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AcrySof® ReSTOR® Intraocular Lens Implants (IOL)s for Refractive Lens Exchange at Stahl Vision in Dayton Ohio

About the AcrySof® ReSTOR® Lens Implant

When we were younger our eye focused up close naturally, something called accommodation.  As we age past our mid-forties we lose enough of that ability that we start wearing reading glasses.  To restore some of that ability to see upclose, the AcrySof® ReSTOR® Lens uses diffractive optics to split the incoming light into focal points for distance and near.  The ReSTOR concentrates the near diffractive optics in the central area of the lens, which improves night vision, but makes reading in dim light conditions more difficult. By incorporating correction for spherical aberration, the ReSTOR maintains better night vision.  Unlike accommodating lenses like the Crystalens, all multifocal lenses (Tecnis, ReSTOR, and ReZoom), have some compromise to night vision and distance vision with slight glare and halos.  This is inherent in the design, as they split the incoming light.  But all of these lenses are able to focus at closer distances and enable patients to read smaller print sizes.  The original ReSTOR (4.0), had a very near point of focus, and patients often had difficulty reading at intermediate distances.  In response to this, the ReSTOR 3.0 was introduced, which offers better intermediate vision and a slight reduced nearest point of focus.

Plusses:   better near vision and closer nearest point of focus

Minuses:  some glare, halos, and loss of contrast most noticeable at night, difficult to read in dim lighting

How small of print will I be able to see?

The following indicates the percentage of patients able to see a given size print with the ReSTOR® Lens Implant:

The best way to determine if the ReSTOR® is the best choice for you is by coming in for a complete eye exam.  Once our doctors have measured and examined your eyes, we can discuss your lifestyle and near vision needs and discuss which procedure will help you see your best.

Refractive Lens Exchange
New Technology for Aging Eyes

Imagine being able to see your world as well as you did when you were younger, without the help of glasses and contacts, or reading glasses. Imagine youthful, energetic, vibrant vision free from the encumbering cloudiness of your aging eyes. Well, it may now be possible. Stahl Vision is the most experienced center for Lens Replacement Surgery in Dayton, also called Refractive Lens Exchange. Stahl Vision was the first center in Dayton to offer patients advanced technology Intraocular Lens Implants (IOL)s such as the AcrySof® ReSTOR® Intraocular Lens Implant (IOL), the ReZoom™ Intraocular Lens Implant (IOL), the Tecnis® Multifocal Intraocular Lens Implant (IOL) and the flexible lens technology of the Crystalens® Intraocular Lens Implant (IOL), all dual use lenses that can restore youthful vision to baby boomers and cataract patients.

Glossary:  Refractive Lens Exchange (RLE) is a synonym with Clear Lensectomy, Lens Replacement Surgery and PRELEX. ReSTOR® , ReZoom™, Tecnis® and Crystalens® are the names of implant lenses used with Refractive Lens Exchange. Presbyopia is the name of the condition that causes us to lose our near vision past the age of 40 something. LASIK is often the best vision correction choice for those with Cornea shape or curvature problems that cause blurry vision-such as most cases of myopia, hyperopia or astigmatism-because it can change the shape of the Cornea according to a very precise and pre-determined plan. Refractive Lens Exchange is a better option for vision correction for those who have a lens problem such as Presbyopia or Cataracts or who have extreme amounts of myopia, hyperopia or astigmatism where LASIK would require the removal of too much tissue from the Cornea to achieve your prescription.

At a Glance:  Refractive Lens Exchange
Refractive Lens Exchange is becoming a popular option for those over 50 seeking to be more independent of glasses and contacts and to restore near vision at the same time!  The choice of which implant is best for you involves determining the best range of vision for your lifestyle with the least amount of compromises.  This is the same surgery as cataract surgery, and having this surgery now means you won't need cataract surgery later in life.

Help for eyes that cannot focus up-close!

Presbyopia is the age-related eye condition that affects most people as they enter their 40's, causing near vision to fade with age, making it difficult to see things up-close. This naturally occurring condition cannot be corrected with LASIK, but Refractive Lens Exchange or Replacement Surgery with ReSTOR® , ReZoom™, Tecnis® and Crystalens® can be an excellent solution.

The unique aspect of these implant lenses (IOLS) is that they focus light at both near and far distances allowing patients to regain both distance and near vision. Thanks to this new technology, patients can enjoy activities like reading fine print or working on the computer without the hassle of reading glasses.

