or dirty environments that could increase the risk of infection.
- Your provider at Medical Eye Center will provide follow-up care to ensure your success during recovery, and our staff will make sure you feel supported.
Will I need glasses after Cataract Surgery?
After undergoing cataract surgery, you may wonder if the cataract will reoccur. It’s essential and comforting to understand that once it’s been removed surgically, a cataract cannot return. The cloudy lens is removed during cataract surgery and replaced with an artificial lens implant. This implant is designed to be a permanent replacement for the natural lens.
However, some individuals may experience a clouding of the capsule that surrounds the implant, which can cause vision to become cloudy again. This condition is called posterior capsule opacification (PCO) and can be easily treated with a quick laser procedure that removes the cloudy capsule. Although it’s important to note that cataracts themselves do not reoccur after surgery, individuals who have had cataract surgery may still develop other eye conditions that can affect their vision. Regular eye exams and good eye health practices can help to prevent or manage these conditions and preserve vision over time.
What is an Intraocular Lens?
What is an adjustable lens implant?
What is an IOL?
An intraocular lens (IOL) is a small, artificial lens that is surgically implanted inside the eye to replace the eye’s natural lens. IOLs are commonly used to treat cataracts, a condition where the eye’s natural lens becomes cloudy and affects vision. During cataract surgery, the cloudy lens is removed and replaced with an IOL. The IOL helps to restore clear vision by focusing light onto the retina at the back of the eye. IOLs can also be used to correct certain refractive errors, such as nearsightedness or farsightedness.
What makes one lens better than another?
There are several factors that can determine the quality and suitability of an intraocular lens (IOL) for cataract surgery:
- Lens design: IOLs come in different designs, including multi-focal, extended depth of focus (EDOF), Toric, and mono-focal or single-distance focus.
- Each design has its advantages and disadvantages, and the lens choice will depend on the patient’s individual needs and preferences.
- Material: IOLs can be made from different materials, including silicone, acrylic, and polymethylmethacrylate (PMMA). Each material has unique properties, such as flexibility and durability. The choice of material will depend on the patient’s individual factors, such as their age and the health of their eyes.
- Optical quality: The optical quality of an IOL is important for achieving clear vision after surgery. Factors that affect the optical quality include the lens surface quality, the optical design, and the refractive index of the lens material.
- Surgeon skill and experience: The skill and experience of the surgeon performing the cataract surgery is also a critical factor in determining the success of the procedure and the quality of vision after surgery.
What are the Intraocular Lens options?
The lifespan of an intraocular lens (IOL) can vary depending on several factors, including the type of IOL, the patient’s age, and any underlying medical conditions that may affect the eye. In general, IOLs are designed to be a permanent replacement for the eye’s natural lens and can last a lifetime. However, some IOLs may require replacement if they become damaged or if the patient’s vision changes over time.
The most commonly used IOLs are made of durable materials such as silicone or acrylic, which are designed to withstand the rigors of daily life. However, the long-term performance of the IOL can also depend on the patient’s eye health and any other conditions that may affect the eye, such as diabetes or glaucoma.
If you have an IOL and are experiencing changes in your vision, it is important to see your eye doctor for an evaluation to determine if any adjustments or replacements are needed.
Katherine Joltikov, MDKatherine Joltikov, MD
GENERAL OPHTHALMOLOGY & ANTERIOR SEGMENT SURGEON
Why Medical Eye Center?
What do you love most about working at Medical Eye Center?
Working as a collaborative team is imperative at the Medical Eye Center and shapes the experience our patients receive. The dedicated providers and employees help to elevate the experience of any patients that come through the door. We love what we do, and love being able to help you on your complete vision experience.
What makes Medical Eye Center different?
At Medical Eye Center, our top priority is providing exceptional eye care to every patient who comes through our doors. As one of our specialties, cataract surgery is something we are passionate about; we know the impact of this life-changing procedure. Cataracts are the second leading cause of visual impairment worldwide, and cataract surgery is the most commonly performed surgery in the United States.
