IOL Myth Busters: Setting the Record Straight on Cataract Surgery

It’s a well-known fact that cataract surgery is one of the most commonly performed procedures in the world. However, when taking the time to do necessary research, you might find that some misconceptions are commonplace as well.

While the internet does contain a great deal of reliable information on cataract surgery, it can also provide plenty of misinformation, depending on where you find your sources. At Vance Thompson Vision, we actually perform research, and we’re using our own to make the truth clear.

Below are some of the more common misconceptions we hear. Read on to discover what separates fact from fiction.

Myth 1: You Should Wait Until Your Cataract Is “Bad Enough”

Fact: Many people believe they should delay surgery until their cataract has significantly worsened. In reality, cataracts progress slowly, and waiting too long can make surgery more difficult and limit the benefits.

The best time to consider cataract surgery is when your vision begins to interfere with your daily life, such as driving at night, reading, or seeing clearly in bright sunlight. At Vance Thompson Vision, we guide patients through this decision, helping them determine the right time based on both their eye health and their lifestyle.

Myth 2: A Basic Lens Can be “Upgraded” to an Advanced Lens Later

Fact: It’s not possible to “upgrade” a basic intraocular lens (IOL) to an advanced lens after surgery. This is why it’s so important to decide how you want to see for the rest of your life before undergoing cataract surgery. However, in rare cases, a patient’s lens may need to be replaced for one of a couple of reasons:

• Lens Dislocation - If the lens happens to move out of its intended position.
• Other Complications - Complications related to the IOL could necessitate its removal and replacement. This situation is very rare.

At Vance Thompson Vision, we take extra time to help patients understand their lens choices and match them with the option that best fits their lifestyle and vision goals. Our team’s expertise minimizes the risk of needing a replacement later.

Myth 3: Patients Prefer IV Sedation to Oral Sedation

Fact: In prior V surveys, the most painful part of cataract surgery was the IV administration for anesthesia. That’s why we utilize MKO Melt, an oral/sublingual sedation option that offers similar benefits without the needle. For longer or more invasive surgeries such as oculoplastics, some cornea procedures, or glaucoma cases, IV sedation is still used and appropriate.

Oral/Sublingual Sedation:

• Less invasive - No needles required. Oral/sublingual sedation comes in the form of a pill and is ingested.
• Convenience - It’s easy to administer and requires less preparation from the surgeon and patient.
• Milder side effects - There is less risk of the patient becoming drowsy or nauseous.

IV Sedation

• Deeper sedation - Provides a deeper level of relaxation and relief from anxiety.
• Fast-acting - Takes effect very quickly.
• Reversible - Can be quickly adjusted or reversed almost immediately, which is ideal in rare emergency situations.

Our approach at Vance Thompson Vision is personalized. We discuss all sedation options and recommend the safest, most comfortable choice for each individual. For most patients, oral sedation is all that’s needed for a smooth, quick procedure.

The Vance Thompson Vision Difference

When it comes to cataract surgery and IOLs, myths can cause unnecessary worry. At Vance Thompson Vision, we’re committed to making sure every patient has the facts and feels confident about their options.

Our team has proven time and time again that advanced cataract surgery is a safe and effective procedure, that lens choices are carefully guided up front to avoid future issues, and that patients have multiple, comfortable sedation options. Most importantly, we differentiate ourselves by giving patients the education, access to the world’s most advanced technology, and compassionate care they deserve.

Want to know more about cataract surgery and advanced lens options? Contact us at (605) 361-3937 to schedule an appointment for a complimentary consultation today.