Advanced Laser Cataract Surgery

Asheville / Hendersonville

Over fifty percent of people over the age of 60, and quite a few younger than that, suffer from cataracts. Currently there is no medical treatment to reverse or prevent the development of cataracts. As we age the lens can become cloudy from the cataract. Once they form, the only way to see clearly again is to have them removed by replacing the cloudy lens with a clear intraocular lens implant.

In your parents’ or grandparents’ day, cataract surgery was considered risky, required a lengthy hospital stay and was usually postponed for as long as possible. Today, cataract surgery is performed on an outpatient basis and takes only a few minutes. It is now one of the most common and successful medical procedures performed. In fact, following cataract surgery, many patients experience vision that is actually better than what they had before they developed cataracts.

Tecnis Multi-focal or Accommodating IOLs

Satisfied patient after cataract surgeryIf you are interested in decreasing your dependency on glasses after cataract surgery, there are several types of advanced IOLs that offer a full range of vision, and may reduce or even eliminate your need for glasses following cataract surgery. Your cataract surgeon will recommend a lens based on your particular visual needs, including your hobbies, activities and lifestyle. These premium lenses include the TECNIS™ MultifocalCrystalens® AOAcrysof® IQ ReSTOR® and Acrysof® IQ Toric IOL.

Each of these multifocal lenses is unique in its optical design and visual advantages. Which one is best for you depends on the unique characteristics of your eye as well as your lifestyle needs. After a thorough eye examination we will make a recommendation as to which of these revolutionary IOLs would be most advantageous for you.

Asheville Eye Associates doctor checks patient's perscription

Cataract surgery is for those who:

  • believe that their quality of life has been impaired by poor vision
  • have been diagnosed with cataracts
  • have no health issues affecting their eyes

What to Expect on Surgery Day:

You will arrive at the surgery center about an hour prior to your procedure. Once you have been checked in you may be offered a sedative to help you relax. You will then be prepared for surgery. The area around your eyes will be cleaned and a sterile drape may be applied around your eye.

Asheville Eye Associates doctor checks patient's perscription

Eye drops or a local anesthetic will be used to numb your eyes. When your eye is completely numb, an eyelid holder will be placed between your eyelids to keep you from blinking during the procedure.

A very small incision will be made and a tiny ultrasonic probe will be used to break up the cataract into microscopic particles using high-energy sound waves. This is called phacoemulsification.

Asheville Eye Associates Cataract Surgery in progress

The cataract particles will be gently suctioned away. Then, a folded intra-ocular lens (IOL) will be inserted through the micro-incision, then unfolded and locked into permanent position. The small incision is “self-sealing” and usually requires no stitches. It remains tightly closed by the natural outward pressure within the eye. This type of incision heals fast and provides a much more comfortable recuperation.

removal of cataract particles

Intra-Ocular Lens replaces the natural lens of the eye.


The IOL is placed inside the capsular bag of the eye.

Front image of installed IOL

Pre-existing astigmatism can be treated with limbal relaxing incisions.

If your eye has pre-existing astigmatism, your surgeon may elect to make micro-incisions in the cornea to reduce your astigmatism. These are called LRIs or limbal relaxing incisions.

You will go home soon after the surgery and relax for the rest of the day. Everyone heals somewhat differently, but many patients report improvement in their vision almost immediately after the procedure. Most patients return to their normal activities within a day or two.

Realistic expectations:

The decision to have cataract surgery is an important one that only you can make. The goal of any vision restoration procedure is to improve your vision. However, we cannot guarantee you will have the results you desire.

Once removed, cataracts will not grow back. But some patients may experience clouding of a thin tissue, called the capsular bag, that holds the intra-ocular lens. In most cases, a laser is used to painlessly open the clouded capsule and restore clear vision with a procedure called a capsulotomy.

Graphic of capsular bag

The capsular bag may become cloudy in the future.

Serious complications with cataract surgery are extremely rare. It is a safe, effective and permanent procedure, but like any surgical procedure, it does have some risks. Going to an eye specialist experienced with the procedure can significantly minimize the risks involved with cataract surgery.

After a thorough eye exam, you and your doctor will determine if cataract surgery is an option for you. You will be given additional in

formation about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction.

You may also choose to make an appointment with one of our cataract surgeons:


or request additional information to learn more about this exciting procedure.