Cataract Surgeon in DFW Area

Ichi

Ichi

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Oct 1, 2022
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#1
Latest visit to optometrist revealed that I need to have cataract surgery for my right eye. Bummer since I just bought a ZC527.

Can anyone recommend a cataract surgeon in the Dallas/Fort Worth area?

If you've had an IOL implanted, what type of lens did you get? Any issues or anything that you would do differently?
 
#3
Ichi said:
Latest visit to optometrist revealed that I need to have cataract surgery for my right eye. Bummer since I just bought a ZC527.

Can anyone recommend a cataract surgeon in the Dallas/Fort Worth area?

If you've had an IOL implanted, what type of lens did you get? Any issues or anything that you would do differently?
Click to expand...


In what part of town do you live?
 
#5
I had mine done in 2020, last patient before covid lockdowns

Nethery Eye Associates
On Harris Parkway by Hulen Mall

Still have 20/15 distance and still need the same power readers as day one.

They have technology now that wasn't available or affordable enough when I had mine done

maps.app.goo.gl

Nethery Eye Associates · Fort Worth, Texas

maps.app.goo.gl maps.app.goo.gl

Gratuitous old blind man picture 🤣
20200210_095419_Original.jpeg
 
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#6
Ichi said:
Latest visit to optometrist revealed that I need to have cataract surgery for my right eye. Bummer since I just bought a ZC527.

Can anyone recommend a cataract surgeon in the Dallas/Fort Worth area?

If you've had an IOL implanted, what type of lens did you get? Any issues or anything that you would do differently?
Click to expand...

These are what he implanted.

I would use gel eye drops from the start before bed, used a regular saline and then went to the gel, much better experience on wake up, no dry eyes during the day. I would also get the best polarized sunglasses you can afford. I have had less strain since switching to glass Costa, Maui Jim and Wiley X.


714.jpeg
toric-iol-1200x630_Original.jpeg
 
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#7
Ichi said:
Fort Worth. But also drive all over the metroplex and Dallas.
Click to expand...

I am more acquainted with the Dallas options. The only Fort Worth practice I am familiar with is Nethery Eye and they are a well-oiled machine, although I am sure there are plenty of other excellent choices in that area. The biggest thing you need to research and determine is what type of intraocular lens you want implanted. Insurance covers the standard monofocal option. Monofocal toric lenses are great for astigmatism (if you have astigmatism), but cost extra. Then there are even more expensive options (Multifocal Lens, Light Adjustable Lens) which provide extra depth of focus/range of vision and can correct for astigmatism, but they have some drawbacks and you may or may not qualify for them depending upon your ocular health and anatomy.

If you want to splurge and you qualify, I would select the Light Adjustable Lens and avoid the Multifocal. If you decide to go that route, call around the different practices for price quotes beforehand.
 
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#9
The IOL technology has changed a lot over the last few years.

I hate wearing reading glasses, but I don't plan on getting the multifocal lenses due to many reports of halos and starbursts around light sources. That said, the Tecnis PureSee seems to offset the negative issues with multifocals. Unfortunately they are not available in the US.

The light adjustable lenses would probably be the most accurate, but they are also one of the most expensive at $5k to $8k per eye. They also take a few weeks to have all the adjustments made. During this time, you have to avoid all UV light sources.

There are some enhanced depth of field monofocal IOLs that are promising. But I would still need reading glasses.
 
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#10
Ichi said:
The IOL technology has changed a lot over the last few years.

I hate wearing reading glasses, but I don't plan on getting the multifocal lenses due to many reports of halos and starbursts around light sources. That said, the Tecnis PureSee seems to offset the negative issues with multifocals. Unfortunately they are not available in the US.

The light adjustable lenses would probably be the most accurate, but they are also one of the most expensive at $5k to $8k per eye. They also take a few weeks to have all the adjustments made. During this time, you have to avoid all UV light sources.

There are some enhanced depth of field monofocal IOLs that are promising. But I would still need reading glasses.
Click to expand...

Yeah, I wouldn't get a multifocal either. I would not tolerate the reduced contrast sensitivity and increased nighttime glare and halos. The enhanced monofocals are very nice and they have toric options available for astigmatism if needed. They provide excellent distance and intermediate vision and the non-toric version does not cost extra. The two most common are probably the Technis Eyhance and the Envista Aspire, although the Aspire just got recalled last week.
 
