Cataract & Presbyopia Treatment

Are you having trouble reading your SMS?

Presbyopia, also termed as ‘lao hua yan’ is an expected consequence of aging process. In the young eye, the soft and flexible crystalline lens changes its shape to focus on near objects in a process called ‘accommodation’. However, with age, the lens loses its elasticity therefore decreasing the ability of the eye to focus on near objects. This is a sign of the beginning of cataract. So if you start feeling that your ‘arms are too short’, you are not alone.

Eyewear

The most common correction method is prescriptive glasses. When presbyopia begins, people who already wear glasses may either require another pair of glasses for near work (reading glasses) or switch to lenses that allow them to see objects at different focal length such as bifocal or progressive addition lenses. Bifocal lenses contain 2 distinct points of focus in the same lens whereas progressive lenses offer a gradual visual transition from distant to near objects.
Presbyopes who are contact lens wearers may either consider wearing reading glasses on top of their contact lenses when doing near work or switch to multifocal or monovision contact lenses.

A cataract is a misting or opacity of the natural crystalline lens of the eye. It prevents light from entering the eye and causes a dimness of vision. If the cataract is allowed to progress without treatment, vision can be seriously limited. As cataract is a slow progressing disease, many patients do not realize that their cataract have started to develop. Yellowing or misting of the natural lens in the eye may start developing at the age of 40.

Most cataracts are the result of the body’s natural ageing process, though some may be the result of injury to the eye. Rarely, cataracts can occur in infancy due to abnormal development of the eye.

Neither eye drops nor oral medications can cure cataract. Cataract surgery is the only effective treatment that improves the vision of the patients with cataract. It involves removal of the cloudy natural lens in the eye and replacing it with a clear artificial lens, called an intraocular lens (IOL).

Risks of Cataract Surgery

The EyeClinic offers advanced cataract surgery in Singapore to get rid of the blur and opacity that can hinder proper eyesight.

Modern cataract surgery in Singapore and almost everywhere else is generally safe. However, as with all other surgical procedures, there are potential complications. These complications are uncommon, but may limit the success of the surgery when they occur. Some of the possible complications include:

The EyeClinic has the up-to-date equipment to ensure:

1)    Accuracy of your IOL power

What is the downtime of cataract surgery?
The surgery takes about 10 minutes and we expect you to see well enough to watch TV and read on your iPad on the same day.

When can I start exercising after cataract surgery?
You are allowed to do light exercise such as brisk-walking within the first 2 weeks after your cataract surgery. Running, weightlifting, swimming and other water sports are best to be started after 1 month. Do not expose your eyes to any risk of trauma within the first month.

My friends need stronger reading glasses as they get older. If I get the multifocal IOLs implanted now, does that mean that I have to wear glasses later on?
No. The reason for the change in the glasses prescription is mainly because of worsening of the cataract. Once the cataract is removed, it will not recur hence your prescription remains stable.

I have had LASIK. Can I still have the multifocal IOLs?
Not all eyes that have undergone LASIK will be suitable for multifocal IOLs. LASIK changes the shape and thickness of the cornea and it also causes dry eyes. LASIK has permanently reformed your cornea so post-LASIK eye needs to be evaluated carefully.

I have had cataract surgery done with monofocal IOLs implanted and I have to wear glasses when I am reading now. Can I still have my presbyopia treated?
Yes, you can. There are now multifocal add-on lenses that we can insert on top of your existing monofocal IOLs. This option can likely maintain or improve your far vision and at the same time decrease your dependence on glasses when you read. 

Do I need to adjust the position of my eye to see far and near just like when I am wearing my progressive glasses?
No. With the IOL, your brain will learn to adjust the focus by a reflex change in the size of the pupil.

Will I need glasses after the multifocal IOL implant?
You will experience greater overall freedom allowing you to participate in most daily activities without dependence glasses.

How long can the IOL stay in the eye?
The IOL is intended to remain in place indefinitely without any maintenance. You can indulge in activities like diving, facials, high impact sports and taking airplanes with peace of mind.

Will cataract recur after surgery?
No. As cataract is the opacification of the natural lens in the eye, it cannot recur once the lens is being removed. If your vision becomes cloudy again after cataract surgery, you may have developed a condition called posterior capsule opacifiation (PCO) or secondary cataract. This occurs when the back of the lens capsule (part of the lens that was not removed during surgery and now supports the lens implant) becomes cloudy due to thickening of capsule or deposits.

PCO is treated with a fast and painless outpatient procedure called yttrium-aluminum-garnet (YAG) laser capsulotomy. In this procedure, a laser beam is used to remove the hazy posterior capsule from your line of sight. This allows the surgery to be performed without any incision and patients may go home after surgery without any dressing.

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Spectacle Recycling Program at The EyeClinic

After going through ICL™ or presbyopia treatment procedure at our centre, you do not have to worry about what to do with your then-unused spectacles!

GOOD NEWS! 

Our centre is also one of the healthcare institutions registered with the Ministry of Health. This means that your procedure may be claimable with your Medisave account. If you have any Insurance plans, your procedure may be claimable too. Do check with our staff for more information!

 

Myopia Control Screening

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