Seattle area

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

Imagine iLASIK working for you.

The Harman Eye Clinic, in Arlington, Washington, invites you to stop in for a free, brief screening and meet-up with one of our surgeons.  There is no pressure or obligation to have surgery.  We are here to help you decide what type of vision lifestyle is best for you and whether you want to research further.  No one is the same and we do not expect to treat you like everyone else.

When you are ready either stop in (903 Medical Center Drive, Arlington WA) or call us at 360-474-2561 or 800-755-3937 and ask for a free screening.  Make the most of your lifetime!

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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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.

News Release: Cascade Regional Eye Center, Inc., PS., Under New Ownership

(July 2, 2014 — Arlington, WA)  DSC_0272 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.

For more information about The Harman Eye Clinic and its services, visit www.20Better.com or All About LASIK, or call 360.435.8595.DSC_0273

 

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

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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Are you a candidate for LASIK?

See if you are eligible for LASIK.

See if you are eligible for LASIK.

Are you a candidate for LASIK vision correction? Refractive Eye Surgery is for patients with healthy eyes. 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.

For more information…