A
key component in quality vision care is technology.
When you decide to undergo LASIK or other types of vision correction,
you want to know that the equipment being used on your eyes is first class. Dr. David I. Malitz believes that much of a surgeon’s responsibility
to his patients applying advanced technology in a safe and effective manner. To stay on the cutting edge of LASIK
laser vision correction, Dr. Malitz constantly evaluates new technologies
that can offer the best treatment options for patients.
Among the latest technology in use at the Southwest Eye Institute
is:
WaveFront Mapping and WaveFront Guided LASIK
Now it’s possible to capture, measure and treat both lower
and higher-order visual errors with the new and advanced WaveFront
Mapping technology.

Your vision is unique - as personal as your fingerprint or your
DNA. WaveScan technology provides your eye doctor with a map of
your eye.
WaveScan Technology-
Southwest Eye Institute was among the first in the region with this technology. Initially you will meet with your eye doctor for a complete medical
evaluation and eye history to determine whether you are a good candidate
for the CustomVue procedure. Your doctor will discuss the benefits
and risks of the procedure with you. A WaveScan measurement will
be taken to map the unique characteristics of your eye. With this
map, your doctor will be able to:
- Accurately assess whether you're a good candidate for laser
vision correction. Anyone who is considering laser vision correction
should obtain a WaveScan measurement as the first step.
- Along with the other diagnostic tests that your doctor
performs, an individualized treatment plan can then be developed
to address your unique vision needs.
Once it is confirmed that you are a good candidate, your doctor
will schedule you for a CustomVue procedure. Your doctor will provide
details to you on how to prepare for the day of the procedure.
Nidek OPD Wavefront Analyzer-
Southwest Eye Institute was among the first in the region with this technology and is the only one still. We feel that one of the most critical components of a successful outcome is accurate and percise measurements. This is why we not only use one but two wavefront analyzers to capture your perscription and minimize the uncertainty of a patient chosing between "choice one or two". This device captures not only a wavefront of the visual system, it also captures the topography of the cornea (shape) and the refraction (presscription to the hundredth of a diopter!). This yields a perscription that is 25 times more percise than a standard phoropter (standard device to test vision).
The CustomVue Procedure-
On procedure day, you will be seated in a reclined position. Anesthetic
drops will be placed in your eyes and a flap will be created on
your cornea. Your individualized treatment information is reviewed and modified by the surgeon and is transferred
from the WaveScan to the laser in order to drive the CustomVue procedure.
The actual laser procedure typically takes less than thirty seconds. Most
individuals feel no pain during the procedure.
After CustomVue, you will notice results immediately and your
vision will continue to improve over the next few days. Typically,
you will be scheduled for a follow-up visit the next day, again
in about a week and again around a month after the initial procedure.


The VISX STAR S4 Excimer Laser System-
The VISX STAR platform's heritage of dependability and performance
is well known. The STAR S4 from VISX has taken that reputation to
an even higher level. Our excimer laser system represents an
advanced laser technology platform. The Visx platform is chosen by more surgeons in the USA than any other laser. By integrating
data collected by the WaveScan WaveFront System, the STAR S4 utilizes
these exclusive VISX technologies to deliver precision custom ablations:
- Variable Spot Scanning (VSS): Variable beam sizes from as small
as 0.65 mm up to 6.5 mm scanned over the treatment area, conserving
tissue and optimizing treatment times
- Variable Repetition Rate (VRR): VRR delivers treatment at varying
repetition rates, optimizing treatment time
- ActiveTrak 3-D Active Eye Tracking: Captures all 3 dimensions
of intra-operative eye movements—no dilation required
- ActiveTrak Automatic Centering: Locates, and then automatically
sets the treatment center to the center of the pupil.
Beyond Glasses and Contacts-
- Glasses and contacts are limited in their ability to correct
unique imperfections in each individual's vision. In fact, thousands
of individuals have the same prescription. With the CustomVue
procedure, no two “prescriptions” are identical.
- This precise level of measurement and treatment can enable
individuals to achieve the full potential of their vision.
Clinical Study Results-
VISX's FDA clinical study results were remarkable. Among other
things:
- At one year after the VISX CustomVue procedure
- 100% of the clinical study participants could pass a driving
test without glasses or contacts
- 98% of the clinical study participants could see 20/20 or
better without glasses or contacts
- 70% of the clinical study participants could see 20/16 or
better without glasses or contacts.
- Four times as many clinical study participants were very satisfied
with their night vision after the VISX CustomVue procedure compared
to their night vision before with glasses or contacts.


