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My Prescription After Cataract Surgery

Depending on your goals at the time of your cataract surgery, the implant may have corrected some, or all of vision prescription. Over time, you may still need glasses for driving, watching television, reading or for computer work.

Here are your options to assist you with making sure you continue to see clearly:


Distance only or progressive multi-focal lenses.

Office (Computer) lenses

This lens provides enhanced vision up to a five-to-ten-foot range and is especially good for computer work or reading.

Contact lenses

Yes! You can wear contact lenses after cataract surgery. Many of our patients do. They can be single vision for a certain distance, multifocal or monovision as desired.

Lasik surgery

While you may have been told you couldn’t have Lasik surgery performed prior to cataract surgery, you may be able to have it done once the cataracts are removed.

Click here to check my previous blogs on the topic of cataracts.

If you would like to make an appointment to discuss cataract surgery, click below.

Premium Implants or IOL

Increasingly, patients are asking for the ability to see far away and up close after cataract surgery. Technology has improved substantially so that we can now offer two unique varieties of implant lenses to achieve this goal.

AcrySof® IQ Vivity™

The new Vivity intraocular lens is the latest generation of lenses used to replace cataracts during cataract surgery. AcrySof® IQ Vivity™ Extended Vision IOL provides clear distance vision (e.g., for watching children playing in the backyard). In addition, the AcrySof® IQ Vivity™ Extended Vision IOL allows for better intermediate (working on a computer, applying makeup or shaving) and some near (reading, knitting) vision compared to what a monofocal IOL would provide.

The AcrySof® IQ Vivity™ IOL is not a multifocal IOL. It uses a new Wavefront-Shaping technology to provide the broader range of vision. Note that there is a chance you may still need glasses for distance, intermediate, and/or near vision.

Panoptix IOL™

Panoptix Trifocal lenses allow three vision distances instead of just one or two you may get with other implants. One of the main benefits of PanOptix Trifocal lenses is that you can get better vision. The three ranges of vision include:

    • Far or distance vision.
    • Intermediate vision: Intermediate clear vision tasks include things such as shaving, applying your makeup, and working on a computer.
    • Near vision: Near clear vision tasks include sewing, writing, and reading.

They can also be used for more than just cataracts. They can be used by people who have blurry vision because of an irregularly shaped cornea.

While advances in technology now allow us to provide less dependence on glasses after cataract surgery, the decision to select one of these IOL’s must be made with your doctor and surgeon. We will take into consideration your goals and any other eye conditions. We want to assess with you whether one of these choices is right for you.

Premium implants are an upgrade. As such, they are not covered by insurance.

More Information

Click here to check my previous blogs on the topic of cataracts.

If you would like to make an appointment to discuss cataract surgery, click here.

Cosmetic Procedures & Blurry Vision

Cosmetic procedures have been prominent for both women and men for years. While the popularity of certain procedures tends to decrease and incline in waves, temporary facial “improvements” like Botox injections have become and remain one of the most popular cosmetic procedures. The popularity is thanks to its noninvasiveness, and less important influences like social media app filters that give you a visual perception of how different you can look by “just getting a little work done…”

Botox is also used at times to maintain eye alignment and treat uncontrolled eyelid twitching.

The decision is ultimately yours. While we do not oppose personal decisions within this realm, our team is here to help answer questions about anything that can pertain to the health of your eyes.

So, let’s talk about it.

The Decision-Making Process

To start, you may be wondering why we are focusing more on Botox than dermal fillers. Dermal fillers are different substances and most often used to increase volume in areas farther away from the eyes, like the lips. Botox is most often used to hinder wrinkles in the forehead and around the eyes.

While Botox injections for cosmetic reasons are often self-decided most prevalently among women older than 30, both men and women in their 20’s have started to take this facial aging preventative measure into consideration too.

As the Botox user rate increases along with other possible threats to eye health and the common problems that increase by age, one of the most proper precautions to protect your eyes is to schedule a check-up with your Optometrist first.

This precautionary action is especially important if your plan is to receive injections between the eyebrows and above the nose. This area, referred to as the glabella, is one of the riskiest areas where injections can result in vascular blindness.

The Certified Practitioner Pursuit

Taking a risk is always based on looking for a reward. Don’t take two risks in the pursuit of one reward!

