Author: Physicians of Colorado Ophthalmology Associates

Get the Facts About Macular Degeneration

Blurry spots in your vision that occur as you grow older may be attributed to a condition called age-related macular degeneration. Since this condition can grow slowly or quickly, at Colorado Ophthalmology Associates, we check your eyes for macular degeneration at every eye exam. While it usually doesn’t cause total blindness, the blurry spots can cause significant interference with vision and impede your lifestyle. That’s why early detection is crucial.

What is Macular Degeneration?

More than 10 million people in the United States have been diagnosed with macular degeneration. It is the leading cause of vision loss.¹

Age-related macular degeneration (AMD) is the deterioration of the macula layer of the retina. There are two kinds: dry and wet. All AMD begins as dry and some deteriorate into wet, which is the more serious kind. Most people with AMD have the dry kind.

Dry macular degeneration is the thinning of the macula and may affect only one eye. A buildup of tiny yellow protein under the macula causes it to dry out and thin.

Wet macular degeneration occurs in late stage dry AMD. Fewer people suffer from wet AMD, but it is a more serious condition. Blood vessels develop under the macula and can cause pressure with fluid buildup. Much of the central vision can be lost.

What Causes Macular Degeneration?

Several of the risk factors for macular degeneration are inherited. However, some of the causes are preventable.

Your risk for AMD may increase from²:

• Aging
• Smoking
• Obesity
• High blood pressure
• Heart disease
• Family history of AMD
• Gender – women may be at higher risk
• Race – whites are at higher risk
• Sunlight exposure
• Late stage AMD in one eye increases risk for the other eye

Symptoms of Macular Degeneration

Early detection is key in slowing cases of AMD. However, early stage dry macular degeneration is not noticeable by the patient. Your ophthalmologist can check for it during dilated eye exams. Symptoms include³:

• Blurriness in central vision
• Trouble seeing in dim light
• Blank spots in vision
• Wavy lines that should be straight

Treatment for Macular Degeneration

While there is no cure for macular degeneration, your ophthalmologist will keep close watch over early stage dry AMD. Meanwhile, it is important to take steps to improve your health and to slow your AMD condition.

Begin by eating a healthy diet complete with plenty of dark, leafy greens and fatty fish². Regular exercise and weight loss will also help slow AMD. Your ophthalmologist may recommend supplements of vitamins and minerals. Additionally, wear UV-rated sunglasses outdoors to lessen exposure to harmful rays.

See your primary care physician regularly. Smoking cessation is very important and your doctor will be able to assist you with that. Keeping your hypertension under control is also important.

In late stage wet AMD, your ophthalmologist may utilize options like eye injections called anti-VEGF drugs, photodynamic therapy (PDT) injections, or laser treatments². Research continues into developing treatments for macular degeneration.

Make an appointment today

If it has been over three years since you’ve had your eyes checked for macular degeneration (a dilated eye exam), call us today for an appointment and come to one of our two Colorado locations for a complete exam. Our board-certified ophthalmologists are here to help you protect your vision as your body ages.

            Denver: 303-320-1777

¹ https://www.macular.org/what-macular-degeneration

² https://www.afb.org/blindness-and-low-vision/eye-conditions/macular-degeneration-guide

³ https://www.nei.nih.gov/learn-about-eye-health/eye-conditions-and-diseases/age-related-macular-degeneration

How Increased Screen Time Can Cause Myopia

When jobs and schools transitioned to a work from home situation because of COVID-19, screen time skyrocketed and, consequently, so did cases of myopia or nearsightedness in both children and adults. Recent studies have shown there is a link between increased screen time and myopia or other problems like eye strain, blurred vision, headaches and sleep disruption.¹ The eye experts at Colorado Ophthalmology Associates explain how increased, unrelenting eye strain from computer, tablet, smart phone, video game or television use can harm your vision.

Myopia explained

Myopia—or nearsightedness—is an eye focusing disorder, rather than a disease.² The problem occurs in the refraction of light. The eye may be shaped long, causing the light to focus in front of the retina instead of on it. Or, the cornea may be formed too steep. The result is close objects are clear, but far away objects are blurry.

