Refractive Eye Surgery At Its Best

A Patient Guide to iLASIK and Refractive Surgery

Our latest edition of A Patient Guide to iLASIK and refractive surgery is available for download today!

Click below to get your copy:

A Patient Guide To Refractive Surgery

(click image to download your copy)

Latest Edition of a Patient Guide to Cataract Surgery

Download your own copy of our latest edition of

“A Patient Guide to Cataract Surgery”APatientGuideToCataractSurgery

Latest edition of A Patient Guide to Cataract Surgery

Download your own copy of our latest edition of A Patient Guide to Cataract Surgery!

Enjoy Spring by getting eye allergies under control!

Enjoy Spring by getting spring allergies under control.

If you feel your eyes are becoming irritated and red over the last couple of weeks, you may be developing symptoms of ocular allergies.  Read more from The American Academy of Ophthalmology.

Watch this video regarding Ocular Allergies.

Post Questions on Facebook for LIVE Fridays

We are authentic people who have had the experience of refractive surgery.  We have embraced the culture at The Harman Eye Clinic since our first day of employment.  We love to share our knowledge and heart with our patients.

Pam loves to talk about life!  She loves to hike, get out in a canoe, run and so much more.  But she also loves to talk about refractive surgery.  That is why her position here as head Refractive Consultant, is an awesome fit.  About a year ago, Pam created a LIVE show to help patients navigate through iLASIK and Cataract surgery concerns.

Now it is possible to post your questions on Facebook or on our blog.  These questions will help others who may hesitate writing on the internet.  If you are so inclined, post your questions and tune-in to The Harman Eye Clinic Facebook LIVE program on Friday and one o’clock.

Facebook LIVE

Fridays at 1:00 p.m.

Ask you questions now or during the LIVE program.

Look forward to hearing from you!

 

A Happy Patient Is An Informed Patient

watch-informed-consent-001You might ask, “What are possible temporary side effects after cataract surgery?”   To answer this question and to help you prepare when you talk with your surgeon, here are frequent questions and concerns patients ask about after surgery.

BLURRED VISION:  what are common causes of blurred vision after cataract surgery?

  • Dropless cataract surgery is routinely performed at The Harman Eye Clinic, and causes black dots in the vision for at least day or two after surgery.  Patients are instructed to sit upright for at least a few hours when the get home to help the medicine settle to the bottom of the eye, like a snow globe.
  • Dilation lasts for at least a day or two after cataract surgery and commonly causes blurred vision.
  • PCO or posterior capsular opacification occurs 10-20% after routine cataract surgery.  It causes glare at night, but is curable by a simple YAG laser procedure that takes 2 minutes to perform, but an hour and a half for the paperwork!
  • CME or cystoid macular edema occurs about 1% of the time after routine cataract surgery.  It causes difficulty reading and even distance vision.  Risk factors include diabetes, ERM (epiretinal membrane), prior retinal surgery and possibly cigarette smoking.  It often can be cured with topical steroid and anti-inflammatory eye drops.
  • Residual refractive error may cause blur until new spectacles are prescribed.  If a monofocal lens is chosen for best distance vision, then near vision will be blurred (so called presbyopia) until readers are used.
  • Dry Eye syndrome is a life long condition, that may cause fluctuating vision, and may be worse at least temporarily after cataract surgery.  It is often exacerbated by prescription eye drops (especially generic drops such as ketorolac), but we are seeing much less dry eye problems since switching to dropless surgery.
  • ARMD (age related macular degeneration) or ERM may also limit vision due to aging changes in the retina.

DYSPHOTOPSIAS are unwanted visual phenomena occurring after routine cataract surgery.

  • Negative dysphotopsia are likened to “horse blinders” with a shadow or dark crescent on the side and usually subside within days or weeks. They are thought to be more common in square edged lens implants, but have been reported in all types of lens implants, however they are not dangerous.
  • Positive dysphotopsia are less common, and are often described as an arc of light under certain lighting conditions.

REBOUND IRITIS IS INFLAMMATION that occurs usually 2 to 3 weeks after cataract surgery.

  • It is thought to be a result of the dropless medicine wearing off, especially found in darkly pigmented patients.  It happens in less than 10% of patients who have dropless surgery and is treated with topical steroids.  This is the best reason for patients to keep their 3-week postoperative appointment after surgery.

For more information.  download a free copy of our Cataract Surgery Patient Workbook, here.

Or take time to read, A Patient’s Journal – Cataract Surgery

 

 

Second Surgery, Day One – A Journal VI

I had my one day post op after my second surgery. My vision was pretty blurry due to a bit of swelling on the cornea, so I’ve waited to share.

Needle and threadNow when you decide on having a “lifestyle lens,” you really have to think about how you spend your time and what your particular vision needs are. Myself, I work on a computer and interact with patients. Ok, that’s 40 hours of my week. Typically, I’m awake about 122 hours in a week, so that accounts for 1/3 of my time. Driving: an hour a day. Family time includes reading, watching television, board games. Weekends are your typical housekeeping chores. Hobbies? Making quilts! Accurately measuring, cutting, sewing and pressing. Hand sewing the bindings on finished quilts. For me, being able to thread a needle and follow a line of stitching was vital.

Quilting

These Symfony lenses have the ability to let you see for reading, computer and driving. But super fine like I wanted required either cheaters (non-prescription magnifying glasses you find in a drug store) or, choosing a power for the implant that would provide that. Choosing that option may require glasses for driving. That is the choice I made.

Right now, I’m threading needles and hand sewing along that line of stitching!

My advice to those of you considering a Lifestyle lens? Evaluate your life! What are your visual needs? Communicate this to your surgeon. You may be an avid outdoor enthusiast, golfer, pilot or ham operator! Reading may be your passion. There’s as many lifestyles as there are people, each one unique and important.

I still have a couple weeks for my vision to stabilize, but right now I have what I can only describe as “normal” vision. I’m seeing what I want to see. How awesome is that?!?

 

 

One Week & 2nd Eye Surgery – A Journal V

One week later. Scheduled for a one week post op and second surgery. Depending on how your eye heals, your personal preference and the difference between your eyes, surgeries can be scheduled 1-3 weeks or further apart. I was fortunate to be 1 week.

I have noticed a lot of struggle between my new eye and the other one this past week. It felt like the new eye was doing about 90% of the work and the old one was trying to keep up. Those floaters from the medication last week? They were gone 3 days after surgery. What was really cool was turning on my side to read in bed without my glasses getting in the way!

The halos are much smaller around lights, more something I observe but not causing any difficulty, All in all, it’s been a great week between surgeries!

My one week check up was great. Healing well, seeing 20/20 without correction. My biggest hobby is sewing quilt tops, so I’ve asked my surgeon to set my lens power for reading or “near” vision to help me with my hand sewing.

My surgical experience was every bit as good as the first time. I even slept a bit before and during! I still don’t remember a great deal of what went on in the OR… and I can say that because I know what happens since I work there! The medication in my eye this time is more like a cloud over the outside half of my vision. I had a foreign body sensation which I knew was the incision from surgery, and artificial tears took care of that.

I’ll check in again tomorrow and let you know how I am with the dilation gone. I’m still ecstatic with my surgery. I’m very proud to be a part of the Team at The Harman Eye Clinic. It’s a blessing to help others with improving their vision, and I’m one of many staff members who have experienced the benefit of various procedures we can do. iLASIK, Refractive Lens Exchange, Cataract surgery with an assortment of lens options. It’s all good!

Second Surgery, Day One – A Journal VI