Refractive Cataract Surgery Boston

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intralase Cataracts slowing you down? Premium Lens implants
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Restor

Rezoom

Crystalens

What is Refractive Lens Exchange?

Refractive Lens Exchange is commonly referred to as clear lens extraction or presbyopic lens correcting intraocular surgery. RLE is an emerging type of refractive surgery very similar to cataract surgery. Like many other types of refractive surgery, including LASIK eye surgery, Refractive Lens Exchange corrects nearsightedness and farsightedness. The desired refractive result is achieved with the insertion of a lens implant known as an IOL. Refractive Lens Exchange is a great option for an ophthalmologist to utilize when vision problems extend beyond the limits of lasers. For example, if a patient is too nearsighted but also has a reading issue one of these new multifocal lenses may be a good option. Prior to the advent of the multifocal lens refractive surgeons often performed monovision LASIK or simply just corrected the myopic disorder and then the patient just required glasses for reading. This type of refractive surgery may also be useful if a patient has extremely thin corneas not capable of handling laser surgery. Several visual situations could lead your surgeon to choose refractive lens exchange as your best option for vision correction. As reading vision problems begin to set in for many people in their 40s and 50s this type of surgery starts to make a lot more sense. Due to the multifocal capabilities of these new lens implants you now see at both far and near distances. Since cataract surgery is on the horizon and your natural lens will be removed you may consider this option ahead of time.

Safety

Because Refractive Lens Exchange is a procedure using the same technique as cataract surgery the procedure is regarded as relatively safe and effective. Although AAO guidelines prohibit ophthalmologists from calling this surgery safe it is clear that millions of eyes have received intraocular lens implants during cataract surgery and have had successful outcomes. With the advent of the new multifocal IOL, patients experience excellent vision after surgery. The main difference between these two surgical types is that one is for cataract removal and the other is to correct for refractive error.

The Refractive Lens Exchange Procedure

Refractive Lens Exchange uses the same technique used in cataract surgery. This technique has been used for decades and is the best method for cataract removal and lens insertion. During the surgical procedure the patient is first prepped using a local anesthetic and drops. After the eye has been sterilized the surgeon will make a 2.5 to 3 millimeter incision in the eye. In order to see inside the eye our doctors perform this delicate surgery with a powerful magnifying microscope. A device known as the emulsifier is inserted to the eye and begins to remove the natural lens. Once all of the lens material has been evacuated a foldable intraocular lens is inserted in the same place as the old lens. Refractive lens exchange is performed on an outpatient basis and only one eye is treated at a time. After the surgery is complete you will be required to go home and rest for the remainder of the day. Most patients report rapid visual improvement immediately after surgery.

Advantages of Refractive Lens Exchange

  • Reduces the dependence on glasses and contact lenses
  • Rapid visual recovery
  • Excellent results without the using a laser
  • Eliminates the need for cataract surgery in the future

Premium Lens Implant Options

Prior to undergoing the refractive lens exchange procedure you will be given several choices for lens implant options. Our doctors will make a lens suggestion based on your specific visual needs. Each of the premium lens implant options have unique attributes that may or may not be beneficial. The Multifocal IOL lens implants are also commonly called premium lens implants and are typically used in refractive lens exchange cases.

ReZoom ™ Multifocal Intraocular Lens

If you are experiencing cataracts or have presbyopia the ReZoom ™ Multifocal Intraocular Lens is a great option. This lens is designed for very flexible and multifunctional vision. ReZoom™ intraocular lens is a second-generation refractive multifocal IOL that provides cataract patients with greater independence from glasses than monofocal IOLs. The ReZoom™ proprietary multifocal design provides a range of vision that monfocals cannot match.

The ReZoom™ Balanced View Optics™ technology distributes light over five optic zones so that each lens has a distance-dominant central zone for distance vision in bright light conditions when the pupil is constricted.

If you have been told by your eye doctor that you have cataracts and are experiencing one or more of the following vision problems, you may be a candidate for the ReZoom ™ Multifocal lens:

  1. If you have trouble reading and may require bifocals.
  2. If your vision is getting increasingly blurred

The Visual Freedom Benefit of REZOOM

  1. In a clinical study 92 percent of ReZoom™ IOL patients reported never or only occasionally having to wear glasses.

Restor Lens

The AcrySof ReSTOR

FDA Clinical Trials Show 80% of Patients Are Spectacle FREE after surgery.

The AcrySof ReSTOR lens is a foldable IOL that represents breakthrough technology because of its unique, patented optic design, which allows patients to experience the highest level of freedom from glasses ever achieved in IOL clinical trials.

The AcrySof ReSTOR IOL uses a combination of three complementary technologies: apodization, diffraction and refraction, to allow patients to experience a full range of high-quality vision without the need for reading glasses or bifocals. This range of vision without glasses is achieved through the optical properties of the IOL.

The benefit for patients is a high level of spectacle freedom. Alcon has patented the application of apodization technology to an IOL, making the AcrySof ReSTOR lens the first and only apodized diffractive IOL.

During FDA clinical trials, the results with ReSTOR were remarkable:

  • 80% of patients reported that after lens implant surgery with ReSTOR lenses, they no longer needed glasses or contact lenses to see clearly at all distances.
  • 94% said they could drive and read the paper without contacts or glasses.
  • Nearly 94% were so satisfied that they would have the procedure again.
Crystalens

Crystalens, a single-focus lens, is a cataract replacement lens that works naturally with your eyes’ muscles to give you the quality of vision you enjoyed when you were younger. The revolutionary design element that makes Crystalens the state-of-the-art replacement lens are “hinges” which are designed to allow the lens to move, or accommodate to focus on objects near, far and all distances in-between seamlessly. Unlike old-style fixed focal lenses, which didn’t move, Crystalens has the ability to move, thus focusing as your eye’s natural lens does.  Your The Nielsen Eye Center Surgeon will take precise measurements to insure the correct power selection.

The Crystalens FDA one-year clinical study results indicate that 92% of the people enrolled in the study (implanted bilaterally) could see 20/25 or better at distance, 96% could see 20/20 at arm’s length and 73% could see 20/25 at near without glasses or contact lenses.

What is more exciting is that 98% of these people could pass their drivers test, 100% could see their computer or put on their makeup, and 98% could read a magazine, all without glasses or contact lenses. Also, your ability to see at approximately arm’s length (middle vision) will be greatly enhanced with the Crystalens.

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