Learn Connect Succeed. JCAHPO Regional Meetings 2017

Size: px
Start display at page:

Download "Learn Connect Succeed. JCAHPO Regional Meetings 2017"

Transcription

1 Learn Connect Succeed JCAHPO Regional Meetings 2017

2 Cataract Surgery in 2017 DARBY D. MILLER, MD MPH CORNEA, CATARACT AND REFRACTIVE SURGERY ASSISTANT PROFESSOR OF OPHTHALMOLOGY MAYO CLINIC FLORIDA Natural lens becomes cloudy Light scatters throughout the eye instead of focusing on the retina Causes Aging Diabetes Steroid use Injury/trauma Genetics Cataracts Symptoms of Cataracts Slowly worsening near and distance vision Vision is not correctable with glasses Glare, particularly at night while driving Needing more light when reading Halos around lights Double vision in one eye Fading or yellowing of colors Sensitivity to light Types of Cataracts: Nuclear Sclerosis (most common) 1

3 Types of Cataracts: Cortical Types of Cataracts: Posterior Subcapsular Cataract Surgery When do I need surgery? When the negative impact on vision compromises the patient s lifestyle May effect driving, watching television, playing golf or tennis, reading Generally occurs when vision approaches 20/40 or worse Risks of Cataract Surgery Low complication rate overall Risks include Bleeding Infection Elevated intraocular pressure Retinal tear or detachment Dropped lens requiring further surgery Droopy eyelid Loss of vision or loss of eye Inflammation Posterior capsular opacification, aka Secondary cataract Visits and Medications Visits: Pre-op visit for testing Astigmatism, lens discussion Day of surgery Post-op visits: 1 day, 1 week and 1 month after surgery Medications (drops): Antibiotic drop for 1 week Anti-inflammatory drop taken for 5 weeks with slow taper What to expect the day of surgery Outpatient procedure in Mayo Hospital Light IV sedation with topical anesthesia Surgery takes approximately 30 min Hospital time is around 3 to 4 hours Should not have any discomfort during surgery Clear shield over the eye after surgery 2

4 Standard Cataract Surgery: Phacoemulsification Laser-assisted Cataract Surgery (LACS) Intraoperative OCT Photodisruption: air bubbles FDA approved Standard vs. Laser-assisted Cataract Surgery Laser assisted cataract surgery in specific patients Fuchs Dystrophy Pseudoexfoliation History of trauma Flomax with good dilation White cataract Narrow angles Previous vitrectomy Dense cataracts FLACS Advantages: Capsulotomies Clinical studies (in vitro and in vivo) indicate that capsulotomies created with the femtosecond laser are significantly more precise in size and reproducibility Continuous curvilinear capsulorhexis (CCC) created with a femtosecond laser results in a more stable refractive result with less IOL tilt and decentration than a manual CCC FLACS Advantages: Lens Fragmentation Less effective phacoemulsification time is needed to emulsify the lens following lens fragmentation by the femtosecond laser Less endothelial cell loss due to the shorter phacoemulsification times and less fluid entering and exiting the eye during surgery Beneficial in complex cases such as hypermature cataracts or loose zonular fibers in which less energy expenditure would potentially provide a much better patient outcome 3

5 FLACS Advantages: Incisions Masket et al. demonstrated greater architectural stability and reproducibility with femtosecond laser assisted corneal incisions in cadaver eyes Ability to precisely treat astigmatism with astigmatic keratectomies which can be titrated post operatively FLACS Advantages: Macular Edema Nagy et al. compared subclinical macular edema after uneventful femtosecond laser assisted cataract surgery versus conventional surgery The study demonstrated small but statistically significantly less thickening of the outer nuclear layer of the retina following femtosecond laser assisted cataract surgery than following conventional phacoemulsification FLACS Disadvantages In terms of secondary surgical end points, there was a statistically significant difference in favor of FLACS over MCS for: Effective phacoemulsification time (WMD, 3.03; 95% CI, 3.80 to 2.25; P < 0.001) Capsulotomy circularity (WMD, 0.16; 95% CI, 0.11e0.21; P < 0.001) Postoperative central corneal thickness (WMD, 6.37; 95% CI, to 0.86; P = 0.02) Corneal endothelial cell reduction (WMD, 55.43; 95% CI, to 15.69; P = 0.006) Cost Not covered by insurance Out of pocket expense to patient Not every patient is a candidate Studies showing Similar visual outcomes Variable complication rates Not cost effective Ophthalmology 2016; 123: Table 4: Perioperative Complications No clinically meaningful visual benefit of FLACS over PCS Mean BCVA slightly better with FLACS FLACS 20/24.5 vs. PCS 20/26.4 Although UCVA better with PCS Authors explanation for data LCS with better baseline VA Higher toric IOL percentage in FLACS Complication rate much higher with FLACS FCS does have clear clinical benefits (for zonular compromise, compromised corneas, mature cataracts), but is not cost-effective 4

6 Table 5: Postoperative Complications All ocular HTN, corneal edema and CME resolved by post op month 6 with medical therapy Randomized, prospective clinical trial with over 2000 patients in France with 12 months of follow up. Good visual acuity with LCS Refractive error less than 1D in 95% Less than 0.75D in 82% Less than 0.5D in 68.9% Less than 0.25D in 47.5% LCS with higher complication rates 16.7% overall Posterior capsular rupture: 3.3% Corneal edema: 3.3% Leaking corneal incision: 9.5% Ocular HTN: 0.9% Certain patients may NOT be candidates for LACS Corneal pathology Scar ABMD Keratoconus Small pupils (do not dilate) Deep set orbit Small interpalpebral fissure Prominent brow History of glaucoma surgery Discussion with your doctor Options Traditional cataract surgery vs. Laser assisted cataract surgery (LACS) LACS is an option If interested, the doctor will make sure you are a candidate for surgery Cost: LACS is not covered by insurance Intraocular lens options Monofocal, toric, multifocal Combined procedures Glaucoma, Retina, Cornea, etc. Types of Intraocular Lenses (IOLs) Monofocal IOL Monofocal Standard IOL, covered by insurance Clear distance, reading glasses for near vision Toric Monofocal and corrects astigmatism Not covered by insurance Multifocal and accommodative Corrects distance and near but not astigmatism Technology limited, still need readers for fine print Not covered by insurance Toric multifocal 5

