Hospital News

Understanding Cataracts
August is Cataract Awareness Month
 

Lakewood, NJ - Have you ever been bothered by light or glare?  Has your vision become blurred?  Do colors seem less vivid than they once were?  If so, you could have the beginnings of cataracts. 

“Cataracts are a cloudy or opaque formation in the lens of the eye,” explains Edward Hedaya, MD, a board-certified ophthalmologist on staff at Kimball Medical Center. “The lens, which is normally transparent, helps our eyes focus light and the images we see on the retina – the light-sensitive tissue at the back of the eye.” In a normal eye, according to Dr. Hedaya, light passes through the transparent lens to the retina where it is transformed into nerve signals that are sent to the brain. “The lens needs to be clear in order for the retina to receive a sharp image. If it’s clouded by a cataract, the image you see will be blurred or fuzzy – kind of like seeing through frosted glass,” he explains. 

In addition to blurred vision, difficulty with color differentiation and poor night vision, cataracts can also affect the ability to distinguish between light and dark. Other symptoms can include a frequent need for stronger eyeglass prescriptions, light or glare sensitivity, increased nearsightedness, or distorted images in one or both eyes.

According to the American Academy of Ophthalmology, more than 20 million people over the age of 40 have cataracts. “In addition to age,” explains Dr. Hedaya, “family history can also play a role in cataract development. Cataracts can also develop as a result of eye injuries, diseases such as diabetes, certain medications, and long-term exposure to sunlight and damaging UV rays,” he adds. Cataracts may also develop more quickly in the presence of some environmental factors, such as smoking or exposure to other toxic substances, according to Dr. Hedaya.  

 “Wearing sunglasses or a hat that shades the sun from your eyes is good practice to reduce your eyes’ exposure to UV light,” suggests Dr. Hedaya. “Always wear protective eyewear when engaging in activities such as mowing the lawn, painting or cleaning with harsh chemicals to reduce the risk of eye injury or damage, which can increase your risk for developing cataracts,” he advises. 

There are no medications, eye drops, exercises, or glasses that have been proven to make cataracts disappear or prevent their formation. Cataract surgery – now one of the most common operations performed in this country – is currently the only way to treat a cataract and restore your sight.  

Until recently, cataract surgery was delayed as long as possible. The clouded lens was left to “ripen” resulting in severely impaired vision prior to surgery. That’s all changed though, according to Dr. Hedaya. “We now have all sorts of new options in artificial intraocular lens implants. They have revolutionized cataract surgery,” he says. “People no longer have to wait until their vision is really terrible before they can proceed with surgery. Today, if the feeling is that an individual’s vision can be improved, we do it. And now, we can not only remove the cataract, but also improve the patient’s vision so that they no longer need glasses – for distance or for reading. It’s the first time in the history of mankind,” he jokes, “that we can make parents see better than children!”  

At Kimball Medical Center, Dr. Hedaya performs cataract surgery in the hospital’s same day surgery unit. “State-of-the-art computer technology uses the measurements of the eye to compute the power of the artificial lens we implant, to ensure the greatest vision improvement,” he explains. 

During the procedure, a technique known as phacoemulsification is used to remove the cataract. The technique, according to Dr. Hedaya, uses ultrasonic vibrations or high frequency sound waves to gently break the lens into microscopic pieces, which are then removed from the eye through a tiny incision. “The natural lens is then replaced with an intraocular lens (IOL) implant.  There are several different types of great intraocular lenses on the market today including ReSTOR, ReZoom and Crystalens.  They type of IOL used is determined by each individual’s visual needs,” he adds. 

The incisions, notes Dr. Hedaya, are so small that sutures are not necessary. In fact, he says the entire procedure requires no injections, needles or suturing. This may account, in part, for the fast recovery time. “The actual outpatient procedure usually takes about 15 minutes to complete, and while healing varies from person to person, in general it takes anywhere from a few hours to several days.”  In fact, many people go home seeing clearly the same day they have cataract surgery.  

“This is truly a life-changing procedure,” says Dr. Hedaya. “While we can’t guarantee perfect sight, we’ve restored lost sight to thousands of patients, dramatically improving their vision and enhancing the quality of their life.” The doctor stresses that it’s important for patient to carefully follow postoperative instructions to help prevent complications, which, while rare, can occur.  

Regular eye exams can help prevent unnecessary vision loss. The American Academy of Ophthalmology recommends that adults with no signs or risk factors for eye disease get a baseline eye disease screening at age 40 – the time when early signs of disease and changes in vision may start to occur. “The older you get, the more frequently you should have your eyes checked,” advises Dr. Hedaya. He recommends every few years after age 50 and annual visits to the eye doctor by age 65, more often if you have a family history of eye disease.  

“It’s also important to be aware of changes in your vision and to see your eye doctor if you notice anything different in regards to your sight,” advises Dr. Hedaya.  

To schedule an appointment with Dr. Edward Hedaya or another ophthalmologist on staff at Kimball Medical Center, please call
1-888-SBHS-123 (888-724-7123).

 

Date: July 23, 2009

CONTACT: Carrie Cristello
Director, Public Relations
732-923-6552
ccristello@sbhcs.com

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