baby boomers

Cataract Surgery One Day Post-Op – A Journal IV

Day one after surgery. I was so excited, I didn’t sleep well. Realizing how dim my vision had become without me even realizing it blew me away! Colors are so much more…colorful! I couldn’t wait to go to work and see my quilts on display. Even washing my hands, the water seemed clearer. I got in the car to drive to work and when I turned on the headlights, the windshield looked clearer!

Amazing.

I was told to expect halos around lights for awhile. Yep, have those. But they don’t bother me. The floaters are just on the edge of my vision and not hard to ignore. Decided to see if I could go through the day without my glasses. I read the Bible without glasses (and not a large print version, either!). I worked all day in the office.

Saw my surgeon for the one day checkup. My best corrected vision before surgery was 20/25 with a fair amount of astigmatism. Now I can see 20/20 and a negligible amount of astigmatism. No glasses. I can see to read, work on the computer and drive. It’s like “normal” vision but so much clearer! If it continues to get better in the next few weeks as my vision stabilizes, well I can’t imagine.

I’m excited about life! Did the dim vision cause a bit of depression? Well, today I tried to give a hug to everyone I work with to thank them for the part they play in helping people like me see better. What a gift and a blessing.

Tap here to read A Journal V

What is an extended depth of focus lens? TECNIS SYMFONY®

 

An extended depth of focus lens is an integral part of the Lifestyle Premium lens implant menu at The Harman Eye Clinic in Arlington WA.

In 2016 the Food and Drug Administration approved two new types of intraocular lenses for use in cataract surgery—the and TECNIS SYMFONY® toric lens implants.

The Symfony® intraocular lens is the option of choice that I can offer my patients to improve their vision following cataract surgery, especially those who have difficulty focusing on objects at near distances because of presbyopia,” said Dr. Bajenova.

The Symfony® lens improves intermediate (and in many cases near vision), thereby treating presbyopia. The Symfony® toric lens not only corrects presbyopia, but also astigmatism.

“Many of my patients live very active lifestyles and want to see clearly at all distances, and without glasses if possible,” said Dr. Ballon. “With the Symfony® lens, I can give patients the freedom to enjoy the activities that matter to them, while wearing glasses less.”

Traditional Cataract Surgery compared to an Extended Depth of Focus lens
During cataract surgery, the natural lens of the eye is removed, and an artificial lens, called an intraocular lens, or IOL, is inserted into the eye. Many patients still believe the only IOL available to them is a traditional monofocal lens, which only allows the person to see at a distance, with closer objects being out of focus.

“We take extra time during a patient visit to explore IOL options,” said Dr. Wietharn. It takes more time with staff and myself to introduce new concepts but we think every patient should be aware before surgery, whether or not they wish to take advantage of state-of-the-art technology.”
In contrast to the traditional, standard IOL, the Symfony® lens was specifically developed with features to improve both the range and quality of vision.

The Importance of Pre-Surgical Discussions with your Surgeon
“There is nothing as good as the original equipment from the manufacturer when you are a teenager,” says Dr. Ballon. “That said, the Symfony® lens is the best addition to our lens inventory to date.”

Symfony® lens is successful because it provides a continuous range of focus for both distance and intermediate (computer) vision. Patients who continually require absolute fine detailed vision, such as accountants or those who like to read paper, small-print books in bed without glasses may appreciate a comparison discussion over Technis multifocal lens and Symfony®. These patients who have the Symfony® lens may choose over the counter reading glasses (+1.50 cheaters) for fine print. Others who require fine-print access leave behind need for reading glasses by using their computers, smart phones and pads, to do their reading in bed and fine print projects. It is important to discuss comparison options before surgery by sharing your lifestyle and vision expectations.