In addition to decreased vision, myopia can increase a person’s risk for other eye conditions² such as:

• Detached retina
• Glaucoma
• Cataracts

The link between computer use and myopia

In the United States, cases of myopia in children have more than doubled in the past 50 years.³ The highest prevalence of increased myopia was in children of the age of six.⁴ Additionally, ophthalmologists have seen a marked increase in myopia in adults.⁵ Through these studies and more, it is well documented that the cases of myopia have increased in conjunction with the digital age.

Prevention of myopia

When using a digital device for extended periods of time, we recommend the 20-20-20 rule. Every 20 minutes, look at something 20 feet away for 20 seconds. Being near a window and setting a recurring alarm can help with this goal, though it is important to keep glare off your screen. Set a visual reminder to blink more frequently to prevent dry eyes and increased eye strain.

For children, set an alarm for computer use or space out bookmarks or paperclips to remind them to take an eye break when reading a book. Limit unnecessary screen time and increase outdoor play time. Train children to use screens 24 inches or farther away, rather than under 12 inches which is too close to the eyes. Use UV protection sunglasses.

The most important thing you can do to protect your vision or your child’s vision is to keep regular visits with your ophthalmologist to closely track any vision changes or strains that may be occurring without your knowledge.

Cure for myopia

While there is no cure for myopia, refractive surgery might be possible to correct the vision. Otherwise, corrective devices will be required, such as contact lenses or eyeglasses. Additionally, some studies have documented success with low-dose atropine treatments.⁶

Make an appointment today

If you have accelerated your use of screens and have noticed a change in your vision or an increase in eye strain, call us today for an appointment and come to one of our two Colorado locations for a consultation. Our board-certified ophthalmologists are available to evaluate your eye health and to help protect your vision during this time of increased close work and highly concentrated screen time.

            Denver: 303-320-1777

Sources:

¹ https://www.aao.org/newsroom/news-releases/detail/is-too-much-screen-time-harming-childrens-vision

² https://www.aao.org/eye-health/diseases/myopia-nearsightedness

³ https://keck.usc.edu/too-much-screen-time-is-raising-rate-of-childhood-myopia/

⁴ https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2774808

⁵ https://www.fightforsight.org.uk/news-and-articles/articles/news/screen-time/ ⁶https://www.aao.org/eye-health/diseases/myopia-nearsightedness-treatment

UV Damage and You

As the sun ramps up for the summer, it’s time to take a closer look at how you’re protecting your eyes from ultraviolet (UV) damage. Since May is UV Awareness Month, Colorado Ophthalmology Associates offers these tips on avoiding UV eye damage and how to choose the best sunglasses to help protect your eyes.

What is UV Light?

Ultraviolet light rays are emitted from the sun and many of them are blocked by the earth’s atmosphere. Still, many come through. These rays are important since they help the skin in the creation of Vitamin D. However, there can be too much of a good thing. UV rays can damage the skin and the eyes over time. The short rays enter the eye and damage the macula of the retina, which is responsible for the center field of vision. Additionally, the cornea and lens can be damaged by UV rays.¹

Eye Conditions Caused by UV Damage

Apart from skin cancer, which can even be located on eyelids and around the eyes, UV damage can cause a number of conditions.² These conditions include:

• Corneal sunburn – overexposure to the sun hurts the eyes like a sunburn.
• Photokeratitis – temporary loss of vision due to corneal sunburn or from sun glancing off of water, snow or highly reflective surfaces.
• Pinguecula – irritating growth on the white of the eye that requires surgery to remove.
• Eye cancer – takes longer to develop but can culminate from years of UV ray abuse.
• Macular degeneration – develops from overexposure of UV light over time. Vision loss cannot be regained.
• Cataracts – UV rays contribute to the development of cataracts later in life. Surgery will likely be needed.
• Pterygium – growth on the eye, also called surfer’s eye. Requires surgery to remove.

Prevention of UV Damage to the Eyes

There are some simple steps to help protect your eyes against UV damage. Be especially vigilant at higher elevations and locations closer to the equator where UV rays are more intense.