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Crystalens offers significant advantages over other kinds of lens
implants and corrective lenses. Standard (single vision) lens implants
don't have the ability to provide a full range of vision.
Most people who have single vision lens implants MUST wear glasses
for middle and near vision. Crystalens has the unique ability to
focus on objects at varying distances using the eye’s natural
muscle. This means the Crystalens can provide sharper vision, without
corrective lenses, throughout a full range of vision from near to
far and everything in between.
Crystalens’ FDA one-year clinical study results indicate:
- 92% of the people enrolled in the study (implanted bilaterally)
could see 20/25 or better at distance
- 96% could see 20/20 at arm’s length
- 73% could see 20/25 at near
- 98% of these people could pass their drivers test
- 100% could see their computer or put on their makeup
- 98% could read a magazine, all without glasses or contact lenses.
Also, your ability to see at approximately arm’s length (middle
vision) will be greatly enhanced with the Crystalens. In addition,
the quality of vision compared to wearing bifocals and/or trifocals
is significantly improved. You'll have a full range of vision
by simply looking at something. Crystalens, mimicking the natural
focusing ability of your eye, will automatically focus your eye
at near, arm’s length, or distance.

The AcrySof® ReSTOR® Apodized Diffractive Optic Posterior IOL (ReSTOR®) is a permanent artificial lens. ReSTOR® is
implanted in the eye to restore vision after the natural lens is
removed because of cataract with or without presbyopia (over 40
vision).
The ReSTOR® lens is convex on both sides and made of a soft
plastic. It is folded and inserted into the eye through a tiny incision
smaller than the optic diameter of the lens. After insertion, the
lens gently unfolds to restore vision. The supporting arms (haptics)
of the lens maintain proper positioning within the eye.
How does it work?
The AcrySof® ReSTOR® IOL replaces the natural lens. It
has a patented optic design using apodization, diffraction and refraction
technologies. The apodized diffractive optic design gives it the
ability to focus light correctly on the retina for images at various
distances without mechanical movement of the lens.
- Apodization is a gradual reduction or blending of the diffractive
step heights.
- This unique technology optimally manages light energy delivered
to the retina because it distributes the appropriate amount of
light to near and distant focal points regardless of the lighting
situation.
- Apodized diffractive optics are designed to improve image quality
while minimizing visual disturbances. The result is an increased
range of quality vision that delivers a high level of spectacle
freedom.
When is it used?
The AcrySof® ReSTOR® IOL is used in adult patients with
and without presbyopia, who desire near, intermediate and distance
vision with increased independence from glasses following cataract
surgery.
What will it accomplish?
The AcrySof® ReSTOR® IOL has been shown in a clinical study
to provide good near, intermediate and distance vision with increased
independence from glasses in patients who have undergone cataract
surgery.
CONSIDER THE PRICE:
What is the price you put on reading the print in a book? Or on
a menu? To clearly follow your golf ball as it sails over the fairway?
