Cataract Surgery | ReSTOR® Lens | Toric IOLs | San Pedro CA
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A cataract is a clouding in the normally clear lens of your eye. It is not a film or growth as commonly thought. It is natural that if you live long enough you will have a cataract as the lens of your eye continues to change throughout life. Symptoms of a cataract might be:

  • Hazy or blurred vision
  • Light sensitivity and glare
  • Feeling of a "film" over the eye
  • Difficulty driving or reading
  • General loss of contrast with yellowing of vision.

Risk factors for developing cataracts include being over 55 years old, eye injury or disease, a family history of cataracts, smoking or use of certain medications.

Cataracts are diagnosed during a routine eye examination, and early on, they do not require surgical intervention. Often just changing your glasses will satisfy your visual needs.


Cataract Surgery | ReSTOR® Lens | Toric IOLs | San Pedro CA

Normal vs Cloudy lens

However, when you feel that your vision is not good enough for normal activities and your lifestyle, you should consider cataract surgery. A decision to have a cataract operation will be made by you and us after making certain no other problems are contributing to your symptoms and visual change. During cataract surgery, the most common surgical procedure in the country, the lens is removed and replaced with an artificial one called an intraocular lens or IOL.

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No-stitch, Small-incision Cataract Surgery

At Peninsula Eyecare, we perform the most advanced technique in cataract surgery called phacoemulsification or "phaco" surgery. One of our anesthesiologists will administer a mild sedative, and the surgery will be performed very quickly using a tiny incision of less than three millimeters. The incision heals on its own after surgery with no need for stitches. Restoration of vision is quick and painless. The success of modern cataract surgery is about 98%. 

How the Procedure Works

During phaco surgery, a small ultrasonic probe is inserted through the 3-mm incision. The probe breaks up the cataract and gently removes it from the eye. Once the cataract is out, a foldable artificial lens called an IOL is inserted through the incision so you will enjoy good vision. The power of this lens is determined before surgery using a very sophisticated ultrasound technology called the IOL Master®.

You will be discharged about half an hour after surgery. You will then come back to the office the next day for follow-up and further instructions.

For more information on Cataract Surgery please click here


Cataract Surgery | ReSTOR® Lens | Toric IOLs | San Pedro CA

Phaco Surgery for
Cataract Removal

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LenSx® Laser

The LenSx Laser from Alcon is the first femtosecond laser to receive FDA approval for use in cataract surgery.

Benefits of the LenSx Laser

The LenSx Laser offers three-dimensional, high resolution images that map the unique eyes of each patient.These images, combined with the computer-captured measurements and information about the eyes, allow the surgeon to achieve greater accuracy, precision and customization than ever before.

The LenSx Laser is optimized with true image guidance, helping the surgeon determine the best location and dimensions for incisions. The bladeless femtosecond laser pulses to create incisions in the lens capsule, crystalline lens and cornea with a high level of accuracy. The LenSx Laser is an effective technological advancement that ensures the highest level of precision throughout every step of the cataract surgical procedure.


For more information on LenSx® Laser please click here

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Multifocal IOLs

Artificial lenses (IOLs) are implanted in the eye to replace natural lenses for patients with cataracts, presbyopia or severe refractive errors. Until recently, IOLs were only available to correct distance vision. These monofocal lenses helped improve distance vision after cataract surgery, but patients still needed glasses or contact lenses for near vision activities like reading and playing cards. Now, advancements in technology have produced multifocal IOLs that allow patients to see clearly at all distances -- near, far and many distances in between. Multifocal IOLs such as ReStor® and ReZoom® preserve distance vision and correct presbyopia so cataract surgery patients -- and patients seeking treatment for refractive errors alone -- can enjoy clear sight without relying on glasses.


