Cataract surgery services
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 $1100 per eye. The fee for an LRI is $350. 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 $2250 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.
Dropless cataract surgery
Some patients will not be candidates for Dropless* surgery. These patients include anyone who is allergic to any of the components of Dropless* (including an allergy to ciprofloxacin-like medications), anyone who has had a previous vitrectomy or retinal tears/detachment, in any patient where surgery is expected to be complicated and in any patient who has significant ocular damage from glaucoma. Additionally, patients who are interested in having Dropless* 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.
Dropless* surgery will result in large floaters in the vision for the first 24 hours after surgery. This is simply the medication floating inside of the eye. Usually, the floaters will significantly subside by the morning following surgery. The floaters are temporary, are not dangerous and do not represent a complication of the cataract surgery.