iLASIK and Refractive Multifocal Cataract Surgery

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

 

 

Cataract Surgery Day – A Journal III

Surgery Day. Must admit, I’m a bit anxious. Tossed and turned all night.

No coffee or breakfast this morning. Just a couple meds with a sip of water. Brushed my teeth and rinsed my mouth out, being careful to not swallow any of that tasty toothpaste!

My co-workers learned I’m not as perky when I am caffeine deprived! But I took a couple Tylenol with my meds to keep the headache minimized and made it through to admission time.

The staff are fantastic! I don’t think I was ever alone. Super supportive, keeping me informed of what was happening along the way. There were a bunch of eye drops that got easier each batch because there was always a numbing drop first. IV, monitors placed for heart rhythm, SAT and a blood pressure cuff. You know, surgery stuff! I was a bit chilly and a hand warmer and the heated chair were perfect. Even got a bit of a massage from the chair.

Seemed like no time at all and I was fitted with O2 tubing and being escorted into the Operating Room. Normally there are 4 folks in the OR with a patient: the Surgeon, Anesthesia, Scrub Tech and Circulator. As I said, never alone.

img_1545-3

There was a little shuffling around to get comfortable in the chair and after that I really don’t remember much! I do remember seeing a really cool pattern (like a beautiful wallpaper), some colored lights, the surgeon saying we were going to do a final test, doing that and then being told the lens was in. Then the slight sensation of the medication being placed in my eye and we’re done!

Out to the post op area with another great staff member who recorded vitals while I had a cup of coffee and a “continental breakfast.” With strong vitals and me feeling good, time to disconnect the IV and head home.

Now this dropless medicine manifests differently for everyone. For me it’s like oil on top of a bowl of water being swirled around. At first it looked like mountain ranges, later it was bubbles, and even later just a patch of black dots! I was told to go home and rest in an upright position for a couple hours so that the medicine could settle to the bottom of the eye.

img_1548

Headed home, noticing my eye felt a bit scratchy as the numbing wore off. Laid down with a bunch of pillows to keep my head elevated and took a short nap, woke up feeling great. My husband and I picked up our grandson and went to Taekwondo; back to normal except no driving today.

What a great experience! From checking in to checking out, the staff are very caring, friendly and professional. Yes, I work with them every day, and from a patient perspective, I’m proud to say GREAT JOB!

Tomorrow, back to work and I’ll see the doctor for my first follow up visit and I’ll keep you posted as I continue this journey and the second surgery next week.

My biggest WOW right now it how bright white is with my new eye! The old eye looks like someone turned the dimmer switch down. This is exciting!

Tap here to read A Journal IV

Imagine iLASIK working for you.

The Harman Eye Clinic, in Arlington, Washington, invites you to stop in for a free, brief screening and meet-up with one of our surgeons.  There is no pressure or obligation to have surgery.  We are here to help you decide what type of vision lifestyle is best for you and whether you want to research further.  No one is the same and we do not expect to treat you like everyone else.

When you are ready either stop in (903 Medical Center Drive, Arlington WA) or call us at 360-474-2561 or 800-755-3937 and ask for a free screening.  Make the most of your lifetime!

Showtime with Pam!

Screen Shot 2017-09-19 at 4.34.56 AM
Live Facebook ,  (tap here), is quickly becoming our newest path of communication for the Pacific Northwest community.  Pam Miller, Refractive Consultant, connects with our staff and patients for a glimpse of what goes on in the background of The Harman Eye Clinic, in Arlington WA, before visiting our center.

Join us!  Get notifications of upcoming Live Talks with Pam by “liking” us at The Harman Eye Clinic Facebook page  Patients tell us these are the best eye surgeons in the Pacific Northwest for  iLASIK, Cataract surgery, and Lifestyle Lens Implants with cataract surgery!

Screen Shot 2017-09-06 at 1.23.00 PM.png

Solar Eclipse. Eye Safety First!

IMG_1322

The Next Total Solar Eclipse: Aug. 21, 2017 across North America

The American Academy of Ophthalmology has provided a list of vision safety precautions for next month’s solar event.  You can access this article here.

The AAO provides a wealth of Eye and Eye care information on a dedicated website for our patients, Eyesmart

 

_______________

Common Complaint 20 Years After LASIK

Many of our first LASIK patients from all walks of life were in their 20’s, 30’s or 40’s in 1996 when we first offered LASIK.

All walks of life

Now, some 20 years later, patients are returning with stories of sailing around the world, running marathons, taking on new career opportunities and/or raising families who now have children of their own and hoping for LASIK.

One common complaint prevalent to almost all of these patients is this:  their arms are too short!  They complain that they no longer can read without reading glasses and this is really annoying!Business Woman

Fortunately we are able to assist our grown-up LASIK patients with new solutions of a refractive lens exchange, better known as an RLE.

RLE takes care of three birds with one stone.  First, it takes care of the need for reading glasses.  Second, it takes care of fine tuning vision for distance, intermediate and near.  Third, it takes care of the need for cataract surgery in the future.

