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Cataract Surgery

A cataract is an opacity or cloudiness of the lens of the eye that impairs vision by inhibiting light’s ability to pass normally through the eye to focus on the retina.

In most cases, the development of a cataract is generally part of the normal aging process; in fact, it is estimated that two-thirds of adults over 60 years of age have cataracts. Younger people, however, are also susceptible to cataracts, and 15-20% of Kremer’s cataract patients are under age 55. The good news is that cataract surgery usually results in complete vision rehabilitation and can be treated on an outpatient basis!

Symptoms of Cataracts

Do you find it difficult to see or drive at night? Have you noticed your vision decreasing over time? You may be suffering from a cataract. It is important to be aware of common cataract symptoms in order to receive treatment before your cataract begins greatly affecting your lifestyle.

If you are experiencing any of these symptoms you may be a candidate for cataract eye surgery. Take a quick online self-test to see if you could qualify for this life changing surgery.

When Should Cataracts Be Removed?

The time to remove a cataract is when it interferes with normal vision. New innovative technologies allow us to remove any cataract though cataract surgery if it is affecting a patient’s vision. Symptoms of cataracts can include a gradual decrease in vision over time, problems reading, watching TV, and driving at night. Contrary to popular belief, a cataract does not have to become “ripe” before being removed.  If a cataract is affecting your vision, our cataract specialists can remove it and have you back to your normal routine the next day with clear vision.

Cataract Surgery At Kremer Eye Center

At Kremer Eye Center, our specialists are able to treat cataracts in the least invasive way possible and even address other vision disorders while performing cataract surgery. Additionally, we offer related treatments for secondary cataracts, astigmatism, and near vision, as well as advanced lenses that can eliminate your need for glasses or bifocals after cataract surgery. Schedule your consultation today!

Dropless Cataract Procedure

Redefines Cataract Surgery

In an effort to improve our patients’ experience with cataract surgery, Kremer Eye Center surgeons offer patients the option of having cataract surgery performed in such a way that most patients no longer need to take eye drops before or after surgery.

This advanced procedure is called “Dropless Cataract Surgery.” In Dropless Cataract Surgery, a medicine called Tri-Moxi* is placed in the eye at the time of surgery. Tri-Moxi* is a combination of antibiotics and an anti-inflammatory which is absorbed by the eye over the next month, providing patients the benefit of antibiotics and anti-inflammatory medicines without needing drops.

Dropless Cataract Surgery:

  • Is low risk
  • Eliminates drops for most patients
  • Has a low rate of infection and retinal swelling (similar to drops)
  • Dramatically simplifies the postoperative regimen
  • Reduces the chance of side effects from eye drops
  • Can save patients hundreds of dollars in eye drop expenses

Should you and your surgeon decide to proceed with Dropless Cataract Surgery, drops will not be needed before surgery. Most patients will also not need drops after surgery; however, a small percentage will need an anti-inflammatory eye drop if inflammation develops after surgery.

As with all medications, Tri-Moxi* may have side effects, including blurred vision, floaters, and increased eye pressure. Please call us immediately if your eye develops increased redness, pain or discharge after surgery.

Have questions? Please call Kremer Eye Center at 1-800-694-EYES (3937) to schedule your evaluation.

*Tri-Moxi (combination of triamcinolone acetonide and moxifloxacin hydrochloride) is a compounded proprietary ophthalmic solution formulated by prescription for each patient. 

Surgical Treatments

By offering the most advanced cataract surgery available, the cataract specialists at Kremer Eye Center are able to eliminate injections and stitches, accelerate recovery times, and quickly restore your vision.

We can often address other vision disorders while performing your cataract surgery, including astigmatism and near vision problems.

  1. First, we will give the patient mild anesthesia and apply topical anesthetic eye drops to desensitize the eye, a technique pioneered at Kremer Eye Center. This eliminates bruising and soreness associated with injections. Patients taking medications such as aspirin and coumadin do not need to interrupt their dosage.
  2. Our surgeon will then make a small opening in the eye, dissolve and remove the cataract using ultrasound (phacoemulsification), and implant a synthetic lens in its place. With this approach, most routine activities can be resumed in a short period of time.
  3. For your health and well-being, the specialists at Kremer will only operate on one eye at a time. Surgery can generally be performed on the second eye two weeks after the first eye.

Related Treatments

While treating your cataract, our surgeons can also often provide treatment for other eye problems, such as astigmatism, presbyopia (the need for reading glasses), and even glaucoma.


Many cataract patients also have astigmatism, further complicating their visual clarity. The surgeons at Kremer Eye Center can treat your astigmatism at the same time your cataract is removed.

Near Vision

The specialists at Kremer Eye Center can also address your near vision during cataract surgery. Ask your certified Kremer surgeon about this option and whether it is right for you.

Secondary Cataracts

In some patients, after cataract surgery has been performed, a clear membrane that separates the front from the back part of the eye may become cloudy. Kremer Eye Center surgeons can use a YAG Laser to make a small opening at the center of the membrane and restore visual clarity. The entire procedure is generally painless and can be performed in seconds while you sit upright in a chair at our surgical center.


Cataract surgery can be combined with Endoscopic CycloPhotocoagulation (ECP) to decrease intra-ocular pressure in glaucoma patients.

Advanced Lenses

Before undergoing cataract surgery, you’ll need to consider what kind of lens implant you’ll want to replace your cloudy lens. You’ll choose between a standard lens intraocular implant and an advanced intraocular lens. It will be up to you and your doctor to determine which type of lens is right for you.

The type of intraocular lens (IOL) implants most commonly used in cataract surgery is a standard lens implant. This type of lens corrects the eye’s pre-existing farsightedness or nearsightedness. After getting standard lenses implanted, most patients still need glasses in order to see clearly.

Or some patients opt to use advanced lenses to replace their natural lenses; they’re designed to provide an expanded range of vision. Many advanced lens implants can reduce or eliminate your need for reading glasses and/or distance glasses after cataract surgery.

Kremer Eye Center cataract specialists were among the first in the region to use these advanced lenses, including AcrySof Toric (to correct astigmatism), and Tecnis MFIOL/Symfony. Your surgeon will help you choose the best lens for your needs.

  • AcrySof Toric (astigmatism): This type of lens comes in different models and can correct 1.50 to 3.00 diopters of astigmatism. This range of cylinder powers includes patients with lower levels of astigmatism. It comes in an aspheric version to provide even clearer vision, and different models can filter damaging UV or blue light. The aspheric technology also reduces spherical and higher-order aberrations while offering increased contact sensitivity and improved vision in difficult environments.
  • ReSTOR: The ReSTOR lens is a multi-focal intraocular lens that provides a full range of vision for close up and distance by having multiple focal points ground in the lens. Our eyes are always focusing on objects at different distances, but some people’s eyes lose the ability to change focus. The ReSTOR lens is versatile and combines the strength of apodized diffractive and refractive technologies to provide quality near, intermediate, and distance vision.
  • Tecnis MFIOL/Symfony: The Tecnis Multifocal IOL also works great at giving patients near and distance vision. Just like the ReSTOR, it comes in three versions to help at different near points. The Symfony lens is the most recently approved lens in the Tecnis family. It tends to have distance vision similar to a monofocal lens and is good for intermediate vision (~24-30”). The Tecnis family of lenses may be better for reading in dim lighting, but they may also be a little more likely to give patients faint rings at night.

The most common side effects that patients experience after having an IOL implanted include blurry vision in the distance, glare, and halos at night.