Choose a wide-brimmed hat that will shadow your face from UV rays. Some rays are blocked by glass but others will go through glass, so don’t expect to be fully protected indoors.

Wear sunglasses every day, even on cloudy days. UV light will be present all the time. Make sure your children also wear UV-rated sunglasses.

Choose sunglasses that are rated at 99% and greater UVA and UVB protection.³ Look for sunglasses that cover a wide surface and even wrap around. Grey lenses offer the closest thing to true color perception.

Stop smoking or don’t start smoking. Smoking can speed up UV light damage to the eyes. Talk to your medical provider about getting help to stop smoking.

See your ophthalmologist regularly. To make sure your eyes are not being damaged by overexposure to UV rays, make sure you get regular check-ups.

Discuss with your ophthalmologist

To kick of the sunny season, call us today for an appointment and come to one of our two Colorado locations for a consultation. Our board-certified ophthalmologists are ready to evaluate your eyes for UV damage and to recommend the best eye protection to help prevent damage as you enjoy the benefits of being in the sun this season.

            Denver: 303-320-1777

Sources:

¹ https://preventblindness.org/how-uv-rays-damage-the-eyes/

² https://www.aao.org/eye-health/tips-prevention/sun

³ https://www.mayoclinic.org/healthy-lifestyle/adult-health/expert-answers/uv-protection/faq-20058021

How to Nip Spring Allergies in the Bud

With the fresh waves of spring’s new growth comes the dreaded eye allergy season. The misery that comes from red, itchy, watery eyes may have you rethinking your love of the great outdoors. How can you get ahead of spring allergies that can cause so much eye discomfort? Colorado Ophthalmology Associates offers tips for understanding spring eye allergies—known as allergic conjunctivitis—and preventing eye problems caused by allergies.

Symptoms of Eye Allergies

• Watery eyes
• Red eyes
• Swollen eyes
• Itchy eyes
• Burning eyes
• Light sensitivity
• Often accompanied by nasal allergies – itchy, stuffy, runny nose and sneezing

Causes of Eye Allergies

Substances in the air, such as pollen, grass pollen, ragweed pollen, pet dander, dust, smoke, perfumes, mold, and even cooking odors, irritate the eye and trigger the release of histamines to combat them. The histamines cause the eye to become red and watery and can increase the itchy feeling and the swelling.¹

Eye allergies can be inherited. If both of your parents suffer from allergic conjunctivitis, your risk for inheriting the condition is greatly increased.¹

Prevention of Seasonal Eye Allergies

If you suspect you will suffer from seasonal eye allergies this spring, you can begin protecting your eyes by eliminating exposure to the sources of irritation. If the fresh flowers and pollen affect you, avoid these triggers by staying indoors as much as possible. Use air conditioning and keep windows closed. Consider using special air filter units or add HEPA filters to your air conditioner and HEPA bags in your vacuum cleaner.

When you do go outside, try wearing sunglasses, goggles or eye shield to protect your eyes from the pollen. The best time to go outdoors is after a rain has settled the pollen. Avoid windy, dry days and early mornings when pollen count is at its highest. Listen to the weather reports that give pollen counts for the day. Wear a pollen mask outdoors.²

Frequently wash your hands and face to remove irritants before they are inadvertently passed onto your eyes. If you’ve been working outdoors, remove clothes and shower to remove allergens.²

Treatment for Seasonal Eye Allergies

While there are over-the-counter medications, such as antihistamines, that can be taken, some of them can dry out the eye and not readily improve the eye discomfort you may be experiencing. Antihistamines with diphenhydramine, such as Benadryl^™ or ChlorTrimeton^™ can dry out the mouth and eyes. Try medications with cetirizine or levocetirizine, fexofenadine, loratadine or desloratadine that won’t cause drowsiness or dry eyes.³

Artificial tears can quickly wash irritants from the eyes before histamines are triggered. They can also keep the eyes moist. Use according to directions on the label and no more than six times a day.⁴

Other eye drop options include: corticosteroid eye drops, antihistamine eye drops, or decongestant eye drops. These should be used as directed and under the supervision of your ophthalmologist.⁴

Finally, there are immunotherapy shots that may be prescribed to help with severe seasonal allergies. Ask your ophthalmologist if you are a good candidate for this treatment option.⁴

Discuss your seasonal eye allergies with your ophthalmologist

Ready to nip your allergies in the bud? Call us today for an appointment and come to one of our two Colorado locations for a consultation. Our board-certified ophthalmologists are experienced in helping everything from mild to severe cases of spring allergies so you can enjoy the season free from eye discomfort.