One of the most popular lifestyle premium lens implants is the Tecnis Symfony.  A popular video helps describe this important breakthrough.

Whether you are ready to move into the grown-up lifestyle premium refractive lens implants or help your children toward sight without glasses through LASIK, we are here to help!  For more information, call our Refractive Consultant at 360-474-2561 or visit http://www.20Better.com.  We look forward to seeing you again.

 

 

 

Patients are pleased with Symfony Lens

 

For those suffering from presbyopia and cataracts, there is a new IOL on the market called the Tecnis Symfony. The Symfony is the first of its kind that’s able to treat both cataracts and presbyopia, while improving a full range of vision. Unlike most intraocular lenses, the Symfony IOL exhibits low instance of the effects of halos and glare around lights. Instead, patients are left with clear, crisp vision. Even if a patient has cataracts, they get the full range of their vision back: intermediate, distant and near vision. The Symfony IOL allows for a higher quality of life and a lessened dependence on reading glasses.

How Does The Tecnis Symfony IOL Work?

The Symfony IOL is ideal for patients who are already candidates for receiving cataract surgery. During cataract surgery, the Symfony IOL is implanted in the eye. The Symfony IOL is used to replace the cataract affected lens in the eye, leaving in its path clearer vision. The Symfony IOL doesn’t affect the way that cataract surgery is performed. Instead, it only changes the way that you see after. Most patients are able to see more clearly almost immediately after surgery, and full results are achieved thereafter.

Why Should You Choose The Tecnis Symfony?

A big advantage of the Symfony IOL is most patients who receive it find that they no longer need their reading glasses to see things. Standard lenses used during cataract surgery will not change the need for glasses, and in many cases do not correct presbyopia. Another advantage over standard lenses is not having to worry about pesky halos and glare surrounding lights. The Symfony IOL improves vision for patients at all distances, which standard lenses cannot do.

How Do I Get The Tecnis Symfony?

Since the Symfony IOL lens is new technology to the United States, it can be difficult to find practices at which it is offered. Not to worry, because The Harman Eye Clinic is now offering the brand new Symfony presbyopia-correcting IOL. Contact us for more information about cataract surgery consultations.

The Symfony IOL is a revolutionary new lens, but not everyone is a good candidate for receiving this new technology. It’s important to talk to your doctor to see if cataract surgery is the best solution for you. For those that suffer from both cataracts and presbyopia, the Tecnis Symfony IOL lens could be the answer to regaining clear vision. To learn more about the Symfony, please schedule a consultation with one of our talented cataract surgeons.

The Harman Eye Clinic

903 Medical Center Drive, Arlington WA 98223

360-474-2561  360-435-8595  FAX 360-435-5233

http://www.20Better.com

Bring back the joy of childhood!

beachcombing

Wouldn’t it be great if you could go through the day without thinking about glasses or contact lenses to navigate?  Millions of people have discovered the freedom that comes from becoming functionally free.

Think about it.  Vision is the deciding factor for confidence, mobility, enjoyment, and on, and on, and on.  With vision, you can cook your dinner, drive your car, play tennis, swim, write a novel, play with your children, run in a race, smile at your spouse, take great selfies, read, dance, walk your dog.  It is true, you can do all these things with glasses and contacts.  And, if you are not sighted, you have learned how to get around the need for vision.  But you will agree, vision is a most wonderful sense.

Since 1995, we have been able to provide LASIK surgery to many people of the Pacific Northwest.  They have experienced a sort of rebirth experience.  Freedom from depending on glasses or contacts is invigorating, like the first day you drove with your new driving license.  It is worth looking into.

For more information, call our refractive consultant at 360-474-2561 or schedule an appointment.

 

The Harman Eye Clinic

903 Medical Center Drive, Arlington WA 98223

360-474-2561  360-435-8595  FAX 360-435-5233

http://www.20Better.com

 

Great vision provides freedom to play!

swimming-ilasik-001I have spent a lot of time lately in the swimming pool at the new Stanwood/Camano YMCA.  It is a great place and we are so lucky to have it in our area.  Having worked at The Harman Eye Clinic for over 27 years, I can’t help notice people with glasses who are teaching children to swim.  I see how they struggle with splashes and slipping glasses.  I wonder if they know how possible it is for them to live free from depending on glasses.

Our surgeons have successfully provided refractive surgery for people in the Pacific Northwest since 1984.  Among the options available are iLASIK, PRK, and Refractive Cataract Surgery with special lifestyle lens implants.  If you, or someone you know, wishes a new vision on life, it may be helpful to spread the news:  Glasses and contact lenses are not the only alternatives for vision correction.

For more information, take time to visit this website or give our Refractive Consultant a call at 360-474-2561 and see what vision options are waiting for you!  We look forward to hearing from you!

Barbara Aliaga, Executive Director, The Harman Eye Clinic.

 

Learn More

The Harman Eye Clinic

903 Medical Center Drive, Arlington WA 98223

360-474-2561  360-435-8595  FAX 360-435-5233

http://www.20Better.com