While bidding adeu you may say Good riddance to contact lenses too.
Imagine getting up in the morning and looking at the alarm clock with your naked eyes. You then grab your smart phone to check on your email and the latest from your friends on face book. While eating breakfast you skim through the newspaper. Continuing the trend, you drive with no glasses to work and then go on to play golf. After playing the best golf of your life, you get a quick swim in which is a pleasure without glasses or contact. On way home you pick up groceries without squinting. Then you cut some organic veggies for a nice dinner. Catching up on bedtime reading, you wonder why you did not get this unbelievable rejuvenating therapy before.
How is that possible? But first why not talk about why you even need glasses for reading. or I think I may have presbyopia.
Presbyopia is medical jargon for ageing eyes.
What causes presbyopia?
There is increasing stiffening of natural lens and decreasing strength of eye muscles. The zoom mechanism of the natural lens undergoes deterioration.
Old is difficult to define. This condition is present in mid forties. It may appear a little earlier in farsighted people. People with smaller pupils may display a delay in onset of presbyopia.
We have a few choices to overcome this natural malady.
Pie is the creme de le creme of methods to rejuvenate ageing eyes. Let us explore how it is superior to other methods which combat effects of taking too many revolutions around the sun.
PIE is more advantageous than Glasses
Heck yeah. You agree with this or you would not be reading this page.
It’s safe to say PIE overcomes all these nuisances.
Pie gives binoucularity which is better than Monovision
This is a process of setting the focus of one eye on close-up objects and the focus for your other eye on far-away objects. In doing this, your brain combines the two images to create a clear picture. This is a relic from the twentieth century. Primary disadvantage is one looses binocular vision.
PIE allows you to preserve binocular depth of field vision.
Brain prefers PIE to multifocal contact lenses
Multifocal contacts move with every blink. The image presented to the brain fluctuates confusing it. That is why many people are not able to adapt to multifocal contact lenses.
PIE are stable and do not move. Brain neuroadapts improving vision.
Contact can lead to sight threatening cornea infections for as long as you wear them.
PIE is not exposed to the elements or bugs.
Types of PIE
Multifocal PIE let you see far and near
These include the ReZoom, ReSTOR, Symfony and Tecnis lenses. Multifocal IOLs are lenses that have concentric rings of varying focal power, like a bullseye. Some rings provide focus for near objects, others for mid-range objects, and some for seeing objects at a distance.
The Tecnis Multifocal Foldable IOL also has concentric rings for different distances. It received FDA approval in January, 2009 for use in cataract surgery, where the natural lens is replaced. In the clinical trials most participants achieved 20/25 distance vision or better and 20/32 or better for near vision. It is designed using Wavefront data – the same precise level of information that is gathered when you are having Wavefront LASIK.
Accommodating PIE implants mimic natural lens
These lenses are designed to change focus. An accommodating IOL allows you to see distant objects, and then is can change focus and allow you to see objects that are close up. The only accommodating IOL approved in the United States is the Crystalens. This was true in 2005 and is still true in 2014. We even have toric crystalens called trulign.
Wherever you live you will want to enjoy good vision. If you want to see near and far , please contact our
office today. Los Angeles ophthalmologist Dr. Khanna and his staff can help you find the new technology PIE that is best for your lifestyle and needs. Please call today to schedule your free vision screening so that you can see far and near and your computer too.
By Rajesh Khanna MD
Symfony toric is a new premium intraocular lens to correct astigmatism. It is manufactured by Johnson and Johnson, the same company which also makes Band Aids.
There are about 4 million cataracts surgeries that are performed every year and more than half of Americans have undergone cataracts surgery by the time that they are 80 years old. It is not only a condition that treats older people, but it can occur in the eyes of any human being. Similar surgeries are done in people who suffer from presbyopia, astigmatism, and other problems people may experience with their vision. These surgeries are not necessarily painful, but they do cause some discomfort. However, there is a new way in which patients can look forward to crisp vision after the surgery.
The Symfony Toric contact lens has been approved by the FDA recently and shows that it can help with any of the above problems. Doctors have recommended it to their patients following their cataract surgery in order to help them enhance their recovery and vision. It is especially helpful for those who suffer from presbyopia. The lens returns the sense of freedom and independence to the patients and allows them to continue with an active lifestyle without having to wear glasses.
During a cataract or presbyopia surgery, the lens of the eye is removed and an artificial lens, or IOL, is inserted into the eye. The IOL is usually a monofocal lens which only allows patients to see objects at a distance. The result is then that objects that are closer are out of focus. The Symfony lens is developed in such a way that both the objects at a far distance and those at a closer distance can be seen perfectly. It improves the range as well as the quality of vision in patients. Those who have had the Symfony implanted in their eyes have proven to have more successful results than those who have the IOL implanted in their eyes.