How did you get started in Ophthalmology?
Dr. Joltikov explored many different specialties during her time in medical school, but it was during her time spent with a mobile eye clinic that had the most impact on her. Having worked with a man that needed cataracts surgery, she was able to see what a vast improvement this sight-restoring procedure had on his entire quality of life. It was after that, she decided this was the area of focus she would pursue.
What is a fun fact about you?
Dr. Joltikov shares a very worldly view having spent time growing up in many different countries. She speaks an number of different languages, Russian, Hebrew, and English.
What makes the Medical Eye Center team exceptional?
Our team loves what we do. From holding the patients hand before surgery to making sure all their questions are answered, our team takes every step to make sure any patient feels comfortable, heard and empowered over their health and vision journey.
What are Cataracts?
What is a cataract?
A cataract is a clouding of the eye’s lens. Cataracts can occur gradually, though the side effects can be temporarily helped by things like eyeglasses or lighting. The condition generally affects both eyes but can occur at different rates in each eye. Cataracts can develop due to multiple factors, including age, injury, diabetes, genetic conditions, or previous eye surgeries.
Over time, cataracts cause severe problems such as clouded or blurry vision, difficulty seeing at night or in dim light, seeing halos around objects, and faded colors or yellowed hues.
What options are available for cataracts?
Cataract treatment options typically include surgical procedures, such as phacoemulsification, where the cloudy lens is removed and replaced with an artificial intraocular lens.
In the early stages of cataracts, vision correction with eyeglasses or contact lenses may be sufficient to improve vision.
Lifestyle modifications, such as wearing sunglasses with UV protection and managing underlying health conditions, can help slow the progression of cataracts and reduce their impact on vision.
Why is Medical Eye Center a great place to get Cataract Surgery?
Our facility provides a great place for our entire care team to be truly invested in the patient care and experience. Operating in the region for over 100 years, Medical Eye Center is one of the longest standing institutions in Southern Oregon and all of our staff takes pride in the service you would expect from our rich history.
What technology does Medical Eye Center use to perform Cataract Surgery?
Using the most up to date technology starts at the beginning of an exam and includes the equipment for pre-operative assessments and carries throughout the patients journey while exploring an array of different intraocular lens options.
Who is most susceptible to cataracts?
It’s important to note that cataracts can affect anyone, but the primary risk factor for cataracts is age. Other factors that may increase the risk of developing cataracts include exposure to UV rays, smoking, alcohol consumption, obesity, high blood pressure, and certain medical conditions such as diabetes. Individuals with a family history of cataracts or previous eye injuries or surgeries may also be more likely to develop cataracts. Additionally, certain medications such as corticosteroids and those used to treat mental health conditions may also increase the risk of cataracts.
What are some symptoms and signs of cataracts?
As cataracts develop, they can cause a range of symptoms that can significantly impact your vision and quality of life, making daily activities challenging. Here are some of the common signs and symptoms of cataracts:
- Blurred vision: Vision may be described as “cloudy”, making visibility hard during everyday activities.
- Sensitivity to light: Individuals who have cataracts may experience increased sensitivity, making it uncomfortable to be in bright environments.
- Reduced night vision: Cataracts can cause difficulty seeing in low light conditions, which can make driving or navigating at night more stressful.
- Seeing halos: Cataracts can cause scattered light within the eye and create a halo effect around items.
- Faded colors: As cataracts progress, colors may appear less vibrant or may have a yellowish hue.
- Double vision: In some cases, cataracts can cause double vision in one or both eyes.
What to expect before surgery
What is Cataract Surgery and what does that process look like?
During the surgery, the area will be numbed, and you will also be given medication to help you relax. Although you will be awake and conscious during the procedure (under the supervision of a Certified Registered Nurse Anesthetist), the surgery itself typically takes around 15-20 minutes and is painless.