The Symfony® lens also offers excellent quality of vision without loss of contrast sensitivity. Some patients who may not be a candidate for the Tecnis Multifocal lens due to, say, an epiretinal membrane (wrinkle in the macula) which may decrease contrast sensitivity, for example, may still be a candidate for the Symfony® lens. Presently, it is the only lens on the market that corrects chromatic aberrations, a feature that improves reading ability. The rings are larger than the Tecnis Multifocal lens, so that halos at night are much less prominent. Patients under the age of 60 tend to tolerate the Symfony® lens much better than multifocal lenses. Although the Symfony® lens is designed for bilateral implantation, patients with a cataract in just one eye seem to tolerate the Symfony® lens well, but the full benefits of reading are best when it is implanted bilaterally.

A LifeStyle Worksheet is available for our patients so that they can prepare. Many patients come for cataract surgery consultations with little or no information about what we call LifeStyle lens implants. The Symfony® is one such lens. Much of the senior population have come to accept that glasses are a part of their life. Some will even say that they like wearing glasses. That is fine, if true. Patients who were eligible and chose to have a LifeStyle lens implant continue to tell us how grateful they are to get up in the morning, look out the window, read the time on their smart phone, and remember how good it is to see with little or no dependence on glasses.

TAKE AWAY POINTS:

  • Extended depth of vision was approved by the FDA in 2016
  • Symfony® and Symfony® toric lenses can extend depth of vision: far, intermediate, and near
  • Symfony® and Symfony® toric lenses can offer quality of vision without loss of contrast sensitivity.
  • The traditional lens implant for cataract surgery is a monofocal lens (vision for one point of vision). Reading glasses and glasses for intermediate vision is expected after surgery.
  • To proceed with confidence, prepare by listing your lifestyle vision requirements and expectations before meeting your cataract surgeon.

Download our latest, comprehensive Patient’s Guide to Successful Cataract Surgery, or request an appointment for a cataract evaluation and your surgeon will be able to address your questions on an individual manner after your eyes have been examined with an overall evaluation of your health, life-style and vision potential. Call The Harman Eye Clinic in Arlington today, the first step to life without cataracts.

Symfony Lens Implant with Cataract Surgery

Our patients appreciate that we are leaders in cataract surgery technology.  With the recent FDA approval, the Symfony lifestyle lens implant provides an extended depth-of-focus at near, distance and intermediate.  Our surgeons are pleased to experience these wonderful results!   Gerald Balamucki shares his impression just one day after surgery.  Today he demonstrated the ability to read in the distance, intermediate and up close without glasses in the newly implanted eye.

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

Cataract Surgery Patient Workbook is here!

Cataract Surgery Patient Workbook (dragged)Download the most recent copy of our Cataract Surgery Patient Workbook.

We hope this workbook will assist you up to the day of surgery and beyond.  We understand how nervous people can be when they anticipate their first eye surgery. We encourage you to enter into this event with a clear and relaxed attitude.  The more you know, the more you can participate in the success of this surgery.  The American Academy of Ophthalmology estimates that cataracts affect 22 million people in the US.  Know you are not alone and you are in good hands. This Workbook is created to help organize and convey what you will need to know.

We’ve been performing cataract surgery for over 30 years.  You can rest assured we know our stuff.  Now it’s you we wish to bring into our practice and share what we know so that you will move forward with confidence.

In this workbook you will find what we call the Cataract Process.  We will discuss the big picture so you will know where you are going.

We will look at the procedures leading up to the day of surgery.

We will also take a look at Medicare policies that create a safe environment for you.

And, in the back of this booklet is the paperwork that you will need at various points of your journey.

So, are you ready?  We will be with you all along the way.  Congratulations on finding a way to rejuvenate your eyesight.  We hope for the best outcome for you!

— the Doctors and Staff at The Harman Eye Clinic

 

Current Treatment For Cataracts

What are the treatments for cataracts?What Is The Current Treatment For Cataracts?

Cataract surgery is a simple, relatively painless procedure. This surgery is the most frequently performed procedure in the United States, and also one of the most successful.  During surgery, a small incision is made in the eye to remove the cloudy lens and replace it with a clear silicone lens, called an implant. Once the opaque lens is removed by your surgeon, there is now opportunity to replace it with a variety of lenses.  Before cataract surgery, an intraocular lens implant (IOL) measurement is made to determine  the lens power.  This measurement will incorporate your glasses prescription. Without an implant, you would need to wear very strong glasses or contact lenses.

