Cataract surgery services
Cataracts develop when the clear, crystalline lens inside of our eye becomes cloudy. Everyone develops cataracts as they get older, and at some point, the cataracts may need to be removed. When is removal appropriate? When your vision is limited to a point where you are no longer able to do the tasks that you enjoy or must perform such as reading, watching TV, hobbies, night driving, professional duties, etc., then cataract surgery is medically appropriate.
Cataract surgery is an outpatient surgical procedure. Dr. Davison's surgical technique is painless, requires no injections, patching or stitches, and offers a rapid visual recovery. Patients may drive the day after cataract surgery. Patients can bend over and lift after surgery, and most are back to their normal routine within 5 days.
Since cataracts are a medical problem, medical insurance will cover the cost of the surgery. However, when insurance covers the cost of cataract surgery, you may still need glasses to correct your distance vision and you will most likely need reading glasses.
What most people do not realize is that cataract surgery can also be a "refractive" surgical procedure, meaning that we can greatly reduce the need for glasses under most circumstances. Unfortunately, insurance does not pay for these additional services since they are considered purely cosmetic. However, you do have the choice of selecting these optional services for an additional fee. If you desire to greatly reduce your overall dependence on glasses, there are additional factors that must be considered. If astigmatism is present, then it may need to be corrected for you to be able to see well at distance without glasses. This requires the implantation of a special "toric" lens implant or the use of corneal incisions (limbal relaxing incisions or LRIs) at the time of surgery to reduce the astigmatism. Toric lens implants are considered premium implants and are not covered by insurance. The fee for the implantation of a toric lens is $1250 per eye. The fee for an LRI is $400. However, LRIs are only used for small amounts of astigmatism. Although both the toric lens implant and LRIs can correct for astigmatism, the vision will be better with a toric lens. This is because the targeted post-operative visual acuity with a toric implant is more predictable, and also the toric lens does not utilize incisions that change the cornea’s natural shape. LRIs are still a good method for reducing smaller amounts of astigmatism. It must be noted though that the cornea is slightly weakened with the placement of these incisions. Some patients may not be candidates for either a toric IOL or an LRI. This would be determined in the preoperative evaluation. If patients are interested in an implant that corrects for both distance and reading vision (known as a multi-focal lens implant), they will be counseled in detail regarding the pros and cons of such an implant. Then, if they are a candidate for this type of lens, they will be able to make an informed decision as to whether such an implant is right for them. Multi-focal lens implants are considered premium implants and are not covered by insurance.
The cost for the implantation of a multi-focal lens is $2500 per eye. If you are considering these implants, BOTH eyes must have a multifocal lens implant for you to be comfortable with the vision. If there is additional astigmatism present that needs to be reduced, this may require correction with a toric multifocal or an LRI at no additional charge. We offer 18 month, interest-free financing through Care Credit, with flexible terms and competitive rates. We can let you know if you qualify for financing while you wait. Why do we charge additional fees for these services? The correction of astigmatism and /or the implantation of a special premium lenses require Dr. Davison to spend much more time with the patient and requires much more precision in the pre-operative measurements. Additional images of the eye along with special lens calculations are required to determine implant powers. This extra time and effort are required to ensure the best results and your satisfaction. Additional refractive cataract surgery options can be expensive and it is important to know these costs in advance to enable you to appropriately plan financially for any services that you may desire.
Cataract surgery is an outpatient surgical procedure. Dr. Davison's surgical technique is painless, requires no injections, patching or stitches, and offers a rapid visual recovery. Patients may drive the day after cataract surgery. Patients can bend over and lift after surgery, and most are back to their normal routine within 5 days.
Since cataracts are a medical problem, medical insurance will cover the cost of the surgery. However, when insurance covers the cost of cataract surgery, you may still need glasses to correct your distance vision and you will most likely need reading glasses.
What most people do not realize is that cataract surgery can also be a "refractive" surgical procedure, meaning that we can greatly reduce the need for glasses under most circumstances. Unfortunately, insurance does not pay for these additional services since they are considered purely cosmetic. However, you do have the choice of selecting these optional services for an additional fee. If you desire to greatly reduce your overall dependence on glasses, there are additional factors that must be considered. If astigmatism is present, then it may need to be corrected for you to be able to see well at distance without glasses. This requires the implantation of a special "toric" lens implant or the use of corneal incisions (limbal relaxing incisions or LRIs) at the time of surgery to reduce the astigmatism. Toric lens implants are considered premium implants and are not covered by insurance. The fee for the implantation of a toric lens is $1250 per eye. The fee for an LRI is $400. However, LRIs are only used for small amounts of astigmatism. Although both the toric lens implant and LRIs can correct for astigmatism, the vision will be better with a toric lens. This is because the targeted post-operative visual acuity with a toric implant is more predictable, and also the toric lens does not utilize incisions that change the cornea’s natural shape. LRIs are still a good method for reducing smaller amounts of astigmatism. It must be noted though that the cornea is slightly weakened with the placement of these incisions. Some patients may not be candidates for either a toric IOL or an LRI. This would be determined in the preoperative evaluation. If patients are interested in an implant that corrects for both distance and reading vision (known as a multi-focal lens implant), they will be counseled in detail regarding the pros and cons of such an implant. Then, if they are a candidate for this type of lens, they will be able to make an informed decision as to whether such an implant is right for them. Multi-focal lens implants are considered premium implants and are not covered by insurance.