First, the cataract surgeon will create small incisions around the lens and use ultrasound waves to break it up and remove it. After removing the cataract, a new Intraocular Lens (IOL) will be inserted. Patients can go home on the same day as the surgery and should begin to see improvement in their vision in as little as two to four weeks.
Is cataract surgery safe?
During the surgery, the area will be numbed, and you will also be given medication to help you relax. Although you will be awake and conscious during the procedure (under the supervision of a Certified Registered Nurse Anesthetist), the surgery itself typically takes around 15-20 minutes and is painless.
First, the cataract surgeon will create small incisions around the lens and use ultrasound waves to break it up and remove it. After removing the cataract, a new Intraocular Lens (IOL) will be inserted. Patients can go home on the same day as the surgery and should begin to see improvement in their vision in as little as two to four weeks.
What to expect during surgery
What to expect during Cataract surgery?
On the day of your cataract surgery, you can expect to arrive at the surgical center several hours before your scheduled procedure time. This allows for time to complete any necessary paperwork and prepare you for surgery. Once it’s time for your surgery, you will be given medication to help you relax and a local anesthetic to numb the eye area. Although you will be awake during the procedure, you should not feel any pain. During the surgery, your surgeon will make a small incision in your eye and use ultrasound waves to break up the cloudy lens. Then, they will remove the pieces and replace the lens with a new, clear intraocular lens.
The length of cataract surgery can vary depending on the patient and the surgeon, but it generally takes around 15 to 20 minutes per eye. The actual surgical process of removing the cataract and inserting an intraocular lens implant typically only takes a few minutes. However, the patient will need some time for preparation before the surgery and postoperative monitoring afterward.
Overall, most cataract surgeries are completed within an hour or less. Although you will be able to go home the same day, it’s important to have someone else drive you home.
What to expect after surgery
What to expect after Cataract surgery?
What is the recovery like for Cataract surgery?
In the days following the surgery, you may experience some mild discomfort, such as itching, swelling, or redness. Your eye may also be sensitive to light, and you may be instructed to wear an eye patch or protective shield to prevent accidental rubbing or bumping of the eye. It’s important to avoid any strenuous activity or heavy lifting during the first few weeks after surgery to allow your eye time to heal. Most people can return to their normal activities within a few days to a week after surgery, and you may be able to resume driving and work activities as soon as the day after surgery. However, following your eye doctor’s instructions for postoperative care ensures the best possible recovery and outcomes.
How long does the recovery take?
The recovery time for cataract surgery can vary from person to person, but most people are able to resume normal activities within a few days to a week after surgery. However, in the first few days following the surgery, you may experience some mild discomfort or sensitivity in the affected eye.
What happens after surgery?
After cataract surgery, your eye doctor will provide specific aftercare instructions. These instructions may include the following:
- Using eye drops: Your doctor will prescribe eye drops to help prevent infection, reduce inflammation, and control eye pressure.
- Wearing an eye shield or glasses: Your doctor may recommend wearing an eye shield or glasses to protect your eye from any accidental bumps/jarring.
- Keeping the eye clean: Your doctor may recommend using a sterile saline solution or other cleaning solution to help keep your eye clean.
- Avoiding certain activities: You should avoid swimming or getting water in your eye for at least a week after surgery and avoid rubbing your eye or touching it with your hands. It’s also important to avoid dusty or dirty environments that could increase the risk of infection.
- Your provider at Medical Eye Center will provide follow-up care to ensure your success during recovery, and our staff will make sure you feel supported.
Will I need glasses after Cataract Surgery?
After undergoing cataract surgery, you may wonder if the cataract will reoccur. It’s essential and comforting to understand that once it’s been removed surgically, a cataract cannot return. The cloudy lens is removed during cataract surgery and replaced with an artificial lens implant. This implant is designed to be a permanent replacement for the natural lens.
