Cataract Technology

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Cataract

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Laser Vision Correction CulpeperCataract surgery at Vista Eye Specialists is tailored to each individual according to their own specific needs. Dr. Jani is committed to eliminating cataracts and improving your eyesight with the latest, most innovative technologies, including premium intraocular lens implants (IOLs). Intraocular lenses such as , ReSTOR®, Tecnis, Tecnis Symfony, and Crystalens® replace the natural crystalline lens of the eye typically clouded over by cataract, or as a form of refractive surgery to improve vision. The results in vision improvement are usually so great that patients no longer need eyeglasses or contacts. Consider premium IOLs to restore the quality eyesight you had when you were younger, as well as your quality of life.

IOL (INTRAOCULAR LENS) PROCEDURE – NO STITCH

Typically used for the treatment of cataracts, the procedure involves an insertion of an IOL under local anesthesia with the patient awake and very comfortable throughout the operation. The use of a flexible IOL enables the lens to be rolled for insertion into the capsule through a very small incision, thus avoiding the need for stitches. The procedure usually takes less than 20 minutes, with a recovery period about 2–3 weeks. For several months after the procedure, patients will need to visit with Dr. Jani or their eye care provider to monitor the implants.

ZEISS IOL MASTER

At Vista Eye Specialists, we utilize the Carl Zeiss Meditec IOL Master®, an advanced technology used to evaluate the length of the eye, surface curvature, and intraocular lens power.

Accurate measurements are necessary for cataract surgery or other lens-replacement procedures since each patient’s individual powers and sizes vary. The IOL Master is currently one of the most advanced technologies used to provide the precise measurements needed in order to ensure the best possible outcome for cataract surgery. These measurements are used by Dr. Jani to calculate the best intraocular lens to implant in the eye. Testing is fast and efficient (one minute or less per eye), and both patient safety and comfort is enhanced. Also, because the IOL Master is non-contact (nothing touches the eye itself), there is no need for anesthesia and there is no potential for eye infection from the IOL Master. In addition, the IOL Master represents a fivefold increase in accuracy over measurements made by traditional A-scan ultrasonography devices.

Carl Zeiss Meditec IOL Master® has been approved by the Food and Drug Administration (FDA) since March 2000. For more information, go to www.meditec.zeiss.com/iolmaster.

HAAG – Streit Lenstar Biometry

At Vista Eye Specialists, we continue to invest in the best technology with the recent addition of the Lenstar LS 900 biometer. Lenstar is an advanced technology used to evaluate the length of the eye, surface curvature, and intraocular lens power. As more information and research progresses, newer formulas, equipment, and techniques come to light. At Vista Eye Specialists we are always looking for ways to further perfect our patient experience and surgical outcomes. For more information on the Lenstar biometer please visit: https://www.haag-streit.com/haag-streit-usa/products/haag-streit-diagnostics/lenstar-biometry/lenstar-ls-900/

Pentacam® HR – Core Functions

Within a mere second the Pentacam® supplies you with precise diagnostic data on the entire anterior eye segment. The degree of cataract is made visible by the light scattering properties of the eye lens. learn more about pentacam® HR technology

TYPES OF IOLs

Monofocal IOLs

Monofocal lens implants are basic IOLs that most insurance companies will pay for during cataract surgery. Monofocal IOLs allow patients to see at a distance, but not necessarily near or intermediate vision, so patients would still need to wear glasses, bifocals, or contact lenses after surgery to read or see at near distances.

Multifocal, Extended Depth of Focus (EDOF), and Accommodative Intraocular Lenses
The premium advanced IOLs which restore distance, near, and intermediate vision are Crystalens, ReSTOR®, Tecnis Symfony, and Tecnis Multifocal intraocular lenses. Depending on the intraocular lens you choose, these lenses will help with near, far, and in between vision. Advanced IOLs offer a wider range of vision than traditional monofocal implants and studies show that up to 80% of patients no longer use any form of optical correction after having this procedure. Each lens has a unique design, with certain advantages for distance, near, and intermediate vision tasks. This translates into greater freedom and independence for you at work, home or wherever your hobbies and interests lead you.

Multifocal, EDOF, and Accommodative Intraocular Lenseshave been approved by the Food and Drug Administration (FDA)

As with any surgical procedure, choosing an experienced surgeon is the first step in a successful outcome. Dr. Jani is fellowship trained surgeon who has performed thousands of cataract surgeries and will help you determine which lens is right for you.

Tecnis Symfony IOL

The latest addition to the TECNIS® Family of IOLs offers new optical technology for providing an Extended Range of Vision.Traditional IOL solutions for treating presbyopia include Multifocals and Trifocals, which work on the principle of simultaneous vision by splitting light into multiple distinct foci, and Accommodative IOLs, which change in shape and power when the ciliary muscle contracts.

As evidenced by the measured light pattern when projected through the TECNIS® monofocal IOL, TECNIS® multifocal IOL and the TECNIS® Symfony extended range of vision IOL, there is one distinct focal point for distance with the TECNIS® monofocal lens, two distinct foci for the TECNIS® multifocal lens, and one elongated focal point for the TECNIS® Symfony extended range of vision IOL.

