Frequently Asked Questions
- Cataract surgery is one of the safest and most common
surgeries in the world.
- More than 5 million cataract surgeries are performed
every year in the India.
- More than 50% of Indians over 65 have developed
cataracts in one or both eyes.
- A cataract surgery is performed on average more than
14,000 times a day.
- Everyone who lives long enough will develop
cataracts.
- 91% of cataracts are caused by the aging process.
- Most people, usually beginning in their mid forties,
start to experience presbyopia (blurred near vision) even if they have
had great vision their whole lives. Glasses are typically needed for
activities such as reading, sewing, or working at the computer.
- Patients who are good candidates for standard
monofocal IOLs are typically good candidates for Crystalens. If a
patient has healthy eyes, has not had previous cataract surgery, and
does not suffer from any major health problems then he or she is likely
to be a good candidate.
- More than twice the number of patients implanted with
Crystalens could see well at all distances compared to a standard IOL.
- Most Crystalens patients have reduced their
dependence on glasses and are able to read the newspaper or a phone book
without glasses.
- Most Crystalens patients are able to see their
computers, dashboards and anything else at arm’s length without glasses.
- Most Crystalens patients are able to see 20/40 or
better after surgery, so the clock across the room and the TV in the
corner are clearly within sight.
- Many of our Crystalens patients can see well enough
to do away with their reading glasses, bifocals, or contact lenses.
- Crystalens procedure is highly successful and most
people regain very good distance vision, somewhere between 20/20 and
20/40.
Most Frequently Asked Questions
Crystalens is an intraocular lens that, unlike a
standard IOL, can treat both a person’s cataracts and a person’s
presbyopia (loss of near and intermediate focusing ability). You probably
noticed in your forties that you started to lose some of your up-close
vision and had to start wearing reading glasses; this was due to a loss of
accommodation. Crystalens is designed to recreate your accommodation and
reduce or eliminate wearing glasses. With the unique Crystalens, you can
enjoy activities such as: reading a book, working on the computer, and
driving a car.
Crystalens replaces the eye’s natural lens and is
designed to mimic the eye’s natural focusing ability, thereby enabling
vision across a broad range of distances comparable to a healthy eye. As
with the natural lens, Crystalens accommodates, or moves and flexes, in
response to ciliary muscle contractions in the eye. These contractions
drive forward movements of the lens so the eye can maintain a clear image
as it focuses on near, intermediate and far objects.
In the past, cataract surgery was only able to treat a
patient's cataracts, so patients would still be dependent on glasses for
most of their daily activities, especially for up close and intermediate
activities. Crystalens will correct for more than just your cataracts.
Crystalens can offer you a fuller range of vision and reduce or eliminate
your dependence on glasses.
If your eyes are healthy, you have not had previous
cataract surgery and you have no major health problems, you may be an
excellent candidate for Crystalens. Your doctor will perform a thorough
exam and advise if Crystalens is right for you.
Crystalens is the only accommodating intraocular lens now available in the Indian market. As with the natural lens, Crystalens
accommodates, or moves and flexes using an innovative design, in response
to ciliary eye muscle contractions. These contractions drive forward
movement of the lens as it focuses on near, intermediate and far
objects.
No surgeon can guarantee 20/20 vision because
everybody’s eyes function differently. However, our patients have been
reporting excellent results and most enjoy the majority of their
activities without glasses.
Since everyone’s vision, expectations, and lifestyles
differ it is difficult to determine how much you will be dependent on
glasses. If you are like the majority of Crystalens patients, you should
be able to experience the same quality vision you did when you were
younger, with minimal or no dependence on glasses after Crystalens
surgery.
Crystalens works similarly to your natural lens in that
it delivers 100% of available light rays at all distances -- near, far,
and intermediate. Unlike many mulitfocal IOLs on the market, lighting
conditions have very little impact on patients with Crystalens. Crystalens
directs all available light received by the eye to a single focal point,
resulting in quality of vision comparable to a healthy natural lens.
Patients have reported very minimal disturbances. However, it is
recommended that you use good lighting when reading.
All IOLs, including standard monofocal IOLs, can create
some degree of halos and glare. Glare and halos have sometimes been
observed with the Crystalens. However, unlike a multifocal IOL, Crystalens
works similarly to your natural lens in the way it delivers available
light rays at all distances -- near, far, and intermediate. As a result,
Crystalens patients typically experience fewer halos and less glare than a
multifocal IOL patient.
Insurance coverage varies greatly from policy to policy.
Generally speaking, private insurance and Medicare will cover the cataract
surgical procedure and may also allow a certain additional amount for a
standard lens implant. With Crystalens, you are receiving an additional
benefit of presbyopia correction that will allow you to enjoy a fuller
range of vision with decreased dependence on glasses. You will be
responsible for paying for the presbyopia correcting portion of the
surgery, which is not covered by Medicare.
In the Crystalens clinical trials, patients reported
good intermediate vision. Most Crystalens patients are able to see their
computers, dashboards and anything else at arm’s length without
glasses.
Crystalens surgery is permanent and there is no evidence
that the lens will stop working over time. Patients have had Crystalens
implanted in their eyes for nearly 7 years with no change in its ability
to flex. It is an extremely well-tested and durable design. In fact, there
is clinical evidence to support that most patients' vision continues to
improve with time.
Surgery Questions
Every patient is different and only your surgeon can
fully explain the details of your Crystalens procedure. However, the
following information may be helpful for most patients.
Typically cataracts will develop in both eyes, and we
recommend that the surgery be done in both eyes. Usually you will have
surgery on the second eye within 2 weeks of the first eye.
Cataract surgery is typically an outpatient surgery. The
actual surgery itself is approximately 15--20 minutes.
No. Topical anesthetic drops will be placed in your eye
and oral medications may be administered to help you relax.
Typically you will be able to return to normal
activities within several days. You should be able to drive and return to
work within 2--3 days.
Your eyes may be sensitive to the touch for a few days,
and you should avoid strenuous activity and rubbing your eye. It is
important to avoid lifting or straining that would increase pressure on
your eye.
You can shower, but avoid getting soap in your eyes.
Refrain from eye makeup for several weeks. You should also avoid public
pools and hot tubs.
Patients vary widely in how they are affected during the
recovery phase. For example, for some patients it takes longer for their
near vision to come into focus, while others achieve great near vision
almost immediately. The best way to learn about the recovery period is to
talk to your surgeon about the procedure.
Your doctor will advise you based on your procedure.
Typically, the doctor will see you one day after surgery, after 2--4 weeks
and again around 3--6 months after surgery. Thereafter, an annual exam is
sufficient.
Once your cataracts are removed and replaced with an
IOL, you will never need to have cataract surgery again. Occasionally,
several months after the lens has been placed in the eye, your vision may
start to become cloudy again. This can happen with any type of IOL. This
is sometimes called a secondary cataract and refers to the clouding of the
membrane that surrounds the implant. Your surgeon will go in and quickly
remove the clouded cells. This is done painlessly in an out-patient
environment and usually takes just a few minutes.
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