Cataract in Fredericksburg, VA in Culpeper, VA
Cataract 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 ReZoom™, ReSTOR®, Tecnis, 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 30 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.
CARL ZEISS MEDITEC IOL MASTER
At Vista Eye Specialists, we utilize the most advanced techniques in eye axial length measurement using partial coherence interferometry (Zeiss IOL Master).
TheZeiss IOLMaster was approved by the United States Food and Drug Administration in March of 2000. A non-contact optical device that measures the distance from the corneal vertex to the retinal pigment epithelium by partial coherence interferometry, the IOL Master is consistently accurate to within ±0.02 mm or better. The IOL Master is the first such device to be widely used in clinical ophthalmology. Since its approval the device has undergone several version enhancements further improving on its accuracy and speed.
Considering the fact that axial length measurements by A-scan ultrasonography (using a standard 10-MHz transducer) have a typical resolution of 0.10 mm to 0.12 mm, axial length measurements by the IOL Master represent a fivefold increase in accuracy
The IOL Master allows fast, accurate measurements of eye length and surface curvature, necessary for cataract surgery. 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 spread of any contamination from the IOLMaster.
RISKS ASSOCIATED WITH IOLs
There are risks associated with all IOL implantations, as with any surgical eye procedure, such as infection, lens rotation, inflammation, glare, and night time halos. Though IOLs enable many patients to have reduced dependence on glasses, some patients still rely on glasses for certain activities, such as reading or driving.
TYPES OF 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, so patients would still need to wear glasses, bifocals, or contact lenses after surgery to read or see at near distances.
The premium advanced IOLs which restore near vision are ReZoom™, ReSTOR®, and Tecnis Multifocal. Depending on the multifocal IOL you choose, these lenses will help with near, far, and in between vision. Multifocal 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.
As with any surgical procedure, choosing an experienced surgeon is the first step in a successful outcome. Dr. Jani is fellowship trained surgeon that has performed thousands of cataract surgeries, and will help you determine which lens is right for you.
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.acrysofrestor.com
ReZoom™ is a multifocal intraocular lens (IOL). The ReZoom™ lens provides excellent distance and intermediate vision. It is best suited for computer users and others desiring a broader range of close vision. It’s used to replace your natural lens to correct presbyopia (the hardening of the natural lens that comes with age) or cataracts.
The ReZoom™ lens is designed to allow patients to see well at near, middle and far distances alike, by bending the light differently over different parts of the lens optics. The ReZoom™ lens has uniquely proportioned visual zones, each zone designed for different light and focal distances. The ReZoom™ lens has proportioned the size of its zones to provide for a good vision in a range of light conditions. For instance, some zones have been designed to offer clearer distance vision during night driving.
Clear vision is achieved when your eye’s natural lens is replaced with a ReZoom™ lens, and if you have ReZoom™ for a strictly refractive benefit, you will never have to worry about cataract development in the future.
ReZoom™ multifocal IOLs have been approved by the Food and Drug Administration (FDA) since March 2005. For more information, go to www.rezoomiol.com
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 IOLs approved by the Food and Drug Administration (FDA) since November 2003, and the newer Crystalens® HD since 2008. For more information, go to www.crystalens.com
Tecnis Multifocal IOL
The 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.
Tecnis Multifocal IOLs have been approved by the Food and Drug Administration (FDA). For more information, go to www.amo-inc.com
Toric Astigmatism IOL
The 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 www.acrysofiqtoric.com
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.