            Denver: 303-320-1777

Sources:

¹ https://www.aao.org/eye-health/diseases/allergies

² https://www.mayoclinic.org/diseases-conditions/hay-fever/in-depth/seasonal-allergies/art-20048343

³ https://acaai.org/news/update-what-you-need-know-about-2021-spring-allergies

⁴ https://www.aao.org/eye-health/diseases/allergies-diagnosis

Intraocular Lenses Explained

Recently, ophthalmologists have been able to offer more and more options for specialized kinds of intraocular lens (IOL) replacements, giving you some control over how well you will see up close or far away, and if you will need to supplement with glasses. Intraocular lens replacements are most commonly used in cataract surgery.

If you have cataracts, you’re not alone. More than 25 million Americans have cataracts with approximately 4 million having cataract corrective surgery yearly¹. At Colorado Ophthalmology Associates, we’re here to take the mystery out of IOLs and to help you choose the one that’s right for you.

An intraocular lens can be used as a replacement for a cloudy lens that has caused diminished vision. However, it can go beyond just being a replacement, it can also correct certain kinds of vision problems. For example, if you’ve been experiencing natural vision loss due to aging (presbyopia) and have been using reading glasses, a special IOL can help with that condition.

There are different choices of materials within each of the five kinds of IOLs. Your ophthalmologist will discuss the best choice for your unique eye needs.

Here are 5 kinds of intraocular lenses and what they can do for vision problems¹:

Monofocal Lenses

The basic lens available for cataract surgery is the monofocal lens. This offers the best night vision with less glare, dull vision and halo problems for those who drive at night. Monofocal lenses can be designed for near vision or for far vision, depending on your choice. If you work on the computer a lot, you may desire near vision and then supplement with glasses for driving. Or, if you prefer to see well at a distance and don’t mind wearing glasses for up-close work, you can choose far vision IOLs.

Multifocal Lenses

These lenses offer the greatest range of vision correction with different zones on the lens that allows you to see up close and far away. Intermediate vision is also an optional lens zone. Your brain helps you adapt to these zones in the same way as using bifocal or trifocal glasses.

Extended Depth-of-Focus Lenses

These lenses have one corrective zone, like the monofocal lenses, requiring you to supplement with glasses. But this zone is designed to stretch to include both intermediate and far away vision.

Accommodative Lenses

Like multifocal lenses, accommodative lenses allow the patient to see near, far and even intermediate but not because of zones on the lens. Instead, the lens flexes, allowing the focus power of the eye to be increased to see the object more clearly.

Toric Lenses

These lenses are designed to correct astigmatism. They have different zones in different areas of the lens, allowing the best correction for astigmatism when expertly placed by your ophthalmological surgeon.

Is there a price difference between the IOLs?

Yes, IOLs range in price from the lowest, monofocal lenses, to the highest, premium lenses. Premium lenses are not considered as necessities and are not fully covered by Medicare and other insurance companies, though they will often cover basic, monofocal lenses. Premium lenses can range from $1,500 to $3,000 per eye, above what insurance will cover. Additional costs may include laser procedures or limbal relaxing incisions needed to correct vision and to adapt to the IOL.

What is monovision²?

One final option for your IOLs includes monovision, which results from having two different kinds of lenses implanted – one in either eye. This can be done to offer you a greater choice in vision, such as having one eye that can see close and one eye that can see far. Or, this procedure can be done to compensate for different levels of astigmatism in each eye. Your brain adapts to the two different visions and, for some patients, this is a good option.

