At Home with Chris Jessen 2018 - 125
MEET THE EXPERT
Mr Alex Shortt,
MB BCh MSc PhD
at Moorfields Eye
Hospital for 14
years, prior to
own clinic and
Mr Shortt is a clinician-scientist at
University College London and
a fellow of the Royal College of
Ophthalmologists. He has built a
reputation for expertise in laservision correction, complex corneal
disease, conjunctival disease and
cataracts. He trained at the National
University of Ireland in Dublin and
completed a PhD at University College
London and nine years' clinical training
at Moorfields Eye Hospital.
Mr Shortt has a reputation for the
high standard of his patient care,
every aspect of which he carries out
personally. His eye clinic at 77 Harley
Street is in central London and uses the
latest technology for optimal results.
WHAT IS PRESBYOPIA?
This is the stiffening of the lens-focusing mechanism of the eye that occurs with
age. It causes people aged 45 and older to lose their close-up vision and need
reading glasses. Sadly, presbyopia cannot be prevented as it is part of
the natural ageing process.
WHAT ARE THE SIGNS?
Do you hold your phone further away to see it clearly?
Do you struggle to read the small print in newspapers or magazines?
Do you have difficulty keeping clear focus when reading?
Do you have eye strain after reading for long periods?
If you answer yes to these questions, it is likely you have presbyopia.
HOW CAN IT BE TREATED?
Advances in laser and lens implant technology have produced two exciting
treatments and both are safe and effective. Presbyond laser treatment
and Refractive Lens Exchange with multifocal lens implants have the added
bonus of correcting long-sightedness, short-sightedness and astigmatism, too.
They can remain in place permanently
or until the development of cataract, at
which stage they can be removed and
standard cataract surgery performed.
LENS EXCHANGE WITH MULTIFOCAL
LENS IMPLANTATION This treatment
is very similar to standard cataract
surgery, where the natural lens is
removed from the eye using an
ultrasound probe and a keyhole surgery
technique. Where it differs from standard
surgery is through the additional benefit
of a highly sophisticated lens implant.
This lens will focus the eye for distance,
mid-range and reading-range vision; all
without the need for glasses. Another
major benefit of this treatment is that
cataract surgery will never be needed.
Which technique is for you?
AGE 21-45: Patients in this age group
are suitable for all three generations
of laser eye surgery: LASEK, LASIK
and ReLEx SMILE. In cases of a
high prescription, thin corneas or
irregular corneal shape, an excellent
option is implantable contact lenses
(ICL), which corrects vision from
inside the eye.
AGE 45-60: In this age group, distance
vision is usually stable, but because of
presbyopia, reading vision begins to
blur. Presbyond laser blended vision
and, in some cases, refractive lens
exchange, are excellent options that
leave patients spectacle-free for both
distance and reading.
AGE 60+: People over 60 are likely to
have early signs of cataract, therefore
lens exchange surgery is the treatment
of choice for both cataract and
presbyopia. This offers excellent results
and freedom from the need to have
several pairs of glasses.
What are the risks of surgery?
All surgical procedures carry a risk - in
the case of eye surgery this includes
not obtaining the desired outcome
through to varying levels of visual loss.
It is imperative that patients discuss the
risks and benefits of surgery with their
surgeon, including those specific to
their circumstances, at the pre-operative
consultation. In general, the risk of
permanent irreversible damage to
your vision with corrective eye surgery
is less than 1 out of 10,000.
FOR MORE INFORMATION
Mr Alex Shortt Consultant
Call 020 3808 7758
Royal College of Ophthalmologists