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Ask the Expert
Dr . David H . Perlmutter , MD , is a board-certified ophthalmologist and partner at Perlmutter Eye Center in Albany , NY . He specializes in retinal disease and customized cataract surgery . 518-472-9111 • perleyecenter . com
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Common Questions Regarding Cataracts and Cataract Surgery
Q : What is a cataract and how does it affect vision ?
A : A normal eye has a lens inside . It is clear at birth and slowly becomes cloudier with age . When the lens is no longer clear , it is called a cataract . Cataracts can cause decreased visual acuity , glare or halos with night driving , difficulty reading , or alterations in color vision
Q : How is a cataract treated ?
A : When a cataract requires treatment , surgical intervention is the only current option . Cataract surgery involves entering the eye with microinstruments , removing the cataract , and replacing it with a clear artificial lens , called an intraocular lens implant ( IOL ).
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Q : When is it time to have cataract surgery ?
A : Cataracts do not cause damage to the health of the eye or to the internal structures of the eye . A cataract therefore does not need to be removed simply because it is present . However , when a cataract causes visual symptoms that are interfering with a person ’ s function , such as reading or driving , then cataract surgery can be considered .
Q : Can cataract surgery be done with a laser ?
A : Some steps of the cataract surgery can be completed with a laser . The laser does not improve the safety of the procedure , but it can be used to treat astigmatism in order to reduce the dependence on glasses after surgery .
Q : Does a person need glasses after cataract surgery ?
A : There are many options and IOL designs to reduce the dependence on glasses after cataract surgery for distance vision , near vision , and for both . Many of these options are not covered by insurance and require an additional out-of-pocket expense .
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