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What is a cataract?

A cataract develops when the lens inside the eye loses its transparency. It can make vision blurry, make lights appear brighter, or cause colors to look less vivid.

How can I tell if I have a cataract?

You may notice cloudy vision, difficulty driving at night, more glare from lights, or frequent changes in your glasses prescription. These changes can have other causes, so an eye examination is needed to confirm the diagnosis.

Can eye drops or medicines remove a cataract?

No. Eye drops and medicines cannot make a cloudy lens clear again. When a cataract affects your vision or daily activities, treatment involves surgically removing the cloudy lens and replacing it with an intraocular lens.

Do I have to wait for a cataract to "ripen" before surgery?

Usually, no. The timing depends on how much the cataract affects your vision and daily life, as well as the overall health of your eye. You can discuss surgery when reading, driving, or other activities become difficult.

Can a cataract affect one eye before the other?

Yes. Cataracts can develop at different rates in each eye. An examination will show how each eye is affected and help guide the next steps.

Can a cataract come back after surgery?

The cataract itself cannot grow back because the cloudy natural lens has been removed. In some people, the membrane that holds the new lens becomes cloudy months or years later. This is called posterior capsule opacification and can usually be treated with a laser.

Will I still need glasses after cataract surgery?

That depends on the intraocular lens selected, the characteristics of your eyes, and your near and distance vision needs. Some people still use glasses for reading or particular activities. Your ophthalmologist will explain the options before you choose a lens.

What is SMILE PRO and which vision problems can it correct?

SMILE PRO is a laser vision correction technique that changes the shape of the cornea through a small incision. It is used to correct nearsightedness and, in selected patients, astigmatism, with the aim of reducing dependence on glasses or contact lenses.

How do I know if I am a candidate for SMILE PRO?

Your specialist will assess your prescription and its stability, as well as the shape, thickness, and health of your cornea. The examination also checks for dry eye or other conditions that may affect the outcome. These findings help determine whether SMILE PRO or another option is right for you.

How is SMILE PRO different from FemtoLASIK?

SMILE PRO uses a small incision and does not require a corneal flap. FemtoLASIK creates a flap with one laser and uses another laser to correct the prescription. Each technique has its own indications; no single approach is best for everyone.

How is SMILE PRO performed?

Anesthetic eye drops are applied before the procedure. The laser creates a small piece of tissue inside the cornea, which the surgeon removes through a small incision to adjust how the eye focuses. The team will explain each step and your aftercare instructions.

When can I return to work or drive after SMILE PRO?

Many people return to routine activities within a few days, although vision can change as the eye heals. Wait until your specialist confirms that you can drive safely, and follow their instructions about screens, exercise, makeup, and swimming.

Does SMILE PRO mean I will never need glasses again?

The goal is to reduce dependence on glasses or contact lenses, but results vary with each person's prescription and eye characteristics. Natural changes over time, including presbyopia, can also affect near vision.

What is FemtoLASIK?

FemtoLASIK is a laser vision correction procedure. A femtosecond laser creates a thin corneal flap, and an excimer laser changes the shape of the cornea. It may be used for selected cases of nearsightedness, farsightedness, and astigmatism.

What is the difference between FemtoLASIK and LASIK?

In FemtoLASIK, the corneal flap is created with a femtosecond laser. In conventional LASIK, it may be created with a mechanical instrument. Your specialist will recommend an approach based on your corneal measurements and visual needs.

How do I know if FemtoLASIK is right for me?

The evaluation includes your prescription and its stability, corneal thickness and shape, tear quality, and overall eye health. If the cornea is too thin or has certain changes, your specialist can discuss other options.

How is FemtoLASIK performed?

Anesthetic eye drops are applied first. A femtosecond laser creates a thin flap in the cornea; then a second laser adjusts its shape to correct your prescription. The surgeon places the flap back in position at the end of the procedure.

How long does recovery take after FemtoLASIK?

