What is a cataract?
The term “cataract” refers to the eye’s lens becoming clouded as a normal part of the aging process. It is sometimes compared to a window that is frosted, steamed, or yellowed. In most cases, cataracts develop slowly over a number of years. However, conditions such as diabetes and trauma may cause cataract symptoms to develop early.
What are the symptoms of cataracts?
Blurred vision is the most frequently noted cataract symptom. Many patients first notice blurred vision during activities such as reading and driving, particularly night driving. It is also common for cataract patients to experience a generalized haze and difficulty with color perception. Halos and glare around lights such as headlights, or streetlights are also very common.
Our doctors will work with you to help you decide when cataract surgery is needed. Generally, you will want to consider surgery when your cataracts have progressed enough to seriously impair your vision and affect your daily life. Many people consider poor vision an inevitable fact of aging, but cataract surgery is a simple, relatively painless procedure to regain vision, and cataract surgery recovery is a fairly simple process.
What causes cataracts?
Aging is the most common cause. This is due to normal eye changes that happen starting around age 40. At that time, normal proteins in the lens start to break down. As a result, the lens begins to get cloudy. People over age 60 usually start to have some clouding of their lenses. However, vision problems may not happen until years later.
Other reasons you may get cataracts include:
- Having parents, brothers, sisters, or other family members who have cataracts.
- Having certain medical problems, such as diabetes, or if you are a smoker.
- Having had an eye injury, eye surgery, or radiation treatments on your upper body.
- Having spent a lot of time in the sun, especially without sunglasses that protect your eyes from damaging ultraviolet (UV) rays.
- Using certain medications such as corticosteroids, which may cause early formation of cataracts.
Most age-related cataracts develop gradually. Other cataracts can develop more quickly, such as those in younger people, or those in people with diabetes. Doctors cannot predict how quickly a person’s cataract will develop.
How are cataracts diagnosed?
Your ophthalmologist will examine and test your eyes to make a cataract diagnosis. This comprehensive eye exam will include dilation. Dilation refers to the process by which your pupils are widened by using specific drops designed to cause that effect.
Slit-lamp exam
Your ophthalmologist will examine your cornea, iris, lens, and the other areas at the front of the eye. The special slit-lamp microscope makes it easier to spot abnormalities.
Retinal exam
When your eye is dilated, the pupil is wide open so the doctor can more clearly see the back of the eye. Using the slit lamp, an ophthalmoscope, or both, the doctor looks for signs of cataract. Your ophthalmologist will also look for glaucoma, and examine the retina and optic nerve.
Refraction and visual acuity test
This test assesses the sharpness and clarity of your vision. Each eye is tested individually for the ability to see letters of varying sizes.
Source: American Academy of Ophthalmology
Get the facts on cataracts
Download Get the Facts on Cataracts to learn more about cataracts and how you can start seeing more clearly today.
Treatment Options for Cataracts
Cataract Eye Surgery
A cataract occurs when the natural lens of the eye becomes cloudy. The normal lens is clear and helps focus light on the retina in the back of the eye. As a cataract develops, it blocks and scatters light, reducing the quality of vision.
In cataract surgery, the cloudy natural lens of the eye is removed. In almost all cases, the cataract is replaced with a clear artificial lens called an intraocular lens (IOL), which is placed permanently inside the eye at the time the cataract is removed. IOLs are available in different powers and designs, and must be selected according to the needs of the eye and the desires of the patient. Cataract surgery will not correct other causes of decreased vision, such as glaucoma, diabetes, or age-related macular degeneration.
Cataract surgery is performed as outpatient surgery, usually under a local (eye drop) anesthetic. A general anesthetic (patient asleep) can be used. Whether local or general anesthetic is given, the patient will neither see the surgery being performed nor feel pain during the operation.
Though we cannot guarantee the results of cataract surgery, 95% of patients achieve excellent vision. They can drive a car, read, sew, and do all of the things they enjoyed prior to developing their cataract. Approximately 2% of patients will experience a complication or poor vision after surgery.
In many cases, full vision is not achieved until new glasses are ordered and received, usually about 2-4 weeks after the surgery. Glasses may be similar to what was worn prior to surgery; additionally, sunglasses are recommended on bright, sunny days.
Selecting Your Intraocular Lens Implant (IOLs)
Exciting advancements in intraocular lens implant choices are now available to our cataract patients, offering you your best possible visual result. Illinois Eye Center uses the latest technology for each patient’s assessment in order to provide the most precise data possible and to help determine the best implant for your needs, lifestyle, and personality.
Understanding Your Lens Options
Choosing the right intraocular lens (IOL) is an important part of your cataract surgery. Illinois Eye Center offers a variety of lens options designed to meet different vision needs. Your Personal Surgical Scheduler will discuss these choices with you, helping you select the IOL that best aligns with your vision goals and lifestyle.
Included with Surgery
Traditional IOLs
Provides the best possible vision at one distance (far away OR near).
Pros:
- Good distance OR near vision in those with minimal astigmatism.
- Good contrast/sharpness in low light.
Cons:
- Still need glasses sometimes and often require glasses full time.
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Advanced Technology
Toric IOLs ($)
have extra built-in correction for astigmatism.
Pros:
- Good distance vision in those with higher amounts of astigmatism.
- Good contrast/sharpness in low light.
Cons:
- Correct vision for only one distance.
- Need glasses for near/intermediate tasks.
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Advanced Technology
Multifocal IOLs ($$)
have multiple corrective zones built into the lens.
Pros:
- Full range of focus (far, intermediate, near).
- Eliminates or decreases the need for glasses.
Cons:
- Can worsen night vision (glare/halos) and affect contrast/sharpness.
- Not everyone is a candidate.
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Advanced Technology
Light Adjustable Lenses ($$)
Personalize vision after surgery with office-based light adjustments.
Includes: A lens that can be fine-tuned in one or two post-surgery visits to match visual preferences.
Expectations:
- Allows a short “test drive” period before locking in your chosen focus.
- Adjustment visits typically occur over the course of several weeks.
- UV-blocking glasses must be worn until final lock-in.
- Additional out-of-pocket cost (not covered by insurance).
Ideal for:
- Patients who value flexibility and want to confirm their vision choice after surgery.
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Note: Individual results may vary for all options above; multifocal and toric IOLs are not covered by insurance; patient is responsible for their own insurance co-pays, coinsurance, and deductibles.
Cataract Surgical Package Pricing
Light Adjustable Lens (LAL)
Goal: Personalized vision using a clear, corrective implant adjusted after surgery to fine-tune focus.
Expectations
- Short “test-drive” period before final lock-in.
- UV-protective glasses worn until completion.
- Some patients still use glasses for select tasks.
$146/mo
Multifocal Lens
Goal: Wider vision range for distance, intermediate, and near; reduces need for glasses.
Expectations
- Minimal glasses use for most activities
- Halos or glare may occur at night.
- Reading glasses for fine print.
$146/mo
Astigmatism-Correcting Lens
Goal: Sharper distance vision with a single-focus lens that also corrects the uneven corneal curve causing astigmatism.
Expectations
- Clearer distance vision, fewer glasses.
- Reading glasses for close or intermediate work.
- Balanced vision for eyes with measurable astigmatism.
$192/mo
Standard Lens
Goal: Replace the cloudy natural lens with a single-focus implant set for one distance (usually distance, sometimes near).
Expectations
- Glasses needed for clear vision at all ranges.
- Does not correct astigmatism.
- Reliable, insurance-covered option for clear sight.
Schedule an Eye EXAM
Request an eye exam appointment today at one of our three locations in Peoria, Washington, or Pekin.