The doctor or practitioner of your choice must be able to:

  1. Recognize any complications immediately
  2. Have the ability to treat them appropriately

Here are a few things to take into consideration when making the practitioner decision:

  1. Do you feel comfortable in the facility?
  2. Have the procedure risks been mentioned and fully discussed prior to your consent?
  3. Have you seen before and after photos or been able to reach out to a current patient to discuss their experience?

The Possible Perils

Cosmetician hands with botox and female patient

Botox injected by an untrained hand can permeate the wrong muscles causing a droop of the eyelid, which will ultimately settle but can be very bothersome.

The first visual disturbance case from a cosmetic facial filler was listed in 1988. The report showcased a reaction of retinal artery occlusion.

After speaking with a few users of the botulinum toxin, we received a story of one experience worth notating from a consumer in her late 20’s:

“I had Botox under my eyes once! It basically relaxed my eye muscles so much that my eyes wouldn’t shut all the way when I slept at night. It was a frustrating 3 months. It was supposed to help with the bags under my eyes but the result wasn’t as I expected. I also was extremely sensitive to light during that period of time. Other than that … my “vision” was fine.” – Julie

As facial fillers with high negative results have surely declined over the years, droopy eyelids are one of the most reported side effects that can last up to 6 months.

Other possible perils include:

  • Allergic reactions as a rejection from the body which can be detrimental to vision and eye health
  • Irritations noticeable by bloodshot eyes and temporarily blurred vision
  • Vascular occlusion, otherwise referred to as a decline of blood flow

One tip: do not rub the area of injection! Rubbing a sore area is one of the most common reactions to reduce discomfort. But, after an injection, rubbing can cause Botox to spread into other areas and lead to unwanted effects.

An immediate, emergency visit to your trusted Optometrist is suggested for reactions such as loss of vision and reactions that are highly painful or prolonged.

More Questions?

Give us a call 615-889-0147! Need to schedule an appointment? You can easily schedule an appointment here.

Cataract Implants

Once you decide to have cataract surgery, you will discuss your options with your doctor about which intraocular lens (IOL) will work best for you. This is a very important conversation because the implant will stay with you the rest of your life. Implants are typically made of plastic, silicone, or acrylic.

Here are the basic types of implants:

1. Standard, or Monofocal IOL

This type lens has one focusing distance. It is set to focus for:

Close work, medium range, or distance vision – chosen depending on your visual needs. You may prefer to have the lens set for clear distance vision. This setting is best for driving, walking and seeing people at a distance. Generally, you will need eyeglasses for reading or close work.

Note, however, monofocal lens are unlikely to be suitable if you have astigmatism, which your doctor will check for prior to surgery.

2. Toric IOL

A Toric lens is designed for people who have astigmatism, which is a common, and generally treatable, imperfection in the curvature of the eye that causes blurred distance and near vision. Toric IOLs can correct astigmatism because, like the astigmatic eye, they also have different powers in different directions that balance the eye’s astigmatism.

3. Multifocal IOL

This type lens is designed to provide patients clear vision at multiple distances, near or far away. A multifocal lens may allow you to see clearly without glasses, including reading or computer work. You still may need glasses in some situations, like reading small newspaper print.

You, your eye doctor, and your surgeon will discuss your goals for vision after cataract surgery to decide which implant is best for you.

Click here check my previous blogs on the topic of cataracts.

If you would like to make an appointment to discuss cataract surgery, click here.

Cataract Surgery

Modern Cataract Surgery

When people hear the word cataracts, they think of relatives, such as a grandparent, who had a complicated procedure. That relative was forbidden to bend down for three weeks! Modern cataract surgery is not complicated. Experienced surgeons, using advanced technology, can generally perform the procedure in less than fifteen minutes. You’ll be awake for the procedure. Your surgeon will numb your eye and you won’t feel pain. Then, once the cataract is removed, your doctor inserts the new lens, which is made of plastic, silicone, or acrylic, and closes the tiny incision. You won’t be able to see or feel the lens. It becomes a permanent part of your eye.

Cataract Surgery Recovery

Recovery time is usually quick. There are no shots, no stitches, and no eye patch, thanks to current technology advances. Typically, full recovery occurs within a matter of a few days. You won’t need an overnight hospital stay, but you’ll need someone to drive you home. If you have cataracts in both eyes, your doctor will remove them on separate occasions, giving the first eye a chance to heal.

