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Am I a Candidate for iStent?

After a glaucoma diagnosis, finding a suitable treatment is crucial for preserving visual acuity. Glaucoma causes pressure to rise in the eye, and when that occurs, damage to the optic nerve can harm a person’s ability to see, potentially leading to permanent vision loss. 

Fortunately, minimally invasive glaucoma surgery (MIGS), like iStent, has significant potential to assist glaucoma patients. However, the iStent isn’t the right choice for everyone. If you’re wondering whether you’re a candidate for iStent, here’s what you need to know. 

What Is iStent? 

iStent is an implantable medical device that reduces intraocular pressure (IOP) by improving fluid drainage in the eye. By decreasing fluid levels, IOP also declines. In turn, the chance of ongoing damage to the optic nerve is reduced, lessening a patient’s chances of more vision loss. 

The iStent procedure won’t reverse any permanent vision loss that has already occurred. However, it can preserve a patient’s remaining vision, which is why it’s an attractive option for patients struggling to manage their IOP using alternative means like eye drops. 

Best Candidates for iStent 

Generally, the iStent is a potential treatment option for specific glaucoma patients. It’s best suited to treat mild-to-moderate open-angle glaucoma in patients who aren’t securing the necessary IOP reduction through the use of glaucoma eye drops. It’s also a viable treatment for pigmentary or pseudo-exfoliative glaucoma. 

However, the iStent procedure is done in conjunction with cataract surgery. As a result, patients need a cataract diagnosis, and the condition needs to justify cataract surgery. 

While those are the primary ways to determine if a patient is a candidate for iStent, other factors can influence whether it’s a viable treatment for their glaucoma. As a result, meeting the criteria above doesn’t guarantee candidate suitability. 

How to Find Out If You’re a Candidate for iStent 

If you’ve been diagnosed with glaucoma and aren’t getting the desired results from eye drops or other treatment options, iStent could be a solid choice for reducing the odds of further damage to your vision. However, the only way to find out if you’re a suitable candidate for iStent is to consult with your eye care provider. 

When you meet with your eye care provider, they can evaluate a variety of factors to determine if iStent is a solid choice. Every patient is unique, so participating in a thorough exam is essential, as it allows your eye care provider to determine whether the iStent will provide the desired result with minimal risk. 

Additionally, your eye care provider can review essential information about the procedure that allows you to make an informed decision. They can outline the benefits and risks, aftercare requirements, and other vital details, making it easier for you to determine if iStent is the right treatment for you if you’re a good candidate. 

Glaucoma Treatment Options in Buffalo

If you have glaucoma and are interested in determining your eligibility for the iStent procedure, our team is here to help. Take the first step toward improved eye health by scheduling an appointment at your nearest ECVA clinic today. 

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The Revolutionary iStent: A Minimally Invasive Solution for Glaucoma

Effective glaucoma treatment is critical for preserving a patient’s vision. Glaucoma is chronic and progressive, and without proper treatment, it robs patients of their vision. Globally, glaucoma is the leading cause of blindness, but it is possible to slow its progression significantly.  

One minimally invasive glaucoma surgery (MIGS) that’s revolutionizing glaucoma treatment is the iStent. Here’s a look at the iStent, how it treats glaucoma, and how to determine if it’s right for you.  

What Is the iStent?  

The iStent is a tiny, implantable device designed to alleviate the intraocular pressure (IOP) caused by glaucoma. Shaped like a microscopic stent, it’s made of biocompatible material and is so small that it qualifies as the tiniest medical device currently in use. The primary purpose of the iStent is to facilitate the drainage of fluid from the eye, addressing the root cause of the IOP that can damage the optic nerve and rob glaucoma patients of their vision.  

How Does the iStent Treat Glaucoma?  

To understand how the iStent treats glaucoma, it’s critical to know how glaucoma impacts the eyes and a patient’s vision. Glaucoma is characterized by a rise in IOP due to poor drainage of the aqueous humor (the fluid that nourishes the eye).  

When IOP increases, the pressure can damage the optic nerve. As the optic nerve is damaged, vision impairment occurs. Without treatment, vision loss expands, potentially leading to blindness.  

The iStent treats glaucoma by creating a pathway for fluid. During a MIGS procedure, the iStent is positioned in the trabecular meshwork in a drainage channel in the eye. Once in place, the iStent allows the natural drainage system in the eye to work more effectively. In turn, IOP is reduced, and that prevents or reduces further optic nerve damage.  

The iStent is positioned during cataract removal surgery, allowing for fewer total incisions. Only local anesthesia is required, and the procedure itself is painless.  

Additionally, the iStent is considered a long-term solution for glaucoma patients. It also reduces the need for further treatments, allowing patients to rely less on eye drops to keep IOP at an appropriate level.  

Is iStent Right for You?  

Generally, the iStent is a viable treatment for patients with mild-to-moderate open-angle glaucoma currently using eye drops but who aren’t achieving the desired IOP reductions. Additionally, it’s only positioned in conjunction with cataract surgery.  

However, whether you’re a good candidate for the iStent may depend on other factors. As a result, it’s critical to speak with your eye care provider about your glaucoma, the effectiveness of your current treatment, and whether the iStent is potentially the right choice.  

At ECVA, the safety and health of our patients’ eyes are our priority. If you have glaucoma and want to determine whether you’re a good candidate for the iStent MIGS procedure or haven’t visited your eye care provider in the past year, the ECVA team is here to help. Schedule an appointment at your closest ECVA clinic today.

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Cataract Surgery in the Digital Age: How Technology is Revolutionizing Eye Care in WNY

Cataract surgery has come a long way from its humble beginnings, evolving into a sophisticated procedure that combines medical expertise with cutting-edge technology. Cataract surgery in Western New York (WNY) has experienced significant advancements thanks to the evolution of digital technologies. Today, cataract surgeons in Buffalo, Orchard Park, Williamsville, and Niagara Falls have significantly transformed the landscape of eye care, particularly in cataract surgery.