Many people notice an improvement in vision during the first few days. Vision may fluctuate as the eye heals, so it is important to use the prescribed drops, avoid rubbing your eyes, and attend follow-up appointments. Your specialist will advise when you can drive, exercise, and return to work.

What should I discuss with my specialist before choosing FemtoLASIK?

Talk about your daily activities, how much you rely on glasses or contact lenses, and what you hope to achieve. The evaluation will cover corneal and ocular surface health, available alternatives, and what outcome is reasonable for your eyes.

What is presbyopia, and why does it appear after 40?

Presbyopia is a gradual loss of the eye's ability to focus up close. You may begin holding your phone farther away, need more light to read, or find that your arms no longer seem long enough. It is a natural change in vision with age.

Is presbyopia the same as a cataract?

No. Presbyopia makes it harder to focus up close. A cataract occurs when the eye's natural lens becomes cloudy and can affect vision at different distances. Both can occur together, so it helps to identify what is causing changes in your vision.

What are my options for seeing better up close?

Depending on your eyes and daily activities, options may include reading glasses, progressive lenses, contact lenses, or surgical procedures. The choice also depends on whether you have a cataract, your corneal health, and how much you would like to reduce your use of glasses.

What is PRESBYOND?

PRESBYOND is a personalized laser treatment for presbyopia. It adjusts the focus of the two eyes in a complementary way to support distance, intermediate, and near vision. It aims to reduce dependence on glasses; results vary from person to person.

Am I a candidate for PRESBYOND?

It may be an option for people with presbyopia whose eyes are suitable for laser surgery. The evaluation looks at the cornea, prescription, tear quality, and how the eyes work together. At the Instituto, eligibility is determined individually after a complete examination.

Is PRESBYOND the same as cataract surgery?

No. PRESBYOND treats the cornea and does not replace the natural lens. Cataract surgery removes a cloudy natural lens and replaces it with an intraocular lens. If you have a cataract, your ophthalmologist will discuss which treatment best addresses your needs.

Will I see clearly up close immediately after PRESBYOND?

Some people notice a change soon after treatment, but vision may fluctuate while the eyes heal and the brain adapts to a new way of focusing. The adjustment period is different for everyone; follow-up visits help track your progress.

When should I take my child to the ophthalmologist for the first time?

Eye health is monitored from a child's earliest pediatric visits. At the Instituto, a complete ophthalmic evaluation is recommended during the first year of life. If you notice a turned eye, a white-looking pupil, or have a relevant family history, arrange an evaluation sooner.

How can I tell if my child is having trouble seeing?

Your child may sit very close to books or screens, squint, tilt their head, or lose their place when reading. Some children show no clear signs and assume everyone sees as they do, so vision checks are useful even without a complaint.

Does a school vision screening replace an eye examination?

No. A school screening can identify a possible vision issue, but it does not replace a complete examination. A child who does not pass the screening, has visual changes, or has relevant risk factors should have a full eye examination.

What is amblyopia, or "lazy eye"?

Amblyopia occurs when vision in one or both eyes does not develop as expected during childhood. It can happen, for example, when the eyes have very different prescriptions or when an eye is misaligned. Early detection makes it possible to start treatment while vision is still developing.

Can strabismus be treated?

Yes. Treatment depends on the cause and may include glasses, patching, medication, or surgery. If you notice that one eye turns, even occasionally, have it evaluated.

Is it normal for my child to sit very close to the television?

It does not always indicate an eye condition, but it may be a clue that your child has trouble seeing at a distance. If they also squint or hold books very close, an eye examination can help identify the cause.

Can screen time affect my child's eyes?

Using screens can contribute to visual fatigue and dryness because we tend to blink less often. Regular breaks, time outdoors, and screen use suited to your child's age can help support healthy visual habits.

What is glaucoma?

Glaucoma is a group of conditions that affect the optic nerve, which carries visual information to the brain. It can progress without obvious changes at first, so a simple visual acuity test cannot rule it out.

Can I have glaucoma even if I see well?

Yes. Early changes can affect areas of vision that are easy to overlook. An examination of the optic nerve and eye pressure, with additional tests when needed, can help detect glaucoma and monitor it over time.