The Symfony lens has been approved by over 50 different countries worldwide and is also available in the United States of America. It has been clinically tested on over 2,000 eyes and these are the results that have been returned:
Would you like tolerant more about symfony toric or presbyopic implants. You should read this informative book on Presbyopic Implants.
As you grow older, you may find that is more difficult to read, use the computer and focus on near objects. The reason is presbyopia. This is a medical condition where people begin to lose the ability for their eyes to focus.
The earliest warning signs can be seen between the ages of 40 and 50, though some experience symptoms years before.
Difficulty reading and blurred near vision are two of the most common signs of presbyopia. Some individuals may also experience headaches and eye fatigue as well.That is when the need for readers and cheaters starts. Gradually the dependence increases.
The most common symptoms of Presbyopia include:
If you or a loved one is exhibiting the early signs of presbyopia, it is important that you contact our Ventura or Los Angeles County Office as soon as possible so that your condition does not worsen. We offer free vision screenings for all new patients. Please schedule your appointment with Dr. Khanna today.
Today our topic of discussion will be Symfony or Tecnis Multifocal lens for Presbyopia Treatment.
Hi. I am Doctor Khanna, here with some models of intraocular lens implants when we do cataract surgery or we want to get rid of glasses and you are not a candidate for Lasik surgery. For example, if you are 56 years old and you want to be able to see far, middle and near, then you are up for presbyopic implants. There are different types of presbyopic implants. Today, we are going to talk about the differences between ‘Tecnis’ and ‘symfony’, which are both from Johnson and Johnson.
This is how the lenses look like. This is a clear lens and this is ‘Tecnis’ and ‘symfony’. ‘Symfony’ has less rings than ‘Tecnis’ and it is considered an EDOF (extended depth of field) lens. Whereas, ‘Tecnis’ has certain ridges, which splits the incoming light into distant and near. You can see distant and near and the bimodal curve, lets you see middle. ‘Symfony’ acts like a pin hole camera where you can see middle, distance and somewhat near.
How are you going to choose between the two? If you have long hands, then choose ‘Symfony’ but if you want to real closely then choose ‘Tecnis’. If you have had previous surgery like radial keratotomy then ‘symfony’ might be a better choice. In terms of side effects, ‘Tecnis’ has glare initially which faded away and ‘Symfony’ you can see a spider web. The best option is to discuss these various choices with your surgeon and to make sure that the surgeon is comfortable with the choices.
If you have more questions about Symfony or Tecnis Multifocal lens for Presbyopia Treatment call (310) 482 1240. You can always read my book on amazon ‘The Miracle of PI in Eye’.
Have a wonderful day.
Hi folks. This is doctor Khanna, your laser eye man. Coming to you with some new information. Today, I am going to talk to you about the 7 myths of cataract eye surgery. Cataract surgery has been there for many ages. You have probably heard about it but what is interesting is that your grandparents have probably heard about it. Even their grandparents knew about cataract surgery. Over the years, cataract surgery has advanced so much. The surgical finesse has become so much better that the modern day cataract surgery is way ahead the cataract surgery that was performed 60-70 years ago.
The problem is all the new information and knowledge has not circulated to the masses. Most of the information from decades old technology is still circulating amongst our friends and relatives. Today, I want to destroy all these myths, which are still existing.
MYTH 1 Cataract Surgery You have to wait for cataract to get ripe before they can have surgery.
This might have been true around 60 years ago when we did not have microscopes, surgical lubes and stitches. We did not have modern technology to pulverize the lens and take it out through small openings. At that time, the only to take it out was when you could see that the cataract is white, red or black. Freeze it and then pull it out in mass. Over the years, we have developed surgical loops, microscopes to binocular microscopes and we can see the smallest things in there. We can make minute openings, go in there and remove lens, which might not have been visible to the naked eye. That is the first myth that we have to destroy totally. In fact, the opposite is true. You should never wait for the cataract to get ripe because as the cataract matures, it gets hard and requires more energy to be taken out. Why is so much energy bad? It is because we are in a closes space in the eye and the energy is going to hit the iris (the colored part of the eye), the cornea (the clear front part of the eye) and damage the cells. We want to avoid that. The first myth has been dismissed.
Myth 2 The doctor has to decide when you need cataract surgery.
This is news from a by-era when the doctor has to see the cataract and he was comfortable with the surgery. Today, it is all about you. Even Medi-care, medical insurance and everybody says that. The best time to do cataract surgery is when you feel that the cataract are bothering you and interfering with your active lifestyle. For different people it might be different. If you are 52-years old, and you have cataract that cause a lot of glaring driving, it might be troublesome for you and you might an early intervention. If you are a librarian or a stay-at -home person who does not drive a lot, then those minor cataract might not cause a lot of difficulty to you. You get to decide not the doctor or the insurance.
Myths Cataract Surgery #3 You cannot go blind with cataracts.