This article explores the intersection of technology and eye care, delving into the innovations that are revolutionizing laser cataract surgery in the region.

Traditional Cataract Surgery in WNY: A Brief Recap

Cataracts occur when the eye lens becomes cloudy, leading to blurred vision and, in severe cases, blindness. The prevalence of cataracts tends to increase with age, making it a common condition among the elderly. Cataract surgery involves removing the cloudy lens and replacing it with an artificial intraocular lens (IOL) to restore clear vision.

Traditionally, cataract surgery involves manual techniques performed by skilled surgeons using microsurgical instruments. While this approach has been successful for decades, integrating technology has enhanced precision, safety, and overall outcomes.

The Digital Transformation of Cataract Surgery in WNY

The landscape of cataract surgery in WNY is undergoing a profound transformation driven by the integration of today’s cutting-edge technologies. The digital revolution is reshaping how surgeons approach cataract procedures, emphasizing precision, safety, and personalized patient care. Some vital technological advancements are driving this transformation, from laser-assisted cataract surgery to artificial intelligence (AI) applications, advanced imaging technologies, enhanced intraocular lenses (IOLs), and the emerging role of 3D printing in customization. All of these tools stand to benefit patient outcomes, and while they are currently underutilized, that’s all about to change.

The Agency for Healthcare Research and Quality (AHRQ) says, “In the past several decades, technological advances have opened new possibilities for improving patient safety.” This evolution affects every area of medicine, including vision care.

As technology continues to evolve, the field of cataract surgery is embracing innovative solutions to enhance patient outcomes. Integrating advanced technologies aims to address challenges, improve surgical precision, and provide personalized treatment plans for individuals. This shift towards a technologically driven approach underscores the commitment to excellence in patient care, setting a new standard for cataract surgery in WNY.

Laser-Assisted Cataract Surgery

Laser-assisted cataract surgery (LACS) represents a groundbreaking development combining laser technology with traditional surgical techniques. Unlike traditional methods, LACS utilizes femtosecond lasers for critical steps in the surgery, including corneal incisions, capsulotomies, and lens fragmentation.

Before the surgery, detailed imaging of the eye is conducted using technologies like optical coherence tomography (OCT). This imaging provides a 3D eye map, allowing the surgeon to visualize the cataract and other structures more accurately.

The precision offered by lasers in creating incisions and performing delicate procedures has significantly enhanced surgical outcomes. Surgeons can now customize incision patterns, ensuring optimal wound healing and reducing astigmatism. Capsulotomies, the process of creating an opening in the lens capsule, are executed with unparalleled accuracy, contributing to improved IOL positioning and stability.

The femtosecond laser creates corneal incisions, the entry points for surgical instruments. These incisions are more precise than those made manually, promoting quicker healing and potentially reducing astigmatism. The laser is employed to make a circular opening in the front portion of the lens capsule, creating an access point for cataract’s removal. The precision of the laser in this step contributes to better centration of the intraocular lens. The femtosecond laser also fragments the cataractous lens into smaller, easily removable pieces. This can reduce the amount of ultrasound energy required during the surgery, potentially minimizing the risk of complications.

Incorporating robotics into cataract surgery further amplifies precision and safety. Robotic systems allow surgeons to control specialized instruments with utmost accuracy, navigating the complexities of the eye with finesse. The research states, “Robotic assistance can help overcome biologic limitations and improve our surgical performance.” Robotics technology minimizes the risk of complications and ensures the surgical reproducibility of results, setting a standard for excellence in surgical outcomes. The Ophthalmologist says, “By embracing developments such as robotics, healthcare providers can improve the quality of eyecare, empower surgeons, and raise surgical efficiency and reach.”

Examples of laser systems currently in use include the LenSx Laser System and the Catalys Precision Laser System. These systems have gained widespread acceptance for their efficacy in optimizing surgical steps and enhancing patient experiences.

Artificial Intelligence in Cataract Surgery

Artificial intelligence plays a pivotal role in the digital transformation of cataract surgery. In the preoperative phase, AI algorithms analyze patient data, including medical history and imaging results, to assist surgeons in formulating personalized treatment plans. This data-driven approach ensures that surgical strategies are tailored to individual patient needs, optimizing the chances of success.

AI contributes to intraoperative decision-making during laser cataract surgery by providing real-time insights and guidance. The integration of AI technologies allows for dynamic adjustments based on the evolving conditions of the eye, ensuring adaptability and precision throughout the procedure.

AI’s ability to process vast amounts of patient data enables the creation of personalized treatment plans. By considering factors such as ocular anatomy, refractive errors, and individual preferences, AI algorithms assist surgeons in selecting the most suitable IOL power and type. An AI-driven personalized approach enhances postoperative visual outcomes, minimizing the need for additional corrective measures.

When conducting cataract surgery in WNY, surgeons benefit from AI applications that assist in various aspects of cataract procedures. Computer-assisted guidance systems powered by AI help accurately place IOLs, ensuring optimal visual results. Additionally, AI-driven image recognition tools aid in identifying and differentiating subtle anatomical structures, contributing to enhanced surgical precision.

Advanced Imaging Technologies

The integration of advanced imaging technologies has revolutionized cataract surgery’s diagnostic and planning phases. Optical coherence tomography (OCT), in particular, has emerged as a valuable tool for visualizing the eye’s internal structures with high resolution.

OCT allows surgeons to visualize the anterior segment of the eye, including the cornea, iris, and lens, in three dimensions. This detailed imaging assists in precise surgical planning, guiding surgeons in determining optimal incision sites, IOL positioning, and overall strategy. The real-time feedback advanced imaging technologies provide enhances decision-making during surgery, improving outcomes and patient satisfaction.

