Our office provides full-service general eye care for patients of all ages. Both Dr. Eninger and Dr. Cink have special interest and experience in anterior segment surgery, including small incision cataract
removal and trauma care. Dr. Eninger has an additional interest in the management of glaucoma. Dr. Cink
has a broad background in oculoplastic surgery and is one of the few surgeons in the North Coast area
performing ptosis repair. Dr. Bruhns has special interest in glasses dispensing, contact lens fitting and low
vision patients.
Any complex ocular problems beyond the scope of this practice will be discussed in detail with you and
referred to the best subspecialist available.
Click on any condition or procedure to learn more:
For general information about eye conditions and treatments, visit:
Cataracts & Cataract Surgery
Your eye has a clear lens through which light passes, allowing you to see. When the lens loses its transparency, the cloudy tissue is known as a cataract. Cataracts generally cause blurred vision, but can also cause any of the following symptoms:
- Poor vision in bright light
- Seeing halos around lights
- Yellowish tinged vision
- Trouble with night vision
- Double vision
People at risk for developing cataracts are generally over 55 years old, have had eye injuries or disease, have a family history of cataracts, smoke cigarettes or use certain medications. The treatment for bothersome cataracts is surgical removal.
Both Dr. Eninger and Dr. Cink perform a minimally invasive, “no-stitch” cataract surgery called phacoemulsification. First the eye is anesthetized, often using a single injection just below the eye. Dr. Cink offers patients who desire completely “needle-less” surgery the option of topical anesthesia where only numbing drops are used before the surgery. With either method of anesthesia, a tiny incision is made in the eye through which an ultrasonic probe is inserted. This probe breaks up, or emulsifies, the cloudy lens into tiny pieces and gently aspirates those pieces out of the eye.
After the cataract is removed from the eye, a new, artificial intraocular lens (IOL) is implanted in the eye. Until recently, these lenses were only available to correct distance vision. These monofocal IOLs helped improve distance vision after cataract surgery, but patients still needed glasses or contact lenses for near vision activities like reading and playing cards. Now, advancements in technology have produced multifocal IOLs that allow patients to see clearly at all distances -- near, far and distances in between.
Dr. Eninger and Dr. Cink offer two types of multifocal IOLs, the ReStor® and ReZoom™. In select patients who truly want to avoid glasses, these IOLs can preserve distance and near vision so cataract surgery patients can enjoy improved vision without relying on glasses. The procedure to replace a patient's natural lens with a multifocal IOL is the same as that used in ordinary cataract surgery, but additional preoperative testing is involved. These lenses are also more expensive to purchase, so there are additional costs to the patient when these lenses are implanted.
 At Pacific Vision Medical Center, the latest technology is used to ensure you have the best possible vision after surgery. As part of your preoperative evaluation, the length of your eye, as well as the curvature of your cornea (the front window of your eye) will be determined using the IOL Master, a state-of-the art ultrasound that allows very precise measurements of your eye. Computer calculations will then help your physician choose the very best implant power for your eye.
Your doctors will constantly monitor your eyes after surgery and regularly for the rest of your life to ensure you enjoy your full visual potential. In certain patients after cataract surgery, a cloudy “film” or membrane can develop just behind the new IOL. This can occur months or years after surgery. Should this occur, you might notice a recurrence of the blurred vision that was first caused by your cataract. Once removed, a cataract can never come back, but a small percentage of patients might be bothered by this cloudy membrane and require laser treatment to restore their full visual potential.
 Pacific Vision Medical Center has the necessary laser for this treatment, which is an in-office procedure. When the laser light is precisely focused onto the cloudy film and the laser activated, a small hole is cut through the membrane, allowing light to once again pass freely through your IOL, restoring your vision to what you enjoyed soon after surgery.
Technology is constantly improving the treatment of cataracts and vision restoration. At Pacific Vision Medical Center, we continually upgrade both our skills and the equipment necessary to provide you with the latest and best service possible.
For more information about cataracts, visit:
Contact us for more information about cataracts.
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