Cataract surgery is performed on an outpatient basis using local anesthesia. Your Ophthalmologist will perform a dilated eye exam to determine if cataract surgery is needed. During the cataract surgery an IOL (Intraocular lens) is implanted.
Traditionally, Monofocal Iols were used for cataract surgery. This type of lens is effective at restoring functional distance vision. They are still most frequently used. However, you still need glasses to correct near vision and additional surgery to correct existing astigmatism.
There are other IOLs available to allow you to see well at near and far without the help of glasses, bifocals, or reading glasses.
The Multifocal IOL is supposed to give you full range of clear vision, near and far. They make it so patients are less dependent on glasses. They can be associated with glare, halos around lights and requires patient to adapt to them. It can take months to adapt. In the meantime, most patients will need to wear glasses, readers, and or night driving glasses. You may also need additional surgery to correct any existing astigmatism.
The Toric IOL is also available for patients with existing corneal astigmatism. Similar to the multifocal lens, these lenses usually give patients quality vision with less dependence on glasses. Most patients will still need glasses for near tasks, such as reading and working at the computer.
We recommend these implants for patients that really hate wearing glasses.
The specialty IOLs are available at an additional cost. Medicare and most insurance companies consider it a luxury implant and will only cover the monofocal IOL.
The best vision is still with the monofocal IOL with reading glasses. If you have or develop an astigmatism after the surgery, we are able to fix it with refractive surgery once you have healed from your cataract surgery.
We offer the latest technology in refractive surgery. We do your pre-operative exam, perform the the procedure, and care for you post-operatively. We have our own Visx Star S4 IR Eximer Laser System. It features state of the art tracking technology. Iris registration, and a larger optical zone that can produce improved night vision for patients at risk for nighttime glare, all creating a new level of surgical precision to correct vision errors. This means that the patients we care for may see even better outcomes. We offer Advanced CustomVue Individualized Laser Vision Correction with iris registration, Now VISX CustomVue can measure and correct the unique imperfections of each individual’s vision and provide them with the potential to experience better vision than is possible with glasses and contact lenses. Dr. Ozog has been doing Laser Vision Correction in Great Falls since May of 1999, and has done well over a thousand procedures at this time. We offer Lasik (Laser Assisted Situ Keratomileusis) and PRK (Photorefractive Keratectomy) for the treatment of Myopia (nearsightedness), Hyperopia (Farsightedness) and Astigmatism. Call our office to schedule a screening at no charge, to determine if you are a candidate for refractive surgery.
Over time many people develop excess eyelid skin. Eyelid skin is the thinnest skin of the body, so it tends to stretch. In the upper eyelid, this stretched skin may limit your side vision. The same problem causes bags to form in the lower eyelids. The excess skin in the upper lids can be removed surgically. It improves side vision and other symptoms. Removal of excess skin may also improve appearance. Eyelid surgery is almost always performed on an outpatient basis using local anesthesia. Before surgery, your ophthalmologist will perform an eye examination and make recommendations. Photographs and side-vision testing are often required by insurance companies before blepharoplasty surgery.
Ectropion: Outward Turning of the Lower Eyelid
Stretching of the lower eyelid from age may cause the eyelid to droop downward and turn outward. This condition is called ectropion. Eyelid burns or skin disease may also cause this problem. Ectropion can cause dryness of the eyes, excessive tearing, redness and sensitivity to light and wind. Surgery usually restores the normal position of the eyelid, improving these symptoms.
Entropion: Inward Turning of the Lower Eyelid
Entropion also occurs most commonly as a result of aging. Infection and scarring inside the eyelid are other causes of entropion. When the eyelid turns inward, the eyelashes and skin rub against the eye, making it red, irritated, watery, and sensitive to light and wind.