It is important because many people are fearful of cataract surgery. They feel that the surgery will harm them and that cataracts are not going to cause any problem in the long run. That is wrong because the cataract is hardening and changing the lens and it gradually keeps cutting off the light until there is no light. You would be surprised to know that cataract is the most common preventable cause of blindness in the world. When the cataract hardens, it can lead to increased pressure and inflammation leading to blindness. The third myth that cataracts cannot make you go blind has been busted. You should do everything at all cost to avoid it.
Myths Cataract Surgery #4 The cataract has to be removed entirely.
This was the in the 70’s when the cataract had to be taken out in mass. That is not true and in fact, the opposite is true. We do not want to take out the entire cataract. We take out the cataract bag, clean out the contents and put in a new synthetic lens using the old lens as a support of the new lens. If you do not do that, the new lens would fall down and you do not want that. It is like taking your car for an engine oil change, out comes the old and in comes the new. You do not change the whole cask of the engine itself.
This myth is close to everybody. Today, it is not true. Today, cataract surgery is one of the simplest and easiest procedure to perform. We keep it pain free both by topical drops and specially formulated drops that are instilled inside your eye. We make sure that your eye is numb and is pain free. We do not have to numb your whole body.
Myth #6 You have to be put out during cataract surgery.
If we are operating on your eye, we do not have to numb the whole body. We can take care of the pain.
#7 Myth Cataract Surgery
Recovery is long and painful. That is not true. Why? It is because it is a simple surgery performed in a short period of time for about 7-10 minutes. You are pain free and not totally asleep. Many people can go and work or even drive the same day if we do not give them enough medications. That is not what we are recommending. It is not like before when it was six weeks, in a day or two, you can go back to your activities of daily living.
I hope this information is useful and we have destroyed these 7 myths for now and forever. Thank you and have a wonderful day.
Hi. Welcome. This is doctor Khanna. I want to talk to you about fear of eye surgery. This lesson is divided into three parts. Today’s lesson is on why we are so afraid of eye surgery. In the forth coming lesson, we will discuss how to overcome the fear. Why are we so afraid of eye surgery, we have to delve back into evolution, our upbringing and find some answers there. People are always afraid of the dark. Remember when you were a kid; you thought that there might be a monster in the closet or under the bed. People are afraid to go to the graveyard but today it is so much better. There are streetlights everywhere and we have a phone with flashlight on it.
Imagine Sherlock Holmes going out in the night when there is fog and mist around. There is an inherent fear in us coming from the times we lived in the forest. In the night, predators would come out and that fear has continued. Another thing you might have heard of is insomnia, when people are unable to sleep. It is very interesting why some people find it difficult to fall asleep and the simple answer might surprise you. The answer could be that they are afraid that they may not be able to get up if they go to sleep. They are afraid to lose their consciousness and go into a semi-conscious state. It is inculcated in every culture. Each civilization that is present on earth celebrate the festival of light in the dark days. That is their hope to overcome the darkness.
Another fear the people have is for the white coat. It is funny that people can check their blood pressure at home and it is okay and then they come to the hospital and see the white coat and the blood pressure shoots up. These are all evolutionary mechanisms that are built in for safety to preserve us and they all stack against us. There is one more called the menace reflex; when something comes near the eyes or when we sneeze, they instantly close. That is encoded in our DNA.
Corneas and eyes are every important. In fact, some evolutionary biologists feel that this reflex may have pre-dated the existence of eyes. Small microorganism who do not have eyes have had light shun on them and they immediately move away. All those things combined in the subconscious and conscious mind are all playing to develop fear about eye surgery. Do not feel fearful.
In the next lesson, we are going to come up with methods that are time tested and true to see, how we can overcome the fears regarding eye surgery. Thank you
Hi. How are you? This is doctor Khanna, laser man here once again, bringing you up to speed with the latest in eye technology. Today, we are going to talk about a very exciting and new topic; laser cataract surgery. There are a lot of myths about laser cataract surgery and we are going to bust them all. We are going to talk about 7 myths of laser cataract surgery, which has been found not to be true and we are going to go over it one-by-one.
Laser cataract surgery is safer the manual cataract surgery. Even doctors believe that but reports came out of a study that showed that it was not the case. Laser surgery is at best as good as manual cataract surgery but not safer. That is one myth, which has been busted not by me but by published and reviewed journal studies of Europe.
Laser cataract surgery is going to be free and covered by insurance. That is not true. Medical insurance has determined that if someone wants to upgrade to laser cataract surgery, they will have to pay extra.
Laser can perform all the steps of cataract surgery. I think that is one of the biggest myths out there, thinking that it is going to be a robotic surgery and robots are going to come and do everything. That is not true. Lasers do certain steps pf the procedure, mainly opening in the lens and sometimes cutting the lens. They cannot do all the steps. In fact, some steps are done better by hand.
