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What is a Cataract?
Loss of eye sight from cataracts is usually preventable!
With the formation of a cataract, activities like reading, bowling, or driving can be difficult. Fortunately, vision can be restored quickly, allowing the patient to return home within a few hours. With new advances in cataract surgery, vision improvement begins almost immediately, and an eye patch isn't even needed.		 WHAT IS A CATARACT? WHAT IS A CATARACT?
 
A Cataract is the clouding of the lens of the eye. Normally, light passes through the clear lens and is focused onto the Retina. However, the natural aging process can cause the lens to become cloudy. The Cataract or cloudy lens blocks the passage of light through the eye and causes distorted or blurred vision, glare, or difficulty seeing in poor lighting conditions.

Cataract surgery is the most common operation in the world. In the United States, millions procedures are performed annually. There are many millions of cases of early cataracts among Americans aged 40 and older, and 50 percent of people older than 65 have developed significant cataracts. Is Cataract Surgery right for me?


McMann Eye Institute's Cataract  and IOL Consultation

Your refractive consultation is an information session where we will discuss your vision issues and goals, your refractive options and what you can expect from surgery. We will review your contact lens and/or eyeglass history and run tests as needed to determine the uniformity of your cornea and recommend the best procedure for you. Your consultation may be covered by insurance. If not, then there is a $160 charge for this appointment.

This 2-2½ hour dilated consultation typically includes a complete review of overall eye and systemic health plus an assessment of other eye conditions and an evaluation of the retina. Learn what you need to know about your consultation


The Cataract Procedure

Cataract surgery is performed on an out-patient basis. You will not need to be hospitalized or put to sleep for your doctor to perform your surgery. The procedure normally takes less than 30 minutes and you can return home shortly after your procedure. Most people will enjoy improved vision by the day after surgery or within a few days following the procedure.

Your doctor will first administer a light sedative which will relax your nerves and keep you comfortable during the procedure. Anesthetic eye drops will be used to completely numb the eye. Your doctor will use the latest technology for cataract removal. The entire procedure is typically performed through an incision that is smaller than 1/8 of an inch and does not require stitches to heal.

Once the cataract is removed, an intra-ocular lens (IOL) is placed where the cataract lens was removed, to restore your sight. Most patients will not require an eye patch and will not have significant discomfort. Most patients can return to their normal daily routines, including reading, driving, and exercise soon after surgery.


What should I expect about my Cataract surgery?

Before deciding to have Cataract surgery, you will need an initial examination to make sure your eyes are suitable for surgery. Your doctor will take a complete history about your medical and eye health and perform a thorough examination of both eyes. The best lens implant available to accommodate each patient's individual situation. We will be certain that you receive professional and thorough education regarding lens implant options. Learn more »
 
 
cataracts
 
    • 1) Do cataracts and presbyopia affect only older people?
      • Though they can be found in younger patients, cataracts generally start forming after 40. About half of the population can expect to have cataracts by age 65, and nearly everyone over 75 has a cataract in at least one eye. Presbyopia, too, is another one of life's inevitables that can begin after 40 and may require the use of bifocal lenses or reading glasses.
    • 2) Is there any risk to lens replacement surgery?
      • All surgery involves some risk; however, this surgery is the most commonly performed surgery in the United States, and is considered one of the safest and most effective of all surgical procedures.

        Choosing a surgeon who has performed thousands of successful procedures will help reduce the risk of complications. Dr. McMann will discuss pertinent risks, benefits and possible alternatives with you during your consultation.
    • 4) What happens after the surgery?
      • You will be provided with a protective shield for your eye, and after a short period in the outpatient recovery area, you will be ready to go home. Someone will need to drive you home after surgery.

        You will be given a prescription for eye drops to be used for a few days prior to and following the procedure. While the eye is healing during the following week, it is recommended you wear your protective eye shield while sleeping or napping. Strenuous activity or lifting, swimming and exposing your eye to dust or grime should be avoided for at least two weeks after surgery.
    • 5) My doctor says I have a cataract, but her recommends I wait before removing it. Why?
      • When a cataract begins forming, it is often unnoticeable, but as it grows larger and cloudier, it can begin to interfere significantly with your vision. Some cataracts never reach the stage where the lens has to be removed; however, regular visits to your ophthalmologist to monitor progress of the cataract are definitely recommended.

