Cataract Surgery Overview

Eduardo Besser, MD

Ophthalmologist & Eye Surgeon located in Culver City, CA

An estimated 16% of Americans aged 40 and older have cataracts, so it’s comforting to know that cataract surgery has an overall success rate of 97% or higher. Eduardo Besser, MD, specializes in femtosecond laser-assisted cataract surgery and can implant a new intraocular lens that corrects common vision problems, including astigmatism. Patients with blurry vision can contact Dr. Besser’s practice in the heart of Culver City, California or use online booking to schedule a comprehensive eye examination and manage their cataracts.

Restore cataract-related vision loss at our Culver City, Los Angeles practice. 

What Are Cataracts? 

A cataract is an ocular condition where the lens inside of the eye has become cloudy and hardened over time, allowing less and less light to enter. This causes vision to be dimmer and blurrier, and can make daily activities more and more difficult. Changing your glasses won’t improve visual function at this point, and LASIK can’t help either.

During cataract surgery, Dr. Besser removes this clouded lens and replaces it with a new artificial lens to improve vision. It’s almost like implanting a contact lens into the eye itself. 

The procedure is quick and painless – the average cataract removal takes 10-15 minutes.

Cataract procedures are performed at a dedicated ophthalmology surgery center in Beverly Hills, not far from our Culver City office.

What Is Presbyopia?

In addition to fixing cataracts through surgery, we also perform presbyopia vision correction surgery. Presbyopia is a loss of close-up vision related to normal aging. Typically, the lens inside a more youthful eye is flexible, easily adjusting its shape when we shift our gaze from a far object to a near object. As we near our forties, the lens begins to harden, losing this flexibility, and can no longer shift into focus for near objects. Presbyopia is the name for this loss of smooth transitioning.

Cataracts and presbyopia (age-related type) are two conditions that reduce eye function as we age. Previously, these eye problems had to be addressed separately: cataracts with surgery, and presbyopia with glasses or contact lenses. If a patient wore glasses to correct for near- or far-sightedness before cataract treatment, they’d continue to wear them afterwards. 

Thanks to advances in lens implant technologies, cataract surgery can now address both problems with one procedure. Specialty intraocular lens (IOL) implants can now correct presbyopia and other refractive conditions like myopia and hyperopia, allowing patients to potentially live a life free of glasses.

What are the different types of cataracts?

In most cases, cataracts correlate with aging, including:

Nuclear sclerosis: The most common age-related cataract, nuclear sclerosis, occurs when the center of the lens gradually hardens and yellows. The primary symptoms of cataracts include blurry vision, difficulty reading, poor night vision, nearsightedness, and colors which seem less vibrant.

Cortical cataracts: Cortical cataracts affect the outer rim of the lens, which becomes white or cloudy. The most common symptom is excessive glare, especially at night. Cortical cataracts may also affect near and distance vision.

Posterior Subcapsular Cataract: This type of cataract often affects younger patients, those with certain medical conditions such as diabetes, or those who have taken certain systemic medications. This type of cataract often leads to a rapid decline in vision; fortunately, however, vision can be restored through cataract surgery.