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Dr. James R. Pinke, M.D., P.C.
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Cataract is a clouding of the lens of the eye. The lens has three layers: the cortex, the nucleus and the capsule. A cataract is a clouding of one or more of these layers. This clouding causes light rays entering the eye to be scattered in various ways, reducing vision for reading, distance, driving, or many other tasks. Some types of clouding cause significant glare symptoms that can make driving at night or on sunny days particularly hazardous. Millions of Americans develop cataracts each year. About 50% of Americans between the ages of 65 and 74 have at least the early stages of cataract formation, and about 70% over age 75 have them. While there are no definitive causes of cataracts, studies have pointed to some risk factors in addition to age. High exposure to sunlight, high cholesterol, cigarette smoking, diabetes, eye injury and extended use of steroids may hasten cataract development. There are also a number of relatively rare genetic disorders that may cause cataracts, even in children.
What are cataract symptoms?
Blurry or cloudy vision; print that appears faded or lacking contrast; blurry distance vision, particularly outdoors; streaks of light that appear to come from car headlights; colors that appear faded or changed in hue…these may all indicate the presence of cataracts. In the early stages, however, there may be no symptoms at all. But a skilled Ophthalmologist, like Dr. Pinke, can detect a cataract, even if symptoms don’t exist.
What happens after cataract
surgery?
How are cataracts treated?

After cataract surgery, we will see you in the office the day after surgery. Patients often see well on the first post-operative day and may decide to have cataract surgery on the second eye as soon as a few weeks after the first surgery.  Generally, there is no need for an eye patch and virtually no post-operative restrictions.  Patients usually resume normal activities immediately after their first post- operative visit. The only post-operative care involves eye drops on a tapering schedule for the first three or four weeks after surgery. Eyeglasses, when necessary are generally prescribed a few weeks after the procedure. 

Once cataracts have developed, no eyeglasses, eye drops, medicine or exercise will eliminate them. The only solution, once cataracts are causing visual symptoms, is surgery. At the Pinke Center for Eye Health, Dr. Pinke performs cataract surgery on an outpatient basis at the state of the art Connecticut Eye Surgery Center or on an outpatient basis at Griffin Hospital, where he is Chief of Ophthalmology.
Numbing eye drops are usually all that is required to perform today's modern, gentle, cataract surgery. The eyelids are then sterilized, and a sterile covering will be draped around your head. During surgery, a small, self sealing incision is created, and microsurgical instruments are used to "phacoemulsify" and remove the cataract. An artifical intraocular lens is inserted in place of the the cataract. The tiny incision, which is less than three millimeters in length seals without the need for stitches. You will feel Dr. Pinke's hands resting on your forehead during the procedure as well as cool water on your eye. Generally, there is no other significant discomfort during the brief procedure that typically takes about ten minutes, in Dr. Pinke's highly experienced hands. After a brief visit in our outpatient recovery area, you will be ready for a friend to drive you home. At our surgery center, we are also able to offer door to door round trip service from your home to the center and back home when necessary.
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IMPORTANT NOTICE: A new Medicare ruling may save you money and more importantly allows Medicare patients to pay for and obtain the same deluxe multifocal intra-ocular lenses that non Medicare patients can pay for. Medicare or your HMO pays for your cataract surgery including traditional single vision implants, less any deductibles and copayments. These implants provide patients with excellent distance vision. However, monofocal lenses do not provide reading vision. Most  people who have perfect cataract surgery and no astigmatism still need glasses for reading or any other close task. Prior to May, 2005, Medicare patients were not allowed to pay for the increased costs that would allow them to receive the deluxe multifocal implants that both correct distance and reading vision. Since these added costs were greater than the entire reimbursement to the surgeon and the surgery center, Medicare patients were effectively excluded from receiving the extra benefits available with these new generation lens implants. In May, 2005 the government ruled that Medicare patients are now allowed to pay for and receive the same superior multifocal and accomodating intra-ocular lenses that non Medicare patients are allowed to pay for. Medicare still pays for your surgery at its established reimbursement rate for single vision lens implants. If you are a Medicare patient and want the most modern technology implants, you are now allowed to pay the difference between Medicare's established fees and the extra costs involved in providing you these deluxe implants, which often eliminate the need for glasses for distance or reading. Non-Medicare patients are also allowed to pay the out of pocket expenses for these deluxe services.

More information can be found at:
American Society of Catatact and Refractive Surgery - http://www.ascrs.org
Call or email us for an appointment
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James R. Pinke, M.D., P.C.
Shelton Medical Center
9 Cots Street
Shelton, CT 06484
phone: 203-924-8800
fax: 203-924-0388
email:Dr.Pinke@PinkeCenterForEyeHealth.com