2020@larrazabaleye.com....(6332) 412-2020 or 254-2020

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Cebu, Philippines
Dr. POTENCIANO LARRAZABAL III,MD.,D.P.B.O,M.A.H. DEPARTMENT OF OPHTHALMOLOGY CHAIRMAN LARRAZABAL EYE GROUP CHAIRMAN-CENTER FOR SIGHT CEBU DOCTORS' HOSPITAL WAVELIGHT REFRACTIVE STATION , NO BLADE LASIK

CATARACT


WHAT IS A CATARACT?
Contrary to what many people think, a cataract is not a growth or film over the outside surface of the eye. In fact, the cataract is the lens which has become opaque or clouded. This interferes with vision by blocking out light. It is most often due to the normal aging process. A cataract clouds vision by preventing light from passing through the lens to focus on the retina at the back of the eye. The lens of the eye works much like the lens of a camera. If the lens of your camera is dirty or fogged, then the picture taken will be hazy or blurred. A cataract causes the light focusing on the retina to be blurred in the same manner. 
There are currently two methods used to remove Cataracts: The traditional Phacoemulsification and Laser assisted Cataract Surgery. We were one of the few centers back in 1996 that started doing PHACO cataract procedures under topical anesthesia.  We are currently doing nearly 2,000 cataract procedures yearly.  Our average surgical time is between 4 to 7 minutes. It may however take longer in special cases.  The procedure does not involve needles as we use only anesthetic drops to numb the eye.  We do not also patch the eye post op. Instead, we provide protective eye goggles. LARRAZABAL EYE GROUP is the FIRST and ONLY eye facility in Cebu and the rest of the Visayas and Mindanao to offer a blade free option for Cataract Surgery. For more infor on No Blade Cataract Surgery below, scroll below.
HOW DO CATARACTS AFFECT VISION?
Shown is a normal, clear field of view as seen through the clear lens of the eye. When a cataract is present (place cursor over image), vision becomes darkened, cloudy, yellow and blurred.
DO I NEED A SURGERY?
Cataract surgery is an outpatient procedure usually done at the hospital or ambulatory surgical center. The procedure uses local anesthesia in the form of eyedrops to ensure comfort. Patients are awake during the surgery. Eye patches are not required after surgery, and restrictions are minimal.
Successful cataract surgery can greatly improve the quality of life by giving people the freedom to see clearly to once again enjoy day and night time activities. Driving, reading, shopping and recreation can again become pleasurable activities.
To decide whether or not you need cataract surgery, you must first have a complete eye examination. There are several indications for cataract surgery, but rarely will a cataract need to be removed immediately or as an emergency. Because the procedure is elective, most cataract surgery can be scheduled at the individual’s convenience. Some of the more common reasons an individual chooses cataract surgery are:
  • Decreased vision - such as difficulty seeing the street signs, or problems reading fine print.
  • Foggy vision - some people report that their vision appears to have a fog or film over it.
  • Halos around lights - some people have difficulty in particular with night driving due to glare from oncoming automobile headlights.
  • Glare - problems with light sensitivity going from a darkened room to bright light.
  • Decreased ability to perform daily tasks - such problems as reading medication instructions, failure to pass a driver’s visual examination, problems seeing to play cards, bowl or play golf are common.
After consultation with your ophthalmologist, you may decide that you wish to have cataract surgery. Before your make this decision, however, you need to be informed about the health of your eyes, the risks and complications of surgery, and the alternatives as well as the potential benefits for you. You also need to know what you can reasonably expect for visual improvement following the procedure. Although millions of people have undergone safe and successful cataract surgery, complications, though rare, can and do occur. The most serious complication of eye surgery is blindness, due to infection, retinal detachment or technical problems with the surgery and your eye. You must be fully informed about the surgery and its attendant risks before making an informed decision to proceed.
WHAT IS INVOLVED IN THE CATARACT PROCEDURE? 
For most patients, cataract treatment involves the placement of a synthetic lens inside the eye. Typically, this involves making a small incision in the eye, and then dissolving and removing the cataractous lens with ultrasound (often referred to as phacoemulsification). A clear, synthetic lens is then put in place. We evaluate each patient carefully. Any special treatment or instructions will be discussed prior to surgery. If you are found to have cataracts in both eyes a cataract surgery procedure will only be done usually on one eye at a time but in special cases, it can be done simultaneously 30 minutes apart.
Larrazabal Eye Group is focused on your comfort and the best possible care.

1. A very small "No Stitch" incision is made in the side of the cornea. Such an incision promotes fast and more comfortable recovery.

2. The bag of the lens is opened and a special ultrasonic probe (phacoemulsifier) removes the cloudy lens.

3. A small foldable artificial lens is inserted through the small incision to replace the cataract lens.

4. The final replacement lens is shown in place. It is not required to suture the small "No Stitch" incision.






WHY USE A LENS IMPLANT? 
When we perform a cataract surgery, the ultrasound dissolves and removes the cataract, which is the lens. Therefore, we use a special intraocular lens or lens implant to replace the lens that was removed.
IS THE LENS IMPLANT PERMANENT?
The lens is intended to be permanent and in most cases will not need to be removed.
WILL I FEEL A DIFFERENCE WITH THE LENS IMPLANT? 
No, the lens becomes a part of you. It is as natural in appearance, comfort and durability as your natural lens had been prior to the development of the cataract.
WILL INJECTIONS OR STITCHES BE NEEDED? 
The eye is desensitized without injections. We use anesthetic drops to numb the eyes. This eliminates the pain and bruising of the eye associated with injections. Because the incision is so small, it usually does not require stitches.
CAN BOTH EYES BE DONE ON THE SAME DAY? 
Yes, both eyes can be operated on the same day at times but usually it is done at least one day apart.
WHAT ABOUT CAPSULAR OPACITIES? 
A secondary cataract does not involve the lens. In patients with secondary cataracts, the clear membrane that separates the front and back of the eye has become cloudy. To restore visual clarity, an opening is made in the center of the membrane with a Yag laser. The laser dissolves the cloudiness of the membrane and allows light to pass through to the retina. 

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