Are there different types of lens implants?

Yes, there are standard lens implants and special custom lens implants.  Careful discussions with your surgeons lead to a recommendation that best fits your vision needs.

Who is a good candidate for multifocal and accommodative lens implants?

Patients who are highly motivated to be functionally free of glasses for reading, computer work and driving are good candidates. A multifocal lens compensates for the eye’s inability to change shape by allowing the eye to see at distance and near simultaneously through the same optic.  A good candidate has realistic expectations and understands that these lenses are not the same as the natural lens of a young person.

Description of Available Lenses

Will you see 20/20 after surgery?

We hope so, but there is no guarantee.  You are paying for the service and the implant and not for a guaranteed result.  We counsel each patient that they should expect to use glasses on occasions where they wish very fine detail.

If you receives a multifocal lens there is a good chance you won’t need glasses. Eighty percent of patients implanted with the diffractive and refractive lenses in their respective FDA clinical trials did not need glasses after surgery for distance or near vision. Of course, not every patient in the trial was spectacle independent.

ORA Optiwave Refractive Analysis System

The ORA System gives your surgeon an analysis of your eye during your procedure, enhancing the outcome of your premium cataract procedure. ORA measurements are taken after the clouded cataract is removed, when the surgeon has a clear view of your eye.  It is at that time that a final determination of the best lens implant is made.  An ORA-guided cataract procedure offers fully customized premium lens placement, helping ensure you have great vision for life.

The use of the ORA is included in the global fee for premium lens upgrades.  However, patients who wish to use this feature during surgery may opt to pay a nominal fee to assure they will receive the best implant outcome for distance.

How Fast Will I Recover From Surgery?

Your vision may be blurry up to 24 hours following your surgery since your eye will still be dilated. Most patients leave without a patch. Clear Cornea Cataract Surgery involves no stitches or sutures. Because topical anesthesia is used, fast restoration of vision is possible. The incision required is very small and is made through clear corneal tissue which has no areas of blood vessels.  A safer, topical anesthesia is used in place of the traditional injection block of days past. These differences allow our surgeons to perform surgery on patients with preexisting medical conditions without interfering with those conditions.

Postoperatively you will be asked to avoid swimming and makeup for two weeks, free to enjoy your restored vision.

We are here to help answer your questions.  Please feel welcome to call our staff at 360.435.8595.

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

Beginning To Think About Cataracts? Here’s A Good Starting Place.

What are cataracts?

What are cataracts? How do I know if I am ready for surgery?

What are cataracts?

The human eye is like a camera, your eye has a clear lens through which light passes for you to see. Like a camera, when the lens of the eye is cloudy, not as much light can pass through the lens. Clouding of the human eye lens is called a cataract, a medical condition in which the lens of the eye becomes progressively opaque, resulting in blurred vision. Cataracts cause a progressive, painless loss of vision.

What Causes Cataracts?

The most common cause of cataract is more candles on the cake.   The lens inside of our eyes naturally become cloudy over time.  Cataracts can also be cause by UV light exposure, diet, eye trauma, previous eye surgeries and certain types of medications.  It is said that if you live long enough everyone will get cataracts.

How Do I Know If A Cataract Is Developing? 

One of the first noticeable symptoms of cataracts is a bothersome glare that makes night driving difficult. Other symptoms include halos around lights, light sensitivity, double vision in one eye or temporarily improved near vision.

You may be ready for surgery when you can no longer do the things you enjoy in your everyday life.  These might include driving at night, reading, painting, sewing, golfing, reduced socializing. Things you normally like to do, you now avoid because they are more difficult.

If you are still unsure, take the Cataract Self-Evaluation Test:

Cataract Self-Evaluation

Please circle all that applies to your situation.