However, some individuals may experience a clouding of the capsule that surrounds the implant, which can cause vision to become cloudy again. This condition is called posterior capsule opacification (PCO) and can be easily treated with a quick laser procedure that removes the cloudy capsule. Although it’s important to note that cataracts themselves do not reoccur after surgery, individuals who have had cataract surgery may still develop other eye conditions that can affect their vision. Regular eye exams and good eye health practices can help to prevent or manage these conditions and preserve vision over time.
Do cataracts ever reappear after surgery?
After undergoing cataract surgery, you may wonder if the cataract will reoccur. It’s essential and comforting to understand that once it’s been removed surgically, a cataract cannot return. The cloudy lens is removed during cataract surgery and replaced with an artificial lens implant. This implant is designed to be a permanent replacement for the natural lens. However, some individuals may experience a clouding of the capsule that surrounds the implant, which can cause vision to become cloudy again. This condition is called posterior capsule opacification (PCO) and can be easily treated with a quick laser procedure that removes the cloudy capsule. Although it’s important to note that cataracts themselves do not reoccur after surgery, individuals who have had cataract surgery may still develop other eye conditions that can affect their vision. Regular eye exams and good eye health practices can help to prevent or manage these conditions and preserve vision over time.
What is some feedback you hear from your patients?
During the post operative appointments we often hear that our patients left feeling comforted and taken care of. Its not uncommon to feel a little nervous coming in for an initial surgery, but by the time patient returns for the second surgery, they often feel completely at ease. This is attributed to the incredible staff taking all the measures to ensure a great experience.
What is an Intraocular Lens?
What is an Intraocular Lens (IOL)?
There are several factors that can determine the quality and suitability of an intraocular lens (IOL) for cataract surgery:
Lens design: IOLs come in different designs, including multi-focal, extended depth of focus (EDOF), Toric, and mono-focal or single-distance focus.
Each design has its advantages and disadvantages, and the lens choice will depend on the patient’s individual needs and preferences.
Material: IOLs can be made from different materials, including silicone, acrylic, and polymethylmethacrylate (PMMA). Each material has unique properties, such as flexibility and durability. The choice of material will depend on the patient’s individual factors, such as their age and the health of their eyes.
Optical quality: The optical quality of an IOL is important for achieving clear vision after surgery. Factors that affect the optical quality include the lens surface quality, the optical design, and the refractive index of the lens material.
How long do the intraocular lenses last?
The lifespan of an intraocular lens (IOL) can vary depending on several factors, including the type of IOL, the patient’s age, and any underlying medical conditions that may affect the eye. In general, IOLs are designed to be a permanent replacement for the eye’s natural lens and can last a lifetime. However, some IOLs may require replacement if they become damaged or if the patient’s vision changes over time.
The most commonly used IOLs are made of durable materials such as silicone or acrylic, which are designed to withstand the rigors of daily life. However, the long-term performance of the IOL can also depend on the patient’s eye health and any other conditions that may affect the eye, such as diabetes or glaucoma.
If you have an IOL and are experiencing changes in your vision, it is important to see your eye doctor for an evaluation to determine if any adjustments or replacements are needed.
What are cataracts?
Cataracts develop as part of the normal aging process, and affect different people in different ways.
Cataracts occur when the lens of the eye turns cloudy. As a result, the light entering the eye is scattered and causes increasingly blurred vision. Cataracts can also develop due to contributing factors such as:
- Other eye diseases
- Systemic diseases including diabetes
- Medications
- Hereditary factors
- Ultraviolet light
How can I tell if I’m developing cataracts?
Cataracts present themselves through a variety of symptoms. If you’re curious whether or not you may be developing cataracts, ask yourself the following questions:
- Do halos around oncoming headlights bother you while driving at night?
- Is reading a strain because the text looks blurry?
- Are you using brighter lights for indoor activities?
- Do colors look increasingly dull or yellow?
- Is it becoming harder to recognize familiar faces?
- Are you experiencing double vision, even with one eye closed?
- Are you frequently needing to change your glasses or contact lens prescription?
If you answered “yes” to any of these questions, you may be beginning to develop cataracts.