7 Toric IOL Corrects astigmatism Still need reading glasses Accommodative IOL Multifocal IOLs Toric Multifocal IOLs ReStor By Alcon Tecnis By AMO Intraoperative aberrometry Why intraoperative aberrometry? Refractive surgery is commonly performed worldwide More than 1 million surgeries per year and 16 million surgeries to date The number of patients requiring cataract surgery after prior refractive surgery is growing Selection of the correct IOL power for these patients presents a challenge for the cataract surgeon In one study, >45% of eyes will fall outside ±0.5 D of the intended target refraction Intraoperative aberrometry Optiwave Refractive Analysis (ORA) System HOLOS System Employs intraoperative refractive biometry to measure axial length and keratometry Determines aphakic refraction and IOL power using a proprietary formula based on anatomic measurements for estimation of anterior chamber depth 6

8 Intraoperative aberrometry study at NYEEI (ASCRS 2015) IRB (ORA system) predicted IOL power more accurately than PCI (IOL Master) in post-myopic LASIK eyes Although not statistically significant, IRB is beneficial in predicting IOL power in virgin eyes IRB is particularly useful for predicting IOL power in high myopic or high hyperopic virgin eyes IRB can be used to confirm PCI calculated IOL powers (ie dense lens where PCI measurements may be unreliable) Combined procedure with cataract surgery Cornea Corneal transplants Glaucoma Trabeculectomy Trabectome Ahmed valve MIGS Retina Retinal detachment Epiretinal membrane After Cataract Surgery Vision clears over first 1-3 days after surgery Mild discomfort first 1-2 days after surgery Scratchy or itchy feeling Mild soreness Redness Wear clear shield when sleeping Limitations No vigorous exercise No heavy lifting or bending over No pool, spa, or ocean THANK YOU! QUESTIONS? Mayo Clinic Florida Ophthalmology 7

Guide to modern day cataract surgery

Guide to modern day cataract surgery Guide to modern day cataract surgery What are Cataracts? What are Cataracts? Cataracts are a natural clouding of the lens of the eye. Cataracts form usually because of age, but there are eye injuries and

More information

Premium Implant Options for the Cataract Patient. Justin Schweitzer, OD, FAAO Vance Thompson Vision Sioux Falls, South Dakota

Premium Implant Options for the Cataract Patient. Justin Schweitzer, OD, FAAO Vance Thompson Vision Sioux Falls, South Dakota Premium Implant Options for the Cataract Patient Justin Schweitzer, OD, FAAO Vance Thompson Vision Sioux Falls, South Dakota Glaukos Bausch and Lomb Alcon Allergan Bio- Tissue TearScience Reichert Trends

More information

Cataract. What is a Cataract?

Cataract. What is a Cataract? Cataract What is a Cataract? We all have a lens in our eye. This is positioned just behind the iris, which is the coloured ring in the eye that gives your eye its colour. The lens function is to focus

More information

Cataract. What is a Cataract?

Cataract. What is a Cataract? Cataract What is a Cataract? We all have a lens in our eye. This is positioned just behind the iris, which is the coloured ring in the eye that gives your eye its colour. The lens s function is to focus

More information

Cataract. A cataract is a clouding of the lens in your eye. It

Cataract. A cataract is a clouding of the lens in your eye. It Cataract A cataract is a clouding of the lens in your eye. It affects your vision. Cataracts are very common in older people. By age 80, more than half of all Americans either have a cataract or have had

More information

Advanced Eyecare of Orange County/ Kim T. Doan, M.D.

Advanced Eyecare of Orange County/ Kim T. Doan, M.D. Patient Information Sheet: Cataract Surgery And/Or Implantation of an Intraocular Lens This information is given to you so that you can prepare for the discussion with your eye surgeon. This document will

More information

Optometric Postoperative Cataract Surgery Management

Optometric Postoperative Cataract Surgery Management Financial Disclosures Optometric Postoperative Cataract Surgery Management David Dinh, OD Oak Cliff Eye Clinic Dallas Eye Consultants March 10, 2015 Comanagement Joint cooperation between two or more specialists

More information

Cataract Surgery: Patient Information

Cataract Surgery: Patient Information Cataract Surgery: Patient Information How do the Eyes Work? As light enters the eye, it first passes through the cornea the clear window of the eye. Because the cornea is curved, the light rays bend (refract).

More information

Vision and Aging. Driving (source of independence)

Vision and Aging. Driving (source of independence) Vision and Aging Driving (source of independence) Reading MORE THAN 28 MILLION AMERICANS OVER THE AGE OF 40 HAVE EYE ABNORMALITIES THAT PUT THEM AT RISK FOR VISION LOSS OR BLINDNESS Myths About Vision

More information

Cataract Surgery: What You Must Know Before Having It Done

Cataract Surgery: What You Must Know Before Having It Done DAVID D. RICHARDSON, MD, INC. DAVID RICHARDSON, M.D. SAN MARINO EYE 2020 Huntington Drive San Marino, CA 91108 Telephone: (626) 289-7856 Fax: (626) 284-6532 Cataract Surgery: What You Must Know Before

More information

2/6/2018. Andrew Siedlecki, M.D.

