Cataract Surgery Co-Management for Low Vision Patients

A cataract is the clouding of the eye’s natural lens, often caused by aging, metabolic conditions, or certain medications. Cataracts typically develop slowly and may eventually interfere with daily activities like reading, driving, or recognizing faces. 

There are three main types of cataracts: 

Subcapsular cataract – This form develops at the back of the lens and is more common in individuals with diabetes or those taking high doses of steroid medications. 

Nuclear cataract – Found in the central (nuclear) zone of the lens, this type is most commonly associated with aging. 

Cortical cataract – These are characterized by white, wedge-shaped opacities that begin in the lens periphery and progress toward the center in a spoke-like pattern. 

When Cataract Surgery Isn't the Final Step

While cataract surgery often restores vision, patients with underlying conditions such as macular degeneration, glaucoma, or diabetic retinopathy may still experience significant visual limitations after surgery. In these cases, a standard eyeglass prescription may not be enough to fully support functional vision. 

How We Help Patients Post-Surgery

Dr. John Bissell provides co-management for patients who have completed cataract surgery but require additional support. Our focus is on maximizing your remaining vision through: 

• Low vision evaluations tailored to post-surgical needs 
• Functional assessments to understand how vision affects daily life 
• Optical and digital magnifiers for reading and near tasks 
• Custom lighting and contrast solutions for home or work use 

Is Cataract Co-Management Right for You?

If you’ve had cataract surgery and still experience difficulty with everyday visual tasks, you may benefit from a low vision consultation. Our approach supports what your surgical team has already accomplished, by helping you apply your vision more effectively in real-world settings.