Your Surgery

Your Surgery

Once your primary eye care physician has diagnosed your need for cataract surgery, they will refer you to Cascadia Cataract Consultants to arrange procedure at our local, AAAHC-accredited surgery center. Your co-management liaison will greet you with a warm welcome and assist you throughout the process of your cataract surgery.

If you would like to fill out your paperwork prior to your visit, please visit our Patient Portal.

Why Do I Need Cataract Surgery?

There are very few things in life more important than vision, and making the decision to have cataract surgery can be stressful. However, most patients are excited about their significantly improved vision once they have completed their cataract surgery.

Cataracts affect vision and lifestyle differently from person to person, but cataract surgery can improve some of these some common symptoms you may experience as they degrade your vision over time:  

  • Increased glare at nighttime, especially while night driving due to oncoming traffic headlights.
  • Needing more and more light for your everyday activities.
  • Loss of ability to see fine detail or small print even with the right glasses prescription.
  • Blurred or fogged vision–like a film is over the eyes all the time–many people feel like their glasses are dirty all the time. 
  • Colors are dull and less vibrant. 
  • Double vision (ghost images) in one or both eyes that persist when closing one eye.

Surgery Scheduling–Consultation Appointment

One* cataract consultation with our surgeon and pre-surgical staff will take care of all your pre-surgery details, saving you time and worry. 

At the cataract consultation appointment, the surgeon will thoroughly examine the health of your eye and inspect your cataract. Our team will take measurements and perform a microscopic analysis of your eye to determine how we will proceed with the surgery. The surgeon will discuss your hopes for outcome and ask questions about your lifestyle and vision needs. With this information, the surgeon will make the IOL recommendation with the best benefits for you.

  1. If a standard IOL surgery is selected, surgery is scheduled within 2-4 weeks.
  2. If a premium (presbyopia-correcting IOL or toric) IOL is selected:
    1. An iLUX procedure is performed at this cataract consultation appointment. Measurements are scheduled three weeks after their iLUX treatment.
    2. Surgery is scheduled 1-2 weeks after their measurement appointment. 

* There may be occasional circumstances where more than one appointment will be necessary.

On Surgery Day

The cataract surgery procedure is virtually painless, and as an outpatient procedure, it typically takes less than 30 minutes to complete. However, you will be in the surgery center for 1 1/2 to 2 hours to allow time for pre-op preparation, the surgery, and recovery after sedation. 

We provide conscious sedation during cataract surgery, which means you will be awake but very comfortable during surgery. You will not be able to operate heavy machinery or drive on the day of surgery so you will need to have a driver bring you to our surgery center and take you home after the surgery.  

Once you are in surgery, your cataract surgeon will make a very small incision in the eye and utilize sound waves to break up the cataract. The resulting pieces are removed through the tiny incision. Once the cataract has been removed, our cataract surgeon will replace the eye’s natural lens with an intraocular lens implant (IOL). This can often result in providing patients with better vision than they had before the cataract developed. Usually no stitches are needed and the incision will close naturally.

Cataract surgery is intended solely to remove a cataract, and does not correct other vision problems, such as those related to diabetes, glaucoma, or macular degeneration.

In most patients, the IOL power is calculated very accurately during the initial examination. However, in some rare cases, particularly in patients who are highly nearsighted, highly farsighted, or have had LASIK or other refractive surgeries prior to cataract surgery, a slight shift of the IOL can potentially cause a change in vision that is different than originally predicted. If this change is considerably different than expected, a replacement IOL may be necessary.

After Surgery

Our cataract surgeon will examine your eye the day after surgery, wish you the best, then your regular eye doctor will complete your follow up care. 

Thank you for putting your confidence in Cascadia Cataract Consultants. We are glad to be a part of your vision team!

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