Does high eye pressure mean I have glaucoma?

Not necessarily. High eye pressure increases the likelihood of glaucoma, but some people with elevated pressure never develop it. Glaucoma can also occur at an eye pressure that appears normal. Diagnosis requires a broader assessment of the eye.

Can glaucoma be cured?

Existing damage to the optic nerve generally cannot be reversed. Treatment aims to slow or prevent further changes and preserve the vision you have. Regular follow-up remains important even when you notice no change in your sight.

How is glaucoma treated?

Depending on the type and stage, treatment may include eye drops, laser treatment, or surgery to lower eye pressure. Your specialist will adjust the plan according to test results and how each eye responds.

Can I stop using my glaucoma drops when my eye pressure goes down?

Do not stop them on your own. A lower reading may mean the treatment is working. Pressure can rise again after stopping the drops, even if your vision seems unchanged, so discuss any adjustments with your ophthalmologist.

Who should pay closer attention to their glaucoma risk?

Tell your doctor if you have a close relative with glaucoma, elevated eye pressure, a history of eye injury, or other relevant eye conditions. Age can also affect your likelihood of developing glaucoma. Your specialist can advise how often to have an examination.

What conditions does oculoplastics treat?

This specialty focuses on the eyelids, tear drainage system, and tissues around the eyes. It addresses drooping eyelids, eyelid lesions, changes in eyelid position, and some causes of tearing, as well as aesthetic concerns.

How can I tell if drooping eyelids affect my vision?

Excess skin or a low eyelid can block part of the pupil, lead you to raise your eyebrows to see, or make it harder to look upward. An examination can identify which structure is involved and whether treatment may help.

Will blepharoplasty change the way I look?

Blepharoplasty removes or repositions eyelid tissue when appropriate. The result depends on your anatomy and the surgical plan. During your consultation, you can explain the changes you have noticed and the features you would like to preserve.

How is a CO2 laser used around the eyelids?

A CO2 laser may be used in certain oculoplastic procedures and treatments of the skin around the eyes. An evaluation will determine whether it is suitable for your goals, what results to expect, and what your recovery will involve.

Is every bump on the eyelid a stye?

No. It could be a stye, a chalazion, or another type of lesion. If it persists, grows, bleeds, changes appearance, or affects vision, have a specialist examine it before trying to remove or treat it yourself.

How long does it take to recover from eyelid surgery?

Recovery varies with the procedure and the individual. Before surgery, your specialist will explain how to care for the area, when follow-up visits are needed, and when you can resume your activities.

How can I tell if I may have dry eye?

Signs can include redness, tearing, or blurred vision that comes and goes, especially when using screens or spending time in air-conditioned rooms. An examination can determine whether dry eye or another condition is causing these changes.

Why are my eyes watery if I have dry eye?

When the tear film does not keep the eye's surface stable, the eye may produce reflex tears. Tearing can also have other causes, including allergies or changes in how tears drain from the eye.

Can screens make dry eye worse?

Yes. We tend to blink less while concentrating on a screen, allowing tears to evaporate more quickly. Taking breaks, blinking regularly, and avoiding direct air conditioning can help.

Can I use any eye drops?

Artificial tears may help, but different drops serve different purposes. For example, drops sold to "take the red out" do not necessarily treat dry eye. If you need drops often, it is helpful to identify the cause before choosing a treatment.

Can dry eye be treated?

Yes. Depending on its cause and severity, care may include lubricating drops, changes in daily habits, eyelid care, or specific procedures. The aim is to support a healthy ocular surface and stable vision.

Can dry eye affect my plans for laser vision correction?

Yes. Tear quality is evaluated before recommending refractive surgery because it can affect vision after the procedure. When needed, your specialist may recommend treating dry eye before deciding which technique is suitable.

What is the cornea, and why is it important?

The cornea is the clear layer covering the front of the eye. It helps focus light and keep vision sharp. Changes in its shape or transparency can affect how clearly you see.

What is keratoconus?

