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Eye Surgery

TYPES OF SURGERY

Cataract Surgery

A cataract may not need to be treated if your vision is only slightly blurry.  Simply changing your eyeglass prescription may help improve your vision for a while.  There are no medications, exercises, or glasses that will cause cataracts to disappear or prevent them from forming.  Surgery is the only way to remove a cataract.  When you are no longer able to see well enough to do the things you like to do, cataract surgery should be considered. 

Surgery is usually done on an out-patient basis, either in the hospital or an ambulatory surgery center. When you arrive for surgery, you will be given eye drops to dilate the pupil. You may also be given a mild sedative to relax you.  A local anesthetic will numb the eye.  The skin around the eye will be thoroughly cleansed and sterile coverings will placed. You may see light and movement, but you will not see the surgery while it is happening.  

Under a microscope, a small incision is made in the eye, tiny surgical instruments are used to break apart and remove the cloudy lens from your eye.  A plastic lens is implanted in the eye to replace the natural lens that was removed.  After a short stay in the outpatient recovery area, you will be ready to go home.  

Diabetic Laser Surgery

  • Focal Laser Surgery - Focal laser treatment stabilizes vision. It is used to treat macular edema. Your doctor places up to several hundred small laser burns in the areas of retinal leakage surrounding the macula. These burns slow the leakage of fluid and reduce the amount of fluid in the retina. The surgery is usually completed in one session. Further treatment may be needed.
  • PRP (Pan-Retinal) Photocoagulation -  PRP laser treatment is used to slow the growth of new abnormal blood vessels that have developed over a wider area of the retina. The ophthalmologist may make hundreds of laser burns on the retina to stop the blood vessels from growing. The person may need two or more treatment sessions.

Glaucoma Laser Surgery

Selective Laser Trabeculoplasty (SLT) -  SLT uses a laser that works at very low levels. It treats specific cells "selectively,” leaving untreated portions of the trabecular meshwork intact. For this reason, SLT may be safely repeated.  SLT may be an alternative for those who have been treated unsuccessfully with ALT or pressure-lowering drops.

Cosmetic Eyelid Surgery

  • Blepharoplasty - Removes the extra eyelid skin that is limiting a patient's vision.  This is an outpatient surgery that takes about 1 hour.  You can go home the same day.  Swelling and bruising will gradually disappear in a couple of weeks.  
  • Brow Lift (Direct) - Removes eyebrow skin above the brow line in order to elevate the drooping brow that is limiting a patient's vision. Direct brow elevation is best used for patients with localized small-to-moderate amounts of eyebrow ptosis (droop) who preferably have thick eyebrows. Scarring can be marked and is obvious in patients with light brows, especially in redheads. This is an outpatient surgery that takes about 1 hour. You can go home the same day.  Swelling and bruising will gradually disappear in a couple of weeks.  
  • Ectropion Repair -  The surgeon will remove a small part of your lower eyelid at the outer edge. When the lid is sutured back together, the tendons and muscles of the lid will be tightened, causing the lid to rest properly on the eye. You'll have a few stitches on the outside corner of your eye or just below your lower eyelid.  This is an outpatient surgery that takes about 1 hour. You can go home the same day.  Swelling and bruising will gradually disappear in a couple of weeks. 
  • Entropion Repair -  The surgeon will likely remove a small part of your lower eyelid at the outer edge, which serves to tighten the tendons and muscles of the lid. You'll have a few stitches on the outside corner of your eye and just below your lower eyelid.  This is an outpatient surgery that takes about 1 hour. You can go home the same day.  Swelling and bruising will gradually disappear in a couple of weeks.

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