Many patients ask, “After you remove my cataracts, will they come back?”

The short answer is no, but a patient’s vision can get cloudy again, even after perfect cataract surgery.  Here’s the explanation, courtesy of Dr. Zack Burkhart…

At the time of cataract surgery, the surgeon removes the patient’s cloudy lens from the lens capsule. This clear, thin-walled “bag” is preserved as the natural lens is removed so that the surgeon can place the new, artificial lens inside.

In a considerable fraction of patients who have had cataract surgery, the lens capsule starts to become cloudy due to the growth of cells called lens epithelial cells on the inside surface of the capsule. As these cells multiply and spread across the inner surface of the lens capsule, it begins to lose its clarity, acquiring a grayish, irregular haze. Ophthalmologists refer to this haziness of the lens capsule as “posterior capsular opacity” or “PCO.”

As this process takes place, the patient begins to notice gradual blurring of the vision in the involved eye, often accompanied by glare, starbursts, and halos around lights at night. These symptoms are often described as similar to the original cataract symptoms. Fortunately, PCO is a fairly simple problem to solve, thanks to the amazing capability of the YAG laser.

This laser, which is available to Focal Point doctors at all locations, can be focused on the posterior capsule and used to remove the hazy portion in a matter of seconds, without affecting any other part of the eye. The procedure is done quickly and easily in the office, causes no pain for the patient, and typically results in marked vision improvement within a few hours. Patients are free to return to normal activity after the procedure, and post-procedure medications are usually not needed. Once the patient has had the opacity removed with the YAG laser, it does not recur.


If you are reading this Blog you are most likely on the quest to find clearer vision. Be it cataract surgery, LASIK, Corneal Transplant or possibly Crosslinking for Keratoconus. You’ve searched online, asked your family and friends and exhausted all avenues you can think of to find the eye care provider to give you the care and results you’re after.

Now it’s time to make your decision, and it’s not one to take lightly. After all, it’s your eyesight we are talking about here.

At Focal Point Vision (FPV) we take your decision very seriously, and we know you’re asking the question, “Why should I go to FPV over all the other practices in the San Antonio area?” That’s a fair question, and my answer to you is, “The Golden Rule.”

“Do unto others, as you would have them do unto you.”

Pretty simple answer…right?

Words we live by at FPV…Absolutely!

Yes, our doctors at FPV are highly trained specialists, well respected in the community & around the globe, and are able to provide you with the care and clearer vision you seek.

Yes, we are affordable with the services and products we offer.

These are things you expect from us.

To have a great experience during your road to clearer vision and be treated with professionalism, respect and dignity…well…you deserve that from your eye care provider!

At FPV we put ourselves in our patients’ shoes, and our ultimate goal is to speak to you and serve you the exact same way that we expect to be spoken to and treated.

“The Golden Rule” is not just words spoken; rather they are the words we live by.

Please come visit us at FPV, and afterwards, share with me your experience. I feel confident you won’t be disappointed!

All the best,

Craig Lannom – Executive Director