2/6/2018. Andrew Siedlecki, M.D. Andrew Siedlecki, M.D. Siedlecki Cataract and Vision Care Optimization- Improved Uncorrected VA Reduced Spectacle Dependency Minimize Complications Fast Rehabilitation Provide Options for Patients Optometrists

More information

State of the art: femtosecond laser cataract surgery

State of the art: femtosecond laser cataract surgery State of the art: femtosecond laser cataract surgery Moschou Konstantinos M.D. Diathlasis Day Care Unit 13th Ophthalmology Congress of ΟΕΤΗΑΜΒΑ July 9-10, 2016 Samothraki Village Hotel Samothraki, Greece

More information

Pre-Operative Health Questionnaire. 3. Are you currently taking any of the following medications for. glaucoma: TRAVATAN LUMIGAN XALATAN

Pre-Operative Health Questionnaire. 3. Are you currently taking any of the following medications for. glaucoma: TRAVATAN LUMIGAN XALATAN Pre-Operative Health Questionnaire 1. Are you Diabetic? YES / NO 2. Are you currently on dialysis? YES / NO 3. Are you currently taking any of the following medications for glaucoma: TRAVATAN LUMIGAN XALATAN

More information

2/6/2018 RAPID FIRE PANEL: CO-MANAGEMENT OF UNUSUAL SITUATIONS IN CATARACT SURGERY. Andrew Siedlecki, M.D. Richard Orlando, M.D.

2/6/2018 RAPID FIRE PANEL: CO-MANAGEMENT OF UNUSUAL SITUATIONS IN CATARACT SURGERY. Andrew Siedlecki, M.D. Richard Orlando, M.D. POLL QUESTION: HOW DID YOU DEVELOP THE CLINICAL SKILLS TO CO MANAGE RAPID FIRE PANEL: CO-MANAGEMENT OF UNUSUAL SITUATIONS IN CATARACT SURGERY Andrew Siedlecki, M.D. Richard Orlando, M.D. A) Working in

More information

You can see vivid colours again after cataract management at Sankar Foundation Eye Hospital

You can see vivid colours again after cataract management at Sankar Foundation Eye Hospital The Department of Cataract in our Sankar Foundation is equipped with state-of-the-art operation theatres, surgical microscope phacoemulsification machine and microsurgical instruments. And also the department

More information

Pre-Operative Health Questionnaire. 3. Are you currently taking any of the following medications for. glaucoma: TRAVATAN LUMIGAN XALATAN

Pre-Operative Health Questionnaire. 3. Are you currently taking any of the following medications for. glaucoma: TRAVATAN LUMIGAN XALATAN Pre-Operative Health Questionnaire 1. Are you Diabetic? YES / NO 2. Are you currently on dialysis? YES / NO 3. Are you currently taking any of the following medications for glaucoma: TRAVATAN LUMIGAN XALATAN

More information

Your First Appointment:

Your First Appointment: Your First Appointment: The Important Questions to Ask When Choosing a Cataract Surgeon www.kremereyecenter.com / 866-270-2773 Cataract 1 Surgery Kremer Eye Center Table of Contents Introduction... 3 Finding

More information

INFORMED CONSENT FOR CATARACT SURGERY

INFORMED CONSENT FOR CATARACT SURGERY DESERT OPHTHALMOLOGY 1180 N Indian Canyon Drive W100 Palm Springs CA 92262 35900 Bob Hope Drive Suite 205 Rancho Mirage CA 92270 Phone (760) 320-8497 Fax (760) 320-5444 INFORMED CONSENT FOR CATARACT SURGERY

More information

Informed Consent For Cataract Surgery. And/Or Implantation of an Intraocular Lens INTRODUCTION

Informed Consent For Cataract Surgery. And/Or Implantation of an Intraocular Lens INTRODUCTION Informed Consent For Cataract Surgery And/Or Implantation of an Intraocular Lens INTRODUCTION This information is given to you so that you can make an informed decision about having eye surgery. Take as

More information

Cataract Surgery in the Patient with a History of LASIK or PRK

Cataract Surgery in the Patient with a History of LASIK or PRK Cataract Surgery in the Patient with a History of LASIK or PRK #56996-RS April 2018 Sebastian Lesniak, MD Matossian Eye Associates None Disclosures Bio Matossian Eye Associates, Hopewell NJ, 7/2015 Present

More information

Slide 1. Slide 2. Slide 3. Cataract Surgery: A Look Ahead. Component 1: History. Paul C. Ajamian, O.D., F.A.A.O. UK SECO October, 2013

Slide 1. Slide 2. Slide 3. Cataract Surgery: A Look Ahead. Component 1: History. Paul C. Ajamian, O.D., F.A.A.O. UK SECO October, 2013 Slide 1 Cataract Surgery: A Look Ahead Paul C. Ajamian, O.D., F.A.A.O. UK SECO October, 2013 Slide 2 Slide 3 Component 1: History Eye: functional history such as problems with glare/tv/driving at night

More information

ASCRS completes fourth annual Clinical Survey

ASCRS completes fourth annual Clinical Survey ASCRS completes fourth annual Clinical Survey More than 1,500 members responded with clinical opinions and practice patterns to help drive the future of ASCRS education A note from the ASCRS Education

More information

Introduction. We are finally using a laser!!! The Use of a Femtosecond Laser for Complex Cataract Procedures. Financial Disclosure

Introduction. We are finally using a laser!!! The Use of a Femtosecond Laser for Complex Cataract Procedures. Financial Disclosure ASCRS 2014 The use of the femtosecond laser for complex cataract surgery Cases I could not have performed without the femtosecond laser Course Director: Richard S. Davidson, M.D. Associate Professor and

More information

The cataract laser technology of tomorrow is here for you today.

