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Author: keplrpractice

Cataract Diagnosis

Everybody gets cataracts. They are unavoidable. They are the result of an advanced aging change in the eyes. Your lens starts out very transparent. Gradually, as you age, your lens picks up proteins and impurities. The lens becomes translucent, much like smoked shower glass. This is so gradual that most of us don’t notice the mild dimming of our vision. However, you may notice that driving at night becomes difficult. Perhaps you detect a glare from oncoming headlights, or you realize you need more light to read fine print. As the process progresses, the lens hardens and can become opaque and block vision.

When Should I Get Surgery?

There is no single point where every person has to have cataract surgery. The criteria for recommending the surgery are primarily functional. That is, can you do what you want and see as well as you need to see? We also consider whether after removing the cataracts, will you notice improved visual clarity and function? Doctors take this into consideration to help them determine the appropriateness of proceeding with the surgery. Your doctor will perform a comprehensive eye exam, checking your vision for function. For example, how much is glare affecting your vision? Note that the human lens sits right behind the pupil, so it’s more fully viewed when we can dilate the pupil. We use a high-powered microscope called a slit lamp to assess the location and density of any lens changes. Over time, a cataract may appear very white, milky yellow, or brown as it matures.


A critical key in the evaluation is also ruling out other causes that might lead to decreased vision, which cannot be corrected with cataract surgery. Glaucoma, macular degeneration, stroke, prescription changes or other ocular abnormalities must be considered.

We will assess whether your visual decline is due to a cataract, which indicates that by removing the cataract and implanting an intraocular lens, (IOL) we can return your vision to a pre-cataract state.

With the advancements in technology and lens types, we can select the power of the implant to give patients less dependency on glasses after surgery.

Take Action

If you’ve been diagnosed with or are concerned that you might have cataracts, click here to make an appointment or give us a call at (615) 771-7555.

Improve Presbyopia Without Glasses or Contacts

Can new eye drops reduce or eliminate the need for glasses and contacts lenses?

Yes! Beginning early next year some people who suffer from a condition known as presbyopia will be able to put the eyeglasses and/or contact lenses away for an extended period of time. Presbyopia is a condition that causes the gradual loss of your eyes’ ability to focus on nearby objects. It usually starts around the age of 40 and can continue to worsen over time. It is a very common condition; more than 128 million Americans have presbyopia. Most of us become aware of presbyopia when we find it necessary to hold books or other reading material at arm’s length in order to read. The condition can be improved.

When you look at something nearby, the muscle constricts, allowing the lens to curve which allows you to focus. The lens actually changes its shape when the muscle is functioning properly. The muscle relaxes when you look at objects at a distance. When this muscle can no longer perform properly, images will appear out of focus. Glasses or multi-focal contact lenses optically correct vision, making up for what the muscle can no longer do.

Now, new eye drops, which have undergone very successful Phase 3 clinical studies, with minimal side effects, have been shown to improve the performance of focusing muscles for people with presbyopia. For some patients, the new eye drops may delay the need for reading glasses or contacts! Allergan, one of the pharmaceutical companies who are making the eye drop, Vuity® has reported that the “drops have a rapid onset of action and sustain the visual gains for as long as six hours.” Further, “Patients who had the drug reported significant improvements in their ability to read at a close distance.”

After we examine your eyes, if we believe the new drops will be advantageous to you, and you are interested in trying them, we will write the necessary prescription for you. Talk to your Cool Springs Eye Care doctor to learn more about this exciting advance in presbyopia therapy. Some patients may be able to save money on the cost of corrective lenses in situations where they would otherwise be ready for progressive lenses. Naturally, this therapy would likely not apply to patients who have already had cataract surgery.

This or That: Maintaining Your Eyesight

365 days can manifest a great deal that you might not be able to set your sights on quite yet. Don’t wait until you can’t see it to believe it.

Quiz yourself in a quick “This or That!” and see where you stand when it comes to maintaining your eyesight and what’s worth *looking* into for your eye health before 2022.

Want Halloween Contact Lenses? Great! Let’s Protect Your Eyes

Halloween…trick or treating…costumes…and for some of you, cool Halloween themed contact lenses to add to the fun! To keep those contact lenses fun, please remember that the wrong lenses can turn an exciting night into a nightmare!

This time of year, I worry. It’s not the scary costumes. What I worry about are the scary complications that can happen when people buy and wear cosmetic contacts that haven’t been approved by the FDA. You can buy these worrisome contact lenses online, in convenience stores and other retailers, of course. But those who do that are taking very serious risks with their eyes.

Contact lenses are medical devices regulated by the FDA. There is a good reason for that. You probably know that contacts are placed over your cornea, a very thin clear window over the front of your eyes. Poorly fitted contact lenses can cause a “pothole” that may allow bacteria to take root. The bacteria can cause a corneal infection also known as a corneal ulcer. Trust me, this is something worth not having. While many corneal ulcers are treatable, the healing process can cause a scar which can damage your eyesight permanently! In the worst cases, it can result in blindness. And, please keep in mind that even a successful outcome involves serious eye pain, expensive medicine and anywhere from a few days to a few weeks of daily treatment.

At Cool Springs Eye Care, we always do everything we can to protect our patients. That’s why we offer properly fitted, FDA approved Halloween contact lenses. We have a full catalogue of exciting, reasonably priced options for you to choose from. They are comfortable and safe to wear and, we make certain that your contact lenses will fit your eye shape.

To ensure you get the perfect look you want, order from us. I am delighted to help you scare your friends and neighbors without scaring you…and me…about your eye health.