Does your vision make it a challenge for you to:

  • read the newspaper?
  • read a book?
  • read a traffic sign?
  • drive in the rain?
  • drive in bright sunshine?
  • drive in the fog?
  • see a road sign at a distance?
  • recognize a face from across the room?
  • read the television menu?
  • enjoy your hobbies?

Do you have difficulty in judging distances:

  • seeing steps?
  • walking down stairs?
  • while driving?

Do you have trouble

  • transitioning from bright light to dark?
  • driving through a tunnel?
  • seeing objects in the shade when you are in the sunshine?

Are you bothered by

  • poor night vision?
  • seeing star-bursting or rings around lights?
  • glare from headlights?
  • glare from sunshine?
  • blurry vision?
  • eyes are fighting each other?
  • Do you find that you need brighter light to read?
  • Does your vision cause you to be fearful during the daytime?
  • Does your vision cause you to be fearful during the night or dusk?
  • Do you avoid driving due to your vision?

How do you feel your vision is affecting your life on a scale of 1-10

(1 is no problem, my vision is fine and 10 is my vision is impacting my life.)

Circle one:        1 2        3 4       5         6         7        8        9       10

_____________________________

The above is taken from the Patient Guide to Successful Cataract Surgery.  It can be downloaded for free to your computer.  If you are still unsure as to how or when to proceed to improve your vision, feel free to call us at 360.435.8595.

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

Advanced Technology Lifestyle Lenses

Advanced Technology Life Style Lenses

This link leads to a presentation, a way to think about the choices in lens implants when having cataract surgery.  We hope it is helpful for you also.  The presentation is interactive in that you may advance forward, backward or even zoom into whatever interests you.  Press play and the presentation will automatically advance … your choice.  Thanks, Prezi.com!

Advanced Technology Lifestyle Lenses

 

 

For more information, Quality Life Depends on Maintaining Good Vision

Patients’ Vision Enhanced with Multifocal Lens Implants

For more information:  Visit our website

Our Patients Lead The Way!

Over the past twenty years we have listened closely to the needs of our patients and responded accordingly. We daily raise our service IQ to improve on service based on patient recommendations.

Recently we found that by utilizing emails and texting and a company called Demandforce, we can communicate at a faster and more realistic rate. Our patients have been empowered to tell us, both in a private survey and in a public review, how we can improve, and they are now advocates for excellence.  Our patients lead the way to bringing the best in eye surgery to future patients.

Our doctors and staff are grateful for all those who have taken time to review their experience each time they are here. Thank you!

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Bruce Jay Ballon, MD, New President/CEO

You may have felt the lively, enthused energy rising from the city of Arlington.  We have been celebrating the well-deserved retirement of Dr. Lee Harman who has turned over the reigns to Dr. Bruce Ballon. now President/CEO of The Harman Eye Clinic, and Dr. Bruce Wietharn, now Vice President.

Dr. Ballon and Dr. Wietharn are getting ready to welcome  Dr. Bajenova’s arrival on July 18th.  Diligent planning has led to a confident outcome.  Our surgeons are ready to serve patients for:

    • Cataract surgery with standard lens implants. multifocal lens implants and toric astigmatic lens implants
    • iLASIK refractive surgery, with Intralase and VISX S4 technology
    • PRK
    • Ptyerigium repair
    • SLT glaucoma laser
    • YAG laser
    • Retina laser
    • Lucentis and Avastin injection treatment for macular degeneration
    • FA angiography
    • OCT diagnostics

We are providers for most all insurance plans, including the following:

    • Group Health
    • Community Health
    • Medicare and Medicaid/DSHS
    • Molina
    • SoundPath Health

Our website, www.20Better.com, now has a patient portal.  Patients can register directly from our website and request their appointment.  And, each Referring Doctor can have a portion of the “cloud” on our server to safely exchange pre- and post-operative patient information.  A quick phone call to our office and we’ll set it up for you.

Let us know if there are any other ways we can better serve you.  We appreciate the trust you place in our surgeons and staff.