The cataract laser technology of tomorrow is here for you today. The cataract laser technology of tomorrow is here for you today. See inside to learn about all your exciting options Thanks to recent advancements, this is a great time to have cataract surgery Laser precision

More information

ALTERNATIVES TO PHAKIC IMPLANT SURGERY

ALTERNATIVES TO PHAKIC IMPLANT SURGERY Visian ICL Consent INTRODUCTION This information is being provided to you so that you can make an informed decision about having eye surgery to reduce or eliminate your nearsightedness. Only you and your

More information

New Techniques and Technologies in Cataract Surgery

New Techniques and Technologies in Cataract Surgery Transcript Details This is a transcript of a continuing medical education (CME) activity accessible on the ReachMD network. Additional media formats for the activity and full activity details (including

More information

CATARACT & LENS SURGERY CATARACT SURGERY

CATARACT & LENS SURGERY CATARACT SURGERY GENERAL INFORMATION CATARACT & LENS SURGERY CATARACT SURGERY WHAT IS A CATARACT? A cataract is not a growth, but rather a clouding of the normally transparent and flexible lens of the eye. This condition

More information

Patient Information Brochure. Cataract

Patient Information Brochure. Cataract Patient Information Brochure Cataract Q: What is cataract? A: A cataract is an opacity (or cloudiness) in the lens of the eye. This cloudiness develops inside the lens and restricts light passing through

More information

~ 1 ~ CLINIQUE LASERVUE. Informed Consent Form for LASIK

~ 1 ~ CLINIQUE LASERVUE. Informed Consent Form for LASIK ~ 1 ~ CLINIQUE LASERVUE Informed Consent Form for LASIK Please read the following information and consent form very carefully. Your initials indicate that you understand all of the necessary patient information

More information

Lens and Cataract Surgery Update 2008

Lens and Cataract Surgery Update 2008 efocus Innovation. Leadership. Passion for Perfection PACIFIC V I S I O N I N S T I T U T E Life in Focus Issue 029 415.922.9500 --- www.pacificvision.org December 2008 Lens and Cataract Surgery Update

More information

The LenSx Laser System. Discover the assurance of bladeless cataract surgery

The LenSx Laser System. Discover the assurance of bladeless cataract surgery The LenSx Laser System Discover the assurance of bladeless cataract surgery Don t let cataracts limit your lifestyle If you or someone you care for has been diagnosed with cataracts, you re certainly not

More information

MultifocalS: A Reference Guide

MultifocalS: A Reference Guide MultifocalS: A Reference Guide Your complete resource for advanced technology IOL implantation, from patient selection to post-op evaluation For best results, use this comprehensive guide from start to

More information

The LenSx Laser System

The LenSx Laser System LenSx Laser Important PATIENT Product Information CAUTION: The LenSx Laser is restricted by law to the sale and use by, or on the order of, a physician. DESCRIPTION: The LenSx Laser is for use in patients

More information

SECONDARY CAPSULOTOMY USING THE FEMTOSECOND LASER. Surendra Basti, MD Northwestern University Feinberg School of Medicine, Chicago, IL

SECONDARY CAPSULOTOMY USING THE FEMTOSECOND LASER. Surendra Basti, MD Northwestern University Feinberg School of Medicine, Chicago, IL SECONDARY CAPSULOTOMY USING THE FEMTOSECOND LASER Surendra Basti, MD Northwestern University Feinberg School of Medicine, Chicago, IL SMALL PUPIL MANAGEMENT DURING FEMTO CATARACT SURGERY Surendra Basti,

More information

SAMPLE LASIK. What is LASIK? Eye Words to Know. Who is a good candidate for LASIK?

SAMPLE LASIK. What is LASIK? Eye Words to Know. Who is a good candidate for LASIK? What is? is a type of refractive surgery. This kind of surgery uses a laser to treat vision problems caused by refractive errors. You have a refractive error when your eye does not refract (bend) light

More information

3/17/2018 CHALLENGES IN MODERN CATARACT SURGERY BRIEF HISTORY OF CATARACT SURGERY

3/17/2018 CHALLENGES IN MODERN CATARACT SURGERY BRIEF HISTORY OF CATARACT SURGERY CHALLENGES IN MODERN CATARACT SURGERY Complications Patient Expectations Premium Services Astigmatism Pharmaceuticals Retail Cataract Surgery BRIEF HISTORY OF CATARACT SURGERY 1 Sanskrit manuscripts from

More information

Evolution in Visual Freedom.

Evolution in Visual Freedom. Evolution in Visual Freedom. The EVO Visian ICL Advantages Many vision correction procedures promise an improved level of vision, but few vision correction alternatives offer the quality and features

More information

Introduction. We are finally using a laser!!! The Use of a Femtosecond Laser for Complex Cataract Procedures. Financial Disclosure

Introduction. We are finally using a laser!!! The Use of a Femtosecond Laser for Complex Cataract Procedures. Financial Disclosure ASCRS 2014 The use of the femtosecond laser for complex cataract surgery Cases I could not have performed without the femtosecond laser Course Director: Richard S. Davidson, M.D. Associate Professor and

More information

The cataract laser technology of tomorrow is here for you today. See inside to learn about all your exciting new options

The cataract laser technology of tomorrow is here for you today. See inside to learn about all your exciting new options The cataract laser technology of tomorrow is here for you today. See inside to learn about all your exciting new options What is a cataract? A cataract is a clouding of the lens of the eye. This blocks

More information

Informed Consent For Refractive Lens Exchange (RLE) For the Correction of Hyperopia (Farsightedness) Or Myopia (Nearsightedness)

Informed Consent For Refractive Lens Exchange (RLE) For the Correction of Hyperopia (Farsightedness) Or Myopia (Nearsightedness) Informed Consent For Refractive Lens Exchange (RLE) For the Correction of Hyperopia (Farsightedness) Or Myopia (Nearsightedness) INTRODUCTION This surgery, called a refractive lens exchange or RLE, involves

More information

The LenSx Laser System

The LenSx Laser System Important Product Information for the LenSx Laser CAUTION: The LenSx Laser is restricted by law to the sale and use by, or on the order of, a physician. DESCRIPTION: The LenSx Laser is for use in patients

More information

The visual outcome after implantation of the Multifocal Intra Ocular Lens. Dr.Bhargav Dave National Institute of Ophthalmology Pune

The visual outcome after implantation of the Multifocal Intra Ocular Lens. Dr.Bhargav Dave National Institute of Ophthalmology Pune The visual outcome after implantation of the Multifocal Intra Ocular Lens Dr.Bhargav Dave National Institute of Ophthalmology Pune 1 The era of cataract surgery has come leaps and bounds since the inception

More information

LASIK. What is LASIK? Eye Words to Know. Who is a good candidate for LASIK?