Your vision connects you to your world and your loved ones in so
many ways. With ReSTOR®, you don’t have to miss any of
it.
Insurance coverage varies greatly from policy to policy and state
to state. Generally speaking, private insurance may cover the cataract
surgical procedure and anesthesia and may also allow a certain
additional amount for the artificial lens implant. The insured is
then required to pay a deductible as well as any additional amount
above the primary coverage. (Some patients are responsible for the
total payment. Not all insurance companies will cover some.)
Your surgical counselor will review your insurance coverage and
your surgical alternatives prior to your cataract surgery. It may
also be beneficial for you to contact your insurance carrier.
CLINICAL RESULTS:
The FDA-approved AcrySof® ReSTOR® is a breakthrough in intraocular
lens technology for most people with cataracts, with or without
presbyopia, that may restore the eyesight of youth. Results from
a controlled clinical study of the AcrySof® ReSTOR® IOL
revealed that maximum visual performance is achieved when implanted
bilaterally.
Clinical data demonstrates that AcrySof® ReSTOR® IOL greatly
reduces dependence on glasses or bifocals:
- 80% of patients reported that after lens implant surgery with
ReSTOR® lenses, they never needed glasses or contact lenses
to see clearly at all distances.
- 94% reported being able to drive or read the newspaper without
glasses or contacts
- Nearly 94% were so satisfied that they would have the procedure
again.
In addition, the quality of vision compared to wearing bifocals
and/or trifocals is significantly improved. You’ll have a
full range of vision without having to tilt your head to find that
portion of your glasses that allows you to see clearly.
Everyone’s focusing ability is different. Most people will
be able to see clearly in the distance, have very good reading vision
and good middle vision without glasses, but some people may be more
comfortable with additional correction, particularly at night or
in dim light or for long periods of computer work.
It is important to remember that implant surgery cannot resolve
pre-existing visual conditions such as floaters, flashes, or visual
field loss that are a result of conditions of the eye and not related
to the lens. While virtually everyone experiences much improved
vision after cataract surgery, some people will have better uncorrected
vision than others.
It may be necessary for some people to wear glasses for distance,
intermediate and/or near vision to obtain optimal visual acuity.
The difference from standard lenses is that most people will not
be dependent on these supplemental vision aids to function normally.
RESTOR® IOL CANDIDATES
Virtually everyone who has cataracts and is in good general health
may be a candidate for implant surgery. But people with chronic infections,
uncontrolled diabetes, or other health problems may have to wait
until these conditions are under control prior to surgery.
People who have had prior corneal refractive surgery (i.e. LASIK
or PRK) may be acceptable candidates for ReSTOR® implantation
as long as their eyes are in good health. After a thorough examination, we will be
able to better advise you if you qualify for the ReSTOR implant.
If you've already had cataract surgery, you're not
a candidate for the ReSTOR® procedure.


