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Refractive Lensectomy


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What's your Resolution? Enhance your vision, get more resolution.

Did you know In one year, the average contact lens wearer spends nearly 60 hours wetting, soaking, rubbing, cleaning and in other ways maintaining contact lenses. Get free of the hassle! Have you considered LASIK? Dr. Gailitis has been performing vision correction surgery in South Florida for more than twenty years and has a long list of pleased patients with better vision. Read more...

Sunday, December 1, 2013  


Get a fresh look for the fresh New Year: The truth about Dermal Fillers

Have you considered Dermal Fillers? Wrinkles form when this natural collagen thins. This loss is primarily a factor of aging; but exposure, pollution, health, heredity and lifestyle also play roles. Without enough collagen, wrinkles and lines start to form wherever the skin moves. Read more...

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New Year's Eve is made for late night fun: Check out tips to night time Driving
With the winter season officially upon us, our nights are longer, which means more nighttime driving. According to a national survey, 32% of drivers reported that they have trouble seeing in the dark. Read more...

Monday, December 3, 2013


Editing Holiday Pictures and want to get the Red out? Check out the causes of Red Eye in Flash Photography?
Have you ever wondered what causes eyes to appear red in photos? Usually this happens indoors or at night when the pupils are more dilated than usual. The light from camera flashes are generally located only a few inches from the camera's lens. Read more...

Monday, December 4, 2013


January is National Glaucoma Awareness Month
aking some time to raise awareness about Glaucoma is imperative because most of symptoms are so difficult to identify, leaving many to refer to it as sneak thief of sight. Read more...

Monday, December 4, 2013

Refractive Lensectomy

Many patients over the age of 40 who have not yet developed cataracts are interested in vision correction but LASIK may not be one of the best option. After the age of 40 some people develop an inability to read things up close and this is known as 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.

Refractive Lens Exchange (RLE) is gaining popularity as an affordable surgical option for people over 40 who want to decrease or eliminate their dependence on glasses or contacts. When we are young, the natural lens acts like the zoom function in a camera, allowing us to focus up close, without the need for reading glasses or bifocals. As we age, the lens progressively becomes dysfunctional resulting in loss of near vision (presbyopia) that requires the use of reading glasses or bifocals. With aging the lens also progressively becomes hard, yellow and cloudy (cataract), which blocks and scatters light reducing visual quality, quantity and color perception.

What is Refractive Lens Exchange?

Refractive Lens Exchange is commonly referred to as clear lens extraction or presbyopic lens correcting intraocular surgery. RLE is an emerging type of refractive surgery very similar to cataract surgery. Like many other types of refractive surgery, including LASIK eye surgery, Refractive Lens Exchange corrects nearsightedness and farsightedness. The desired refractive result is achieved with the insertion of a lens implant known as an IOL. Refractive Lens Exchange is a great option for an ophthalmologist to utilize when vision problems extend beyond the limits of lasers. For example, if a patient is too nearsighted but also has a reading issue one of these new multifocal lenses may be a good option. Prior to the advent of the multifocal lens refractive surgeons often performed monovision LASIK or simply just corrected the myopic disorder and then the patient just required glasses for reading. This type of refractive surgery may also be useful if a patient has extremely thin corneas, which would preclude laser surgery. Several visual situations could lead your surgeon to choose refractive lens exchange as your best option for vision correction. As reading vision problems begin to set in for many people in their 40s and 50s this type of surgery starts to make a lot more sense. Due to the multifocal capabilities of these new lens implants you now see at both far and near distances. Since cataract surgery is on the horizon and your natural lens will be removed you may consider this option ahead of time.

Safety

Because Refractive Lens Exchange is a procedure using the same technique as cataract surgery the procedure is regarded as relatively safe and effective. Although AAO guidelines prohibit ophthalmologists from calling this surgery safe it is clear that millions of eyes have received intraocular lens implants during cataract surgery and have had successful outcomes. With the advent of the new multifocal IOL, patients experience excellent vision after surgery. The main difference between these two surgical types is that one is for cataract removal and the other for insertion prior to a ripened cataract.

The Refractive Lens Exchange Procedure

Refractive Lens Exchange uses the same technique used in cataract surgery. This technique has been used for decades and is the best method for cataract removal and lens insertion. During the surgical procedure the patient is first prepped using a local anesthetic and drops. After the eye has been sterilized the surgeon will make a 2.5 to 3 millimeter incision in the eye. In order to see inside the eye our doctors perform this delicate surgery with a powerful magnifying microscope. A device known as the emulsifier is inserted to the eye and begins to remove the natural lens. Once all of the lens material has been evacuated a foldable intraocular lens is inserted in the same place as the old lens. Refractive lens exchange is performed on an outpatient basis and only one eye is treated at a time. After the surgery is complete you will be required to go home and rest for the remainder of the day. Most patients report rapid visual improvement immediately after surgery.

Advantages of Refractive Lens Exchange

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