dry eye

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

 

 

Great News!

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Clinic schedule redesigned to see more patients!

Clinic schedules have been redesigned to include routine and medical exams.  A common favorite focuses on symptoms of dry eye.  We provide advanced TearLab Osmolarity to measure the level of tear film.  It may not sound like an important feature to your eyesight, but adequate tear film will aid in great vision.

We have found the TearLab to be an important asset in helping find solutions and create a treatment plan for allergies, watery eyes, itchy and irritated eyelids.  This is the type of exam that has been set aside in addition to eye surgical evaluations.  It turns out many pre-surgery patients need to take care of their dry eye prior to LASIK or cataract surgery.

With our new schedule design, doctors can now accommodate patients within two weeks of their appointment request. For more information, please call our office  360-435-8595 or 800-755-3937, or schedule an appointment on-line, www.20Better.com (right side column)

See You Soon,

Dr. Ballon, Dr. Wietharn and Dr. Bajenova

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Tear Lab Testing for Levels of Dry Eye

The Doctors at The Harman Eye Clinic are not only superior eye surgeons, but also adept in diagnosing and treating the symptoms from dry eye.  Doctor Ballon, Doctor Wietharn and Doctor Bajenova are currently accepting new patients.  You can schedule on-line through our website or by calling 360.435.8595 or 800.755.3937.

Patients Are The Reason For Our Existence!

What’s the latest in testing for dry eye?

Red, stinging, irritated eyes are often endured rather than treated.  It’s hard to realize that the condition of your tear film directly affects the clarity of your vision.

When you decide to have LASIK, PRK, or  a mutlifocal lens implant,  your Dry Eye Condition can get in the way of achieving the wonderful, clear outcome you desire.

If you wish to learn more about our TearLab read on.  Choosing  LASIK this year is a life-changing decision.  Taking care of your dry eye disease beforehand can be one of the most important things you do for yourself to assure the visual outcome you desire.  Let us know how we can help!

 

Help Us Share The News!

Thank you for your continued confidence. We appreciate your kind words of encouragement. When you think of LASIK or Cataract Surgery, think of The Harman Eye Clinic!

Available Ophthalmology Services with Education Links

iLASIK Refractive Vision Correction: IntraLase bladeless flap maker; VISX S4 Excimer laser with iris recognition and tracking technology:  PRK (penetrating refractive keratoplasty); CustomVue and WavePrint LASIK.

Cataract surgery:  Crystalens AO lens implant; Tecnis multifocal lens implant; Tecnis monofocal aspheric standard lens; Toric lens implant to correct astigmatism;  in addition to cataracts; Bioptics (LASIK after cataract surgery) to refine vision correction and is included in multifocal lens package; LRI (lamellar radial incisions) to correct astigmatism in addition to cataracts

Comprehensive Eye Exams including glasses prescription: Glaucoma, Diabetic,  Macular Degeneration, RetinaDry Eye Syndrome, Cataract, Refractive Evaluations, Functional Eyelid Repair

Intravitreal Injection: Avastin (to treat wet macular degeneration), Lucentis (to treat wet macular degeneration), Triesence, a steroid, (to treat and prevent chronic inflammation), Kenalog, a steroid, ( to treat and prevent chronic inflammaton

Pterygium surgery

Ptosis Repair of eyelids

Therapeutic PTK (PRK) for recurrent erosion of cornea

LASERS:  SLT (Selecta laser trabeculoplasty) for glaucoma; YAG YLI (YAG Laser Iridotomy) for glaucoma; YAG Capsolotomy for posterior capsular opacity PCO (after cataract); YAG Vitreolysis (vitreous has come forward into anterior chamber; this procedure helps it to retract); ARGON focal (specific area of blood vessels is cauterized) stops progression of blood vessels in the peripheral retina (diabetics);  ARGON PRP (diffused area of blood vessels is cauterized) stops progression of blood vessels in retina (diabetes);  ARGON — treating a retina tear (tach welding) creating a little scar so that the retina cannot pull away from that area prophylasis; ARGON retinopexy — creates border around detachment that has started to detach to prevent a full detachment.

Always present for your eye surgery needs,

Dr. Ballon, Dr. Wietharn and Dr. Bajenova!

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Accredited Dry Eye Center

Tear Lab Dry Eye Accredited

The Harman Eye Clinic is keeping up with the latest technology in the diagnosis and treatment of dry eyes and was recently certified by TearLab as an “Accredited Dry Eye Center”. By being certified The Harman Eye Clinic has demonstrated expertise and dedication to the most advanced technologies and treatments in the management of dry eye disease. Dr. Ballon, Dr. Wietharn and Dr. Bajenova have extensive experience in the diagnosis and treatment of dry eye disease.

We have the ability to measure tear osmolarity with the TearLab test, which helps us diagnose, treat, and monitor a patient’s dry eyes.   The Harman Eye Clinic is an Accredited Dry Eye Center, dedicated to providing the highest quality of dry eye care using advanced ophthalmic diagnostic techniques and treatments.

An important preparation for refractive surgery is to treat the condition known as Dry Eye Disease.  This is a common challenge for preoperative patients.  Thanks to new technology we can now treat dry eye in ways never before available. The latest in technology is called The TearLab. It measures a small sample of the patient’s tears to see how “dry” they really are. Our clinic is one of the first ophthalmology practices in the pacific northwest to offer this advanced diagnostic evaluation.

Treatment is prescribed based on the measurements from the TearLab. Treatments range from Omega 3 supplements, tear replacement drops, punctual plugs, anti- inflammatory drops, oral antibiotics and prescription strength artificial tears.

Call 360.435.8595 for more information about our Dry Eye Center.