LASIK. What is LASIK? Eye Words to Know. Who is a good candidate for LASIK? 2014 2015 What is? (laser in situ keratomileusis) is a type of refractive surgery. This kind of surgery uses a laser to treat vision problems caused by refractive errors. You have a refractive error when

More information

Practical Care of the Cataract Patient with Retinal Disease

Practical Care of the Cataract Patient with Retinal Disease Practical Care of the Cataract Patient with Retinal Disease Brooks R. Alldredge, OD, FAAO Kelly L. Cyr, OD, FAAO The Retina Center Eye Associates of New Mexico 4411 The 25 Way NE, Suite 325 Albuquerque,

More information

YOUR EYES ARE UNIQUE.

YOUR EYES ARE UNIQUE. YOUR EYES ARE UNIQUE. Choose to have a cataract surgery that treats them that way. SYSTEM with VerifEye + The choice for a customized procedure is all yours. Cataracts are a natural part of the aging process.

More information

The Visian ICL Advantages

The Visian ICL Advantages The Visian ICL Advantages Many vision correction procedures promise an improved level of vision, but few vision correction alternatives offer the quality and features found with the Visian ICL. These include:

More information

Technicians & Nurses Program

Technicians & Nurses Program ASCRS ASOA Symposium & Congress Technicians & Nurses Program May 6-10, 2016 New Orleans Cataract Evaluation and Surgical Planning Cynthia S. Chiu, MD, FACS East Bay Eye Specialists University of California

More information

FROM CATARACTS TO CLARITY

FROM CATARACTS TO CLARITY Cathy Cataracts FROM CATARACTS TO CLARITY If you re 55 or older, you may have cataracts and not even know it. What You Need to Know Seeing Beyond the Symptoms Cataracts are one of the leading causes of

More information

84 Year Old with Rosacea

84 Year Old with Rosacea 84 Year Old with Rosacea S/p tap and injection of intravitreal vancomycin, ceftazidime, dexamethasone Post-injection day#1 Va HM IOP 14 mmhg Post-injection week#3 BCVA 20/20-3 (plano +0.50 x 180) IOP 23

More information

NORTHWEST EYE SURGEONS WHATCOM EYE SURGEONS September October 2014 PARTNERING WITH OPTOMETRY FOR EDUCATION AND PATIENT CARE

NORTHWEST EYE SURGEONS WHATCOM EYE SURGEONS September October 2014 PARTNERING WITH OPTOMETRY FOR EDUCATION AND PATIENT CARE NORTHWEST EYE SURGEONS WHATCOM EYE SURGEONS September October 2014 PARTNERING WITH OPTOMETRY FOR EDUCATION AND PATIENT CARE Partner with your surgeon in postoperative care Determine how to best address

More information

More possibilities after.

More possibilities after. Many possibilities during cataract surgery. More possibilities after. Knowing your options can help you focus on the breathtaking experiences still to come. AcrySof IQ IOL Family Advancing CATARACT SURGERY

More information

Pros & Cons of Introducing Femtosecond. Training Programs. James P. McCulley M.D., FACS,FRCOph (UK) University of Texas Southwestern Medical School

Pros & Cons of Introducing Femtosecond. Training Programs. James P. McCulley M.D., FACS,FRCOph (UK) University of Texas Southwestern Medical School Pros & Cons of Introducing Femtosecond Laser AssistedCataract Surgery in Residency Training Programs James P. McCulley M.D., FACS,FRCOph (UK) Department of Ophthalmology University of Texas Southwestern

More information

CLINIQUE LASERVUE. Informed Consent Form for Photo-Refractive Keratectomy (PRK)

CLINIQUE LASERVUE. Informed Consent Form for Photo-Refractive Keratectomy (PRK) CLINIQUE LASERVUE Informed Consent Form for Photo-Refractive Keratectomy (PRK) Please read the following information and consent form very carefully. Your initials indicate that you understand all of the

More information

CONSENT FOR CATARACT SURGERY REQUEST FOR SURGICAL OPERATION / PROCEDURE AND ANAESTHETIC

CONSENT FOR CATARACT SURGERY REQUEST FOR SURGICAL OPERATION / PROCEDURE AND ANAESTHETIC CONSENT FOR CATARACT SURGERY REQUEST FOR SURGICAL OPERATION / PROCEDURE AND ANAESTHETIC Your doctor has indicated that the condition of your eye appears stable and your cataract surgery and/or implantation

More information

Financial Disclosures. Corneal Problems for the Cataract Surgeon. Four Common Problems. Dry Eye syndrome. Rose-Bengal 3/27/16

Financial Disclosures. Corneal Problems for the Cataract Surgeon. Four Common Problems. Dry Eye syndrome. Rose-Bengal 3/27/16 Corneal Problems for the Cataract Surgeon Financial Disclosures Consultant: AMO/VISX Consultant: Angiotech/Sharppoint Michael J Taravella, MD Director: Cornea and Refractive Surgery University of Colorado

More information

Ophthalmology. Ophthalmology Services

Ophthalmology. Ophthalmology Services Ophthalmology Ophthalmology Services The Ophthalmology service offers the latest and most comprehensive eye care for patients. With a dedicated team of eye surgeons and consultants, we treat vision problems

More information

FROM PRE-OP TO POST-OP, OPTIMIZE YOUR WORKFLOW WITH THE CATALYS SYSTEM MOBILE PATIENT BED.

FROM PRE-OP TO POST-OP, OPTIMIZE YOUR WORKFLOW WITH THE CATALYS SYSTEM MOBILE PATIENT BED. FROM PRE-OP TO POST-OP, OPTIMIZE YOUR WORKFLOW WITH THE CATALYS SYSTEM MOBILE PATIENT BED. PUSH THE LIMITS Imagine if your CATALYS System patient bed could: Optimize your productivity throughout the full

More information

go the distance NEW AcrySof IQ ReSTOR +2.5 D It s a wide world. Help your patients and everywhere in between.

go the distance NEW AcrySof IQ ReSTOR +2.5 D It s a wide world. Help your patients and everywhere in between. NEW AcrySof IQ ReSTOR +2.5 D It s a wide world. Help your patients go the distance and everywhere in between. Now with ACTIVEFOCUS optical design for active-lifestyle patients. Recommend AcrySof IQ ReSTOR

More information

REFRACTIVE LENS SURGERY: WHEN AND WHY?