It’s also important to note that your eye has an elastic-like capsular bag that serves as a protective barrier for the back of the eye and holds the natural lens of the eye it in place. Once your natural lens is removed, the IOL is positioned in its place.

Cataract Surgery Side Effect

After you’ve had cataract surgery, a common side effect that occurs in more than 50% of cases, is a gradual hazing, known as post cataract capsular haze. The result may be blurred or hazy vision as a result of cloudiness that develops in the capsule. This may occur weeks, months or even years after cataract surgery.

We use a device called a YAG laser to remove this hazing. It’s an office procedure that is painless and takes less than a minute to perform. It is covered by insurance.

Cataract Surgery Risks

Naturally, cataract surgery is still surgery, so there are a few risks, such as retinal detachment, hemorrhage, swelling or infection, but the risks are small. In fact, 99% of people who have cataract surgery, assuming there are no other visually limiting conditions, will achieve improved vision without complications.

Learn More

Cataract Surgery describing how we diagnose cataracts.

Take Action

If you would like to make an appointment to discuss cataract surgery, click here or give us a call at 615-889-0147.

Sensitive Eyes & Cosmetics Guide

Putting makeup on is fun! It can also be considered one of the most relaxing and satisfying parts of getting ready… If it is being done on time, and not in a rush, which we can admit is pretty rare.

Of all the little mishaps that can take place during the getting ready process like, nicking your leg with a razor, or burning your arm with a curling iron, harming your eyes with cosmetics is a common mishap, too.

You might be surprised to read that everything from mascara to foundation and powder can have an effect on your eyes.

Allow us to guide you in what to look out for when buying and what to make sure of when using certain types of cosmetics.

Before You Buy:

List Out: Go ahead and take notes from influencer led social media videos, the newest products of your favorite brands and cosmetics that your friends and family members love.

Read Up: Don’t simply let the influencers, family, and friends easily influence your purchase decisions. There are still two steps to take. The next one? Read up on the list of product ingredients as some can lead to negative reactions to the delicate skin that helps safeguard your eyes.

Avoid These Ingredients

makeup palette

A few things to check for and avoid are parabens, phthalates, and fragrances. Otherwise known as “man-made” chemicals used to help preserve products, prolong their scents and the plastics they are packaged in. Keep in mind that these chemicals often are not simply listed as “parabens”, “phthalates”, and “fragrance”. These ingredients typically have more specific names in the ingredients list.

One of the easiest suggestions? Look out for products listed as paraben-free and fragrance-free, meaning they do not have any of those manufactured chemicals in the product recipe.

Try Before You Buy

We’re sure you’ve heard the term Try Before You Buy before. We agree, it is one worth following. Brands and stores will often provide samplers for certain products. Or you can always start your search for your personally best options by buying gift sets that house several different types of one cosmetic necessity like eyeliners or mascaras.

Give these picks a try and keep track of how your eyes and the skin around your eyes react before you transfer from testing out the snack-size product to investing in the king-size one.

While You Use:


Wash. Your. Hands: We know you know how important this step is and that it shouldn’t only apply after your toilet has been flushed. Anything that is left on your hands like facial serums or moisturizers can transfer onto other surfaces… This brings us to step number two…

Contacts: Put your contacts in! But make sure your hands are 100% dry before application as some tap water might contain dangers to the eye. Inserting contacts before embellishing with makeup is important because it prevents your lenses from getting dirty and damaged and trapping makeup between your eye and the lens.

Clean: Also keep track of the last time you’ve washed your brushes and sponges. These very important tools can harbor and grow types of mold and bacteria dangerous to the health of your eyes.


Check Expiration Date: If you’re looking to use a product you haven’t used “in a minute”, see if you can find the expiration date. Cosmetics do expire! When a product expires, your skin expires to it. If you can’t find the date, keep this in mind: properly stored and/or unopened makeup lasts for an average of 2 years.

Eyeliner: When it comes to eyeliner, we have two pieces of advice for you: always sharpen your pencil and avoid the inside of your lash line. An unsharpened pencil makes it harder to precisely apply and can scratch your eyelids and lash lines. Even if you use a liquid liner or an eyeliner pen, applying it to the inside of your lash line can block important glands and lead to painful styes.


Wash Your Face: Do not, we repeat, do not go to bed without washing your face and removing all your makeup! One of the most common issues that results from sleeping before cleansing — especially if the makeup you used is borrowed or expired—is an eye infection called conjunctivitis, better known as pink eye.

