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|PROMOTION|
minutes and the visual recovery is very quick
with most people achieving better than
20/20 vision the day after surgery.
Studies now show that this vision is
maintained 20 years on from the original
surgery in the vast majority of patients.
The key to successful laser eye surgery is
a comprehensive pre-operative assessment.
Queries, concerns and expectations are
all addressed and the surgeon uses the
information to plan the most appropriate
treatment customised to each individual.
Cataract surgery
Clouding of the natural lens of the eye affects
everyone as they age. Some people develop
cataracts earlier than others, but now with an
increased life expectancy, this has become
one of life's inevitabilities.
One of the fi rst things that people notice is
reduction in vision, particularly at night. This
then becomes worse as the cataract develops
and eventually reaches a point where quality
of life becomes affected - for example;
diffi culty driving or reading.
Previously, the method used to treat cataracts
was prolonged and visual recovery would take
months. Thankfully, things have dramatically
improved since the 1970s and 1980s with
the introduction of small incision surgery and
more refi ned instrumentation.
The surgery is now typically performed with
local anaesthetic eye drops and takes around
10-20 minutes. A tiny incision is made into
the eye and the lens is removed with an
ultra-sound probe. Visual recovery is very
fast and, by the next day, most people are
able to see much better. When a cataract
is removed, a replacement lens is put in its
place. Lens technology has also improved,
which allows surgeons to customise the
lens to each individual thereby reducing
his or her dependence on glasses.
Each person is different and, at the
pre-operative consultation, the surgeon
discusses the patients' needs and requirements
and then offers them appropriate lens choices
based on this assessment.
Refractive lens exchange
For people over the age of 40 who have
a very high prescription or where laser vision
correction is not suitable, refractive lens
exchange may be an alternative option.
In this procedure, the natural lens is removed
and a new customised lens is put in its place,
which corrects the glasses prescription. There
are a number of lens options available which
include; monofocal lenses (correct only distance
or near vision), multifocal lenses (correct
distance and near vision) and toric lenses
which also correct astigmatism (optical defect).
The procedure takes around 10-20 minutes
and is performed using local anaesthetic eye
drops. In some cases, the procedure can be
combined with laser vision correction for
Ziemer laser
complex prescriptions, a procedure called
Bioptics. Recovery is very quick with individuals
seeing better within days after the procedure.
Implantable collamer lens (ICL)
This is an option for those who are not suitable
for laser vision correction usually because of
a very high prescription or a thin cornea or
both. High prescriptions mean very thick
lenses and therefore heavy glasses. Even
contact lenses are sometimes not an option
as the prescriptions can be so high.
Traditional contact lenses go on the surface
of the eye, whereas the ICL is positioned inside
the eye between the iris (coloured part of the
eye) and the natural lens. The ICL consists of a
very thin biocompatible material and works by
providing additional focusing power to the
eye's optical system. Once inserted, the lens
stays indefi nitely but can be removed or
replaced if needed. The procedure is
performed using local anaesthetic eye drops
and takes around fi ve to10 minutes.
Because the ICL is used for people with
very high prescriptions, the visual results are
dramatic with a truly life-changing experience
for these individuals. It has been modifi ed
over the years as technology has progressed,
and it is now a very safe option with a very
good long-term outcome.
Seeing is believing
Technology has improved dramatically in
recent years. As well as improving eyesight,
the equipment and techniques are now
available to reduce patients' dependence
on spectacles regardless of their age.
An appropriate assessment will determine
the most suitable and safest method to perform.
There is an art to achieving the perfect
outcome and this is where subspecialty
expertise, an eye for detail and a passion for
one's work is key to improving patients' sight.
FOR MORE INFORMATION
Mr Ali Mearza FRCOphth
consultant ophthalmic surgeon
22 Wimpole Street,
London W1G 8GQ.
Private Secretary 07932 679000.
NHS Secretary 020 3311 1498.
Email ali@eyedoc.eu.com or
ali.mearza@imperial.nhs.uk
Visit www.alimearza.com
WaveLight laser
Visian ICL
http://www.alimearza.com http://www.alimearza.com

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