Multifocal IOL

If you have been diagnosed as having cataracts and are experiencing one or more of the following vision problems, you may be a candidate for a multifocal IOL:

  • Difficulty reading
  • Difficulty seeing close objects
  • Difficulty driving, especially at night
  • Frequent changes in glasses prescription
  • Need for bifocals


ReSTOR® Lens

Cataract Surgery | ReSTOR® Lens | Toric IOLs | San Pedro CAUsing apodization, diffraction and refraction technologies, the ReSTOR® lens improves upon ordinary replacement lenses (IOLs) by providing comprehensive focusing capabilities so patients can see clearly in a range of lighting conditions and at all distances -- at noon or midnight, nearby or far away, and many distances in between. Up to 80% of patients who use the ReSTOR® lens don't need to rely on glasses or contact lenses after surgery.

Visit AcrySof® ReSTOR® lens website for more information

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Limbal-relaxing Incisions (LRI)

Patients with astigmatism who are undergoing cataract surgery can choose to have limbal-relaxing incisions made to reduce their dependence on glasses for clear vision. Limbal-relaxing incisions are tiny cuts made around the edge of the cornea, called the limbus. These incisions "relax" the cornea's steep curvature and improve the way the eye focuses light. Limbal-relaxing incisions have been shown to heal faster and cause fewer side effects than other astigmatic keratotomy (AK) procedures.

For more information on Limbal-relaxing Incisions please click here

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Toric IOLs

Some people with astigmatism and cataracts may benefit from the implantation of toric IOLs instead of, or in addition to, limbal-relaxing incisions. Specially designed for patients with pre-existing astigmatism, toric lenses improve vision from cataracts and astigmatism at the same time. Patients enjoy a quick recovery.

Intraocular lenses are used to correct vision problems during cataract surgery by replacing the old, damaged lens with an artificial lens that clears up and corrects vision, often leaving patients with little to no dependence on glasses.  While cataract surgery corrects cloudy lenses, it still leaves patients with astigmatism with distorted vision.  Toric IOLs are specially designed to correct astigmatism along with overall vision during cataract surgery, offering complete vision correction.

Before Toric IOLs, people with astigmatism would need to undergo corneal refractive surgery after their lenses were implanted, or would remain dependent on glasses or contact lenses.  The advanced Toric IOLs correct the imbalance caused by an irregular cornea shape in patients with astigmatism.  There are several different types of FDA approved Toric IOLs, including AcrySof® Toric Lenses, which can correct up to 3 diopters of astigmatism. 

The risks of a Toric IOL include poor vision as a result of the lens rotating out of position, although this risk exists with any type of intraocular lens.  Toric IOLs are considered safe for most patients with astigmatism and are the only solution to correct both cataract and astigmatism vision problems.  Talk to your doctor to learn more about these lenses and find out if you can enjoy the benefits of Toric IOLs.

Visit AcrySof® Toric IOLs website for more information

For more information on Toric Lenses please click here

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Clear Lens Extraction (CLE)

Clear lens extraction replaces the natural lens with a multifocal IOL for patients wishing to correct high farsightedness, high nearsightedness or presbyopia without undergoing a corneal modification procedure such as LASIK. The procedure is the same as that used in cataract surgery; the only difference is that CLE is performed to achieve refractive correction rather than cataract removal. CLE has a low risk of side effects, involves a rapid recovery, and offers patients dramatic improvement in vision quality. After surgery, patients enjoy clearer vision and greater focusing power.

You may be a candidate for clear lens extraction if you:

  • Want to reduce or eliminate your dependence on glasses or contacts
  • Are over 50 years old
  • Have high myopia (nearsightedness), high hyperopia (farsightedness), or presbyopia, with or without cataract

Cataract Surgery | ReSTOR® Lens | Toric IOLs | San Pedro CA

Eye with IOL in place

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Ophthalmologists Dr. Kenneth Miller, Dr. Julie Madani-Becker and Optometrist Dr. Greg Kubo, serving San Pedro, Rancho Palos Verdes, Torrance, Redondo Beach, Harbor City, Lomita, Wilmington CA, Rolling Hills, Palos Verdes, Palos Verdes Estates and the surrounding area.

Peninsula Eyecare Medical Associates | 1360 W. 6th Street | Suite 215 (North Building) | San Pedro, CA 90732 | 310-547-9991