Laser Eye Surgery Specialist

Witlin Center for Advanced Eyecare

Ophthalmologists located in East Brunswick, NJ

When you’re faced with cataract surgery, you’ll have several decisions to make. Fortunately, cataracts progress slowly, and surgery doesn’t get more complex with more advanced cataract clouding. The eye care professionals at the Witlin Center for Advanced Eye Care, serving East Brunswick, Toms River, and Morristown, New Jersey, can guide you through your options, which now include laser eye surgery for cataracts. Call or click to set up an appointment today.

Laser Eye Surgery Q & A

What happens during cataract surgery?

Cataracts are the clouding of the natural lens of your eye. Left untreated, cataracts may result in complete blindness as the clouding progresses to the point where light is scattered so completely your eyes can no longer form images on the retina.

Cataract surgery in its conventional form is one of the most common surgeries performed today. The traditional procedure starts with the surgeon making a small incision in the cornea with a scalpel, through which instruments are inserted to access the lens capsule and then break up the clouded lens using ultrasound. The pieces of the lens are then suctioned out with another tool.

An artificial intraocular lens, or IOL, is then put in place of your natural lens. The opening in the cornea self-seals, so stitches are not usually used to close the incision.

How is laser cataract surgery different than conventional surgery?

Instead of a freehand scalpel incision, imaging equipment measures your eye and programs the laser with precise instructions for the location and depth of the cut, much more accurately than manual techniques. The laser also softens the tissue of the lens, which is then broken up with ultrasound and removed in the same manner as traditional surgery.

The precise cuts possible with laser assistance allow for astigmatism corrections and the implantation of premium IOLs, such as multifocal lenses. Typically, standard IOLs provide a general level of eyesight correction, but you’ll still require eyeglasses or contact lenses for certain situations or more refined general correction. Premium IOLs may help you achieve a level of vision where corrective lenses aren’t needed, though you should discuss your expectations with your eye care professional at Witlin Center for Advanced Eye Care.

What are the benefits of laser surgery over traditional cataract surgery?

While laser surgical techniques sometimes offer better outcomes and fewer complications, this is not yet conclusively demonstrated in studies of cataract surgery, though there is some evidence of safer procedures. The advantages of lasers stem from the precision of the incisions, particularly when considering corrections to refractive errors.

Also, the lens softening that a laser provides reduces the amount of ultrasound needed to break up the cataract, preventing possible complications with this part of the procedure, common to laser and traditional methods.

Dry eye syndrome affects nearly five million Americans. It’s a curious condition, since your eyes may indeed be dry after crying, but you may also have very wet eyes if the chemical balance of your tears is disturbed. The eye care professionals at the Witlin Center for Advanced Eye Care, serving East Brunswick, Toms River, and Morristown, New Jersey, can examine, diagnose, and help you manage your dry eye condition. Call or click to make an appointment today.

What is dry eye?

Tears are a normal part of your eye’s maintenance system, keeping eyes comfortable and healthy. Tears are made of three layers, however, and the balance of these components is critical to the proper function of the tear system. Dry eye syndrome occurs when there isn’t adequate tear coverage, but it may also occur when the balance of tear components fails.

The outer layer is oily, and it provides a smooth gliding surface between eye and eyelid, while simultaneously offering a barrier against evaporation of the lower layers. The middle layer is the largest component of tears, a watery solution that keeps the eye clean and flushes away dirt and debris.

The inner layer of your tears is a mucus film that permits the watery layer to stick to the eye. Each tear component is made in a different place in the eye and usually, in the right balance that responds to changing conditions.

What are the symptoms and causes of dry eye?

Typical symptoms of dry eye give the condition its name. Your eyes will feel dry, with a gritting feeling as though there’s something in your eye. This may be accompanied by irritation and visible redness.

You may also experience an excess of tears, often because of overproduction of the middle layer of tears. This salty layer can overwhelm the other layers and upset the normal function of these layers. Even though your eyes will be very wet in this case, you’re still suffering from dry eye.

The reduced blinking that often accompanies the use of computer, smartphone, and tablet monitors may give rise to dry eye, as do some diseases, such as rheumatoid arthritis. Environmental conditions such as smoke, dust, and wind can cause dry eye as well. If you use contact lenses for extended periods or you’re taking certain medications, you may also experience dry eye.

How is dry eye treated?

Changing your exposure to irritating conditions or behaviors may be all you need, but in more advanced cases, the doctors at the Witlin Center for Advanced Eye Care often turn to:

  • The LipiView ocular surface interferometer to assess and diagnose dry eye conditions
  • Precision heated eye masks, such as those made by Digital Heat, Inc.
  • Punctal plugs that restrict the draining of tears at the inner corners of your eyes