The AMO ® ReZoom® Implant or "IOL" is a permanent artificial lens. ReZoom® is
implanted in the eye to restore vision after the natural lens is
removed because of cataract with or without presbyopia (over 40
vision).
The ReZoom® lens is convex on both sides and made of a soft
acrylic. It is folded and inserted into the eye through a tiny incision
smaller than the optic diameter of the lens. After insertion, the
lens gently unfolds to restore vision. The supporting arms (haptics)
of the lens maintain proper positioning within the eye.
How does it work?
The AMO ® ReZoom® IOL replaces the natural lens. It
has a patented multifocal optic design. The optic design gives it the
ability to focus light on the retina for images at various
distances without mechanical movement of the lens.
- Refractive Zonal-Progressive design.
- This unique technology optimally manages light energy delivered
to the retina because it distributes the
light to near, intermediate and distant focal points regardless of the lighting
situation.
- The optic design allows improved image quality
while minimizing visual disturbances. The result is an increased
range of quality vision that delivers a high level of spectacle
freedom.
When is it used?
The AMO ® ReZoom® IOL is used in adult patients with
and without presbyopia, who desire near, intermediate and distance
vision with increased independence from glasses following cataract
surgery.
What will it accomplish?
The AMO ® ReZoom® IOL has been shown in a clinical study
to provide good near, intermediate and distance vision with increased
independence from glasses in patients who have undergone cataract
surgery.
CONSIDER THE PRICE:
What is the price you put on reading the print in a book? Or on
a menu? To clearly follow your golf ball as it sails over the fairway?
Your vision connects you to your world and your loved ones in so
many ways. With ReZoom®, you don’t have to miss any of
it.
Insurance coverage varies greatly from policy to policy and state
to state. Generally speaking, private insurance may cover the cataract
surgical procedure and anesthesia and may also allow a certain
additional amount for the artificial lens implant. The insured is
then required to pay a deductible as well as any additional amount
above the primary coverage. (Some patients are responsible for the
total payment. Not all insurance companies will cover some.)
Your surgical counselor will review your insurance coverage and
your surgical alternatives prior to your cataract surgery. It may
also be beneficial for you to contact your insurance carrier.
CLINICAL RESULTS:
The FDA-approved AMO ® ReZoom® is a breakthrough in intraocular
lens technology for most people with cataracts, with or without
presbyopia, that may restore the eyesight of youth. Results from
a controlled clinical study of the AMO ® ReZoom® IOL
revealed that maximum visual performance is achieved when implanted
bilaterally.
Clinical data demonstrates that AMO ® ReZoom® IOL greatly
reduces dependence on glasses or bifocals:
- 82.6% of patients reported that after lens implant surgery with
AMO ® ReZoom® lenses, they were able to see 20/40 or better and J3 at near. enses
to see clearly at all distances.
- 90% reported never or only occasionally wearing glasses.
- The majority were so satisfied that they would have the procedure
again.
In addition, the quality of vision compared to wearing bifocals
and/or trifocals is significantly improved. You’ll have a
full range of vision without having to tilt your head to find that
portion of your glasses that allows you to see clearly.
Everyone’s focusing ability is different. Most people will
be able to see clearly in the distance, have very good reading vision
and good middle vision without glasses, but some people may be more
comfortable with additional correction, particularly at night or
in dim light or for long periods of computer work.
It is important to remember that implant surgery cannot resolve
pre-existing visual conditions such as floaters, flashes, or visual
field loss that are a result of conditions of the eye and not related
to the lens. While virtually everyone experiences much improved
vision after cataract surgery, some people will have better uncorrected
vision than others.
It may be necessary for some people to wear glasses for distance,
intermediate and/or near vision to obtain optimal visual acuity.
The difference from standard lenses is that most people will not
be dependent on these supplemental vision aids to function normally.
AMO ® ReZoom® IOL CANDIDATES
Virtually everyone who has cataracts and is in good general health
may be a candidate for implant surgery. But people with chronic infections,
uncontrolled diabetes, or other health problems may have to wait
until these conditions are under control prior to surgery.
People who have had prior corneal refractive surgery (i.e. LASIK
or PRK) may be acceptable candidates for AMO ® ReZoom® implantation
as long as their eyes are in good health. After a thorough examination, we will be
able to better advise you if you qualify for the AMO ® ReZoom® implant.
If you've already had cataract surgery, you're not
a candidate for the AMO ® ReZoom® procedure.


When we turn 40, our eyes begin losing their ability to easily focus
on near objects. This can be the result of two different conditions:
Presbyopia: When
the lens in the eye loses flexibility because of age. This causes
problems in the way our eye focuses light. Most people over age
40 and everyone over age 50 suffers from this condition.
Farsightedness (hyperopia): When the surface of the eye (cornea) is too flat, changing the way
our eye focuses light. Young eyes are often strong enough to compensate,
which is why it may only be a problem after age 40. CK can change
how the eye focuses light by reshaping the surface of your eye (cornea).
When the shape is changed, light can be refocused on the correct
part of your eye (retina).
To produce this reshaping, CK uses the controlled release of radio frequency
energy (instead of a laser) to heat and shrink corneal tissue. This
steepens the cornea and allows light to properly focus on the retina
again, improving near vision. CK is intended for people over 40
years of age who want to improve their near vision. If you are over
the age of 40, had good vision without glasses and contact lenses
for most of your life and now need reading glasses, you may be a
candidate.

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