Refractive Lens Exchange

The freedom of regaining your near vision

Some patients who have not yet developed cataracts are interested in surgery to eliminate glasses for distance, intermediate and near vision. Their inability to read up close is called presbyopia. In many cases, the best way to treat this is to “prematurely” remove the lens in their eyes that will eventually become a cataract, and replace it with an intraocular lens. The intraocular lens has the ability to see at distance, intermediate and near without the need for glasses. This procedure is called Refractive Lens Exchange, and it is generally reserved for patients over the age of 40.

Refractive Lens Exchange is in essentially identical to cataract surgery; however, since it is performed on individuals who have not yet developed a significant cataract, it is referred to by a different name than “cataract surgery”. During our evaluation of your eyes, we can determine if this option is appropriate for you.

This type of surgery can restore the traditional range of vision we are used to without the regular use of glasses or contact lenses. This can mean being able to see clearly across the room, at an intermediate distance like a computer screen, and even up close to read a novel, all without having to reach for reading glasses. If you would like to gain your freedom from glasses, contacts, or readers, call us for a consultation to determine if you are a candidate.

Patients who have even a small degree of cataract formation may actually benefit from having their cataracts removed as a method of eliminating their glasses prescriptions. The reason for this is that at the time of cataract removal, an implant lens can be placed which has the prescription power necessary to reduce or eliminate the need for glasses. During our evaluation of your eyes, we can determine if this option is appropriate for you.

In 2001, Dr. Dell performed a series of operations using special intraocular lenses that could focus both at distance and near. This FDA-sponsored clinical research led to full FDA approval of the first of these lenses in 2003. At Dell Laser Consultants we refer to these special implant lenses as Full Focus® intraocular lenses.

Dr. Dell has personally trained hundreds of U.S. surgeons certified to use these advanced Full Focus® implant lenses, and he has lectured around the world on their use. Today, there are several varieties of these advanced intraocular lenses including the Tecnis Multifocal, Symfony, ReStor, Crystalens, Trulign, and others. We now have impant lenses that can correct nearsightedness, farsightedness, and astigmatism. Our doctors will assess the best technology available for your eyes and make a specific recommendation for the best Full Focus® technology to achieve your visual goals.

 

Presbyopia Overview

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Laser Cataract Surgery

cataract surgery from Dr. Steven DellLaser Cataract Surgery is a term referring to using a femtosecond laser to assist in the removal of cataracts. Dr. Dell, served as a consultant to LenSx, the original manufacturer of the first FDA-approved laser for cataract surgery. In 2010, he became the second surgeon in the United States to perform Laser Cataract Surgery. The first surgeon to use this laser was Stephen G. Slade MD in Houston, Texas. Dr. Dell spent several years working with the team that developed this laser, and educating other surgeons on this technology. In 2011, Dr. Dell served as the Program Chairman of the first major medical meeting in the United States on Laser Cataract Surgery.

Through Dr. Dell’s consulting relationships with innovative technology manufacturers, we are able to honor our commitment to provide Austin area patients with world leading technology, often years before other surgeons. Now that Laser Cataract Surgery is becoming commercially available in the US, other surgeons are beginning to adopt it. We continue working intently on bringing more accurate and efficient technology to the United States to improve the standard of care for our patients.

 

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