Eye Surgery

Cataract Surgery – A Journal II

Joyce Bowley

Joyce Bowley, ASC Patient Surgery Coordination

Getting ready for surgery day. I’m between the age of 60-65 with no health issues, so I was able to have the need for my MD to clear me for outpatient surgery deferred. After the schedule was set, the nurse sat and explained my pre-op instructions to me: morning meds with a sip of water, nothing to eat or drink past midnight, the need for a driver. They will start an IV, so I’ve got to drink lots of (hydrating) fluids the day before to ensure the best veins.

Now, since I work in the Surgery Center, I volunteered to work until it was time for me to be admitted. The only problem I can foresee is a caffeine headache when my body realizes it’s not getting its daily dose. I went for years eating one meal a day, so I don’t see a problem with not eating until after surgery. I certainly don’t want to risk being nauseous while my eye is being worked on!

I have been approved for what’s called “dropless” surgery. This means I won’t have to pick up any prescriptions for a set of eye drops (antibiotic, steroid & NSAID) to use before and after surgery. Instead, the medication will be placed in the back of my eye at the time of surgery. Thank goodness! While I’ve figured out the best way to put drops in my eye, remembering to do so 4 times a day would probably require hiring a personal assistant!

Am I nervous about having surgery? Well, I am fortunate to know this team of surgeons and staff and be familiar with the entire process from A-Z. I have total faith in my surgeons skill. In the back of mind, I know that any surgery comes with risks and possible complications. I choose not to dwell on negatives. What would be the point? I will pray for the surgeon and his team and let God do the worrying. (This is what got me through my two children doing 8 tours with the Army in Iraq & Afghanistan without a nervous breakdown.)

My surgeon has told me I’ll need to be diligent in taking care of my dry eyes. For me, the hours I spend staring at computer screens has led to dry eyes. Seems I forget to blink! I do take fish oil every day as he’s recommended, which has certainly helped. But surgery will disturb the surface of my eye, so I will stock up on Preservative Free artificial tears for use after surgery. Plus, years ago I did have an injury to my left eye that has caused what is called “recurrent corneal erosion.” I used to have yearly flare ups, but since I started with the fish oil I haven’t had any problems. I’m aware this problem is ever present and I need to be responsible for constant care.

Other than that, I think I’m ready!

Tap here to read A Journal III

Showtime with Pam!

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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!

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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

 

iLASIK Booklet Helps Patients Navigate Through Refractive Eye Surgery

The latest informational booklet has been released over the weekend.  You may download it without any obligation and free of charge.  It will introduce you to The Harman Eye Clinic Surgeons and numerous pieces of information that will help you decide whether LASIK can be in your future.

LASIK 2014 Winter Magazine

LASIK 2014 Winter Magazine

Quality of life depends on maintaining good vision. Careful discussions will help sort through lens implant options.

So Many Options

Special custom lens implants.  When considering cataract surgery, good candidates for special custom lens implants are patients who are highly motivated to be functionally free of glasses for reading, computer work and driving. 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, while most effective, are not the same as the natural lens of a young person.

To help you prepare for your discussion with your surgeon the following categories of lens implants are presented with links to the specific lens implant patient education page.

A standard lens is designed to give you vision at one focal point.  Most patients who choose a standard lens will have great vision for distance, but will require glasses for reading up close or even on a computer.  This is considered a medically necessary procedure and is most commonly covered by your insurance company.  Most commonly used, Tecnis IOL

Monovision.  A few patients ask their surgeon to choose a standard lens correction with a target for one eye’s vision set for near and the other for distance vision.  This is called “mono-vision”: One eye sees in the distance and one eye sees up close.  When both eyes work together the brain decides which eye to pay attention to.  This option is not for everyone. Those who have used contact lenses successfully with mono vision might be a happy candidate for this option, and those who have never heard of mono-vision would probably pass on this plan. Most commonly used, Tecnis IOL

Multifocal Lens.  The advanced TECNIS® Multifocal is an implantable lens that restores vision after cataract surgery and corrects presbyopia (the need for reading glasses). It offers an excellent chance to become spectacle independent.