Get an appointment for an eye exam today

To get more information on the variety of IOLs available, call us today. If cataract surgery is in your future, we can provide expert care from start to finish. Come to one of our two Colorado locations for an exam by one of our board-certified, experienced ophthalmologists and let’s discuss the right intraocular lens that can help you see beautifully again.

            Denver: 303-320-1777

Sources:

¹ https://www.aao.org/eye-health/treatments/best-artificial-lens-IOL-cataract-surgery

² https://www.eyehealthweb.com/intraocular-lenses/

The Link Between Diabetes and Your Eyes

While many people know that diabetes can affect your eyesight, few know that your ophthalmologist can be the first to detect diabetes by giving you a complete dilated eye exam. The eyes are directly linked to glucose levels in the body, and blood sugar that is too high for too long can often cause damage to the retina or cause changes to the lens. At Colorado Ophthalmology Associates, we are experienced in diagnosing and treating a group of vision concerns known as diabetic eye disease.

Symptoms of diabetic eye disease¹

• Floaters – dark spots or strings that float in your vision
• Blurred vision
• Wavy vision
• Vision changes
• Flashes of light
• Loss of color clarity vision

Eye conditions that can be caused by diabetes

The change in pressure to the eye caused by diabetes can cause blood vessels to grow differently, which can cause a type of glaucoma, or it can cause swelling and blurred vision. Here are some of the eye conditions² that can be caused or exacerbated by blood sugar that is out of control.

• Diabetic retinopathy
• Cataracts
• Glaucoma
• Diabetic macular edema
• Retinal detachment

Prevention of diabetic eye disease

Your ophthalmologist at Colorado Ophthalmology Associates may be able to catch diabetic eye disease before it becomes serious, but taking steps to control your glucose levels is crucial. Here are some other ideas to help you prevent diabetic eye disease.

• Increase your daily physical activity
• Follow a healthy diet restricting carbs and sweeteners
• Lower your cholesterol levels
• Manage your blood pressure
• Stop smoking
• Carefully manage your diabetes with insulin and glucose testing
• Get annual eye exams
• Monitor any vision changes
• Get annual physical exam including an A1c test

When should I see a doctor?

You should receive a yearly ophthalmology exam with dilation if you have diabetes or are pre-diabetic. Your doctor may recommend even more frequent eye exams. If your ophthalmologist detects an elevation of glucose or a diabetic condition, you should follow up with a visit to your primary care physician.

If you’re pregnant, gestational diabetes can worsen diabetic eye disease, including diabetic retinopathy.³ It is important to have additional eye exams during pregnancy.

If you notice any changes in your vision, see your ophthalmologist right away. If you suddenly lose vision or experience flashes of light or floaters, it could be an urgent condition. Come to Colorado Ophthalmology Associates immediately for fast, quality care.

Treatment for diabetic eye disease

Depending on the kind of disease that has been detected, your ophthalmologist will offer a treatment plan that’s right for you. This plan could include¹:

• Medication
• Surgery
• Laser treatment
• Vitrectomy
• Rehabilitation
• Special equipment

Get an appointment for an eye exam today

Do you suspect your blood sugar levels may be changing your eyesight? Call us today to make an appointment for your exam. Come to one of our two Colorado locations for an exam by one of our board-certified, experienced ophthalmologists. We will go to work to check you for diabetes indicators and to check your eyes for good health and clear vision.

            Denver: 303-320-1777

Sources:

¹ https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/diabetic-eye-disease

² https://www.aao.org/eye-health/diseases/diabetic-eye-disease

³ https://www.mayoclinic.org/diseases-conditions/diabetic-retinopathy/symptoms-causes/syc-20371611

Stop Dry Eyes in Their Tracks

Tired, red, stinging, watery or itchy eyes can be a sign that you have dry eyes. Dry eyes can be an indication that your tears are inadequate or imbalanced. This can cause a condition that can become chronic. Nearly 5 million Americans suffer from dry eyes.¹ If you’re one of them, start the New Year right by finding the solution to your problem with dry eyes. At Colorado Ophthalmology Associates, we treat chronic dry eyes with a balanced approach.

