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Can Cataracts Be Adjusted?

Published in Cataract Surgery 2 mins read

Yes, cataracts can, indirectly, be adjusted after cataract surgery through the use of adjustable intraocular lenses (IOLs).

While the cataract itself (the clouding of the natural lens) is removed during surgery, the replacement lens can sometimes be adjusted after implantation. This adjustability is achieved using special lenses like the Light Adjustable Lens (LAL).

How Light Adjustable Lenses Work

  • Implantation: A Light Adjustable Lens is implanted during cataract surgery, just like a standard IOL.
  • UV Light Treatment: After the eye has healed (typically a few weeks after surgery), the LAL can be adjusted using a non-invasive ultraviolet (UV) light treatment. This treatment reshapes the lens, correcting refractive errors like nearsightedness, farsightedness, and astigmatism.
  • Customization: This adjustability allows your surgeon to fine-tune your vision to your specific needs and preferences, leading to potentially better visual outcomes than with traditional, non-adjustable IOLs.
  • Lock-In: Once the desired vision is achieved, the LAL is permanently "locked in" with another UV light treatment, preventing any further changes.

Benefits of Adjustable IOLs

  • Improved Vision: Potentially sharper and clearer vision compared to standard IOLs.
  • Reduced Need for Glasses: Increased chance of achieving spectacle independence after cataract surgery.
  • Customization: Tailored vision correction based on individual visual needs.

Important Considerations

  • Not all patients are candidates: Suitability for Light Adjustable Lenses depends on various factors, which your ophthalmologist will assess.
  • Multiple office visits: Adjustment of the LAL requires multiple follow-up appointments for UV light treatments.
  • UV Protection: You will need to wear special UV-protective glasses until the lens is locked in to prevent unintended changes.

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