Cataracts: Why Laser Surgery Is Superior to Ultrasound

Published: 2023-08-22

The treatment of cataracts has come a long way since the use of ultrasound technology, and it has now taken a revolutionary step forward with the advent of laser surgery. The femtosecond laser offers a more precise, quiet, and vibration-free approach, targeting an affected area as small as 5 microns without impacting the surrounding eye tissue.

Cataracts: Why Laser Surgery Is Superior to Ultrasound

Detecting Cataracts

One typically realizes there's a problem with their vision after consistent visits to the optometrist over the years. At some point, the optometrist may say, “Glasses or contact lenses can't improve your vision further; you need an ophthalmologist.” Often, a preliminary diagnosis of cataracts is confirmed. Alongside cataracts, patients might also be diagnosed with conditions like diabetic retinopathy, macular degeneration, and glaucoma. As cataracts progress, patients are faced with the decision to undergo surgery.

Cataract surgery becomes a consideration for various reasons:

  1. Deteriorating Vision: Night-time vision diminishes for drivers; professionals like photographers, artists, or dentists find their work impacted. Some might simply desire clearer sight.
  2. Pressure Build-up: A swelling cataract can lead to increased intraocular pressure and glaucoma.
  3. Treatment Access: Cloudy cataracts might prevent doctors from accessing the ocular fundus when treating glaucoma or retinal detachment.
  4. Advanced Degeneration: A severely neglected cataract starts breaking down.

While 90% opt for surgery due to deteriorating eyesight, the remaining 10% have the reasons mentioned above.

At the Benjamin Eye Institute, we believe in transparency: the patient should understand their condition. We utilize advanced imaging machines to let patients visualize their cataracts and the retina. Based on this understanding, patients can make informed decisions about potential surgery.

The Evolution of Cataract Surgery

Cataract surgery has evolved over the decades. Here's a brief history:

  • 50 Years Ago: Surgery involved a significant 180-degree incision, almost half the eye's circumference. The lens was extracted similarly to removing a cherry's pit. Post-surgery, patients required a lengthy hospital stay of 5-10 days, lying still, allowing the surgical wounds to heal.
  • The Ultrasound Revolution: Dr. Charles Kelman introduced a groundbreaking method called phacoemulsification after an inspired moment. Watching his dentist use ultrasound to clean teeth without damaging them, he wondered if ultrasound could break up cataracts inside the eye. This idea transformed cataract surgery. For the ensuing four decades, ultrasound became the gold standard in the field. The surgery's invasiveness reduced significantly, with incisions shrinking from 12 mm to 7 mm and, in the last decade, a mere 2 mm, facilitating the implantation of an intraocular lens.

Challenges with Ultrasound

While ultrasound was revolutionary, it wasn't flawless. The procedure sends waves that can't be contained, potentially impacting the eye's vulnerable tissues. The cornea, particularly its inner endothelial cells, is especially sensitive. Damage to these cells can result in the cornea becoming swollen and cloudy, leading to vision resembling looking through fogged glass. Unfortunately, these endothelial cells don't regenerate once destroyed.

The Laser Revolution

Recognizing the limitations of ultrasound, the medical community sought alternatives. The femtosecond laser emerged as a superior method about a decade ago. It operates with unmatched precision, targeting only the affected area, ensuring surrounding eye tissues remain unharmed.

Laser surgery's precision, combined with a surgeon's expertise and computer-assisted measurements, minimizes complications. The procedure turns cataracts into a gel-like consistency and opens the capsule with unparalleled accuracy. This laser-based method even allows for astigmatism correction, making minuscule incisions that self-heal, eliminating the need for stitches.

Adoption of Laser Surgery

Although laser surgery has proven its efficacy, its adoption wasn't instantaneous. Initially, many in the medical community were skeptical, especially given the significant costs associated with procuring and maintaining the laser equipment. However, as more surgeons adopted the technology and data showcasing its superiority became evident, the paradigm began shifting.

At the Beverly Hills Surgical Center, we pride ourselves on employing the best practices and equipment. Based on our decade-long experience with laser procedures and analyzing the comparative results, the advantages of laser surgery are undeniable.

Making the Right Choice

Given the advancements and proven benefits of laser surgery, it's become my preference. While I respect the skills of doctors who still advocate for ultrasound, I firmly believe that laser surgery is the safer, more effective option. Eyes are irreplaceable, and with the stakes so high, choosing the best surgical method is paramount.

For those prioritizing their vision's quality and safety, laser surgery is the way forward. While the initial costs may seem steep, we at the Benjamin Eye Institute offer various payment plans and discounts, ensuring this state-of-the-art procedure is accessible to all.

Our shared goal is simple: achieving a vision that brings joy and clarity to one's life.

Arthur Benjamin