What is a Cataract?

The lens of the eye helps focus your vision. A cataract occurs when the lens in your eye becomes cloudy. Cataracts can cause problems such as blurry or dulled vision, sensitivity to light and glare, and seeing shadows or ghost-like images. A cataract will get worse if not removed.

Surgery is the only way to treat cataracts. It is your choice when to have cataract surgery. Cataract surgery is recommended when vision problems interfere with daily life or affect your quality of life. You can choose not to have your cataract removed.

Cataract surgery only corrects vision problems caused by cataracts. This surgery cannot correct vision problems caused by glaucoma, diabetes, age-related macular degeneration, floaters, or other eye illnesses or injuries.

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What Happens During Cataract Surgery?

During cataract surgery, the natural lens inside your eye that has become cloudy will be replaced with a new lens implant. The replacement lens implants are often called “intraocular lenses” or “IOLs.”

Patients have a few choices to make about the intended focus of the IOL that they receive. How a patient decides is based on eye health, individual vision needs, and personal preferences. At your visit, your doctor will discuss the positives and negatives of each lens choice.

Lens Implant Choices for Cataract Surgery

Insurance covers the cost of a high-quality lens implant for all patients. Missouri Eye Consultants only implants high-quality lens implants for all patients. This lens implant is intended to improve vision and focus the eye. You will need to decide the intended focus for your high-quality lens implant.

It is important to remember that the focus point of the IOL does not affect the health of the eye. Secondly, no lens implant can guarantee 20/20, or perfect vision.

Just as a good radio can be tuned to different stations, healthy eyes can have different focal points. As an adult, wearing or not wearing glasses does not affect the health of the eye. There is nothing unhealthy about needing to wear glasses after cataract surgery. Wearing glasses after cataract surgery will not make your vision weaker over time.

Please choose your option lens below:

STANDARD CATARACT LENS IMPLANT

Insurance will mostly cover this, but I will need glasses afterward

PREMIUM CATARACT LENS IMPLANT

Insurance will NOT cover this, but I will be less dependent on glasses afterward

What if the patient has astigmatism?

In addition to being either nearsighted or farsighted, eyes can also have astigmatism. Astigmatism does not have anything to do with the focal distance of the eye. Astigmatism has to do with the shape of the eye, specifically the cornea. Astigmatism makes vision blurry at all distances.

The lens implant that comes with Medicare or other private insurance (the standard monofocal lens discussed above) does not treat astigmatism. If you have significant astigmatism and choose the “standard monofocal IOL,” you will likely need or want to wear glasses to correct your astigmatism.

A premium IOL is available to correct astigmatism, which will more fully correct your distance vision, so that you are less dependent on glasses for distance vision.

 

 

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FAQs

Am I allowed to wear my contact lenses before surgery?

Yes. After you’ve had your appointment with the surgeon and all preoperative measurements have been taken, you can resume wearing contacts up until the day before your surgery.

Prior to your pre-op appointment, soft contact lens wearers need to be out of their lenses for 2 weeks, and RGP/hard contact lens wearers need to be out of their lenses for 1 month.

Do not wear your contacts on the day of surgery.

What are my physical restrictions after surgery?

After surgery you should stay out of dirty or dusty places. Avoid anything that can splash up toward your eye. You should avoid straining or lifting anything that takes more than an easy effort.

Keep your head above your waist as much as possible. Usually after 7-10 days you are free to go back to your normal activities.

When can I start wearing eye make up a gain?

You may start wearing makeup and eyeliner about 7 days after surgery.

Can I watch TV and be on the computer after surgery?

Using a computer or watching TV will not harm your eye but may make your eye uncomfortable. It is recommended that you minimize these activities for the first 3-4 days. If your work requires use of a computer, be aware that you will probably not be able to work quickly or comfortably for a few days.

Do I still wear my regular glasses after cataract surgery?

After cataract surgery your glasses prescription will change. Some patients will find it difficult to wear their current glasses. Wearing or not wearing your glasses will not harm or help heal your eye.

When it comes to wearing glasses after the surgery, do whatever is most comfortable for your vision.

You can order new eyeglasses about 2-4 weeks after the last eye surgery.

WiIl I have follow up appointments after surgery?

Yes. You will have postop appointments with either your regular optometrist or your surgeon after surgery to ensure you are healing well.

These appointments are typically 1) 1 day after surgery or the afternoon of surgery, 2) 1 week after surgery, and 3) one month after surgery.

If you chose the Light Adjustable Lens (LAL) implant, you will also have additional visits starting around 1 month to begin the process of fine tuning your vision. (See separate LAL follow up sheet.)

Will I need medication or eye drops after surgery?

You will have eye drops to use for after the surgery. Please bring the drops to your appointments.

What if I don’t have enough medication in the bottle to finish my full course of drops?

One refill of your medication(s) has already been sent to the
pharmacy. If you run out of drops before your course is up, you may pick up this second bottle from the pharmacy.

For most patients, one bottle is enough, but if you have trouble getting the drops in and it takes multiple attempts each time to get the drops in, you may need the second bottle.

Where will the surgery take place?

You may choose to have surgery at Surgery Center at the Forum located at 1410 Forum Katy Parkway Ste 102, Columbia, MO 65203 or at a local hospital. We will provide maps/directions when you schedule.

Please call 573-874-2030 if you have any questions.

Seven Convenient Locations
for All of Your Eye Care Needs

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Missouri Eye Consultants - Ashland

101 Redtail Dr Ste. B
Ashland, MO 65010

+1 (573) 770-3136

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Missouri Eye Consultants -
California

202 E North St
California, MO 65018

+1 (573) 877-7321

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Missouri Eye Consultants -
Columbia (Keene St.)

500 N Keene St Suite 103
Columbia, MO 65201

+1 (573) 993-3407

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Missouri Eye Consultants - Columbia on Nifong

900 W Nifong Blvd Suite 125
Columbia, MO 65203

+1 (573) 969-3030

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Missouri Eye Consultants - Macon

1705 Prospect Dr,
Macon, MO 63552

+1 (573) 993-3603

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Missouri Eye Consultants - Moberly

1633 S Morley St
Moberly, MO 65270

+1 (573) 877-7318

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Missouri Eye Consultants - Fulton

2625 Fairway Drive,
Suite A, Fulton, MO

+1 (573) 828-2265

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Testimonials

“I always receive a thorough exam from Vision Health Eyecare and feel that Dr. Don Vanderfeltz is very knowledgeable and a leader in his field. He does a good job at educating me about the condition of my eyes and providing eye care solutions. I entrust my vision to him. His staff also are very helpful and accommodating. The community of California, as well as surrounding areas, are very lucky to have such skilled eye care available to them.”

Marian F.

 “Dr. Liepins is beyond AMAZING! It’s evident that she’s very passionate about not only her job/work but her patients in general. Both my kiddos (ages 7 & 3) are at ease with her which speaks volumes for how well she does her job. Dr. Liepins is fabulous and everyone we’ve encountered in the office has been great. Without hesitation, I highly recommend Columbia Eye Consultants!”

Stephanie A.

“Great service, modern equipment, nice personnel, Dr. DeRose is my favorite, but I’ve not seen other doctors there.” 

Kathy T.

“Professional and courteous welcome and it continued throughout my visit. I appreciate the explanation of each test and the the quickness in which each step was taken. I feel very comfortable asking questions and never feel my questions are not pertinent to my care.”

Larry B.

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