REFRACTIVE LENS SURGERY: WHEN AND WHY? REFRACTIVE LENS SURGERY: WHEN AND WHY? Symposium of the Hellenic Society of Intraocular Implant and Refractive Surgery Cairo, 14/3/2018 Pandelis A. Papadopoulos, MD, PhD, FEBO, FEBOS-CR Director, Ophthalmology

More information

Visian Toric ICL (Implantable Collamer Lens) For Nearsightedness with Astigmatism

Visian Toric ICL (Implantable Collamer Lens) For Nearsightedness with Astigmatism Visian Toric ICL (Implantable Collamer Lens) For Nearsightedness with Astigmatism Facts You Need To Know About STAAR Surgical s Visian Toric ICL SURGERY PATIENT INFORMATION BOOKLET For Nearsightedness

More information

Cataract Surgery Patient Information

Cataract Surgery Patient Information Cataract Patient Information 1. Within the human eye, there is a normal structure called the lens. In youth, this lens is clear, and light rays pass through and are focused by this lens as well as the

More information

Are You a Candidate for Corneal Transplantation?

Are You a Candidate for Corneal Transplantation? Are You a Candidate for Corneal Transplantation? www.fleyedocs.com Se Habla Español Are You a Candidate for Corneal Transplantation? Close to 50,000 cornea transplants are now performed in the United States

More information

CORNEAL TRANSPLANT CONSENT FORM

CORNEAL TRANSPLANT CONSENT FORM CORNEAL TRANSPLANT CONSENT FORM Peninsula Laser Eye Medical Group 1174 Castro Street, Ste. 100 Mountain View, CA 94040 (650) 961-2585 www.lasik2020.com Introduction The cornea is the clear dome-shaped

More information

FROM PRE-OP TO POST-OP, HELP OPTIMIZE YOUR WORKFLOW WITH THE CATALYS SYSTEM MOBILE PATIENT BED.

FROM PRE-OP TO POST-OP, HELP OPTIMIZE YOUR WORKFLOW WITH THE CATALYS SYSTEM MOBILE PATIENT BED. FROM PRE-OP TO POST-OP, HELP OPTIMIZE YOUR WORKFLOW WITH THE CATALYS SYSTEM MOBILE PATIENT BED. PUSH THE LIMITS Imagine if your CATALYS System patient bed could: Optimize patient workflow throughout the

More information

The crystalline lens, the cataract and its surgical treatment

The crystalline lens, the cataract and its surgical treatment The crystalline lens, the cataract and its surgical treatment The crystalline lens position: behind the iris suspended by the zonular fibers structure: capsule cortex epinucleus nucleus function: to focus

More information

THE PATIENT S GUIDE TO CATARACTS: The Symptoms, Risks, and Surgical Treatment

THE PATIENT S GUIDE TO CATARACTS: The Symptoms, Risks, and Surgical Treatment THE PATIENT S GUIDE TO CATARACTS: The Symptoms, Risks, and Surgical Treatment 1 Table of Contents Causes of Cataracts... 3 Symptoms of Cataracts... 4 Diagnosis of Cataracts... 5 Cataract Treatment Options...

More information

Cataract Surgery. This reference summary will help you understand what cataracts are and how they can be treated surgically.

Cataract Surgery. This reference summary will help you understand what cataracts are and how they can be treated surgically. Cataract Surgery Introduction A cataract is a clouding of the eye s lens. Cataracts are a common eye condition that affect many people aged 65 or older. Your doctor may recommend cataract surgery to enhance

More information

The Wilmer Eye Institute s 34 th Annual Current Concepts in Ophthalmology March 13-17, 2017 Vail Marriott * Vail, Colorado

The Wilmer Eye Institute s 34 th Annual Current Concepts in Ophthalmology March 13-17, 2017 Vail Marriott * Vail, Colorado The Wilmer Eye Institute s 34 th Annual Current Concepts in Ophthalmology March 13-17, 2017 Vail Marriott * Vail, Colorado Tentative 1/23/17 PROGRAM MONDAY, MARCH 13, 2017 Morning Session 6:00-7:00 Registration

More information

IntraLASIK Correction Of Nearsightedness, Farsightedness and Astigmatism Using IntraLase TM Technology

IntraLASIK Correction Of Nearsightedness, Farsightedness and Astigmatism Using IntraLase TM Technology IntraLASIK Correction Of Nearsightedness, Farsightedness and Astigmatism Using IntraLase TM Technology INDICATIONS AND PROCEDURE This information is being provided to you so that you can make an informed

More information

Cataract and Refractive Surgery Co-Management Policy and Procedure Manual

Cataract and Refractive Surgery Co-Management Policy and Procedure Manual Cataract and Refractive Surgery Co-Management Policy and Procedure Manual Michael R. George, M.D. Chief Surgeon and Medical Director Tylock-George Eye Care Index of Cataract and Refractive Surgery Manual

More information

Learn Connect Succeed. JCAHPO Regional Meetings 2015

Learn Connect Succeed. JCAHPO Regional Meetings 2015 Learn Connect Succeed JCAHPO Regional Meetings 2015 Pediatric Cataracts: Complicated Cases and Controversies M. Edward Wilson, M.D. N. Edgar Miles Professor of Ophthalmology and Pediatrics Storm Eye Institute

More information

DR JOHN MALES CATARACT SURGERY A GUIDE FOR PATIENTS

DR JOHN MALES CATARACT SURGERY A GUIDE FOR PATIENTS DR JOHN MALES CATARACT SURGERY A GUIDE FOR PATIENTS Contents About Dr John Males...1 What is a Cataract?...3 Causes of a Cataract...4 Symptoms of a Cataract...4 COMMON QUESTIONS When is the best time