Enhanced Intraocular Lenses (IOLs)

Intraocular lenses have evolved significantly, offering patients a range of options to address specific visual needs. Technological advancements have paved the way for premium IOLs that go beyond basic vision correction. These lenses are designed to address issues such as presbyopia and astigmatism, providing patients with a more comprehensive solution for their visual challenges.

Premium IOLs offer multifocality, enabling patients to see clearly at varying distances without additional corrective lenses. Additionally, IOLs with astigmatism correction capabilities further enhance visual acuity, ensuring a high quality of vision post-surgery. The availability of premium IOLs reflects a commitment to delivering functional vision and improved overall visual experience for patients in WNY.

3D Printing and Customization in Cataract Surgery

3D printing in cataract surgery is an exciting frontier that holds promise for customization and precision. This technology allows patient-specific models, enabling surgeons to visualize the unique anatomical features of each patient’s eye before the actual procedure.

Customization through 3D printing enhances surgical precision by providing surgeons with a tangible, three-dimensional representation of the patient’s eye. It allows meticulous preoperative planning, optimizing incision sites, IOL positioning, and overall surgical strategy. The ability to tailor surgical approaches to the specific characteristics of each patient’s eye contributes to improved outcomes and a more personalized surgical experience.

Pioneering cases and ongoing research in WNY showcase the benefits of 3D printing in cataract surgery. Surgeons are utilizing 3D-printed models to simulate and refine surgical techniques, ensuring a higher level of preparedness and confidence before entering the operating room. The ability to practice and tailor surgical approaches in a controlled environment contributes to the continued evolution of cataract surgery in the digital age.

Connect with a Leading Cataract Surgeon in WNY to Find Out if the Latest Advancements in Cataract Surgery are Right for You

The digital transformation of cataract surgery in WNY signifies a paradigm shift towards precision, personalization, and enhanced patient outcomes. From laser-assisted surgery and artificial intelligence applications to advanced imaging technologies, premium IOLs, and the emerging role of 3D printing, these technological advancements are collectively shaping a new era in laser cataract surgery.

Cataract surgeons in Buffalo, Orchard Park, Williamsville, Niagara Falls, and around the United States embracing these innovations will continue to reflect a commitment to excellence within the medical community. As cataract surgery in WNY continues to be at the forefront of the digital revolution in cataract surgery, integrating these technologies will likely become the standard of practice, setting a benchmark for eye care excellence nationwide.

Eye Care and Vision Associates offers our patients the best board-certified medical providers in the region. Our professional commitment to these cutting-edge technologies underscores their dedication to providing patients with the highest standard of care. Connect with the highly skilled cataract surgeons at ECVA with 4 conveniently located offices in Buffalo, Niagara Falls, Orchard Park and Williamsville today.

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Exploring Minimally Invasive Glaucoma Surgery (MIGS)

Glaucoma is a chronic and progressive eye condition that’s also the leading cause of blindness in the world. Damage occurs as intraocular pressure (IOP) builds, which harms the optic nerve, causing irreversible vision loss. Traditional glaucoma treatments usually involve topical medications or laser treatments, the latter of which are associated with challenges like complications, long recovery times, and significant follow-up requirements.  

Fortunately, newer procedures are proving effective at addressing IOP in glaucoma patients, and they can involve less risk when compared to some traditional alternatives. Minimally invasive glaucoma surgery (MIGS) is a cutting-edge approach that’s proving highly effective, and it’s potentially safer than some other forms of treatment. Here’s what you need to know about MIGS.  

What Is Minimally Invasive Glaucoma Surgery?  

MIGS is a group of glaucoma surgeries that use minimally invasive approaches to reduce IOP. Typically, they involve a small incision and subsequent procedures to improve fluid drainage, leading to far less intraocular pressure.  

While MIGS can’t reverse any damage caused by glaucoma, the treatments can slow or prevent progression. The procedures typically decrease IOP substantially over periods of up to two years. Plus, they can reduce a patient’s need for glaucoma eye drops, making the condition easier to manage daily. 

Types of MIGS  

There are several MIGS procedures currently available. Here is a brief overview of them:  

  • Ab-Interno Canaloplasty (ABiC): A MIGS procedure that uses a microscopic incision and the insertion of a catheter into the drainage canal to inject a viscoelastic substance that breaks down blockages and adhesions to improve fluid drainage  
  • CyPASS: A MIGS procedure involving an implanted device that’s positioned in the suprachoroidal space to enhance fluid outflow  
  • Gonio-Assisted Transluminal Trabeculotomy: A MIGS procedure similar to ABiC that’s particularly well-suited to younger patients with juvenile glaucoma  
  • iStent: A MIGS procedure using a small implant that’s placed in the drainage angle to improve fluid outflow  
  • Trabectome: A MIGS procedure for treating open-angle glaucoma that involves a small incision and a specialized tissue debris-removal tool to address fluid drainage blockages.  

The Benefits of MIGS  

MIGS procedures offer patients an array of benefits. Generally, MIGS is far safer than traditional glaucoma surgery, using smaller incisions and coming with a reduced risk of complications. Each of the MIGS procedures also minimally alters normal anatomy and instead focuses on augmenting physiological systems to improve outflow.  

With a MIGS procedure, IOP is typically reduced significantly, though the exact amount can vary. In many cases, patients can reduce their use of eye drop medications after a MIGS procedure. Recovery is also far quicker when compared to many traditional surgical alternatives, resulting in less downtime for patients.  

Is MIGS Right for You?  

Generally, MIGS are potential treatments for patients with mild or moderate glaucoma who either aren’t getting positive results with topical medications or who don’t tolerate those treatments well. The use of the implants reduces the need for topical medications, making them a strong choice in situations where medications prove ineffective or lead to undesirable or hard-to-manage side effects.  

However, only an eye care provider can determine if you’re a good candidate for MIGS. Additionally, there are several MIGS procedures available, and some may better suit your situation than others.  

