Many patients face the challenge of dealing with multiple eye conditions as they age. Two of the most common age-related eye conditions, cataracts and glaucoma, often occur together, leading patients to wonder whether both conditions can be addressed simultaneously.
The answer is yes, and at Hayden Vision, Dr. Hayden offers an innovative approach that treats both conditions during a single procedure.
How are Cataracts and Glaucoma Connected?
Both cataracts and glaucoma are progressive eye conditions that become more prevalent with age. Cataracts develop when the natural lens of the eye becomes clouded, causing blurred vision, light sensitivity, and difficulty with daily activities.
Glaucoma, often called the “silent thief of sight,” occurs when increased pressure within the eye damages the optic nerve, leading to gradual vision loss. While these conditions affect different parts of the eye, they frequently coexist in patients over 60.
The relationship between cataracts and glaucoma is complex; cataracts can sometimes contribute to increased eye pressure, while certain glaucoma medications may accelerate cataract formation. This interconnection makes combined treatment not just convenient, but often medically beneficial.
Treating Glaucoma During Cataract Surgery
At Hayden Vision, Dr. Hayden utilizes cutting-edge iStent technology to manage glaucoma during cataract surgery. The iStent is the world’s smallest medical implant, around 20,000 times smaller than the intraocular lenses (IOLs) used in cataract surgery.
Despite its microscopic size, this device delivers significant results for patients with mild to moderate open-angle glaucoma. The iStent works by creating a permanent opening in the trabecular meshwork, the eye’s natural drainage system.
This allows excess fluid to flow out of the eye more efficiently, reducing intraocular pressure and protecting the optic nerve from further damage. Once implanted, the iStent begins working immediately to safely and effectively manage eye pressure.
Implanting the iStent during cataract surgery eliminates the need for separate surgeries, reducing overall recovery time and minimizing the risks associated with multiple procedures.
Benefits of the iStent for Patients with Glaucoma
One of the most significant benefits patients experience with iStent is decreased reliance on glaucoma medications. Most patients diagnosed with glaucoma face a lifetime of daily eye drops; often one, two, or even three different medications.
These drops can be inconvenient, expensive, and may cause side effects that affect quality of life. Clinical studies demonstrate impressive results with iStent technology.
In a U.S. clinical trial, 68% of glaucoma patients who received iStent remained medication-free at 12 months while maintaining target eye pressure, compared to only 50% of patients who underwent cataract surgery alone. This significant improvement offers hope for patients seeking alternatives to the burden of daily glaucoma medications.
Who Is a Candidate for Combined Treatment?
Combined cataract and glaucoma treatment is particularly beneficial for patients with:
- Mild-to-moderate open-angle glaucoma
- Cataracts affecting daily activities
- Well-controlled glaucoma on medications
- Desire to reduce dependence on glaucoma eye drops
- Good overall eye health aside from cataracts and glaucoma
Dr. Hayden conducts comprehensive evaluations to determine candidacy for combined treatment. This assessment includes detailed measurements of eye pressure, examination of the optic nerve, visual field testing, and thorough cataract evaluation.
The decision to proceed with iStent implantation depends on your specific anatomical factors, the severity of your glaucoma, and your overall treatment goals. During your consultation, your eye doctor will discuss your concerns about managing multiple eye conditions, your experience with glaucoma medications, and your expectations for post-surgical vision.
This comprehensive discussion ensures that your treatment aligns with your needs and preferences.
What to Expect During Combined Surgery
The combined procedure follows the same outpatient format as traditional cataract surgery. After numbing your eye with drops and providing sedation for comfort, Dr. Hayden makes a small incision in the cornea to access the natural lens.
Using advanced femtosecond laser technology, the cataract-affected lens is precisely fragmented and removed. Your selected intraocular lens (IOL) is then implanted to restore clear vision.
Then, Dr. Hayden places the iStent device through the same small incision, positioning it to optimize drainage and reduce eye pressure. The tiny corneal incision requires no stitches, and most patients can resume normal activities in the following days.
While most patients notice visual improvements almost immediately, complete healing and optimal pressure reduction may take several weeks. Regular follow-up appointments are essential to monitor both vision recovery and glaucoma management.
Dr. Hayden will track your eye pressure and assess the effectiveness of the iStent in managing your glaucoma while ensuring proper healing of your cataract surgery.
Trust Hayden Vision for Comprehensive Eye Care
With over thirty years of experience and commitment to surgical excellence, Hayden Vision provides advanced treatment options for patients facing multiple eye conditions. Dr. Hayden’s expertise in both cataract surgery and glaucoma management ensures that you receive care tailored to your unique needs.
If you’re dealing with both conditions, combined treatment may provide the comprehensive solution you’ve been seeking. Contact Hayden Vision in Evansville, IN, today to schedule a comprehensive evaluation and discover whether combined cataract and glaucoma treatment is right for you.