More information

Corneal Transplants. Corneal transplants. What causes cornea problems? Full thickness corneal transplant

Corneal Transplants. Corneal transplants. What causes cornea problems? Full thickness corneal transplant 2014 2015 Corneal transplants The cornea is the clear, front window of the eye. It helps focus light into the eye so that you can see. The cornea is made of layers of cells. These layers work together

More information

Visian ICL (Implantable Collamer Lens) For Nearsightedness. Facts You Need To Know About STAAR Surgical s Visian ICL SURGERY

Visian ICL (Implantable Collamer Lens) For Nearsightedness. Facts You Need To Know About STAAR Surgical s Visian ICL SURGERY Visian ICL (Implantable Collamer Lens) For Nearsightedness Facts You Need To Know About STAAR Surgical s Visian ICL SURGERY PATIENT INFORMATION BOOKLET For Nearsightedness (Myopia) between 3 to 20 Diopters

More information

Getting Started GUIDE. TECNIS Symfony IOL and TECNIS Symfony TORIC IOL. TECNIS SYMFONY IOL pg 1

Getting Started GUIDE. TECNIS Symfony IOL and TECNIS Symfony TORIC IOL. TECNIS SYMFONY IOL pg 1 Getting Started GUIDE TECNIS Symfony IOL and TECNIS Symfony TORIC IOL TECNIS SYMFONY IOL pg 1 IN THIS GUIDE LENS SPECIFICATIONS pg 3 PREOPERATIVE pg 4-5 TECNIS Symfony IOL combines two complementary and

More information

THE COMPLETE GUIDE TO. Cataract Solutions HERZIG-EYE.COM 1

THE COMPLETE GUIDE TO. Cataract Solutions HERZIG-EYE.COM 1 THE COMPLETE GUIDE TO Cataract Solutions HERZIG-EYE.COM 1 At the Herzig Eye Institute our commitment is to provide each patient with their best possible vision correction, superior surgical treatments,

More information

LASER REFRACTIVE CENTER INFORMED CONSENT DOCUMENT PERIPHERAL CORNEAL RELAXING INCISION (PCRI)

LASER REFRACTIVE CENTER INFORMED CONSENT DOCUMENT PERIPHERAL CORNEAL RELAXING INCISION (PCRI) INTRODUCTION The purpose of this document is to provide written information regarding the risks, benefits and alternatives of Peripheral Relaxing Corneal Incision. This material serves as a supplement

More information

TREAT CATARACTS AND ASTIGMATISM WITH ONE PROCEDURE

TREAT CATARACTS AND ASTIGMATISM WITH ONE PROCEDURE TREAT CATARACTS AND ASTIGMATISM WITH ONE PROCEDURE Simulated images with an AcrySo fiq Simulated images with Toric IOL. Although this result is typical, cataracts and astigmatism. individual results may

More information

FUCH S DYSTROPHY & CATARACT SURGERY TREATMENT ALGORITHM

FUCH S DYSTROPHY & CATARACT SURGERY TREATMENT ALGORITHM FUCH S DYSTROPHY & CATARACT SURGERY TREATMENT ALGORITHM ΙΟΑΝΝΙS Α. MALLIAS, MD, PHD Director of the Dept. of Ophthalmology, Mediterraneo Hospital, Glyfada, Athens, Greece Clinical Fellow in Cornea and

More information

Laser Refractive Cataract Surgery with the LenSx Laser

Laser Refractive Cataract Surgery with the LenSx Laser Laser Refractive Cataract Surgery with the LenSx Laser a Novartis company 1 LenSx Laser Important Safety Information Caution: United States Federal Law restricts this device to sale and use by or on the

More information

Sixth annual ASCRS Clinical Survey

Sixth annual ASCRS Clinical Survey Sixth annual ASCRS Clinical Survey More than 1,000 members responded to the sixth annual ASCRS Clinical Survey, providing clinical opinions and practice patterns that help drive ASCRS education and other

More information

VISIONCARE S IMPLANTABLE MINIATURE TELESCOPE (by Dr. Isaac Lipshitz)

VISIONCARE S IMPLANTABLE MINIATURE TELESCOPE (by Dr. Isaac Lipshitz) PATIENT INFORMATION BOOKLET PAGE 1 OF 32 VISIONCARE S IMPLANTABLE MINIATURE TELESCOPE (by Dr. Isaac Lipshitz) AN INTRAOCULAR TELESCOPE FOR TREATING SEVERE TO PROFOUND VISION IMPAIRMENT DUE TO BILATERAL

More information

Cataracts are a normal feature of aging. About half of adults aged 65 to 74 have cataracts.

Cataracts are a normal feature of aging. About half of adults aged 65 to 74 have cataracts. Cataract Mr Constable specialises in modern small incision phacoemulsification surgery for the treatment of cataracts using the latest microincision systems and implants. Most patients with cataracts can

More information

Corneal Transplants. Corneal transplants. What causes cornea problems? Full thickness corneal transplant

Corneal Transplants. Corneal transplants. What causes cornea problems? Full thickness corneal transplant Corneal transplants The cornea is the clear, front window of the eye. It helps focus light into the eye so that you can see. The cornea is made of layers of cells. These layers work together to protect

More information

Cataract Surgery Consent Form 1) WHAT IS A CATARACT AND HOW IS IT TREATED?

