Intraocular Lenses

Intraocular Lenses

Intraocular lenses are supposedly placed inside the eye in replacement of the lens that was removed. This is needed to make your eye gain vision after cataract surgery. There are several different kinds of IOL’s, each of which is chosen to suit each patient’s visual preference.

Monofocal IOL: Monofocal, or single vision lenses, are the standard lenses that take the place of your cataract and can help you see distant objects. However, these lenses will not correct astigmatism and will not correct near vision, so it is likely that you will need to wear glasses at least part-time for distance activities and full time for near work even after surgery.

Toric IOL: In addition to correcting near-sightedness or farsightedness, toric lenses have the ability to correct astigmatism. If you have significant astigmatism before surgery, then this lens option will provide you with a better opportunity to have clear distance vision without glasses. Toric lenses still correct primarily distance vision and will not correct near vision.

Multifocal IOL: Multifocal lenses are appropriate for some patients who have a strong desire to see distant and near objects without glasses and who are willing to potentially somewhat compromise the quality of their vision to obtain freedom from glasses. In appropriate candidates, multifocal lenses can improve distance, intermediate (computer distance), and near vision and can reduce your dependency on glasses at all of these distances; however, neither lens restores the natural vision at all distances you had as a youth, and you may experience some problems with these lenses. These include, but are not limited to: poor night vision, including glare and halos, less sharpness of vision than may be obtained with a monofocal IOL and glasses, and inadequate near and intermediate vision that still may require the use of glasses.

Accommodative IOL : Accommodating IOL (intraocular lens implant) is designed to mimic the movement of the natural crystalline lens of the eye. When we are younger, the natural lens is very flexible and easily moves back and forth within the eye as we change our visual focus from up close to distance objects. As we age however, most commonly in our early to mid 40s, the eye loses its flexibility and can no longer easily accommodate those changes in our focus. To imitate the action of the young natural lens, the accommodating IOLs are able to move and/or change shape inside the eye to allow focus at multiple distances. While current technology accommodating IOLs are able to provide some range of focus, they cannot replicate the amazing range of vision you had when you were 20 years old.

Laser Vision Correction

Vision Correction

Laser vision correction is a family of procedures designed to correct a number of error of refraction namely myopia (nearsightedness), hyperopia (farsightedness), astigmatism and presbyopia ( the need for reading glasses). The options of treatment include FEMTO-LASIK, LASIK, PRK to treat non age related changes in your vision.

During your initial consultation, your eye doctor will make treatment recommendations based on the type and severity of your refractive error paying special attention to the health of your eye. LASIK and PRK are the most common types of laser vision correction done today. These are performed in St Lukes Medical Center Global City or at The Lasik Surgery Center at Mega Mall where Dr. Dante Udasco is affiliated.

LASIK – Laser in-situ keratomileusis, or LASIK, is a frequently performed laser vision correction procedure.

PRK – Photorefractive keratectomy, or PRK is a type of laser eye surgery used in correcting mild to moderate nearsightedness, farsightedness and or astigmatism.

Cosmetic Eye Surgery

Cosmetic Eye Surgery

Blephasteam

Blephasteam is the first convenient eyelid warming device recommended to relieve symptoms of Meibomian Gland Dysfunction (MGD) and associated diseases such as posterior blepharitis, meibomitis, ocular rosacea, chalazion, contact lens intolerance, dry eye.

Blephasteam provides a moist and heat therapy. This dual action unblocks the meibomian glands, improves the tear quality, therefore improving symptoms, ocular health, vision and comfort.

Based on the original scientific studies of Dr JR Fuller, Blephasteam device has been developed in conformity with CE mark by Laboratoires Théa, a leading ophthalmologic company specialized in lid care and designed in collaboration with eye care specialists.

It is well established that Meibomian Gland Dysfunction (MGD) conditions involve an alteration in the quality of the tear film lipid layer. This alteration is responsible for symptoms of eye irritation, inflammation and apparition of concomitant ocular surface diseases such as posterior blepharitis, meibomitis, ocular rosacea, chalazion, contact lens intolerance, dry eye.

It has been observed by ophthalmologists that a daily application of heat and humidity on the eyelids has a beneficial effect upon various Meibomian Gland Dysfunction conditions.

Blephasteam – see real benefits:

  • Due to the unique nature of the design it is possible to gain a set heat, which gives latent therapy and achieves a moisture that is beneficial to eye health.
  • Quality of blink preserved – so meibomian oil can be released on closure and tear can be re-surfaced on blinking.
  • Efficient on tear film stability and ocular health.
  • Convenient and easy to use :10 minutes session twice a day.
  • Scientifically proven by an independent body to improve tear quality, decrease tear evaporation and improve vision.
  • The therapy is a natural solution for eyelids and ocular surface disease, no preservatives or phosphates.

Cataract Surgery

Cataract Surgery

Phacoemulsification is a modern cataract surgery in which the eye’s internal lens is emulsified with an ultrasonic hand piece and aspirated from the eye. Aspirated fluids are replaced with irrigation of balanced salt solution to maintain the anterior chamber.

Femto Laser Assisted Cataract Surgery

Modern cataract surgery is fast becoming a refractive surgical procedure. Despite the excellent results obtained with the current technology, perfection is demanded by patients and surgeons alike. Existing procedures, although safe and efficient, are considered to depend greatly on the skill and experience of the surgeon. Femtosecond laser assisted cataract surgery has been commercially available since 2011 and has revolutionized the way cataract surgery is performed across the world. But as with the introduction of any new technique and technology, there has been a hesitation in adopting this over the more popular and universal phaco-emulsification technique of cataract surgery. This article would describe the technology available, surgical technique, discuss the potential benefits and challenges involved, and newer developments in this exciting new treatment modality.

The femtosecond laser is useful in ocular surgeries due to its ultra fast pulses in the range of 10 seconds 15, and its decreased energy requirements for tissue destruction, reducing unintended damage to surrounding tissues. The currently available femtosecond laser devices use a neodymium:glass, near infrared laser with a wavelength of about 1053nm. This highly coherent beam of laser is focused at 3 m spot size with accuracy of within 5 µm in the anterior segment. Unique, ultra-short duration laser pulses (10 seconds)15 allows its use as a “laser blade” in a process called photodisruption or photodissection allowing for reduced unintended destruction of surrounding tissues.