Makeup Remover: Looking to try something organic to remove your eye makeup? Try a simple concoction of witch hazel and water which often also helps reduce eye inflammation.

Replace: If you ever experience an infection of any sort, removal of the brushes and products used in that area of the face are the best next step! Quickly remove and replace to avoid spreading the bacteria that caused the infection any further.

Questions? Infections?

Give us a call at 615-889-0147! Our team at Donelson EyeCare is here to help.

Improve Presbyopia Without Glasses or Contacts

Can new eye drops reduce or eliminate the need for glasses and contacts lenses?

Yes! Beginning early next year some people who suffer from a condition known as presbyopia will be able to put the eyeglasses and/or contact lenses away for an extended period of time. Presbyopia is a condition that causes the gradual loss of your eyes’ ability to focus on nearby objects. It usually starts around the age of 40 and can continue to worsen over time. It is a very common condition; more than 128 million Americans have presbyopia. Most of us become aware of presbyopia when we find it necessary to hold books or other reading material at arm’s length in order to read. The condition can be improved.

When you look at something nearby, the muscle constricts, allowing the lens to curve which allows you to focus. The lens actually changes its shape when the muscle is functioning properly. The muscle relaxes when you look at objects at a distance. When this muscle can no longer perform properly, images will appear out of focus. Glasses or multi-focal contact lenses optically correct vision, making up for what the muscle can no longer do.

New Eye Drops

Now, new eye drops, which have undergone very successful Phase 3 clinical studies, with minimal side effects, have been shown to improve the performance of focusing muscles for people with presbyopia. For some patients, the new eye drops may delay the need for reading glasses or contacts! Allergan, one of the pharmaceutical companies who are making the eye drop, Vuity® has reported that the “drops have a rapid onset of action and sustain the visual gains for as long as six hours.” Further, “Patients who had the drug reported significant improvements in their ability to read at a close distance.”

After we examine your eyes, if we believe the new drops will be advantageous to you, and you are interested in trying them, we will write the necessary prescription for you. Talk to your Donelson Eye Care doctor to learn more about this exciting advance in presbyopia therapy. Some patients may be able to save money on the cost of corrective lenses in situations where they would otherwise be ready for progressive lenses. Naturally, this therapy would likely not apply to patients who have already had cataract surgery.

This or That: Maintaining Your Eyesight

365 days can manifest a great deal that you might not be able to set your sights on quite yet. Don’t wait until you can’t see it to believe it.

Quiz yourself in a quick “This or That!” and see where you stand when it comes to maintaining your eyesight and what’s worth *looking* into for your eye health before 2022.

Want Halloween Contact Lenses? Great! Let’s Protect Your Eyes

Halloween…trick or treating…costumes…and for some of you, cool Halloween themed contact lenses to add to the fun! To keep those contact lenses fun, please remember that the wrong lenses can turn an exciting night into a nightmare!

This time of year, I worry. It’s not the scary costumes. What I worry about are the scary complications that can happen when people buy and wear cosmetic contacts that haven’t been approved by the FDA. You can buy these worrisome contact lenses online, in convenience stores and other retailers, of course. But those who do that are taking very serious risks with their eyes.

Contact lenses are medical devices regulated by the FDA. There is a good reason for that. You probably know that contacts are placed over your cornea, a very thin clear window over the front of your eyes. Poorly fitted contact lenses can cause a “pothole” that may allow bacteria to take root. The bacteria can cause a corneal infection also known as a corneal ulcer. Trust me, this is something worth not having. While many corneal ulcers are treatable, the healing process can cause a scar which can damage your eyesight permanently! In the worst cases, it can result in blindness. And, please keep in mind that even a successful outcome involves serious eye pain, expensive medicine and anywhere from a few days to a few weeks of daily treatment.

At Donelson Eye Care, we always do everything we can to protect our patients. That’s why we offer properly fitted, FDA approved Halloween contact lenses. We have a full catalogue of exciting, reasonably priced options for you to choose from. They are comfortable and safe to wear and, we make certain that your contact lenses will fit your eye shape.

To ensure you get the perfect look you want, order from us. I am delighted to help you scare your friends and neighbors without scaring you…and me…about your eye health.

A Visit to the Emergency Room or Your Optometrist?