At ECVA, the safety and health of our patients’ eyes are our priority. If you’re considering MIGS as a treatment for glaucoma or simply haven’t visited your eye care provider in the past year, the ECVA team is here to help. Schedule an appointment at your closest ECVA clinic today.  

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The Evolution of LASIK: From PRK to Bladeless Femtosecond LASIK

Vision correction surgery began making headlines in the 1980s and 1990s. It generated excitement as people learned they may have a path to see clearly without needing corrective lenses, including prescription glasses or contacts.  

LASIK (laser-assisted in situ keratomileusis) quickly became one of the most popular options available. It offered less discomfort and faster recovery times, as well as the possibility to achieve 20/20 vision within one day.  

However, there are several types of vision correction surgery on the market and each works best in different situations. Here’s an overview of the options, including LASIK, PRK, bladeless femtosecond LASIK, and more.  

PRK  

PRK (photorefractive keratectomy) is a laser eye surgery that predates LASIK. While it’s not as widely used as LASIK, it remains relevant since it’s a bladeless procedure. As a result, it’s an option for people with thin corneas. However, it’s generally limited to individuals with myopia and astigmatism, and it’s appropriate for significant hyperopia.  

With PRK, vision correction is achieved by working through the outer layer and reshaping the cornea to address refractive errors. Most patients see vision improvements within one month, though some may take closer to three months to achieve proper results, depending on how quickly the outer layer repairs.  

LASIK  

LASIK is a procedure that uses lasers to reshape the cornea, allowing it to treat myopia, presbyopia, hyperopia, and astigmatism. A microkeratome (a type of blade) creates a flap to make the cornea accessible. Then, a laser removes specific tissue to correct refractive errors. Once the tissues are removed, the flap is put back into place to heal.  

While LASIK is effective, there’s a higher chance of dry eye as a side effect, which may make it a less-than-ideal choice for patients who already experience dry eyes. However, the bladed approach can more easily navigate certain cornea or pupil abnormalities when compared to a laser-based alternative.  

ASA  

ASA (advanced surface ablation) is similar to PRK, but it relies on a different type of laser. The laser loosens the outer layer of the cornea to allow the laser to penetrate more deeply to correct refractive issues, and it’s a bladeless procedure. Generally, ASA complication rates are lower than PRK, and outcomes are typically better due to the high degree of precision.  

LASEK  

LASEK (laser-assisted sub-epithelial keratomileusis) is also similar to PRK, but it creates an ultra-thin flap using the laser that remains attached. That layer is moved to the side to allow the laser to reshape the cornea and is then repositioned. The results are usually akin to what’s seen with PRK, and it’s a potential option for patients with thin corneas that make them ineligible for traditional LASIK. Additionally, it may work for patients who already struggle with dry eyes, a condition that can be exacerbated by LASIK.  

Bladeless Femtosecond LASIK  

Bladeless femtosecond LASIK, also known as femtoLASIK, uses a femtosecond laser instead of a blade to create the flap. Since it relies on all-laser technology, it may offer a greater degree of precision when creating the flap and may reduce the risk of complications. Once that’s done, lasers reshape the cornea to address the refractive errors before the flap is put back into place.  

With Bladeless femtosecond LASIK, it’s possible to correct the same refractive errors as you would with traditional LASIK. It may also work particularly well for patients who already experience dry eye, as that side effect is typically less pronounced and may not last as long.  

Connect With Top LASIK Doctors in Buffalo

At ECVA, the safety and health of our patients’ eyes are our priority. If you’re considering laser vision correction surgery or simply haven’t visited your eye care provider in the past year, the ECVA team is here to help. Schedule an appointment at your closest ECVA clinic today.  

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Cataract Surgery in Orchard Park: What to Expect and How to Prepare

Cataracts are a common eye condition that can significantly impact your vision, making routine activities challenging. Fortunately, advancements in medical technology have made cataract surgery a safe and effective solution. Cataract surgery is still the most widespread surgical procedure worldwide, with 3.7 million cases annually in the U.S., seven million in Europe, and 20 million across the globe. In the U.S., cataract surgery is nearly 99% effective with an exceedingly low complication rate. If you’re considering cataract surgery in Orchard Park, it’s essential to understand when to consult with a cataract surgeon. Your doctor can discuss the types of surgeries available, what to expect during and after the procedure, and how to prepare for a smooth experience. This article will guide you through all these important topics, helping you make informed decisions about your eye health.

When Should You Meet with a Cataract Surgeon in Orchard Park?

Cataract surgery becomes a viable option when you experience specific symptoms. If you notice any of the following signs, it’s crucial to consult with cataract surgeons in Orchard Park promptly.

You Have Poor Night Vision

One of the early indicators of cataracts is a decline in night vision. If you struggle to see clearly in low-light conditions, such as when driving at night, it could be a sign of cataracts. Meeting with cataract ophthalmologists in Orchard Park allows for a comprehensive eye examination to determine the extent of the issue and discuss potential treatment options.

You’ve Developed Double Vision

Double vision, also known as diplopia, is another symptom that may indicate the presence of cataracts. Cataracts cause light entering the eye to scatter, leading to blurred or double vision. If you’re experiencing double vision, it’s essential to consult with cataract surgeons in Orchard Park to assess the cause and explore suitable treatment options.

Your Vision is Cloudy

Cloudy or blurred vision is a hallmark symptom of cataracts. As the cataract progresses, the eye’s natural lens becomes increasingly opaque, impacting the clarity of your vision. If you notice a gradual decline in the sharpness of your vision, schedule a consultation with a cataract surgeon in Orchard Park to discuss the possibility of cataract surgery.

What Types of Cataract Surgery are Offered By Ophthalmologists in Orchard Park?

Once you’ve decided to undergo cataract surgery in Orchard Park, your surgeon will discuss the options based on your specific needs and the severity of your cataracts.