Symptoms of dry eyes

• Easily fatigued or tired eyes
• Red eyes
• Scratchy, gritty, itchy feeling
• Watery eyes
• Light sensitivity
• Difficulty with contact lenses
• Blurred vision
• Unusual, heavy or stringy discharge
• Stinging or burning eyes
• Difficulty with night vision

My dry eyes are irritating but are they really a serious condition?

Chronic dry eyes could be caused by atmosphere issues, such as fans or forced air, by computer eye fatigue, by hormone changes, by decreased tear production, or even by allergies. These causes can often be corrected with lifestyle changes and minor treatments.

But at other times, dry eyes can be the symptom of another underlying medical condition. If you have been suffering from dry eyes, get a complete eye exam to ensure your eyes are healthy. Some conditions that cause dry eyes include thyroid conditions, lupus, rheumatoid arthritis, Parkinson’s disease, Bell’s palsy, and diabetes.

What options are available to treat my dry eyes?

At Colorado Ophthalmology Associates, we treat dry eyes starting with the most minimally-invasive options. Most conditions can be managed or reversed with these treatments and with lifestyle and environmental changes².

• Over-the-counter products: artificial tears, gels and moisturizers
• Prescription eye drops
• Punctal plugs to block drainage duct
• Surgery to fix eyelids to prevent evaporation
• Vitamin A supplements
• Omega-3 fatty acid supplements
• Flaxseed oil supplements
• Prescription steroids
• Prescriptions slow-release eye lubricants
• Meibomian gland expression to open oil glands in eyelids
• Warm compresses
• Eye makeup removal and eye scrubs to make sure eyelids are clean
• Avoid contact lens use
• Antibiotic treatment for any eyelid inflammation or cornea inflammation

Is there any way to prevent dry eyes?

Yes, some kinds of dry eyes are preventable³. Environmental and lifestyle adjustments may be needed such as:

• Redirecting fans or staying out of the wind.
• Wearing wrap-around sunglasses to deflect wind.
• Don’t use hairdryers.
• Increase moisture with air humidifiers.
• Avoid smoke and stop smoking.
• Take frequent breaks when staring at computer or video screens. Use the 20-20-20 rule: every 20 minutes look at something 20 feet away for 20 seconds.
• Lower your computer to below eye level so your eyes aren’t open as wide for as long.
• Increase blinking, especially when using a computer. Post reminders or use alarms to help you make more effort blinking.
• Use artificial tears as needed.
• Drink enough water each day.
• Get 8 to 10 hours of sleep in a darkened room each night.
• Medication management – some prescriptions can cause dry eyes. There are also prescriptions that can help manage conditions that cause dry eyes.

Get an appointment for an eye exam today

Dry eyes can reduce your quality of life and interfere with your activities. Let us give you a thorough examination to try to pinpoint the cause of your dry eyes. Come to one of our two Colorado locations for an exam by one of our board-certified, experienced ophthalmologists and let us help you start feeling better again. Call us today to make an appointment:

            Denver: 303-320-1777

Sources:

¹ https://www.nei.nih.gov/learn-about-eye-health/eye-conditions-and-diseases/dry-eye

² https://www.aao.org/eye-health/diseases/what-is-dry-eye

³ https://www.mayoclinic.org/diseases-conditions/dry-eyes/symptoms-causes/syc-20371863

Everything You Need to Know About Cataract Surgery

If your eye’s lens has become cloudy, causing your vision to become blurry, hazy and dulled, your ophthalmologist from Colorado Ophthalmology Associates has likely recommended cataract surgery. One of the most common procedures worldwide, cataract surgeries can help people who have been noticing increasing difficulty seeing when driving, watching TV, climbing stairs, or even focusing in bright lights.

In cataract surgery, your ophthalmologist will use delicate instruments to make a small incision in the eye to remove part of the lens and then to remove the cataract. An artificial lens, folded up, will then be inserted into position¹. It will unfold and become the new permanent lens implant, allowing light to refract onto the retina for a clearer visual image.

What will happen during my pre-surgery appointment?

