Our latest edition of
A Patient Guide to Cataract Surgery
is now available for download!
Our Surgeons are always on the lookout for additional diagnostic equipment that will contribute to an individualized treatment plan for refractive surgery patients. The iTrace is especially helpful when patients with previous RK surgery are ready to seek cataract surgery with lifestyle lenses. The iTrace offers a better picture and helps open the conversation between surgeon and patient to achieve realistic expectations based on specific multifaceted data. This article may better describe the benefits of pre-surgical refractive diagnostic testing at The Harman Eye Clinic.
What is an iTrace exam?
The iTrace exam is a very quick reading taken with an imaging device. The iTrace’s breakthrough technology quickly provides technical information about your vision that is not available through other tests performed during a typical eye exam.
Our staff position you at the instrument and quickly acquires the data. It is painless, non-invasive and does not require your eyes to be dilated. Your doctor uses this unique information about your eyes to make clinical decisions.
How is the iTrace different?
The iTrace uses “Star Wars” technology that was first developed for space and military applications. The iTrace measures the eye differently than any other test available and gives information to your doctor that no other tests can. Your iTrace Exam can help your doctor better answer many questions you might have about your eyes, including:
How will your surgeon use the information from your iTrace Exam?
The iTrace analysis can be used for solving many vision problems. For example, if you are interested in refractive surgery or LASIK, your surgeon can determine if you are a good candidate. If you are in your 40s or 50s and not seeing as clearly as you did when you were younger, your doctor can know which vision component of your eye is causing the change. If you have a cataract, your doctor will use the iTrace information to help select the best intra-ocular lens (IOL) for your eye and to plan surgery. If you are having night vision difficulty, your doctor can analyze how your eyes see in light and dark conditions and possibly prescribe a different pair of glasses for nighttime. The iTrace gives your surgeon information that has not been available through other tests, and this will allow him to customize his treatment options to give you the best possible vision.
The iTrace measures quality of vision and visual function using a fundamental thin beam principle of optical ray tracing, a first in eye care diagnostics. The iTrace sequentially projects 256 near-infrared laser beams into the eye to measure forward aberrations, processing data point-by-point. This 5-in-1 system provides auto-refraction, corneal topography, ray tracing aberrometry, pupillometry and auto-keratometry. Our Surgeons compare these measurements with the more traditional measurements taken during your exam. What does this means for you? A higher chance of best vision after your surgical procedure or, even more important, saving you from having a surgery that cannot meet your vision expectations.
903 Medical Center Drive, Arlington WA 98223
360-474-2561 360-435-8595 FAX 360-435-5233
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
(July 2, 2014 — Arlington, WA) Cascade Regional Eye Center, Inc., PS, dba The Harman Eye Clinic, located at 903 Medical Center Drive, the premier eye surgery center in the Pacific Northwest for over 30 years, has acquired a new owner. Bruce J. Ballon, MD has sold 50 percent of the practice to Bruce E. Wietharn, MD. The two doctors will alternately share the role of President and CEO annually in addition to their services as ophthalmologists and eye surgeons since 2002 and 2004 respectively.
The purchase of this practice reflects a long-term relationship built over the past decade. Each holds the gold-standard of excellence, confidence, depth and continuity in personal service. Their partner, Natalia V. Bajenova, MD, joined the practice in 2012 and is slated to purchase one-third of the practice in 2022.
Serving patients of the Pacific Northwest since 1984, The Harman Eye Clinic primarily provides advanced customized LASIK surgery as well as Refractive Multifocal Lens and Standard cataract surgery. Patients are customarily referred and co-managed through area eye doctors for surgery; however, patients may seek surgical solutions for their eye challenges through appointments.
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!
For more information, Quality Life Depends on Maintaining Good Vision
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?
903 Medical Center Drive, Arlington WA 98223
360-474-2561 360-435-8595 FAX 360-435-5233
Patients who have an astigmatism and are candidates for cataract surgery can request a Toric Lens Implant to help improve their vision. A Toric IOL can treat both the cataract and astigmatism in one surgical outpatient procedure.
Previously, surgeons tried to change the shape of the cornea through an incision during cataract surgery. Now with the creation of the Toric IOL, vision can be improved or repaired without the need for more surgery. The Toric IOL helps to refocus vision, and is designed with the same technology as contact lenses.
Here, Dr. Bajenova completes a postoperative visit with her patient before she returns to Alaska. She had six diopters of astigmatism before surgery.
NO MORE “WAIT & SEE” CATARACT SURGERY:
The Harman Eye Clinic Now Offers the ORA System® with VerifEye™for 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.”
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.
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.