Traditional Cataract Surgery

Traditional cataract surgery, or phacoemulsification, is a well-established and widely used procedure. During this surgery, the surgeon makes a small incision in the cornea and uses ultrasound technology to break up the cloudy lens. The doctor removes the fragmented lens and implants an artificial intraocular lens (IOL) to restore clear vision. Traditional cataract surgery is a highly effective and safe procedure with millions of successful surgeries performed globally.

Laser-Assisted Cataract Surgery

Laser-assisted cataract surgery is a recent advancement that uses laser technology to perform some of the steps traditionally done manually. This technique offers increased precision in creating incisions and breaking up the cataract, potentially reducing the risk of complications. While traditional and laser-assisted cataract surgeries are effective, the choice between them depends on individual factors and the surgeon’s recommendation.

What to Expect from Your Cataract Surgery in Orchard Park

Understanding the details of the cataract surgery process can help alleviate any anxiety or uncertainty. Here’s a breakdown of what you can expect before, during, and after your cataract surgery in Orchard Park.

How to Prepare for Your Cataract Surgery

Before your surgery, your cataract surgeon will provide specific instructions on how to prepare. These instructions may include:

  • Discontinuing certain medications: Your surgeon will advise you on whether to stop taking specific medications before the surgery, especially those that may increase the risk of bleeding.
  • Fasting before surgery: In most cases, you will fast for a certain period before the surgery to ensure your stomach is empty, reducing the risk of complications during the procedure.
  • Arranging for transportation: Cataract surgery is typically an outpatient procedure, so you’ll need someone to drive you home afterward. Arrange for a friend or family member to assist you on the day of surgery.

What to Expect During Your Cataract Surgery

On the day of your cataract surgery, you can expect the following:

  • Preparation: You’ll receive a local anesthetic to numb the eye, and your surgeon may administer a mild sedative to help you relax.
  • Incision: A small incision is made in the cornea to access the cataract.
  • Breaking up the cataract: Depending on the type of surgery, the cataract will be manually broken up using ultrasound or with laser technology.
  • IOL insertion: Once your surgeon removes the cataract, an artificial interocular lens (IOL) will be inserted to replace the natural lens.
  • Stitching (if necessary): In many cases, the incision is self-sealing and does not require stitches. However, in some instances, your surgeon may use tiny stitches to close the incision.

The entire procedure is relatively quick, often taking less than 30 minutes to complete.

After Your Cataract Surgery

After your cataract surgery, you’ll be monitored for a short period in the recovery area. Here are some post-surgery considerations:

  • Eye shield: You may be given an eye shield to wear for protection, especially while sleeping.
  • Prescription eye drops: Your surgeon will prescribe eye drops to help prevent infection and reduce inflammation. It’s crucial to follow the prescribed medication schedule.
  • Rest and recovery: Rest is essential for the initial recovery period. Avoid strenuous activities and keep water, soap, and shampoo out of your eyes for the first week.
  • Follow-up appointments: Your surgeon will schedule follow-up appointments to monitor your progress and address any concerns or questions you may have.

How Long Does It Take to Recover from Cataract Surgery?

The recovery period after cataract surgery is a crucial phase during which your eyes heal and your vision gradually improves. While the exact timeline can vary from person to person, understanding the general progression of recovery can help manage expectations and ensure a smooth healing process.

First Few Days: Immediately after cataract surgery, you may experience some mild discomfort, itching, or a gritty sensation in the treated eye. This feeling is entirely normal and is often managed with prescribed eye drops. It’s crucial to follow your surgeon’s instructions regarding using these drops to prevent infection and reduce inflammation. During this initial period, it’s recommended to avoid rubbing your eyes and to be cautious when engaging in activities that may expose your eyes to dust or irritants.

First Week: Most patients find they can resume their normal activities within the first week after cataract surgery. However, adhering to your surgeon’s guidelines regarding strenuous activities. While you may be eager to return to your usual routine, you should refrain from activities such as heavy lifting, strenuous exercise, or bending at the waist. Additionally, wearing sunglasses outdoors can protect your eyes from bright sunlight, promoting a more comfortable recovery.

During this week, you may notice a significant improvement in your vision, but it’s essential to understand that your eyes are still adjusting. Follow any recommendations for the use of an eye shield, especially while sleeping, to prevent accidental rubbing or pressure on the eyes during the night.

First Month: The first month after cataract surgery is a critical phase of recovery. While many individuals experience substantial improvements in their vision within the first few days, the healing process continues over the next several weeks. It’s common to have follow-up appointments with your cataract surgeon during this period to monitor your progress and address any concerns.

Patients often report clearer and sharper vision as the weeks go by. However, it’s not uncommon to experience fluctuations in vision during the initial stages of recovery, including variations in focus or occasional blurriness, which typically resolve as your eyes adapt to the new artificial lens.

Long-Term Recovery: While the initial recovery is a significant milestone, the long-term success of cataract surgery hinges on ongoing care and attention to your eye health. The artificial lens implanted during the procedure is permanent and does not require special maintenance. Routine eye exams, however, are crucial to monitor any changes in your vision and address any potential issues that may arise over time.

It’s important to communicate openly with your cataract surgeon about any persistent discomfort, changes in vision, or other concerns during follow-up appointments. Your surgeon may recommend additional measures or adjustments to ensure the continued health and optimal performance of your eyes.

In conclusion, while the recovery timeline varies, most patients experience a significant improvement in vision and an overall enhancement in their quality of life following cataract surgery in Orchard Park. By following post-operative care instructions diligently and attending scheduled follow-up appointments, you contribute to a successful and uneventful recovery, allowing you to fully enjoy the benefits of clear and restored vision.

Schedule a Consultation with The Top Cataract Surgeons in Orchard Park Today

Cataract surgery in Orchard Park is a transformative procedure that can significantly enhance your vision and quality of life. If you’re experiencing symptoms such as poor night vision, double vision, or cloudy vision, it’s essential to consult with a cataract surgeon to explore your options. Understanding the types of cataract surgery available, what to expect during the procedure, and how to prepare for surgery can help you approach the process with confidence. With advancements in surgical techniques and technology, cataract surgery has become a routine and highly successful procedure, allowing patients to regain clear vision and enjoy a more vibrant life.