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#11
Not a patient, not an eye surgeon, not in the IOL industry, so I can't provide much "actual feedback". But some very general things because I haven't seen it mentioned yet:
1) Just like rifle optics, there's the equivalent "higher grade" ones like a ZC, TT, etc. and the like as well as "normal consumer grade" ones (think $500 scope) - except here you can't look through the optic first before deciding.
2) There are ones that allow for non-invasive / non-surgical adjustments AFTER they are implanted to correct for the tiny errors and "misalignments" that are very likely to occur due to both stuff happening during the surgical procedure to natural stuff beyond anyone's control such as the way the eye heals. A good idea if you think minor imperfections or distortions will bother you after the fact.
 
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#14
carbonbased said:
@Ichi are you nearsighted? How bad are your eyes? Any eye health issues?

Just wanted to know before I suggest some things.
Click to expand...
I have mild farsightedness with some astigmatism. I usually shoot without prescription glasses. I can also drive without glasses. I can see the dash gauges and radio/navigation screen well enough, with a minor amount blurriness.

Due to age, I have to wear reading glasses. Depending on how small or far away the objects is, I'll choose from +1.75, +2.00, +2.50, +3.00, +4.00 or even +8.00. I've got reading glasses in almost every room in the house and in the garage. As much as I hate them, I don't want to go with multifocal IOLs.

I'm cursed in that I can easily tell when objects/signs are not in focus. When looking at something, my attention is immediately drawn to imperfections.

The cataract in my right eye has made it very difficult to get fitted for a good eyeglasses lens. My optometrist says that the particular type of cataract changes quickly and a prescription that works today probably won't be good after a month. As a result, my left eye is starting to take over. With glasses on the distance vision in my left eye is near perfect. While my right eye is a bit fuzzy.
 
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#15
I just had cataract surgery ( after a year long retinopathy process, still get to do that). I can see distance 20/15 and 20/40. Need readers for anything close- +1.5 or +2. I still suck finding distance targets and can’t read dope card without readers. It’s an interesting adjustment so far but overall not like we get a choice as we age.
Good luck to you and hope your results are good and what you’re looking for!
 
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#16
Ichi said:
I have mild farsightedness with some astigmatism. I usually shoot without prescription glasses. I can also drive without glasses. I can see the dash gauges and radio/navigation screen well enough, with a minor amount blurriness.

Due to age, I have to wear reading glasses. Depending on how small or far away the objects is, I'll choose from +1.75, +2.00, +2.50, +3.00, +4.00 or even +8.00. I've got reading glasses in almost every room in the house and in the garage. As much as I hate them, I don't want to go with multifocal IOLs.

I'm cursed in that I can easily tell when objects/signs are not in focus. When looking at something, my attention is immediately drawn to imperfections.

The cataract in my right eye has made it very difficult to get fitted for a good eyeglasses lens. My optometrist says that the particular type of cataract changes quickly and a prescription that works today probably won't be good after a month. As a result, my left eye is starting to take over. With glasses on the distance vision in my left eye is near perfect. While my right eye is a bit fuzzy.
Click to expand...
www.snipershide.com

Worst Value Optic?

OT a bit but does anyone have a opinion on the Zeiss S3 vs their S5? Nobody replied? Personally, I'd rather buy the Tract Toric ELR 4-25x50 ($1494.00 regular price or 10% off December sale or 15% off LE/Military any time) and Vortex Razor Gen 3 6-36x56 (2k from Liberty or next time they go on...
www.snipershide.com www.snipershide.com

Above is my post on the subject. There’s some more posts by me on that thread too.

Mine worked out pretty well; as good as I could reasonably expect. I started with -10/-11 nearsightedness, which is pretty off the charts bad. Like 20/20,000?

Anyway, decided on a monovision setup (see the link). I still need very low RX glasses to drive comfortably, especially at night. I can still do it sans glasses, but longer distances and esp darkness magnifies the effect of the monovision, which tires me out a little. But I can use my phone, PC, watch TV, and read books no problem with my naked eyes.
 
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#17
I can't use a dope card or bubble level with these lenses, but my distance vision is perfect. I can and have spotted coyotes at well over 1000yds since during the day, had to work on my shotgun mechanics and ended up just removing beads or fiber optics because of the blurriness. I need etched reticle red dots to overcome the effects of astigmatism and halos/half moon dots. Overall, I would go with exactly what I have. I asked about replacements if the need arises, my ophthalmologist said that these will outlast me. I guess I shouldn't be too upset, considering that my old eyes were something terrible.
 
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