May 12, 2025
It was time for the ophthalmologist. He comes after the optometrist, like the orthodontist comes after the dentist. The point is cataracts, the mysterious film that, over years, develops on the lens of the eye. I have the years. An optometrist found the cataracts. Get it done, he said. We found Southern Eye.
Meanwhile, some things come to a purely felicitous ending. We have a new Pope. We, that is, everyone, need Leo XIV, a math major from Villanova, a guy with hard executive experience who speaks five languages not counting Latin, and paid his dues bringing the Gospel to obscure places.
It was more than a month ago that we set out to take care of the cataracts. Experience sharpens your skill at making doctors’ appointments. Medical practices, like other businesses, are intoxicated with the shallow freedom from personal engagement offered by text messaging. Phone recordings demand texts. A human being answers only if you choose the “billing” option.
Eventually we got a choice for an appointment: the local office two months out or the Clemson office, a 60-mile roundtrip. It had just opened, slots were available. We picked Clemson.
People who have had the cataracts work say it’s quick and easy. Still it’s surgery and your eyes. It involves sharp instruments. Things can go wrong.
The Clemson trip is a trek through downtown Greenville out into the western industrial and commercial suburbs. Eventually the road opens into pretty country, but it’s still 30 miles one way. Southern Eye is in a just-completed pseudo-colonial townhouse subdivision that accommodates both residents and businesses. The streets were quiet. The Southern Eye office was quiet.
A technician, a young guy dressed in black, led me to a treatment room and fitted my head in his device, my chin propped on a ledge, the eyepiece against my left eye. He flashed a line of five block letters at me, I read them, he reduced the size, once, twice, three times, until I just guessed. We went through the drill for the right eye. Without a word he left the room. I waited.
Dr. Dave walked in. He asked a few questions, then fitted another device over my left eye. He turned a knob, a bright light blinded me. He moved to the right eye. “Cataracts, both eyes,” he said. “We’ll take care of you.”
The doc gave a primer on cataracts. They develop over time and if not removed can lead to loss of sight. The process takes 30 minutes, usually, under local anesthesia, but it’s major surgery, requiring cutting into the eye. I winced.
We got an appointment for “alignment” a week later at another Southern Eye site, this one in the medical ghetto near the downtown hospital. The waiting room was crowded with oldsters, everyone wearing glasses. I didn’t have to wait, a tech called me. She fitted my chin in a machine and did a few more tests. I got the appointment a month out for the right eye and for the left two weeks later.
A thick FedEx packet arrived, full of paperwork and two vials of eyedrops, one vial for each eye: start the drops three days before the surgery, four times each day. I struggled to remember the schedule then had trouble finding the eyeball. The medicine mostly dribbled down my cheek.
On surgery day we headed for yet another Southern office, this one near the big suburban hospital complex. Convenient in case things go wrong, I guessed.
At 9:30 AM several patients waited ahead of me. A nurse, Laura, took me to a cubicle. I lay on a cot, she took my blood pressure and readied her IV needle. She tried my wrist. “Well, that didn’t work,” she said. I gritted my teeth. She tried again, again, the needle passed through my vein. The third time was the charm. I exhaled hard.
An anesthesiologist stopped by to ask how I tolerated anesthesia. I’m okay, I assured her, lots of experience. Dr. Dave entered the cubicle. He asked how I felt. Then he asked, “Would you like to have a quick prayer?” he asked. “Sure,” I said. He placed his hands on the rail of the cot and whispered a short ecumenical prayer.
It was the day after Pope Francis died. I didn’t think Dr. Dave was thinking about the Holy Father, but who knows? This is the Bible Belt Southland. Public prayer is off-the-cuff, extemporaneous, not my style, yet still prayer. No doubt he prays for all his patients. I appreciated it.

An hour later I was first in line at Cataract Central. Dr. Dave and a colleague were hard at work relieving folks of their cataracts. It’s highly precise surgery, and no two patients have exactly the same situation. But it is repetitive.
Around 2 PM Laura pushed my cot into a surgical space. Someone well practiced at this squirted a drop of medicine in my right eye, then a drop of local anesthesia. I saw Dr. Dave’s silhouette above me, then an intense white light. I felt nothing. It was over in twenty minutes.
Sandy drove home. I wore a plastic shield over the eye at night. At the post-op the next day Dr. Dave said the eye looked good. “Keep wearing the shield at night, keep taking the drops, no exercise, no bending, no lifting more than ten pounds,” he warned.
I sat around the house for a week. No pushing a lawnmower. It rained, the grass grew longer and thicker. Sandy carried the trash out to the curb. I kept up the eyedrops and taped the shield over the eye each night.
At the second post-op Dr. Dave explained what happened. “I made two incisions and inserted instruments into the eye and lifted the cataract from the lens.” He showed a video of the incision, the probes, the cataract torn away and pulled out. I gulped. But the eye felt okay.
“Thanks for helping me,” I said as I stood up. He grinned. “God gave me the skills to help people,” he answered. “See you in a couple of weeks for other one.”
So far my vision is no better. I’m still squinting. No miracles, even with Dr. Dave’s God-given skills. But while inserting his cutting tool in my eye he lifted my spirits. Maybe that was the point.