The most talented cataract surgeons in Orchard Park reside at Eye Care and Vision Associations (ECVA). Our team of talented cataract ophthalmologists in Orchard Park and the surrounding area focus on a single mission: To provide the best care for our patients and their families. If you’re ready to discuss cataract surgery with the best eye doctors in Orchard Park, schedule a consultation today.

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Beyond Eye Drops: The Advantages of Durysta Implant for Glaucoma Treatment

To put it simply, a glaucoma diagnosis is intimidating for many patients. Glaucoma is a leading cause of blindness. While there’s no cure for glaucoma, there are treatment options designed to help preserve your vision, including Durysta.  

Durysta is a newer treatment option for open-angle glaucoma (OAG) that also works for ocular hypertension (OHT). It’s a bimatoprost intracameral implant that’s FDA-approved, and Durysta works by releasing bimatoprost – a medication that combats high eye pressure – slowly over time.  

When looking for a glaucoma treatment, Durysta offers several advantages over many alternatives, particularly eye drops. Here’s a look at what patients can gain by choosing the Durysta implant for glaucoma treatment.  

Durysta Offers Better Effectiveness 

While eye drops are an approved treatment for glaucoma, using that approach prevents all of the medication from reaching the impacted tissues. With glaucoma, intraocular pressure typically builds in the posterior or back of the eye, not the surface where eye drops are applied. As a result, not all of the medications reach the affected tissues.  

One of the most distinct benefits patients experience when using the Durysta implant instead of eye drops is better efficacy. With Durysta, the implant is positioned to ensure medications are able to reach impacted tissues more reliably than eye drops. That makes it highly effective at reducing intraocular pressure and leads to better overall results.  

Improved Stability with Durysta  

When eye drops are used to treat glaucoma, the presence of the medication declines over time until the eye drops are reapplied. As a result, patients may experience fluctuations in intraocular pressure. Additionally, if they forget to apply the eye drops according to the schedule, more significant fluctuations can occur.  

The Durysta implant ensures that medication is steadily released over time. This creates greater stability when it comes to eye pressure, even overnight. The implant provides stability for a minimum of four to six months, though patients may experience lower pressure up to 24 months after insertion.  

Durysta Is Simpler for Patients  

One of the challenges of using eye drops to treat glaucoma is the need for frequent applications. While the frequency of use does vary depending on a patient’s needs, some may need to apply the eye drops up to four times daily. That’s a potentially challenging schedule to maintain, particularly for people who are on the go or may struggle with remembering to use the medication.  

With the Durysta implant, patients don’t need to take action to ensure they’re getting the treatment. Once inserted, Durysta slowly releases the medication on its own. As a result, it’s far simpler for patients to use, as once it’s in place, no further effort is typically required.  

See The Best Doctors in Buffalo for Glaucoma Treatment

At ECVA, the safety and health of our patients’ eyes are our priority. If you’ve been diagnosed with glaucoma and want to see if the Durysta implant is right for you or simply haven’t visited your eye care provider in the past year, the ECVA team is here to help. Schedule an appointment at your closest ECVA clinic today.  

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Big News: Orchard Park Vision Care Office Reopens with a Fresh Look!

We are delighted to announce the reopening of our Orchard Park eye care center, which officially took place on Monday, October 30th. This marks the beginning of a new chapter for us, and we couldn’t be more excited to share it with our cherished southtown community. 

A Commitment to Excellence 


At our Orchard Park center, we’ve poured our hearts into a comprehensive revitalization, driven by our unwavering commitment to delivering top-tier eye care that exceeds your expectations for both quality and service. Our mission is simple – to provide exceptional eye care while treating you as not just a patient, but as a unique individual. 

What’s New: 

  • Spacious Environment: The new center boasts a more spacious and comfortable setting, creating a welcoming and soothing atmosphere for all our patients. 
  • Cutting-Edge Technology: We’ve invested in state-of-the-art medical equipment to ensure that you receive the highest standard of care. Your eye health is our priority, and we’ve equipped our center accordingly. 
  • Expanded Optical Shop: Our Optical Shop has nearly doubled in size, offering an even wider selection of eyewear, frames, and accessories to cater to your style and vision needs. 

A Team Dedicated to You 

Our entire team, including our skilled ophthalmologists and dedicated staff, are united by a singular goal – to care for you as a person, not just a patient. We understand the importance of eye health in your overall well-being, and we’re here to support you every step of the way. 

Unmatched Eye Care Expertise 

Our specialized team of doctors and certified technicians are committed to providing the highest level of care for your eyes. We pride ourselves on dedicating time and attention to understanding the root causes of your eye conditions. This enables us to create personalized treatment plans tailored to your unique needs. 

Schedule Your Visit in The Southtowns 

For any questions or to schedule an appointment at our newly rejuvenated Orchard Park center, please feel free to call us at 716.631.3937 (EYES) or 716.648.5329. We’re here to serve you, and we can’t wait to welcome you to our refreshed facility. 

Thank you for entrusting us with your eye care, and we look forward to providing you with the highest level of service and expertise at our Orchard Park location. 

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Minimally Invasive Glaucoma Surgery in WNY is a Game-Changer in Treatment

About three million people each year in the U.S. live with the disease called glaucoma. One-half of these people don’t even realize they have the disease. Over time, glaucoma can degrade the eye’s function and even cause blindness. That’s why an annual eye exam is critical to preventing this disease.

But what treatment options are open for people who experience glaucoma? Eye drops and glaucoma surgery is the traditional treatment for this disease. But glaucoma treatment in Buffalo is changing. A more modern approach to glaucoma surgery is decreasing downtime from this procedure and improving healthcare outcomes for patients suffering from the disease. We’d like to introduce you to minimally invasive glaucoma surgery as an exciting new treatment options for restoring the health of your eyes.

