
LASIK (Laser Assisted In Situ Keratomileusis) is the most common
vision correction procedure whereby a thin flap of the cornea is
created allowing an Excimer laser to sculpt the inside layers of
the cornea. Over one million nearsighted people including sports
stars such as Tiger Woods and Wade Boggs and people worldwide have
reduced or eliminated their dependence on glasses and contact lenses.
In fact 98% of patients can drive without glasses after Laser Vision
Correction! LASIK is a procedure for the treatment of myopia (nearsightedness),
hyperopia (farsightedness) and or astigmatism. LASIK is technology's
most advanced laser procedure. LASIK is the most accurate, rapid,
and painless vision correction method available. LASIK patients
report minimal discomfort and generally enjoy rapid visual recovery.
Following a LASIK procedure, most patients are able to resume most
of their normal activities the following day.
The Fingerprint of Your Vision. Your vision is unique - as personal
as your fingerprint or your DNA. WaveScan technology provides us
with a map of your eye.
WaveScan Technology-
Initially you will meet with us for a complete medical
evaluation and eye history to determine whether you are a good candidate
for the CustomVue procedure. We 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 we perform, 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. We will provide details
to you on how to prepare for the day of the procedure.
The following are some of the FDA clinical study results. One year
after the VISX CustomVue procedure:
- 100% could pass a driving test without glasses or contact lenses.
- 98% could see 20/20 or better without glasses or contact lenses.
- 70% could see better than 20/20 without glasses or contact lenses.
Four times as many participants were very satisfied with their
night vision after CustomVue, compared to their night vision with
their glasses or contact lenses.
Overall, many participants were more satisfied with their quality
of vision after the VISX CustomVue procedure than before the procedure
with use of glasses or contacts.
Uncorrected visual acuity is the measurement of how well you see
without the aid of glasses or contact lenses. Quality of vision
refers to not only what you see, but also how well you see under
a variety of conditions such as driving at night.
Everyone may not be interested in LASIK and LASIK may not be the
best procedure for everyone. Common alternatives which most patients
are familiar with are glasses and contact lenses.
Other alternatives are CLE, PRK, NearVision CK, ICL and Presbyopia
Correcting Implants. We are pleased to offer all of these technologies.

CLE (Clear Lens Extraction) is best for patients over 40, those
developing cataracts, those with extreme astigmatism, myopia or
hyperopia or those concerned about presbyopia. The procedure is
virtually identical to cataract surgery (the most common surgery
in seniors). Now there are implants that can treat nearsightedness,
farsightedness, presbyopia, or astigmatism. Furthermore, if necessary,
the results of CLE can be fine tuned with LASIK.


PRK (Photorefractive Keratectomy) is a two-step procedure where
1) the epithelium (surface cells) is removed then 2) the Excimer
laser is used to sculpt the surface of the cornea.

After the age of 40, most people start to lose their up close reading
vision. Conductive Keratoplasty (CK) is a procedure that uses mild
heat from radio waves to shrink the glue-like connective tissue
(collagen) in the periphery of the cornea. This steepens the cornea,
giving farsighted patients with presbyopia better near and distance
vision while improving near vision for patients with presbyopia
alone. If you are nearsighted, CK is not for you (at least not at
this time) although expanded indications such as for astigmatism
correction are being studied. CK is now offered for patients over
40 that have had previous LASIK and would like to improve their near vision.

Surgically implanted lenses, also known as ICLs (Implantable Contact
Lenses) are a new option for people seeking more permanent correction
of common vision errors such as myopia (nearsightedness). These
implants, which resemble contact lenses, are placed between the
clear front covering of the eye (cornea) and the iris (colored portion
of the eye) or just behind the iris.
Implantable lenses are a surgical alternative to LASIK. Both procedures
alter the way light rays enter the eye to achieve sharper focus.
LASIK does this by removing tissue from the eye's cornea to change
its shape. Implantable lenses function like glasses or contact lenses,
except they do it from within your eye.

Around the age of 40, we all lose our ability to see at all distance
ranges. We can't escape this pesky problem, caused by the eye's
natural lens growing more rigid and less flexible as we age. Because
the lens no longer can expand or contract adequately enough to accommodate
focus at all distances, blurring can cause problems such as inability
to read fine print.
No current vision technology offers a perfect solution for this
problem, known as presbyopia. Replacing the eye's natural lens with
an artificial one (intraocular lens or IOL) is the best way to enable
sharper focus at distant ranges. Presbyopia correcting IOLs are
designed by various methods to give you the best possibility of
seeing near, immediate and distance without the aid of glasses.
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.

What is it? 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 cataracts 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.


ReZoom™ intraocular lens is a second-generation refractive
multifocal IOL that provides hyperopic cataract patients with greater
independence from glasses than monofocal IOLs. The ReZoom™
proprietary multifocal design provides a range of vision that monofocals
cannot match.
The ReZoom™ Balanced View Optics™ technology distributes
light over five optic zones so that each lens has a distance-dominant
central zone for distance vision in bright light conditions when
the pupil is constricted.
The ReZoom™ IOL is indicated for the visual correction of
aphakia in persons 60 years of age or older in whom a cataractous
lens has been removed and who may benefit from useful near vision
without reading add and increased spectacle independence across
a range of distances. It is intended to be placed in the capsular
bag.

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