The cost for the implantation of a multi-focal lens is $2500 per eye. If you are considering these implants, BOTH eyes must have a multifocal lens implant for you to be comfortable with the vision. If there is additional astigmatism present that needs to be reduced, this may require correction with a toric multifocal or an LRI at no additional charge. We offer 18 month, interest-free financing through Care Credit, with flexible terms and competitive rates. We can let you know if you qualify for financing while you wait. Why do we charge additional fees for these services? The correction of astigmatism and /or the implantation of a special premium lenses require Dr. Davison to spend much more time with the patient and requires much more precision in the pre-operative measurements. Additional images of the eye along with special lens calculations are required to determine implant powers. This extra time and effort are required to ensure the best results and your satisfaction. Additional refractive cataract surgery options can be expensive and it is important to know these costs in advance to enable you to appropriately plan financially for any services that you may desire.
1-Drop cataract surgery
Dr. Davison has offered reduced drop cataract surgery for over 10 years. We were the first office in the Capital Region to offer this regimen as a surgical option. With 1-Drop cataract surgery, the medicine required for the eye to heal properly is placed within the eye at the time of surgery. Since the medication is placed within the eye during the cataract surgery, the patient does not feel any discomfort. However, with placement of the medicine right inside of the eye, we are assured that your eye is getting the proper amount of medication to heal properly. Placing the medicine within your eye eliminates the need to put in multiple topical drops, reducing it to just one drop a day for 3 weeks. This means that you will not have to worry about a complicated drop schedule or about the expense of multiple medications prior to and after surgery.
1-Drop surgery is offered to you at a very reasonable cost.
Some patients will not be candidates for 1-Drop surgery. These patients include anyone who is allergic to any of the components of 1-Drop solution (including an allergy to ciprofloxacin-like medications). Additionally, patients who are interested in having 1-Drop surgery will be asked to use Optase Protect spray before and after their surgery. Optase Protect is a topical antiseptic which is sprayed onto the eyelids, allowed to remain for 1 minute and then gently wiped off. Optase Protect is an extremely effective bacteriocidal chemical which reduces the bacteria on the surface of the eye prior to surgery. If patients desire to have the 1-Drop regimen, there is a charge of $80 which covers a special compounded medication mixture that is used once a day after surgery (not available in your pharmacy) and a topical disinfecting spray. The supplied medication and spray will be enough to provide treatment for both eyes, throughout the post-operative healing period.
Some patients will not be candidates for 1-Drop surgery. These patients include anyone who is allergic to any of the components of 1-Drop solution (including an allergy to ciprofloxacin-like medications). Additionally, patients who are interested in having 1-Drop surgery will be asked to use Optase Protect spray before and after their surgery. Optase Protect is a topical antiseptic which is sprayed onto the eyelids, allowed to remain for 1 minute and then gently wiped off. Optase Protect is an extremely effective bacteriocidal chemical which reduces the bacteria on the surface of the eye prior to surgery. If patients desire to have the 1-Drop regimen, there is a charge of $80 which covers a special compounded medication mixture that is used once a day after surgery (not available in your pharmacy) and a topical disinfecting spray. The supplied medication and spray will be enough to provide treatment for both eyes, throughout the post-operative healing period.
Why consider a "Premium Lens"?
Invest in your vision
If from age 60 to age 80 you buy a new pair of glasses every 2 years, that is 11 pairs of glasses. If your glasses cost an average of $400 a pair, you will spend $4400 over that period of time. If you are a candidate for a multifocal lens implant with your cataract surgery, you can achieve comfortable distance and reading vision without requiring glasses. Even a toric lens implant that simply corrects for astigmatism can eliminate the need for distance glasses and allow you to use simple non-prescription over-the-counter- readers for your near vision. A premium lens implant can have many benefits including added convenience and cost savings over time. Financing is available with no interest for 18 months. Now that's something to seriously consider.
Don't depend on glasses
The above image displays a scenario that can truly frighten that patient who has a high power prescription and is essentially "blind" without their glasses. Losing or severely damaging your only pair of glasses can not only be inconvenient, it can be dangerous. Imagine going shopping, hiking or whatever you enjoy doing and not having to wear glasses for distance and maybe even near. These results are attainable with the precision instruments that Dr. Davison utilizes to evaluate your eyes and determine the best implant for you. Many times, Dr. Davison will have a patient who wants a multifocal lens or toric lens implant, but unfortunately, they are not a good candidate. We will do what is best for the patient. Focusing on making a profit is not good medicine.
More convenience
What would it be like to go to have your eyes examined and not have to be measured for new glasses? No more "which is better? One or two?". More importantly, you could wake up and not have to reach for your glasses... or go golfing and not have to have reading glasses to read your score card... or you could by regular, non-prescription sunglasses to wear comfortably on the beach. If patients are carefully selected and appropriately counseled about premium lenses, they can be the most satisfied customers that we have the pleasure of taking care of. Maybe a premium lens is not for you, but if you are interested in this state-of-the-art lens technology, just ask us and we will be sure to educate you and answer all of your questions.