Before your cataract surgery, your ophthalmologist will want to measure your eye for the right fit and for the correct power of your intraocular lens (IOL). The details of the surgery will be discussed and you will be given instructions for the day of surgery, such as not wearing any makeup, creams or facial lotions that day. You will also be instructed not to eat or drink anything for 12 hours prior to your surgery.

Your doctor will want to know what medications you are taking, so bring a list with you. You may receive instructions to stop taking some of the meds prior to your surgery. Additionally, you may receive an antibiotic eye drop prescription along with instructions to use the drops before your surgery. These drops may help prevent infections and lessen swelling.¹

What will cataract surgery be like?

On the day of your surgery, you will need to have someone drive you home, so be sure to make arrangements. Surgery will last only 10 to 15 minutes, but with prep and recovery, plan on an hour in the office. Here are the steps to the surgery:

• Eye dilated with drops
• Eye numbed with drops or injection
• You may be given a light sedative to make you groggy and relaxed
• You will be awake and see light and movement, but not exactly what the doctor is doing
• Your surgeon will use a special microscope to view the eye and the procedure
• The old cataract will be removed and the new, artificial lens will be implanted
• Stitches are not usually needed since the lens will attach and heal by itself
• A shield will be placed over your eye to protect it while it heals
• You will rest in recovery for 15-30 minutes before being discharged

What will recovery be like?

Your vision will usually start to improve within a day or so, though it may start out blurry. Since the cataract was likely a brown or yellow color, you will probably notice a remarkable difference in colors. You may experience some mild discomfort for a few days while the eye heals. If it feels itchy, avoid rubbing or touching it. Your doctor may have you wear an eye patch during the day and a shield during the night.

Eye drops may be prescribed. It is important to follow these instructions to prevent infection and to protect your eye during healing.

Your ophthalmologist will want to see you a day or two after surgery. You will have a follow-up appointment or two within the first month so the eye can be monitored closely. If both eyes are receiving surgery, your second cataract surgery will be scheduled to take place after the first eye heals. By two months, your eye should be completely healed.

You may still need to wear glasses after cataract surgery. After the eye has healed, you will need to have a new prescription for your glasses. If you chose an intraocular lens (IOL) implant, you may not need glasses or you may only need them part of the time.

At Colorado Ophthalmology, we specialize in fitting the right IOL to the right patient to improve vision and to reduce dependency on eyeglasses. Your ophthalmologist will discuss the different kinds of IOLs with you prior to your surgery.

• A monofocal IOL gives you one clear focal point. You can choose whether that point is near, middle or far. Many patients prefer to see clearly farther away so they don’t have to wear glasses for driving but only for reading and doing things close-up.
• A trifocal IOL will help you see clearly in all three positions: near, middle and far. Unlike trifocal glasses, you will be able to see in all directions.
• A toric IOL is designed for patients with astigmatism where the cornea is flatter on one side than the other. This kind of IOL can either give you monofocal or trifocal vision.

Other than these IOL choices, your ophthalmologist may recommend phakic lenses. A phakic lens helps patients with severe nearsightedness. In this case, the eye’s lens is not removed, but this lens is added to it to correct the vision.

You will be on restriction for a few days following surgery with instructions on how much you can lift and bend and how much you are safely allowed to do. It is important to rest and to allow the eye to heal without straining it during this time.

What are the risks of cataract surgery?

As with any surgery or procedure, there are certain risks that come with cataract surgery². These risks, though rare, include:

• Inflammation or swelling
• Bleeding
• Infection
• Eyelid problems
• Detachment of artificial lens
• Glaucoma
• Detachment of retina
• Secondary cataract
• Pain
• Halos or glare from light
• Vision loss

What urgent conditions should I watch out for?

