I had Lasik many years ago and now I have a Cataract?!?!

Cataract Surgery Ora Lens Calculator


I was asked this week as I have been before “is there any increased risk in having cataract surgery since I had lasik years ago?”  It is actually a great question and I’ll try to answer in this post.  There are many important points.  First of all, Lasik is done on the cornea (the window of the eye) and it molds the shape of the cornea to allow images to be in focus.  Cataract surgery is done where we remove the cloudy lens material.  Surgery-wise there is no technical difficulty doing cataract surgery when you had prior lasik, especially in the hands of fellowship trained cornea cataract and refractive surgeon.

The challenge is making sure that we place the correct lens in place of the cataract with the right power to help give you the focus you desire.  Cataract surgery has become to our patients an opportunity to enhance vision better than what they could see before they developed a cataract.  Your surgeon has to use special formulas and calculations to ensure proper measurements and lens power is being used.  Even a smooth uncomplicated surgery will have a poor vision outcome if time and detail is not put into the calculations before the surgery.

At Eye Specialists and Surgeons we pride ourselves on getting to know our patients. We take time to understand your goal in surgery.  We then take time to make sure our measurements are as accurate as possible and our formulas are correct. Nothing is one size fits all.  We have the latest in office calculators in our LENSTAR and PENTACAM to measure your eye in the office. To go even a step further we have access to the latest technology including Femtosecond laser incisions (Catalys)  and ORA Calculator (Intraoperative Measurements) to try our best for your precise visual outcome.  The ORA calculator is crucial, especially in those with prior eye surgery, to allow for an additional REAL TIME measurement in the operating room during cataract surgery.  This REAL TIME measurement is actually the most accurate time to measure the eye and we offer this technology option routinely to our patients.   

If you have any questions about your eye condition or would like to know more about our world class care and technology offered by Dr John Josephson at Eye Specialists and Surgeons of Northern Virginia please see our website at www.ESSNV.com or call and schedule a consultation at 571-349-2191.

Our greatest gift: You!

We would like to thank our wonderful patients for trusting in us to take care of one of their most important senses: Vision.  Recently in the same week Dr. Josephson was asked to take a picture with two different patients as they finished their surgery.  We were reminded of the gift we have in treating and restoring vision.  It is a blessing!  The pictures were shared with us and we were given permission to share on our blog. Our first patient traveled from Overseas to have her only eye operated on by Dr Josephson and was happy to go back home seeing once again.  Our other picture is of 2 sisters post surgery with Dr Josephson after one recommended to the other.  It is a great honor to serve you.  Thank you for the opportunity.

No Stitch Pterygium Surgery

A pterygium is a growth of tissue on the cornea, the window of the eye, often from exposure to sunlight, trauma, or eye surface disease.  It is often surprising how advanced pterygia can become before people seek treatment.  This picture is of a young woman with advanced pterygium in both eyes that were scarring the cornea who had surgery in her left eye recently.  If not removed delicately a pterygium can cause permanent vision issues.  Fortunately, even though it was more advanced then her other eye awaiting surgery, we were able to remove her pterygium with a no stitch, 20 minute out patient procedure and restore her vision and appearance.  She is excited to have her other eye done soon.

If you notice any growth on your eyes or changes in your appearance or vision please call and schedule a consultation with Dr. Josephson at 571-349-2191 or find an ophthalmologist specializing in cornea disease in your area.

Ever wonder who does those unique Eye procedures in Fairfax, VA?

Ever wonder who does those unique Eye procedures in Fairfax, VA?


Cornea Keratoconus Collagen Cross Linking

Cornea: Keratoconus Collagen Cross-linking: Recent FDA approval has allowed us to expand the use of this technology to slow or halt the progression of keratoconus.




Cornea Keratoconus Corneal Intacs

Cornea: Keratoconus: Corneal Intacs:The New era of contact lenses have seen an emergence of intacs to aid difficult fittings and lesson need for transplantation.




Cornea Layer Spefific Corneal Transplantation

Cornea: Layer specific Corneal Transplantation:
DMEK surgery to replace ONLY the endothelial layer provides better visual acuities then predecessor DSAEK.
DALK surgery to remove ONLY the anterior damaged tissue reduces rejection and increases stability of the cornea long term.



Refractive Corneal Inlay For Presbyopia

Refractive: Corneal Inlay for Presbyopia: Rain Drop: An option for patients with good distance vision to reduce the need for reading glasses and maintain excellent distance vision.



Refractive Implantable Collamer Lens

Refractive: Implantable Collamer Lens: Provides excellent vision to those seeking reversible refractive surgery and may not be ideal candidate for other options including lasik or PRK.




Ocular Surface Prokera Amniotic Tissue

Ocular Surface: Prokera Amniotic Tissue: In office treatment of surface disease from recurrent erosions to chemical burns. We’ve seen utility in a vast array of surface disease.




Cataract Surgery Symfony Extended Range Lens With Astigmatism Correction


Cataract Surgery: Symfony Extended Range Lens with Astigmatism correction (All in One): A revolutionary advancement in Intraocular lens options allows for excellent distance vision with near range and astigmatism correction. 



Glaucoma Surgery Glaukos Istent


Glaucoma Surgery: Glaukos Istent: At the time of your cataract surgery an Istent may be placed to reduce progression of glaucoma and lesson burden of glaucoma drops.



Cataract Surgery Femtosecond Laser Cataract Removal

Cataract Surgery: Femtosecond Laser Cataract Removal:

Precise laser incisons made by laser can take care of the most challenging portions of surgery in seconds. The laser can make incision, correct astigmatism, and soften the lens for less traumatic removal.



Cataract Surgery Ora Lens Calculator


Cataract Surgery: ORA Lens Calculator: Hitting the target is one of the most important goals in cataract surgery. This instrument allows us in real-time to measure the shape of the eye after cataract removal to ensure accurate lens power. Accurate measurements leads to best visual results!


Eye Specialists & Surgeons of Northern Virginia is dedicated to the latest in eye care. We are constantly adding new advancements to our list of treatment options. If any questions about what we offer, please call us at 571-349-2191 or email at josephsoneye@essnv.com


Ever Wonder Who Does Those Unique Eye Procedures in Fairfax VA – PowerPoint Presentation




DMEK Corneal Surgery

Dr. Josephson is proud to be the first surgeon in the Northern Virginia area to offer DMEK endothelial transplantation.  Partial corneal transplantation, namely DSAEK, has been around for some time but advances have made it possible now to transplant the thinnest layer of the cornea allowing for faster recovery, quicker healing time, and negligible chance for rejection.  Though this surgery is more technically difficult visual results are better then the predecessor DSAEK surgery.  Dr. Josephson has undergone additional training and has already successfully performed hundreds of corneal procedures.

If you have been diagnosed with corneal swelling, FUCHS dystrophy, or are experiencing trouble with glare/haloes, DMEK surgery may be your best chance at visual recovery.