While most insurance companies will pay for the standard lens and will pay this portion for all patients no matter what lens is chosen, the multifocal patient will pay an additional fee for the presbyopia correcting function of the premium lens package.  Tecnis Multifocal

Presbyopia Correcting Lens.  The unique Crystalens is designed to allow you to enjoy a fuller, more natural range of vision for most activities, including: reading a book, working on the computer, and driving a car.

Crystalens was modeled after the human eye. Like the natural lens, it is a lens implant that uses the eye muscle to flex and accommodate in order to focus on objects in the environment at all distances. Crystalens dynamically adjusts to your visual needs.  Crystalens AO

Astigmatism Correcting Lens.  Today’s advances in medical technology allow eye surgeons to correct both cataracts and astigmatism at the same time. In many cases, this may reduce the need for eyeglasses. However, it is important to understand that since everyone’s vision, expectations, and lifestyles differ, it is difficult to determine how much you will be dependent on glasses after surgery.  This discussion can take place with your surgeon. Trulign Toric,  AMO Toric Lens, AcrySof Toric Lens

For more information visit our website or call us at 800.755.3937.A comprehensive evaluation for cataract surgery now takes up to 2 hours.  It is time well spent when so many options for your future may be explored in light of your daily activities, your general health, the health and uniqueness of your eye anatomy and best of all building a relationship with your surgeon.

Please let us know if this article has been helpful?

 

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

ORA – Optiwave Refractive Analysis System

Today The Harman Eye Clinic invested in new technology that can improve surgical outcomes!  See new release below.
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NO MORE “WAIT & SEE” CATARACT SURGERY: 

The Harman Eye Clinic Now Offers the ORA System® with VerifEyefor LASIK-Like Cataract Surgery Results   –  ORA-Guided Cataract Surgery is a ‘Truly Remarkable’ Advancement Now Available to Local Patients 

Arlington WA– (2013) – The Harman Eye Clinic is the first in the area to offer a breakthrough cataract procedure technology that enables surgeons to provide LASIK-like visual quality to area patients. The ORA System® with VerifEye™ is a revolutionary new way to analyze the eye during premium cataract surgery, enabling our doctors to tailor treatment specifically to each patient’s eye.

“We’re extremely pleased to offer ORA-guided surgery with VerifEye to treat cataracts, because this takes the procedure to new heights,” said Dr. Ballon. “When you add VerifEye to ORA-guided surgery the result is a more precise, more refined visual outcome – and more satisfied cataract surgery patients who literally see the results themselves.”

ORA-guided cataract surgery enables our doctors to measure the eye and refine visual outcomes during the procedure, rather than having to ‘wait and see’ weeks or even months afterward, as with traditional cataract surgery.  Dr. Ballon, Dr. Wietharn and Dr. Bajenova use ORA System measurements to guide the procedure and help ensure patients get the best possible vision. ORA measurements are taken after the clouded cataract is removed, when our surgeons have a clear view of the eye.

ORA-Guided cataract surgery is compatible with all premium lens implants and technologies. Patients can feel confident they’ll receive the best possible result, no matter what premium cataract procedure they select.

This advancement marks a real turning point in the field of cataract surgery,” said Dr. Wietharn.  “The ORA System with VerifEye offers advanced guidance that results in increased confidence for me and optimized outcomes for my patients. It’s the breakthrough we’ve been waiting for in our effort to help patients achieve better vision for life.”

Screen Shot 2013-12-03 at 12.57.35 PM Whether the patient has had LASIK or has astigmatism, an ORA-guided cataract procedure provides the security of knowing they can have the best possible outcome, and reduce the chance of needing an additional procedure.