Eye Care Emergencies To Take Directly to the Optometry Office ASAP

emergency room night emergency hospital red lights 640×350 1

When a health crisis occurs, it is common to consider a visit to the nearest hospital emergency room for care. However, when the emergency is related to your eyes, consider a trip to your optometrist’s office as the first stop.

Recent research has shown that treating eye emergencies at eye doctors’ offices can potentially divert more than 1 million patients away from ERs each year. While doing so eases the burden on hospitals and their staff and helps them conserve resources, it also ensures that you get the most prompt treatment and care.

New or existing patient? We are here to help! Here are some of the several circumstances where you can keep eye emergencies out of hospital emergency rooms.

Foreign Body Removal

With fallen leaves blowing in the wind and chopped wood burning in backyard bonfire pits, autumn carries with it several instances that a foreign body can end up embedded in an eye.

The sharp pain, watery eyes and frightening blurred vision from a foreign body can coax a run to the bathroom for a quick self-removal attempt or an anxious run to the nearest emergency room. Try and keep this in mind: the eye is a fragile organ. Any self-pursuits of removal or a long wait in an ER can lead to an unfavorable outcome.

Take a deep breath, give us a quick call, and let our team know you are on your way so we can prepare to address your needs right upon your arrival!

Lost/Broken Contacts

After wearing contacts for years, they no longer feel like foreign objects until… they tear or get lost in the eyelid. Chances are you did not realize the contact was torn until it was in your eye. Torn lenses are less likely to stay centered and the jagged edge can scratch the front surface of your eye.

During allergy seasons, your eyes can get extremely itchy. Rubbing your eye can cause contacts to fold, dislodge from the cornea and get stuck under your upper eyelid.

Don’t panic! You can remove ripped contact lenses following your usual process. Even lost, folded lenses can often be found by adding contact lens solution to your eye, closing your eye, and massaging your eyelid until the lens repositions itself.

If these attempts fail or are successful but followed by discomfort, call or visit your eye doctor for assistance.

Chemical Flushing

Some chemicals are more toxic than others, but all chemicals should be considered dangerous if they encounter your eye. Certain chemicals can cause damage to the cornea and lead to vision loss.

Cleaning your bathroom mirrors, providing maintenance to your vehicle, or starting a manicure with nail polish remover? These are common situations where an acid can accidentally make its way into your eye, causing them to sting and burn.

If you are wearing contacts, remove them immediately. Preferably flush your eyes with saline if you have it on hand or with room temperature water. Seek urgent medical care from your trusted O.D.

Red & Burning Eyes

While chemical exposure can lead to red and burning eyes, this eye experience can be linked to several other serious issues. Bacteria, mites, allergens, skin diseases and autoimmune diseases can lead to similar reactions. You may not know you have any of these until you are examined by an optometrist.

Don’t try to give red and burning eyes time to fall by the wayside. Proper diagnosis by your O.D. is essential to determine the best treatment.

Discharge From the Eye

Pink eye is a misguided diagnosis. It is often confused with other conjunctivitis conditions. If taken directly to an emergency room, patients are usually prescribed a simple antibiotic to cure what is easily assumed based on the symptoms.

Correct diagnosis of red eyes accompanied by discharge are best evaluated by an eye doctor as quickly as possible since some of the causes can be sight-threatening.

Flashes and Floaters

You may consider floating spots and flashing lights a symptom of constantly staring at a computer screen or having a painful migraine. While these reasons can be valid, flashes and floaters must be addressed quickly as they could be an indication of a retinal defect such as retinal detachment, or a stroke. These can cause permanent vision loss if left untreated.

Step away from the computer screen, give us a call and explain what is obstructing your vision. This will help us determine if an immediate evaluation by one of our trusted vision-care specialists should be the next move on your to-do list.

Sudden Vision Changes

Sitting in the car and notice you can’t see out of one eye? Or does your vision seem much worse than it was yesterday while you’re reading your newest novel? These sudden vision changes can be ominous signs. The most likely reasons are macular degeneration, elevated eye pressure, or optic nerve disease.

If you or a loved one experiences sudden vision changes, call our Lake Zurich office at 847-550-5228. A prompt diagnosis by your optometrist is essential to restore vision to normal.

These are just some examples of situations that are best treated by your trusted O.D. rather than an ER physician. Take anything involving your eye health into consideration and do not hesitate to contact us for prompt and precise eye care.


Please call the office if no online appointments are available. Thank you! 615-889-0147