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Home » Your Eye Health » Vision Surger Co-management » Surgery Co-Management for Presbyopia

Surgery Co-Management for Presbyopia

Presbyopia is a common age-related condition in which near vision worsens due to the hardening of the lens of our eye. It causes people to have difficulty reading and performing other tasks that require sharp and focused close vision.

Symptoms begin around the age of 40 when you begin to see people with untreated presbyopia holding books, magazines, newspapers, and menus at arm’s length in order to focus properly and avoid eye strain. Other symptoms include headaches or fatigue when trying to focus on something at close range.

Causes of Presbyopia

During our youth, the lens of our eye and the muscles that control it are flexible and soft, allowing us to focus on close objects and shift focus from close to distant objects without difficulty. As the eye ages however, both the lens and the muscle fibers begin to harden, making near vision a greater challenge.

Surgical Treatment for Presbyopia

The most common form of treatment for presbyopia is wearing reading glasses, bifocals or progressive lenses. Bifocal and multifocals are also available in contact lenses for those who prefer to be glasses-free. A third option, however, is a number of surgical procedures that allow you the freedom of correcting your near vision without the use of glasses or contact lenses.

LASIK

Monovision LASIK

Monovision is a technique that began with presbyopia-correcting contact lenses designed for individuals with presbyopia and nearsightedness or astigmatism. Each eye gets a different lens power – one lens is used in the dominant eye to correct for distance vision and the other for near vision. The eyes adapt to the two lens powers by learning to use the appropriate eye for the necessary distance power. Monovision LASIK surgery is based on the same principle of correcting each eye for a different refractive power and has shown just as high if not higher success rates than the contact lens technique. Usually, patients will try out monovision with contacts first to ensure that it works and that the eyes adapt properly.

PresbyLASIK

PresbyLASIK is a procedure that is currently available in Canada and Europe and undergoing clinical trials in the United States. As opposed to monovision LASIK, this procedure is a multifocal alternative in which different rings of refractive power are created on the cornea, similar to multifocal lenses. This provides vision correction at all distances simultaneously.

Conductive Keratoplasty (CK)

Conductive Keratoplasty uses radio waves via a hand-held instrument to mold the corneal surface to improve near vision. The procedure can be done on one eye using the monovision principle and is a good solution for those that do not need vision correction for nearsightedness or astigmatism. The effects of CK, however are not permanent and the improvement in near vision will diminish over time.

Corneal Inlays or Onlays

Corneal inlays and onlays involve surgically implanting a small lens into the eye to increase focus and near vision. The distinction between inlays and onlays is in where the lens is placed on the eye.

Refractive Lens Exchange

In refractive lens exchange the eye’s hardened lens is replaced with an artificial lens called an intraocular lens (IOL) to provide multifocal vision. This surgery is similar to and often done in conjunction with cataract surgery.

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To Our Valued Patients:
Barton Creek Eyecare has always been committed to the health and safety of our patients, our staff, and our community.
Due to the current spread of the Coronavirus (COVID-19), we want to assure you that it has been our commitment for years to sanitize each piece of equipment both immediately before and immediately after each use to ensure no germs are spread from one patient to another. We have always been proud of this commitment.
While cleanliness has always been a top priority of our practice, we are also increasing the frequency in which ‘high touch’ areas will be cleaned and sanitized, such as our reception chairs and tables. You’ll notice that we have also removed magazines from our reception area to decrease the spread of germs.
Additionally, we continue to practice good hygiene by our doctors and staff. We plan to wash our hands frequently with antibacterial soap or to use a high-percentage alcohol hand sanitizer.
We are actively monitoring both local and national information about the Coronavirus. We are continuing to do everything we can to keep our practice a clean and safe environment for you and your family.
Barton Creek Eyecare will continue to monitor COVID-19 closely and will follow the guidelines provided by local and national organizations like the CDC and WHO, and can assure you that our practice remains a safe place to continue your uninterrupted eye health care.
We feel it essential to keep you updated, and if you have any questions, concerns, or need to reschedule, please give us a call.
Thank you for being such a valued patient,
The Doctors and Staff of Barton Creek Eyecare