 

Eye Surgeon, Dr. Bajenova

Eye Surgeon and Ophthalmologist, Dr. Bajenova has arranged to see patients in Edmonds on Wednesdays.

Eye Surgeon and Ophthalmologist, Dr. Bajenova has arranged to see patients in Edmonds on Wednesdays.

Dr. Bajenova sees patients in our Arlington Clinic and Surgery Center and also in our Edmonds office See Directions

Dr. Bajenova brings a fresh and professional love for ophthalmology to The Harman Eye Clinic. Her ability to speak fluent Russian and English is a wonderful asset for the Northwest community!

Dr. Bajenova performs refractive surgery including Bladeless CustomVue iLASIK, PRK, medical laser surgery, Refractive Lens Exchange, Cataract Surgery with standard or premium upgrade multifocal lenses and works very closely with our co-managing doctors throughout the northwest to bring about the best in eye surgery and the convenience of local postoperative care. She also provides Avastin and Lucentis injections for macular degeneration patients.

Dr. Bajenova welcomes new patients for refractive surgeryLASIK, PRK and Mutlifocal Premium Lens Implants.Dr. Bajenova is recognized for her unbending desire to give 100% of her attention and energy to any given activity. Dr. Bajenova believes, along with her partners, Dr. Ballon and Dr. Wietharn, that the relationship between doctor and patient is the most important element to successful eye surgery.She holds impressive credentials.

Dr. Bajenova came to the United States from Russia, 1999. She attended Khabarovsk Medical University, Khabarovsk, Russia, 1994-1999. From the University of Washington, she received a Bachelor of Science, cum laude in Biology with minor in Music, 2003. She earned her Doctorate in Medicine, with honors, University of Washington School of Medicine, 2008. Her Ophthalmology Residency was completed in Kellogg Eye Center, Ann Arbor, MI, 2012.

Dr. Bajenova’s philosophy is one that connects closely with her patients. She gets involved in their needs and concerns. She enjoys being a part of her patient’s happiness when they improve their vision.

Committed to Excellence! Dr. Ballon, Dr. Wietharn and Dr. Bajenova are partners and plan to work here at The Harman Eye Clinic until the day they retire. This fact is comforting to patients who seek a commitment and wish to develop a rapport with their eye doctor and surgeon.

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!

 

LASIK is designed with healthy eyes in mind? Are your eyes healthy enough?

Beautiful woman smiling with both thumbs upCould you be a candidate for LASIK?  Refractive Eye Surgery is for patients with healthy eyes.  Or tap here to find 4 ways to see if iLASIK would work for you!

Here are four questions that will help you determine your eligibility:

1) Are you able to see close to 20/20 with glasses? If answer is yes, then you may be a good candidate so far! (If no, read the last paragraph).

2) Do you consider your vision to be normal with the exception of glasses? If you answered yes you may be a good candidate so far! (If no, read the last paragraph)

3) Do you have any history of serious eye disease: glaucoma, diabetic retinopathy, retina surgery? Yes, you are probably not a good candidate and read the last paragraph.

4) Have you ever worn contact lenses?  Yes, you will need to be out of your contact lenses for  2 weeks for soft lenses, and a minimum of 2 weeks for hard contacts plus additional weeks for each decade you have worn contacts, before you come in for a dilated evaluation appointment.  You could come in for an initial evaluation to meet your surgeon and receive motivation to stay out of your lenses!

5) Females: Are you pregnant? Yes, you are probably not a good candidate until nursing has stopped.  Your vision may change during your pregnancy and the calculations for surgery will not be accurate for the long-term.  It is far better to wait.

If you think you may be eligible for LASIK, take a self-evaluation test.

LASIK is designed with a healthy eye in mind. This surgery will not improve poor vision and could potentially make your present condition worse. It may help you to discuss with your eye doctor further reasons why LASIK may not be for you. We hope these comments have been helpful. Your comments are welcome.

Tap here to find 4 ways to begin your adventure!