Refractive Lens Exchange (RLE) involves removing the natural lens of the eye that has lost its ability to focus at near and far, and replace it with an Intraocular Lens Implant (IOL) that allows clear vision for distance and near vision.  By selection of the power of the implant lens, your doctor can correct for nearsightedness, farsightedness, and even astigmatism can be corrected for at the time of surgery.  And newer generations of bifocal and accommodating implant lenses allows restoration of near vision.  The result is that for the first time your doctor can offer you more natural vision that restores your vision for distance and near.

Refractive lens exchange or RLE is the same surgery as Cataract Surgery, something that all of us will need to have if we all live long enough.  Cataracts are an aging change that leaves our natural lens cloudy.  Some early “baby cataract’ changes start occurring in our 50’s, but most patients are in their 60’s or 70’s before they have Cataract Surgery.  Early symptoms of Cataracts include dulling of vision and glare from lights especially at night.  Glasses do not correct these vision problems, and eventually surgery is needed to see clearly again.

Refractive Lens Exchange is done at our ambulatory surgery center as an outpatient procedure that takes about thirty minutes—you go in for your surgery in the morning, and go home a couple of hours later.  One eye is done at a time, separated by a few weeks.  Topical anesthesia with light sedation is all that is needed to keep the procedure pain free and comfortable.  Best results are obtained after both eyes have been done to allow the eyes to work naturally together.

The best candidates for this procedure are over 45 years old, possibly with early Cataracts, with otherwise healthy eyes, and who need glasses for both distance and near vision.  For most patients life without bifocals or reading glasses is something they have dreamed to regain. 

Because of the bifocal nature of these implant lenses, there is some glare and halo effect around lights at night.  Less than 5% of patients find this severe, but about 20% found it noticeable.  If you drive a lot at night, or have a nighttime occupation, this might be a reason not to choose these lenses.  The designs of these implant minimizes these disturbances by using the size of our pupil to favor distance vision at night, and near vision in brighter lighting conditions.

How is Refractive Lens Exchange or Lens Replacement Surgery this different than LASIK Surgery?

LASIK surgery can correct your distance vision, but NOT your near vision.  LASIK remodels the surface of the eye, whereas Refractive Lens Exchange replaces the lens on the inside of the eye.  LASIK is usually done on both eyes the same day, but with RLE we wait a few weeks in between surgeries.

What do I have to do after my Refractive Lens Exchange Surgery?
You will be using medicated eye drops for several weeks and need to take a couple of days off driving and work. Your distance vision clears quickly whereas adapting to your new found near vision will get better over several weeks.

Does this mean I won’t have to have Cataract Surgery later in life?
That is correct. This is the same surgery as Cataract Surgery but done to restore your vision. Your natural Crystalline Lens will be replaced with an artificial plastic lens implant and that means you won’t need Cataract Surgery later.

How much does this cost?

We charge $3900. This includes your surgery center costs, implant lens charge, surgery fees and measurement fees as well as your after care for a year. Insurance does not cover RLE unless you have significantly bad cataracts, not just early Cataracts.  We offer several payment financing plans to make Refractive Lens Exchange affordable and put it within your budget.

Stahl Vision Laser & Eye Surgery Center in Dayton Ohio is conveniently located for patients who suffer from Presbyopia and need help with far vision as well as near vision and wish to consider Refractive Lens Exchange or lens Replacement Surgery with ReSTOR®, ReZoom™, Tecnis® Multifical or Crystalens® from Troy, Tipp City, Sidney, Greenville, New Carlisle, Springfield, Huber Heights, Fairborn, Centerville, Beavercreek, Bellbrook, Kettering, Oakwood, Dayton, Trotwood, Englewood, Cincinnati, Chillicothe, Circleville, Portsmouth, Marietta, Waverly, Athens, Brookville, Germantown, Vandalia, Eaton, Xenia, Jamestown, Washington Court House, Yellow Springs, Carlisle, Franklin, Springboro, Waynesville, Lebanon, Mason, Oxford, and Middletown Ohio. Please call Stahl Vision at 937.643.2020 to schedule an appointment for a complete eye exam and consultation for Refractive Lens Exchange.

 





Stahl Vision- building better vision, one patient at a time...
Stahl Vision, Drs. Brian Stahl & James Knowles, 4235 Indian Ripple Rd., Dayton, Ohio 45440
(937) 643-2020