Surgical Procedures

Cataract Surgery
Retinal Detachment
Blepharoplasty (Eyelid Surgery)

Ptosis
Eyelid Lesions
Pterygium

Cataract Surgery

Cataract surgery is a minimally invasive procedure performed on an outpatient basis at Northwest Surgery Center. The eye is anesthetized with topical and/or local anesthesia along with IV sedation. A small incision is made, into which an ultrasound probe is inserted to break up or emulsify the cataract into tiny pieces which are then suctioned out of the eye. Once the cataract has been removed, a new artificial intraocular lens is inserted to help improve vision. A stitch is usually not even needed!

Each surgical patient is meticulously tested prior to cataract surgery to determine which intraocular lens is best for them. Dr. Stancey employs the newest technology in intraocular lenses, including the Acrysof® Toric lens for astigmatism, the Restor® multifocal lens and the Crystalens® accommodative lens. Each of these lenses offers different advantages for post-surgical vision. The most effective lens depends on each patient's individual preferences and goals for their vision.

Toric Intraocular Lens

Toric IOLs are specifically designed for patients with astigmatism. In the past, patients with astigmatism would need eyeglasses or contact lenses even after cataract surgery. Toric IOLs such as the Acrysof® Toric corrects cataracts and astigmatism with just one lens, providing a convenient and affordable solution to your vision needs.

Multifocal Intraocular Lens

In the past, intraocular lenses were monofocal, meaning they were only able to correct distance vision, often leaving patients with the need for reading glasses. Multifocal IOLs such as the Restor® offer patients freedom from glasses after cataract surgery by improving vision at all distances. Up to 80% of patients do not need to rely on glasses with the Restor® multifocal IOL.

For more information please visit acrysofrestor.com

Accommodative Intraocular Lens

Accommodative IOLs such as the Crystalens® offer a full range of restored vision for cataract patients. The Crystalens® mimics the natural lens' accommodative capabilities, allowing the patient to see clearly across a wide range of distances.

For more information please visit crystalens.com

Retinal Detachment

A retinal detachment is a separation of the layers of the retina, the film in the back of the eye that transmits messages to our brain. These can occur spontaneously or with trauma. Patients with a high amount of nearsightedness are at an increased risk. The retina cannot function when the layers are separated, and without prompt treatment, permanent vision loss may occur.

Patients with retinal detachment may experience a blind spot, blurred vision or a veil or shadow forming in their peripheral vision. Other symptoms may include an increase in or new flashes and floaters. It is important to see your doctor at the first sign of symptoms in order to minimize the damage caused by this condition.

To prevent permanent vision loss, the retina must be quickly reattached. Treatment for retinal detachment can be done through laser or surgery. These procedures can preserve vision and may also allow lost vision to return in some patients. The sooner the retina is attached, the more effective treatment tends to be. If you are experiencing signs of retinal detachment, please call us immediately.

Blepharoplasty (Eyelid Surgery)

As we age, gravity continues to work and our skin and muscles begin to lose their elasticity and strength. By removing excess fat, skin and muscle from the upper and lower eyelids, blepharoplasty can rejuvenate puffy, sagging or tired-looking eyes. Eyelids that droop or bulge can cause a person to appear much older or fatigued. This procedure can be performed on men and women alike and offers a younger, more refreshed look. Blepharoplasty is typically a cosmetic procedure but can also be done to improve peripheral vision by lifting droopy eyelids out of the patient's field of vision. In fact, insurance often pays for a blepharoplasty if testing can prove visual significance.

Blepharoplasty cannot be used to raise the eyebrows or reduce the appearance of wrinkles, crow's feet or dark circles under the eyes. It is important for patients to have realistic expectations before undergoing surgery in order to be satisfied with the results. While this procedure can enhance your appearance, it cannot alter your entire appearance or change the structure of your face.

The procedure is performed as an outpatient with local anesthesia and IV sedation. Patients may choose to have this procedure on their upper or lower eyelids or both. Incisions are made along the eyelids in inconspicuous places (in the creases of the upper lids and just below the lashes on the lower lids). Dr. Stancey removes excess tissue through these incisions and then stitches them closed with fine sutures. Swelling and bruising usually subside within two weeks and the patient may resume normal non-strenuous activity after two days.

Ptosis

Ptosis, or droopy eyelids, can affect the upper eyelid of one or both eyes as a result of aging, congenital defects, or neurologic disorders. This condition can occur in patients of all ages but is more common in older patients. Patients may seek treatment for ptosis for cosmetic or medical/vision purposes. Severe drooping may obstruct vision. Treatment involves eyelid surgery, known as a levator resection.

Eyelid Lesions

Suspicious skin lesions around the eyes or ones that are simply irritating can be removed in the office's minor procedure room.

Pterygium

Pterygium is a benign growth of the conjunctiva (lining of the white part of the eye) that grows into the cornea, which covers the iris (colored part of the eye). It can eventually lead to impaired vision.

Patients with pterygium often first notice the condition because of the appearance of a lesion on their eye. Other symptoms include dryness, redness, irritation, inflammation, and tearing. In more severe cases, the pterygium grows over the pupil and limits vision.

Although the causes of pterygium are not entirely known, it is believed to be caused mainly by exposure to ultraviolet light. Prolonged exposure causes the conjunctiva to thicken, eventually leading to a pterygium.

The most common pterygium treatment is artificial tear drops to reduce dryness and irritation and the use of sunglasses. In more severe cases or when vision is impaired, surgery may be recommended. Surgery is the only definitive way to remove a pterygium, but it requires long-term follow up and there is a risk the pterygium can grow back and even become more aggressive.

If you are interested in learning more about any of our surgical eye procedures, call 512-402-9919 today to schedule an appointment.