Savings in refractive surgery

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.

Guide To Successful iLASIK

Transform Your ThinkingOur staff have been hard-at-work creating in fun, new ways!  One of their projects was to record remarks within a recent presentation.  We discovered prezi.com and fell in love with a software that views presentation slides as a personal canvases with paths from one to another.  Such fun.  The staff decided to place some conversation, videos and will probably come up with more surprises in the future.  For now, however, it is located here.  Or, you can view it on Youtube.

Since it’s a first attempt, we’d love to hear from you.  What would you like included in this Guide?  What would you like us to spend more time on?  Thanks in advance for helping us improve our newest ways to communicate!  Or you can visit our iLASIK website.

Best to you!

Addendum:  If you would prefer, we also have a Guide To Successful iLASIK pdf format that may enhance your background on iLASIK.  Let us know what you think.

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

FAQs About LASIK

FAQs about LASIK — Correcting Nearsightedness, Farsightedness, and Astigmatism

What is the ideal age for LASIK?

LASIK can be performed as soon as age 18, but it is preferred to wait until age 21 and the eyeglass prescription must be stable, ideally for two years.

There is no maximum age for LASIK, but patients over 60 often will have cataract formation, and when vision is affecting activities of daily life, cataract surgery is performed, often with an advanced technology, multifocal lens implant.  LASIK can be used to  fine tune the implant results for optimum visual results.

What are contraindications for LASIK?

Any known damage or disease process is likely to be a concern, and at least a relative contraindication to LASIK. Patients who carefully share their medical history create the groundwork for best surgeon/patient relationship, and ultimately the best visual outcome for the individual.  Here are a few of these concerns:

  • Autoimmune diseases can cause corneal problems and healing problems and are an absolute contraindication for the procedure.
  • Pregnancy and nursing can cause changes in the vision prescription, so it is best to wait at least 3 months after weaning before having measurements for LASIK.
  • Ocular herpes is a contraindication to LASIK, but some surgeons may feel it is permissible as long as there has been no activity for over one year, and no corneal scarring is present.
  • Severe dry eye is a relative contraindication to LASIK, but mild cases can often be treated successfully prior to LASIK.

What are the risks of LASIK?

The most feared complication is infection.  Antibiotic eye drops are prescribed to help minimize the risk, which has been quoted at about 1/1000.  It is best to avoid swimming, hot tubs and eye makeup for a week after surgery to help prevent problems.

How long does one need to be out of contact lenses before measurements for LASIK can be done?

The general rule is 2 weeks for soft lenses; and 3 weeks for rigid (Gas Permeable) contacts, plus one week for each decade of wear (for example, out of gas permeable contacts  for 7 weeks if you have been wearing them for 40 years.)

What prescription can LASIK treat?

Myopia, up to 11.0 diopters of correction, with or without astigmatism up to -3 diopters (Contrast vision is diminished after treatment of about 10 diopters, and so phakic intraocular lenses such as Verisyse or Visian lenses may be preferred).

Hyperopia, up to 3 diopters of correction with or without astigmatism up to +2 Diopters.

Mixed astigmatism, up to 5 diopters.  In mixed astigmatism, the unequal curvature of the cornea (and sometimes also the lens inside the eye) results in one meridian of the eye to be farsighted and a second meridian (perpendicular to the first) to be nearsighted.  Mixed astigmatism usually can be successfully treated with LASIK but results might be less predictable than surgical correction of simple nearsighted astigmatism.

Will I still need to wear glasses?

I like to say, “Nothing is as good as original equipment from the manufacturer when you are a teenager!”  Of course, after age 40 everyone is expected to need reading glasses or bifocals.  Some people may need night driving glasses, especially if nearsightedness (myopia) is intentionally under-corrected in older patients to preserve some reading vision without glasses.

What else should I know about LASIK?

There are several ways to approach your quest for better vision and vision without depending on glasses or contact lenses.  We are happy to answer general questions and welcome them here through your comments.

However, questions that are related to your particular health and potential for successful surgery can best be answered through a complimentary evaluation appointment.  At our clinic, you will receive a comprehensive dilated exam with extensive measurements and education.  Your questions can be addressed in real time when you doctor sees your health’s big picture.  At the end of two hours, you will be equipped to proceed with knowledge and confidence.  When we can help you further, please make an appointment through our website, 20better.com, or here. 

When we can help you further, please make an appointment through our website, 20better.com, or here.

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!

 

With September comes a new season

I’m excited about at least two changes that will take place in September.

It’s time to renew The Harman Art Gallery.  During the next two months, The Harman Eye Clinic will host local artists, Nancy Hueter and Joan Johnson.  Both artists work in oil and acrylic.  The show should have upwards of 45 fine paintings to choose from.  As we have done in the past, artists display their contact numbers.  All purchases are made directly through the artists.  There is no charge to the artists.  A lovely program booklet is made for each showcase.  It has become a well-received tradition for our visitors and I’ll be sure to include a program here when it’s published!

During the month of September apply a 10% savings to all refractive surgery

Also in September comes a long awaited “savings” month for all refractive surgery procedures.  A ten percent savings can be applied to iLASIK, PRK, multifocal lens implant upgrade (CrystaLens, Tecnis Multifocal), Toric lens implant, Refractive Lens Exchange. Your savings could even fund a mighty fine winter weekend at Whistler to celebrate your brand new vision!  We are combining this savings with the already standing ten-percent refractive savings for all active military and the ten-percent loyalty refractive savings to any patient who has had surgery with us in the past.

As for today, our staff is working diligently to make sure each patient is seen promptly.  Although we started off on a challenging foot this morning, we have been on top of everyone’s schedule and we see smiles all around now.  It makes for a great day!

Best to you,

Barbara C. Aliaga, Practice Administrator