Cataract Surgery Consent Form 1) WHAT IS A CATARACT AND HOW IS IT TREATED? Cataract Consent Form 1) WHAT IS A CATARACT AND HOW IS IT TREATED? a) The lens in the eye can become cloudy and hard, a condition known as a cataract. Cataracts can develop from normal aging, from an eye

More information

Integrating the LenSx Laser Laser into your Clinic: Our advice for those considering it

Integrating the LenSx Laser Laser into your Clinic: Our advice for those considering it Integrating the LenSx Laser Laser into your Clinic: Our advice for those considering it (DAY) Facilitator: (Name) LenSx Laser Important Safety Information Caution United States Federal Law restricts this

More information

Cataract Surgery: Information for patients. Back of eye. Vitreous. Retina. Lens

Cataract Surgery: Information for patients. Back of eye. Vitreous. Retina. Lens Patient information Cataract Surgery: Information for patients Front of eye Cornea Pupil Iris Back of eye Vitreous Retina Lens The anatomy of the eye is illustrated above. Your cataract is a clouding of

More information

ASCRS 2016 Instructional Course Mastering Femtosecond Laser Assisted Phacoemulsification. An Evidence-Based Review

ASCRS 2016 Instructional Course Mastering Femtosecond Laser Assisted Phacoemulsification. An Evidence-Based Review ASCRS 2016 Instructional Course 07-410 Mastering Femtosecond Laser Assisted Phacoemulsification An Evidence-Based Review TIMOTHY V ROBERTS MBBS (NSW), MMed (Syd), FRANZCO, FRACS, GAICD Vision Eye Institute,

More information

ASCRS 2016 Instructional Course Mastering Femtosecond Laser Assisted Phacoemulsification

ASCRS 2016 Instructional Course Mastering Femtosecond Laser Assisted Phacoemulsification ASCRS 2016 Instructional Course 07-410 Mastering Femtosecond Laser Assisted Phacoemulsification LASER CAPSULOTOMY TIMOTHY V ROBERTS MBBS (NSW), MMed (Syd), FRANZCO, FRACS, GAICD Vision Eye Institute, Sydney

More information

Mr Vaughan Tanner BSc MBBS FRCOphth Consultant Ophthalmic Surgeon

Mr Vaughan Tanner BSc MBBS FRCOphth Consultant Ophthalmic Surgeon Mr Vaughan Tanner BSc MBBS FRCOphth Consultant Ophthalmic Surgeon www.tanner-eyes.co.uk Spire Dunedin Hospital 22 Bath Road Reading RG1 6NS Circle Hospital 100 Drake Way Reading RG2 0NE The London Clinic

More information

PHOTOREFRACTIVE KERATECTOMY (PRK) PATIENT INFORMATION BOOKLET

PHOTOREFRACTIVE KERATECTOMY (PRK) PATIENT INFORMATION BOOKLET 616.365.5775 www.keillasik.com PHOTOREFRACTIVE KERATECTOMY (PRK) PATIENT INFORMATION BOOKLET Please read this entire booklet. Discuss its contents with your doctor so that questions are answered to your

More information

Start with ME. LEAVE A LEGACY OF EXCELLENT OUTCOMES FOR PATIENTS WITH ASTIGMATISM. TECNIS TORIC 1-PIECE IOL

Start with ME. LEAVE A LEGACY OF EXCELLENT OUTCOMES FOR PATIENTS WITH ASTIGMATISM. TECNIS TORIC 1-PIECE IOL LEAVE A LEGACY OF EXCELLENT OUTCOMES FOR PATIENTS WITH ASTIGMATISM. Start with ME. TECNIS TORIC 1-PIECE IOL INDICATIONS: The TECNIS Toric 1-Piece Posterior Chamber Lens is indicated for the visual correction

More information

NEPTUNE RED BANK BRICK

NEPTUNE RED BANK BRICK NEPTUNE RED BANK BRICK Diabetes & The Eye Diabetics are more likely to develop Cataracts at a younger age. Diabetics are twice as likely to develop Glaucoma when compared to non-diabetics. The primary

More information

Informed Consent for Excimer Laser Surface Ablation Surgery (PRK, LASEK, epi-lasik, and others)

Informed Consent for Excimer Laser Surface Ablation Surgery (PRK, LASEK, epi-lasik, and others) Informed Consent for Excimer Laser Surface Ablation Surgery (PRK, LASEK, epi-lasik, and others) Patient name (printed): Patient date of birth: Please review this information so you can make an informed

More information

RLE (Refractive Lens Exchange)- Bootcamp. Christopher Blanton, MD April 28,2018

RLE (Refractive Lens Exchange)- Bootcamp. Christopher Blanton, MD April 28,2018 RLE (Refractive Lens Exchange)- Bootcamp Christopher Blanton, MD April 28,2018 Financial Disclosure Paid consultant: Johnson & Johnson, Inc.- Star S4/iFS IntraLase Medical Monitor Integra LifeSciences,

More information

Ophthalmology. Cataract

Ophthalmology. Cataract Ophthalmology Cataract The Ophthalmology service offers the latest and most comprehensive eye care for patients. With a dedicated team of eye surgeons and consultants, we treat vision problems ranging

More information

Cataracts in adults: management

Cataracts in adults: management Cataracts in adults: management NICE guideline: short version Draft for consultation, May 0 This guideline covers managing cataracts in adults aged and over. It aims to improve care before, during and

More information

Corneal Graft or Transplant Patient information leaflet

Corneal Graft or Transplant Patient information leaflet Corneal Graft or Transplant Patient information leaflet Corneal Graft or Transplant/MQ/ST/08.2012/v1.2 review 08.2015 Page 1 Corneal Graft or Transplant The Cornea is the clear window at the front of the

More information

DATE MRN NAME. J. Everett, MD SAMPLE. Eye Physician & Surgeon Cataract and Refractive Surgery Specialist

DATE MRN NAME. J. Everett, MD SAMPLE. Eye Physician & Surgeon Cataract and Refractive Surgery Specialist HENRY FORD HOSPITAL DATE Informed Consent For Restor MRN NAME (REFRACTIVE LENSECTOMY WITH A MULTI-FOCAL IMPLANT) PLEASE READ THE FOLLOWING PAGES CAREFULLY AND INITIAL AND SIGN WHERE INDICATED. PLEASE DO

More information

SMALL-INCISION CATARACT SURGERY. Seeing the Difference

SMALL-INCISION CATARACT SURGERY. Seeing the Difference SMALL-INCISION CATARACT SURGERY Seeing the Difference TABLE OF CONTENTS 3 A Common Vision Problem 5 Small Incision Cataract Surgery 6 Small Incision Surgery Benefits 7 What Are Cataracts? 8 The Aging of

More information