For more information on the Tecnis Symfony lens please visit: http://www.tecnisiol.com/eu/tecnis-symfony-iol.htm

RESTOR®

reStor
AcrySof® IQ ReSTOR® IOL corrects the condition for patients with cataracts and presbyopia (the hardening of the natural lens that comes with age) at the same time, eliminating or reducing the need for eye glasses after surgery in most patients. RESTOR® has been uniquely designed to provide enhanced image quality and a full range of vision – up close, far away and everything in-between – giving cataract patients the best opportunity to live life free of glasses.
The center of the ReSTOR® IOL lens surface consists of a series of tiny rings in the gradual tapering of different diffractive levels (or “steps”) on a lens, creating a smooth transition of light between distant, intermediate and near focal points. This results in the tiny steps in the center of the ReSTOR® IOL work together to focus light, providing near vision, intermediate vision, and distance vision. The outer ring of the ReSTOR® is a refractive region designed for distance vision. This refractive area bends light as it passes through the lens, accurately focusing it on the retina (the transmitter located at the back of your eye that sends the images to your brain for a crisp, clear image).

ReSTOR® multifocal IOLs have been approved by the Food and Drug Administration (FDA) since March 2005. For more information, go to www.reclaimyourvision.com/cataract/index.shtml

Crystalens®

Crystalens® is an accommodative intraocular lens implantation that is used to correct presbyopia. Crystalens® was modeled after the human eye, which like the natural lens uses the eye muscle to flex and accommodate in order to focus on objects in the environment at all distances using the eye’s natural focusing system. Crystalens® focuses only one image to the back of the eye, unlike a multifocal lens that projects multiple images that are not entirely in focus, requiring your brain to “adjust” to the differences. Crystalens® is a unique, flexible lens designed with flexible hinges that provides excellent distance and intermediate vision, dynamically adjusting to your visual needs.

It is a great choice for computer users and those involved with near tasks slightly beyond a standard reading distance. This lens may not provide the greatest independence from reading glasses but it will provide excellent distance and intermediate reading. In addition, few patients with Crystalens® have experienced glare, halos and night vision problems.

Presbyopia is a result of the natural lens in each eye becoming less flexible, so that it doesn’t change shape as it should to properly focus on objects up-close. The changing of the shape is called accommodation. The Crystalens® is the first intraocular lens for patients with cataracts that provides accommodation. This revolutionary procedure is generally for adults over the age of 40 who desire high quality vision without the assistance of bifocals or trifocals. The vision results are remarkable, producing an overall clearer vision through better contrast sensitivity and depth of focus.

Crystalens® is the only accommodating intraocular lens approved by the Food and Drug Administration (FDA) since November 2003. For more information, go to www.crystalens.com

Tecnis Mutifocal IOL

Tecnis Multifocal ® IOL corrects the condition for patients with cataracts and presbyopia (the hardening of the natural lens that comes with age) at the same time, eliminating or reducing the need for eye glasses after surgery in most patients. Tecnis ® has been uniquely designed to provide enhanced image quality and a full range of vision – up close, far away and everything in-between – giving cataract patients the best opportunity to live life free of glasses.

The center of the Tecnis ® IOL lens surface consists of a series of tiny rings in the gradual tapering of different diffractive levels (or “steps”) on a lens, creating a smooth transition of light between distant, intermediate and near focal points. This results in the tiny steps in the center of the Tecnis ® IOL work together to focus light, providing near vision, intermediate vision, and distance vision.

Tecnis ® multifocal IOLs have been approved by the Food and Drug Administration (FDA). For more information, go to http://www.tecnisiol.com/us/patient/

Toric Astigmatism IOL

ToricThe AcrySof® Toric IOL is a monofocal lens that is uniquely designed to correct cataracts as well as a wide range of astigmatism. The surgery to remove cataracts is an outpatient procedure, and involves replacing the clouded natural lens with an artificial one. However, if you also have astigmatism you may still experience blurred or distorted vision, since the lens typically implanted during ordinary cataract surgery cannot correct this secondary condition. The Toric IOL is a foldable, single piece lens that is implanted during cataract surgery to replace the clouded lens. The unique design of the Toric IOL makes it possible to reduce or eliminate astigmatism and significantly improve uncorrected distance vision.
The Toric IOL can provide a higher quality of vision than a conventional lens in astigmatism patients and will reduce, but not eliminate the need for some glasses use. Risks include blurry vision due to the lens rotating out of position, with the possibility of further surgery to reposition or replace the IOL. Supplemental laser vision correction or limbal relaxing incisions may be needed to further reduce any residual astigmatism.

AcrySof® Toric IOLs have been approved by the Food and Drug Administration (FDA) since September 2005. For more information, go to http://www.reclaimyourvision.com/Cataract/acrysof-iq-toric-iols.aspx

At Vista Eye, we are on the cutting edge of technology with the latest advances in IOLs. Dr. Jani is a fellowship trained cornea surgeon who has performed thousands of cataract surgeries. Please contact Vista Eye for more information on IOLs, or to schedule an appointment.

While most Medicare and private insurance plans will cover basic cataract surgery costs, the patient will need to pay additional out-of-pocket costs to cover the price of a premium IOL that is considered not medically necessary by Medicare and private insurance plans. We offer interest free financing to help our patients choose these amazing technologies.