Complications from cataract surgery are very rare. However, if you experience any of the following, call your surgeon right away:

• Eyelid swelling
• Pain that doesn’t lessen with over-the-counter medications
• Increase or change in redness of the eye
• Flashes of light, halos, light spots in the eye
• Vision loss

Get an appointment for a cataract consultation today

If you suffer from blurred vision due to cataracts, we can help. Come to one of our two Colorado locations for a consultation to see if you are a good candidate for surgery so you can start to enjoy a more active lifestyle again. Call us today to make an appointment:

            Denver: 303-320-1777

Sources:

¹ https://www.aao.org/eye-health/diseases/what-is-cataract-surgery

² https://www.mayoclinic.org/tests-procedures/cataract-surgery/about/pac-20384765

Everything You Need to Know About LASIK Surgery

Wondering about laser eye surgery in Denver? Tired of your contacts, glasses and not being able to see clearly? The answer to your vision challenges might be a refractive surgery, such as LASIK. LASIK surgery is a corrective surgery that allows people with nearsightedness, farsightedness or astigmatism to see better.

By reshaping the cornea with laser technology, your ophthalmologist from Colorado Ophthalmology Associates can manipulate how the light strikes the retina and then travels to the brain as an image. In effect, this surgery could reduce or eliminate the need for glasses altogether.

Am I a good candidate for LASIK?

According to the American Academy of Ophthalmology¹, candidates for LASIK surgery must meet several requirements such as:

• Must be 18 years or older, but ideally over 21 when your vision is more likely to have stopped changing.
• Your eyes should not have changed much in the past year.
• The refraction needed to correct your vision must be viable for LASIK treatment.
• Eye health is key. Your corneas need to be thick enough and healthy enough and your eyes must be healthy.

What kinds of things would eliminate me from consideration for LASIK?

Conversely, several conditions would make you not a good candidate for LASIK surgery. Some of these conditions include:

• Cone-shaped corneas
• Dry eyes
• Eyes that are changing or unstable
• Extreme levels of nearsightedness, astigmatism or farsightedness
• Cornea disease or damage
• Corneas that are too thin
• Cataracts
• Glaucoma
• Pregnancy or nursing
• Diabetes

What are the risks of LASIK surgery?

There are certain risks that come with LASIK surgery². These risks include:

• Dry eyes
• Light sensitivity – may be temporary
• Glare
• Halos
• Double vision
• Reduced vision in dim light or fog
• Undercorrections
• Overcorrections
• Astigmatism
• Corneal flap problems
• Regression
• Vision loss or changes

What can I expect from my LASIK surgery?

Your ophthalmologist will perform a thorough eye exam, including measurements, to ensure you are a good candidate for the surgery and have healthy eyes. Before the surgery, you will be asked to not use eye makeup, lotions or perfumes the day before or the day of surgery to minimize the risks of infection². Cleansing the eyelashes prior to surgery will also help minimize the risk of infection.

The day of surgery, you will need someone to drive you to the clinic and home again. The procedure is short, so plan on over an hour. You will lie back in a comfortable reclining chair and numbing drops will be placed in your eye. With your eye numb, an instrument will hold your eyelid open. Your surgeon will place a suction ring on the cornea and you will notice a change in your vision. A careful incision will be made on the cornea flap to expose the cornea. A pre-programmed laser will then reshape the cornea. The flap will be placed back in place and will reattach in minutes. It will heal on its own with no stitches. The procedure will then be repeated on the other eye, if needed.

After surgery, you will experience burning, itching, gritty feeling, watering eyes, dry eyes, and/or some pain. Prescription drops and pain relievers may help alleviate some of these symptoms. You will likely feel like sleeping once you get home. You will need to wear eye shields when you sleep. We will schedule several visits to examine you after surgery.

Your eyes need several weeks to heal and your vision to stabilize. You will need to refrain from eye makeup for a few weeks and avoid hot tubs, swimming or contact sports as your eyes heal.

Get an appointment for an eye exam today!

Intrigued by the possibility of LASIK surgery to help you see better? Come to one of our two Colorado locations for a comprehensive exam to determine if the procedure would correct your vision concerns. Since it is considered an elective surgery, your insurance provider may not cover it. We can discuss payment options during your exam. Call us today to make an appointment:

            Denver: 303-320-1777

Sources:

¹ https://www.aao.org/eye-health/treatments/lasik

² https://www.mayoclinic.org/tests-procedures/lasik-eye-surgery/about/pac-20384774