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Cataract
Los Angeles

Every normally developed human eye contains within it a crystalline lens. This lens is a clear organ made up of proteins and it’s responsible for focusing images on the retina, much like the lens inside a camera that brings images to focus on film.

With time and under the influence of factors such as ultraviolet lights, smoking, poor nutrition, radiation and/or chemotherapy, but most commonly as part of the aging process, the lens becomes cloudy. This occurs due to denaturation of the proteins that make up the lens. This process of clouding of the lens is irreversible and is called cataract formation. As the cataract forms, the light is scattered by the increasingly dense and cloudy lens and results in poor vision.

Who is at risk of developing cataracts?

Patients between the ages of 65 and 70 are at risk of developing cataracts in Los Angeles, with up to 50 percent of them suffering from visually significant cataracts that interfere with activities of daily living. Individuals who are on chronic steroid administration, have undergone radiation or chemotherapy, and have had trauma are at risk of developing cataracts at an even earlier age.

What are the symptoms?

Cataract symptoms include halos, glare, a decrease of visual acuity, loss of color perception and contrast sensitivity. Frequently, symptoms are manifested as difficulty seeing road signs, seeing halos and glare from oncoming traffic, trouble reading and photosensitivity.

Cataract treatment in Los Angeles

Most people with cataracts do not realize that they are suffering from a distortion on their lens, as initially any changes in vision may be undetected. The first sign of cataract formation may be when night vision begins to diminish. Fortunately, there are many advanced treatments for modern cataract surgery, without stitches or incisions.

Depending on the degree of the cataracts, a procedure with a leading Los Angeles cataract surgeon may be the only treatment option. The process involves breaking down the cataracts and removing them. As the cataracts were on the lens of the eye, that tissue is also removed and will need to be replaced with synthetic lenses, a process called intraocular lens (IOL) replacements.

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Lens options

Modern cataract care involves the removal of a cloudy crystalline lens (the cataract) and its replacement with a clear intra-ocular lens implant or IOL. The use of intra-ocular lens implants (IOLs) is now considered to be the standard of care. Situations when it is not medically advisable or physically impossible to implant a lens are very rare. Before the advent of modern lens implants, patients were left aphakic (without lenses) and had to resort to use of very thick “Coke bottle” glasses or contact lenses.

Other than the convenience of not having to wear “Coke bottle glasses,” there are a number of medical reasons why it is important to have a lens implant. Aphakic eyes (eyes without lenses), are at higher risk of developing glaucoma and retinal detachments. That is why every reasonable effort is always made to place a lens implant in the eye.

There are a number of lens implant options available to the physician and the patient. These lenses all have a basic function of focusing images on the retina. Some lens implants have extended functions, such as correcting corneal astigmatism (Toric lenses) or allowing the eye to focus at both near and far distances, without having to resort to using glasses or contacts (Presbyopia Correcting Lenses). These IOL’s with extended functions are usually not covered by health insurance or Medicare. That is because these lenses, while providing patients with the convenience of spectacle freedom, are not considered to be “medically necessary” by most health insurers. The “spectacle freedom” afforded by such extended function lenses comes with an added cost that is assumed by the patient.

Cost issues aside, not all lenses are appropriate for all patients. There are various factors that are individual to each patient that must be considered. If the idea of being glasses-free is enticing, ask your doctor about the premium Los Angeles cataract surgery options available at the Benjamin Eye Institute.

What to expect during your appointment

Once you decide you’re ready to treat your cataracts and improve your vision, you will need to schedule a consultation with the team at Benjamin Eye Institute. During that appointment, you will undergo in-office preoperative testing and measurements. In addition to a full ophthalmic examination, one of the best cataract surgeons in Los Angeles, Dr. Benjamin, will review the risks and benefits of cataract surgery with you, along with all of the treatment options that are available to meet your visual needs. Once your surgery is scheduled at our Los Angeles outpatient facility, we will review all of the details and schedule your final examinations.

Typically, another visit is set to have biometrics performed:

  • Keratometry
  • IOL Master
  • Visual Field Testing
  • Corneal Topography
  • Corneal Pachymetry

These biometrics will assist in choosing the proper intraocular lens calculations. Logistical aspects of the surgery as well as medications are also discussed at this time.

Counseling will also take place during your appointments at our Los Angeles optometry office. This will include a discussion about the expectations concerning best corrected visual acuity (BCVA), including pre-operative conditions that may prevent perfect results, such as age-related macular degeneration. Counseling regarding uncorrected visual acuity (UCVA) may address goals of surgery, for example being left moderately nearsighted to allow near work to be performed without correction.

Patients with high amounts of astigmatism may not be able to rid themselves entirely of glasses. In this case, the doctor will talk to you about possible treatment modalities for astigmatism, including LRI and/or Toric IOL’s. Possible upgrade to a multifocal/accommodating lens implants may be considered if the patient desires.

Schedule your consultation today

If you would like to improve your vision with one of the best cataract surgeons in Los Angeles, we invite you to schedule a consultation at the Benjamin Eye Institute or call us at 310.507.7988.

During that appointment, Dr. Benjamin will discuss the details of the procedure with you and ensure that you’re fully prepared for surgery.

Cataracts relief? 310.507.7988

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Orsi N., Google +

If you're thinking about LASIK surgery, don't even look further. Dr. Benjamin is the absolute best!! Couldn't be happier with his services.

elgordo123, City Search

Dr. Benjamin was so friendly that I can't wait until my next appointment! I DEFINITELY recommend him to anybody looking for a great ophthalmologist!

lolita987

Wow, what a huge difference a short 15 minutes makes! Having spent so much of my life helpless without my glasses and inconvenienced by an expensive contacts routine -- suddenly I could see, and with minimal down-time.

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