Expert: Dr. Gregory J. Panzo
Expertise: Vision

Gregory J. Panzo, M.D., has practiced in Lake County for 40 years. He and Jeffrey D. Baumann, M.D., established Mid Florida Eye Center in 1987. The practice has grown to four clinics, two surgical ambulatory centers and three optical shops. 

Q: Is surgery automatically recommended when cataracts are diagnosed during an exam? 

A: The decision to do cataract surgery depends on the severity of the cataract and how much it impacts the patient’s vision and daily activities. If cataracts cause significant vision problems that interfere with tasks like driving or reading, surgery may be considered. However, if symptoms are mild, doctors may recommend monitoring the cataracts over time with regular eye exams. Surgery is typically recommended when cataracts start to significantly affect quality of life or when other treatments are no longer effective.

Q: What symptoms would a patient need to have for the ophthalmologist to recommend cataract surgery?

A: Symptoms that interfere with a patient’s vision and can negatively impact daily activities include:

• Blurred or cloudy vision
• Difficulty seeing at night or in dim lighting
• Glare or halos around lights 
• Faded colors
• Frequent changes in prescription glasses

The decision to choose surgery is based on how much the cataract impacts the patient’s daily life and whether other treatments, like new glasses, are effective. The goal is to restore vision and improve the patients’ quality of life.

Q: How has cataract surgery changed due to the latest ophthalmic medical advances?

A: Cataract surgery has improved with advancements in technology, including femtosecond lasers for precision and advanced intraocular lenses (IOLs) that correct astigmatism, near and far vision, reducing the need for glasses. The use of smaller incisions and innovative techniques have led to faster recovery times and minimal discomfort. Improved diagnostic tools allow for more personalized treatment, ensuring better outcomes and greater patient satisfaction, making cataract surgery safer, quicker, and more effective.

Q: How have multifocal lens implants made a difference? 

A: Multifocal lens implants have enhanced cataract surgery outcomes by reducing patients’ dependence on glasses or contact lenses. These advanced lenses provide clear vision at various distances, addressing both near and far sight issues. Toric multifocal lenses also correct astigmatism. Patients experience improved overall visual quality and enhanced daily functioning. The integration of multifocal lenses has revolutionized cataract surgery, offering patients the convenience of sharper vision at multiple ranges without compromising clarity.