        Because of the modern advances in cataract surgery, it is no longer necessary to wait until a cataract is "ripe" before removing it. It is necessary, though, that the cataract has progressed to the point where it starts to affect your lifestyle before insurance will consider it a medical necessity and cover its removal.
    • 6) When should I consider having IOLs?
      • The short answer is whenever you are ready to enjoy excellent vision without glasses or contacts. Cataract surgery may become necessary sooner or later as you get older and your vision declines, so you may just choose to wait to have lens replacement surgery.

        Whether you choose to wait until the cataracts are developed or to electively do a Refractive Lens Exchange (replacing your lens before cataracts develop) is dependent on your immediate goals for reducing your dependency on glasses or contact lenses.

        The earlier in life you choose to do cataract surgery or a Refractive Lens Exchange with a multifocal or accommodating IOL, the sooner you can improve your vision and see clearly and comfortably well into your future.

        With the advancements now available from Lifestyle IOL technology, the real decision to be made is how long you wish to wait before significantly raising your quality of life.
    • 7) Will I ever need to wear glasses after the cataract is removed and IOLs are inserted?
      • This depends on your goals. Most patients who choose multifocal or accommodating IOLs can expect to enjoy excellent vision for almost every activity, including reading without glasses.

        However, not every Lifestyle IOL works well for every patient's situation and there are some visual problems that are the result of irregularities of the cornea that cannot be corrected by replacing the lens in cataract surgery.

        LASIK or another procedure may be recommended by your surgeon to correct refractive error such as nearsightedness, farsightedness or astigmatism due to these corneal irregularities.

        If you are planning to have Lifestyle IOLs fitted, inquire as to the additional fees of having LASIK or another procedure, should they be needed.
    • 8) How much does cataract surgery cost?
      • The costs will vary depending whether the procedure is medically necessary or is done electively. Prices can fluctuate and are dependent on the cost of the Lifestyle IOL used and additional testing and follow-up care that may be needed.

        Medicare and most private health insurance plans usually cover most of cataract surgery and standard (monofocal) intraocular lens implants, as these are considered medical necessities. You are typically responsible for co-pays and deductibles.

        Upgrading to a Lifestyle IOL or doing RLE electively to correct presbyopia or astigmatism, though, is not covered by Medicare or any insurance.
 
Cataract Surgery Financing

Cataract surgery and standard (monofocal) intraocular lenses (IOLs) are covered by Medicare and most health insurance plans, as this procedure is considered medically necessary. Upgrading cataract surgery to Lifestyle IOLs to correct presbyopia or astigmatism, however, is only partially covered by Medicare or other insurance for the cataract portion of fees, as these IOLs are considered to be a luxury and not a medical necessity.

The cost of surgery changes over time just as most products and services change periodically, but our current per-eye prices for these procedures are as follows:

When diagnosed as needed due to its progressive stage, the surgery for cataracts and the placement of a Monofocal IOL is usually covered on approval by insurance (less deductibles and co-pays). If you choose to upgrade from a Monofocal IOL to a Multifocal, Accommodating, or Toric IOL, you will pay out-of-pocket for the cost of the Lifestyle lens and the additional testing and follow-up care needed.
 
The McMann Eye Institute is a comprehensive ophthalmology practice
offering a full spectrum of vision correction and treatment services.

McMann Eye Institute of Honolulu, Hawaii


McMann Eye Institute of Honolulu, Hawaii    McMann Eye Institute of Honolulu, Hawaii  
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Call Today (808) 677-2733

The McMann Eye Institute understands how important your vision is to your life. Whether restoring, preserving, or improving sight, our eye doctors are dedicated to optimizing your vision so you can live your best. With doctors that specialize in LASIK, cataracts, glaucoma, diabetic eye care, and cornea surgical treatments, we offer our patients an extensive range of eye care services on the island of O’ahu, Honolulu, Hawaii.

In addition to performing these life changing procedures, we can also help you with simple vision problems and provide preventative vision care for you and your family. Trusted by both patients and doctors, our excellent reputation speaks for itself as we strive to provide the highest quality care in a professional and compassionate environment.

OFFICE HOURS: Monday - Friday 8:00 a.m. - 5:00 p.m  |  Saturdays 8:00 a.m. - 12:00 p.m.  |  Sundays & Holidays Closed



McMann Eye Institute The Queen’s Medical Center
West O’ahu
91-2139 Ft. Weaver Rd. Suite 202 Ewa Beach, HI 96706 Phone: (808) 677-2733

McMann Eye Institute proudly serves Ewa Beach, HI and the Oahu areas of Honolulu, Waipahu, Aiea, Wahiawa, Kaneohe, Maunawili, Kahaluu, Kapolei, Iroquois Point and the remaining Hawaiian Islands and the Pacific Rim.

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