What is Minimally Invasive Glaucoma Surgery (MIGS)?

Glaucoma is a group of eye conditions that can damage the optic nerve. An increase in intraocular pressure causes the disease. If left untreated, it can lead to vision loss and even blindness. Historically, traditional glaucoma surgery has been the primary approach to manage the disease. However, recent advancements in the field of ophthalmology have introduced Minimally Invasive Glaucoma Surgery (MIGS). MIGS is a groundbreaking technique that is changing the landscape of glaucoma treatment in Western New York (WNY).

MIGS procedures in WNY refer to a category of surgical procedures designed to manage glaucoma through small incisions, minimizing trauma to the eye. Unlike traditional glaucoma surgery, MIGS offers a less invasive alternative, making it an appealing choice for patients and ophthalmologists. These procedures have been gaining popularity and have shown promising results in managing glaucoma, with quicker recovery times and fewer complications.

Traditional vs. Minimally Invasive Glaucoma Surgery in WNY

Medical science continues to evolve and improve. Such is the case with glaucoma surgery. Minimally invasive techniques are the next step for glaucoma specialists in Buffalo. While not all patients qualify for MIGS, what are the differences between traditional glaucoma surgery and the less invasive procedure?

What is Traditional Glaucoma Surgery?

Traditional glaucoma surgery typically involves creating a drainage pathway for excess aqueous humor (the clear fluid in the eye) to reduce intraocular pressure. The most common traditional glaucoma surgery is a trabeculectomy, where a small hole is made in the eye to allow fluid to drain out, or a tube shunt implant, which involves the placement of a drainage device in the eye to achieve a similar effect.

While these procedures have effectively lowered intraocular pressure and managed glaucoma, they are associated with certain drawbacks. Traditional surgeries are invasive, requiring a larger incision and extensive manipulation of the eye, which can result in complications and longer recovery times.

How Does Traditional Glaucoma Treatment in Buffalo Compare to MIGS?

In contrast, MIGS procedures are designed to be minimally invasive, utilizing micro-incisions and tiny devices to enhance the outflow of aqueous humor from the eye. These procedures are typically performed with specialized equipment, such as microscopes and fine instruments, allowing for a high degree of precision.

MIGS procedures differ from traditional surgeries in their surgical approach and the extent of tissue manipulation. They are often performed conjunctively or through the cornea, reducing the risk of complications associated with larger incisions.

What Are the Advantages of MIGS over Traditional Surgery?

MIGS is Minimally Invasive

One of the primary advantages of MIGS is its minimally invasive nature. The micro-incisions and small devices used in MIGS reduce the risk of complications, such as infection and inflammation, associated with larger incisions in traditional glaucoma surgery.

Reduced Postoperative Discomfort

MIGS procedures are associated with minimal postoperative discomfort and a quicker recovery time. Patients often experience less pain and a faster return to their normal daily activities, which is a significant advantage over traditional surgery.

Preservation of Conjunctival Tissue

Traditional glaucoma surgery typically involves the creation of a conjunctival flap, which can lead to long-term complications, including scarring and conjunctival overgrowth. In contrast, MIGS procedures aim to preserve conjunctival tissue, reducing the risk of these complications.

Effective Intraocular Pressure Control

MIGS procedures have proven effective in lowering and maintaining intraocular pressure, a crucial factor in managing glaucoma. They offer a viable option for patients with mild to moderate glaucoma, where traditional surgeries may be considered overly aggressive.

Compatibility with Cataract Surgery

One significant advantage of MIGS is its compatibility with cataract surgery, which is common in older patients. Patients requiring cataract and glaucoma treatment can undergo these procedures concurrently, reducing the need for multiple surgeries.

What are the Benefits of MIGS Procedures for Glaucoma Patients in WNY?

A common concern for older patients in WNY is the concurrent presence of both cataracts and glaucoma. Traditional glaucoma surgery and cataract surgery are typically separate procedures, which can be burdensome for patients and increase the risk of complications. MIGS procedures offer a solution to this issue by being compatible with cataract surgery. Patients who require treatment for cataracts and glaucoma can undergo MIGS and cataract surgery simultaneously. The benefit of this approach is is reduces the number of surgical interventions required and allows for the efficient management of both conditions, improving the overall quality of care for these patients.

Minimally Invasive Glaucoma Surgery Has Fewer Complications

One of the most compelling benefits of MIGS procedures for glaucoma patients in Western New York is reducing postoperative complications. Traditional glaucoma surgery often involves the creation of a large, full-thickness flap in the conjunctiva, which can lead to complications such as infection, excessive scarring, and even conjunctival overgrowth. With their minimally invasive approach, MIGS procedures minimize these risks, making them a safer option for many patients.

In addition to reducing the likelihood of complications, MIGS can also be performed without disturbing the anatomy of the eye to a significant extent. Preservation of ocular integrity is particularly important for patients who may require further eye surgery in the future.

MIGS Procedures Have Minimized Postoperative Discomfort

Another significant advantage of MIGS procedures is the reduction in postoperative discomfort. Traditional glaucoma surgery can lead to significant pain and discomfort in the days following the procedure. In contrast, MIGS patients typically experience much milder discomfort, allowing for a quicker return to their daily activities and improved quality of life. This aspect of MIGS makes it an attractive option for patients who may be hesitant about the pain associated with traditional surgery.

Minimally Invasive Glaucoma Surgery Preserves Conjunctival Tissue

The preservation of conjunctival tissue is a crucial benefit of MIGS procedures. Traditional glaucoma surgery often necessitates the creation of a conjunctival flap, which can lead to long-term complications such as scarring and overgrowth. It can be particularly problematic if the patient needs additional eye surgeries in the future, as the integrity of the conjunctiva may be compromised.