Keratoconus is a condition in which the cornea becomes thinner and changes shape, causing blurry or distorted vision. Your glasses prescription may change repeatedly, and glasses alone may no longer provide the clarity you expect.

How is keratoconus detected?

Along with an eye examination, the specialist takes detailed measurements and maps of the cornea's shape. These tests help confirm the condition, monitor changes, and choose the appropriate care.

Does keratoconus always require a corneal transplant?

No. Depending on the stage, options may include specialty contact lenses or treatments such as corneal cross-linking to help slow progression. A transplant is considered in more advanced cases or when other options do not provide sufficient vision.

Can rubbing my eyes affect my cornea?

It is important to avoid frequent or vigorous rubbing, especially if you have keratoconus or may be developing it. If you often feel the need to rub your eyes, an evaluation can identify the reason and help you care for your cornea.

Which changes should prompt a timely corneal examination?

Seek an evaluation promptly if you notice a sudden change in vision or pronounced redness, particularly if you wear contact lenses. Your specialist can identify the cause and recommend appropriate care.

What is the retina?

The retina is the light-sensitive layer at the back of the eye. It captures images that the brain then interprets. Your ophthalmologist may dilate your pupils to examine it and request further tests when needed.

What are floaters?

Floaters are dots, threads, or small shadows that seem to move across your vision. They are often related to changes in the vitreous, the gel-like substance inside the eye. If they appear suddenly or increase significantly, have your retina checked.

What do flashes of light or a curtain-like shadow mean?

New flashes, particularly when accompanied by many new floaters, may indicate a retinal tear. A shadow or "curtain" across your vision may be a sign of retinal detachment. Seek urgent eye care the same day.

How can I recognize a possible retinal detachment?

It may appear as flashes, many new floaters, or a shadow covering part of your vision. If you notice any of these changes, go immediately to an ophthalmologist or emergency department.

How are a retinal tear or detachment treated?

Some tears can be treated with laser or freezing treatment to help prevent a detachment. Once the retina has detached, surgery is usually required. Treatment depends on where the problem is and how much of the retina is affected.

What should I do if I suddenly cannot see well out of one eye?

A sudden change or loss of vision requires urgent medical attention, even if it improves afterward. Different conditions can cause it, and an early examination helps determine the right treatment.

What is macular degeneration?

It is a condition affecting the macula, the area of the retina used for reading and seeing fine details. It can cause blurred central vision or make straight lines appear bent. There are different forms, so follow-up and treatment depend on the diagnosis.

Can diabetes affect my eyes even if I see well?

Yes. Changes in the retina can begin without noticeable vision changes. Seeing well does not replace a dilated eye examination at the interval recommended by your specialist.

What is diabetic retinopathy?

Diabetic retinopathy involves changes to the retina's small blood vessels caused by diabetes. These changes can lead to bleeding, fluid buildup, and vision problems. Early stages may not produce noticeable changes in sight.

How often should I have an eye examination if I have diabetes?

As a general guide, a complete dilated eye examination is recommended at least once a year. Your schedule may differ depending on your type of diabetes, when it was diagnosed, pregnancy, and what the examination shows.

What happens during a dilated retinal examination?

Eye drops widen your pupils so the specialist can examine your retina and optic nerve. Near vision may be blurry for a few hours. Before your appointment, ask whether someone should accompany you for the trip home.

How can I look after my eyes if I have diabetes?

Keep up with your diabetes care and work with your physician to manage blood glucose, blood pressure, and cholesterol. Attend your recommended retinal examinations even when you have not noticed a change in your sight.

Can diabetic retinopathy be treated?

Yes. Depending on the examination findings, care may involve closer follow-up, injections into the eye, laser treatment, or surgery. Treatment can help reduce the likelihood of vision loss, though outcomes depend on the stage of the condition.

Should I wait until my vision becomes blurry to schedule an examination?

No. Diabetes can affect the retina before you notice a change. If your vision changes suddenly, seek an eye examination promptly instead of waiting for your next scheduled appointment.

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