Luckily, modern cataract surgery is a safe, quick, relatively painless outpatient procedure, and is one of the most common medical procedures among persons 65 and older.
What is cataract surgery?
What happens during the procedure?
During the procedure, your eye will be dilated and numbed, and a small incision will be made. Using a technique called phacoemulsification, your surgeon will then insert an instrument that uses ultrasound to break up and remove your cataract. Afterwards, the new intraocular lens will be placed into your eye.
Conscious sedation will be used during the procedure, and our Certified Registered Nurse Anesthetists (CRNA’s) will be with you the entire time to monitor your vital functions and modify your anesthesia to help ensure your maximum safety and comfort.
How long does cataract surgery last?
The average cataract procedure lasts between 10-15 minutes. The entire experience, from initial preparation to recovery time, lasts around 1-2 hours.
What is the recovery process like?
The recovery process for cataract surgery is typically quick and painless. You won’t need to wear an eye patch, and you’ll be given drops to apply to your eye to aid in the healing process. The degree to which you will need glasses after surgery will depend on several factors, including the type of lens implant you choose.
Cataract Surgery Costs and Payment Options
The cost of standard cataract surgery is typically either partially or fully covered by private insurance or Medicare.
If you choose standard cataract surgery with a single focus IOL, it’s possible to have the procedure with no out-of-pocket expenses (other than the deductibles and co-payments required by your insurance policy).
However, neither Medicare nor private insurers consider custom cataract surgery medically necessary, so each patient will be responsible for the portion that their insurance does not cover.
Additional Costs:
Apart from the surgery itself, there may be additional costs related to the surgery. Following the surgery, you will need post-operative drops to aid in the healing process, which may be partially covered by insurance, and eyeglasses and sunglasses updates that work in tandem with your new IOL, which will not likely be covered by insurance.
Talk with your insurance company to see if your insurance covers or partially covers these items. If not, you will need to pay for them out of pocket.
Payment Options
When talking with your insurance provider, be sure to clarify what your policy’s co-payments and deductibles are, as these can affect the cost of your surgery.
Financing
At Medical Eye Center, our goal is to make the most advanced procedures affordable for any budget. If insurance doesn’t cover all the costs of your intraocular lens implants, the CareCredit® card offers convenient payment options so you can get the procedure you want, when you want it.
CareCredit® Benefits:
- Low monthly payment plans
- No money down
- No penalty for early pay off
- No annual fees
- No application fee
- The application process is fast and confidential
See if you prequalify for a CareCredit® Credit Card. Get a decision in seconds with no impact to your credit bureau score.
Get EyeSmart
If you’d like to learn more about IOLs, visit the American Academy of Ophthalmology’s webpage on Intraocular Lens Implants.
Learn More
If you have any further questions about cataracts, or the cataracts procedure at Medical Eye Center, please feel free to give us a call at 541-734-4816.
FAQs
How do I know if/when I need cataract surgery?
You and your doctor will determine together the appropriate treatment course for your cataracts before your vision becomes dramatically impaired. Having cataracts isn’t considered an emergency, so you can take some time to determine when surgery works for you.
Are there possible risks with cataract surgery?
Cataract surgery is a very common procedure and complications are rare. If a complication is encountered during surgery, your surgeon may perform additional measures to correct the issue and/or you may need to return for treatment of the complication. You will have several post-operative visits to monitor your progress after surgery to help ensure any possible complications are addressed.
Can the cataract return after surgery?
No, a cataract cannot return once it is removed with surgery. Your eye can, however, develop posterior capsular opacity in time, which means the membranes behind the implant have become hazy. This can quickly be remedied with a laser capsulotomy procedure to clear up your vision.
What can I expect during the recovery process?
You will be given drops to prevent infection and aid in the healing process after surgery. Your vision will be impaired during the healing process and you may experience the sensation of something being in your eye or some slight burning. This, along with any redness, is normal and will subside as the eye begins to mend.
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