MIGS procedures aim to minimize manipulation of the conjunctiva, preserving this delicate tissue. MIGS can reduce the risk of complications but also ensure that the patient’s eye remains in optimal condition for any future procedures. Preserving conjunctival tissue is a significant advantage for patients in WNY seeking effective and sustainable glaucoma management.

MIGS Procedures are Effective at Controlling Intraocular Pressure

Effective control of intraocular pressure is the primary goal of glaucoma treatment, as elevated intraocular pressure is a major risk factor for optic nerve damage. MIGS procedures have demonstrated their ability to lower and maintain intraocular pressure, making them a valuable tool in managing glaucoma.

While traditional glaucoma surgery can be highly effective at lowering intraocular pressure, it is often considered a more aggressive approach. MIGS is particularly well-suited for patients with mild to moderate glaucoma, where the less invasive nature of these procedures can provide adequate pressure control without the risks associated with traditional surgery.

MIGS Procedures are Compatible with Cataract Surgery

A common concern for older patients in WNY is the concurrent presence of both cataracts and glaucoma. Traditional glaucoma surgery and cataract surgery are typically separate procedures, which can be burdensome for patients and increase the risk of complications. MIGS procedures offer a solution to this issue by being compatible with cataract surgery.

What is the Recovery Time for Minimally Invasive Glaucoma Surgery in WNY?

The recovery time for MIGS procedures in WNY is significantly shorter when compared to traditional glaucoma surgery. Patients who undergo MIGS can often expect to return to their normal daily activities within a few days to a week. The minimally invasive nature of MIGS, smaller incisions, and reduced tissue manipulation contribute to this faster recovery.

In contrast, traditional glaucoma surgery often requires a longer recovery period. Creating a full-thickness conjunctival flap and extensive manipulation of the eye can result in a more prolonged healing process, with some patients experiencing discomfort for several weeks.

It’s important to note that individual recovery times can vary depending on the specific MIGS procedure, the patient’s overall health, and their adherence to postoperative care instructions. MIGS generally offers a swifter return to normal life, making it a more convenient option for patients in Western New York seeking glaucoma treatment.

Schedule a Consultation to Find Out if Minimally Invasive Glaucoma Surgery in WNY is Right for You

MIGS has emerged as a game-changer in glaucoma treatment for patients seeking glaucoma treatment in Buffalo. The benefits of MIGS make it a highly appealing option for patients and glaucoma specialists in Buffalo. As advancements in ophthalmology continue, MIGS stands out as a revolutionary approach that is improving the outlook for individuals living with glaucoma in Western New York. Eye Care & Vision Associates (ECVA) offers patients expert glaucoma specialists in Buffalo specializing in modern, effective treatments for this disease. To talk with our staff about your treatment options, please contact one of our glaucoma specialists in Williamsville, Buffalo, Orchard Park, or Niagara Falls.

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Diabetic Eye Disease and Vitreoretinal Surgery: Navigating Treatment Options

Diabetic eye disease like diabetic retinopathy can permanently alter a person’s vision, leading to vision loss or, in severe cases, blindness. With diabetic retinopathy, the blood vessels in the eye weaken. At times, that can lead vessels to bulge and leak, and the latter can cause fluids to enter various parts of the eye, causing retinal tissue swelling. As those tissues are impacted, visual acuity changes, and any damage caused is potentially irreversible.  

However, treating diabetic eye disease can slow or prevent future eye changes, allowing a person to limit their vision loss. One such option is vitreoretinal surgery, also known as vitrectomy, but different paths are also available.  

Here’s a look at vitreoretinal surgery and a few other treatments for diabetic eye disease, as well as what you can do to navigate your treatment options.  

Vitreoretinal Surgery for Diabetic Retinopathy 

Vitreoretinal surgery is a procedure that’s often used in the treatment of advanced diabetic retinopathy. While it isn’t a cure for diabetic retinopathy, it can slow its progression and may reverse some of its impact, causing your vision to possibly improve, stabilize, or avoid significant ongoing losses.  

With a vitrectomy, your eye care provider addresses vitreous gel clouding that can occur when blood vessels leak by removing impacted tissue and replacing it with a clear artificial substitute. In many cases, replacing the cloudy vitreous gel with a clear artificial solution leads to significant vision improvement.  

During the procedure, your eye care provider will also remove built-up scar tissue that’s developed in the eye. Scar tissue can pull on the retina, leading to visual distortions and increasing the chances of a retinal detachment. As a result, scar tissue removal can lead to vision improvements and reduce the risk of retinal detachment.  

Other Treatments for Diabetic Retinopathy

Generally, vitreoretinal surgery is reserved for advanced diabetic retinopathy cases. Other treatment options may provide positive results if your case isn’t that severe. For example, blood sugar management could prevent further damage, which may make additional treatment unnecessary.  

For more severe cases, medication injections involving vascular endothelial growth factor inhibitors can help prevent abnormal blood vessel development that can occur with diabetic retinopathy and reduce fluid buildup. Focal laser or scatter laser treatment – also known as photocoagulation – can also slow or stop blood vessel leakage or shrink abnormal vessels, making them a viable option in some cases.  

How to Navigate Your Treatment Options

Selecting a treatment option after being diagnosed with diabetic retinopathy is often intimidating. Fortunately, by working with your eye care provider, you can receive critical guidance and support that makes selecting an appropriate approach easier. 

Your eye care provider can look at the details of your situation, identifying treatment options that are both viable and have the highest chances of making a positive impact. They can also answer questions to help you understand the recommendations, ensuring you can find the best treatment option for you.  

At ECVA, the safety and health of our patients’ eyes are our priority. If you’ve been diagnosed with diabetic retinopathy, are concerned you may develop diabetic eye disease, or simply haven’t visited your eye care provider in the past year, the ECVA team is here to help. Schedule an appointment at your closest ECVA clinic today.