Cataract wounds made by lasers are better than those made by diamond knives. The reverse is true, diamond knives can make better and more precise wounds than the current generation of lasers used in cataract surgery. It is very logical why this happens, because the laser will need to see where they have to act. They are seen by using ‘ocular coherence topography’. The wounds have to made at the junction between the clear part and the hazy part which is the cornea and sclera. It is sometimes not discreet for the machines and that is why human eyes can detect them better and make better wounds.
If we do laser cataract surgery, we would not have to wear glasses after the procedure. That is not true. Only ‘presbyopic implants in eye’, can free you from the bondage of contact lens and glasses after cataract surgery and not laser.
After cataract surgery, drops will not be needed. Again, that does not hold the light of day. You will need drops. Drop less surgeries is a different concept. After the laser cataract surgery, you might need more drops.
Laser cataract surgery might be less painful and faster by cataract surgery done by hand. I feel sorry but, we have to bust that one too. When we do laser cataract surgery, we have to apply something that would hold your eye while the laser moves around making the openings and cutting the lens up. That is held by negative suction pressure, which is painful and we have to give you medication for that. For that, we have to add another step, we have to do the part of the surgery done with laser first and then in the operative room, we have to do the rest of the surgery by hand. It increases the time that you would be in the operating theater.
I hope you have seen the truth about laser cataracts surgery. It is a good procedure but it is not recommended for all based on knowledge and published studies that we have. Thank you for listening to me. Have a wonderful day. Keep sending your questions here.
Cataract surgery Los Angeles county is what you need when cataracts interfere with your activities. Do you feel you have cataracts or has your eye doctor diagnosed you with cataracts? Either way, you may feel a haze in front of your eyes. Some people require extra reading light. This may be just inconveniences. Watch out for more debilitating symptoms. Glare and haloes may make driving unsafe. Work may be affected by vision which cannot be corrected with glasses.
A method to enhance vision by removing the natural lens which turns hazy and in many cases opaques. In the past (and maybe still in some third world countries the lens was removed in toto. Currently in Los Angeles, USA the most common is to open the natural lens and remove only its contents. Dr. Khanna replaces these degenerated lens fibers with state of the art biocompatible synthetic lens implants. So it is similar to an engine oil change. Out with the bad and in with the good. It is vey important to remember that Dr.K does not like to replace the entire lens. Keeping the outer covering of the lens intact allows him to place the artificial new lens in a natural stable position. If the entire lens were to be removed there would be no support for the replacement implant.
Los Angeles is a big county. Cataract Surgery Los Angeles therefore offers many choices. You have to inform yourself with the latest knowledge. This will allow you to select what is best for your eyes. Cataract surgery is not same what it was 40 years ago. Believe it or not Dr.Khanna has been performing cataract eye procedures for over 25 years.Today you should choose Advanced Refractive Eye Care Cataract Surgery Los Angeles.
Small incision : The size of the wound affects astigmatism. Smaller wounds also heal quicker.
PIE: Presbyopic Implants in eye. These special lenses inserted in a natural position allow good vision at all distances, in each eye
Laser cataract surgery: Femtosecond lasers for cataract surgery add precision to the procedure.
No astigmatism: Astigmatism free results give better visual outcomes.
Quick recovery: Allows you to return to daily activity and work sooner
No patch : You don’t need to look like a pirate.
No needles : Do you really want to be poked around the eye? If not come to us.
No pain. We have enough pain as we age. Fear of pain prevents people from having eye surgery. We strive to make the experience pain free.
No stitch; The small openings do not require needles and threads. Stitches cause foreign body sensation and redness.
No wait: Tired of waiting weeks to see your HMO/ACO doctor? Come to us. Quick appointments. We respect your time and you will be seen at your appointed time.
Good outcomes : The purpose of surgery is to deliver great results. All steps carefully executed lead to amazing vision.
Yes we have come a long way in our techniques and outcomes for cataract surgery. Do not settle for older methods.Your eyes are important. Decide what you want out of the procedure. Its a once in a lifetime opportunity to do any with all sorts of contact lenses and glasses. Get rid of astigmatism and poor vision. Obtain clear vision at all distances in each eye. Yes – ALL distances – Not monovision. CALL NOW (805) 230 2126 to improve your vision and change your lifestyle!
Up until recently, if you wanted to fix your presbyopia (age-related long-sightedness) you would need to get a Multifocal IOL (Intraocular Lens). The problem with a Multifocal IOL is that to be able to additionally improve your reading vision your distance vision would suffer. You would have to decide whether you would rather have better distance vision and still need reading glasses (Monofocal IOL), or if you would rather have slightly better distance and good reading vision (Multifocal IOL). You also had the option to get a Monofocal IOL in one eye and a Multifocal IOL in the other, so you could have at least one strong distance eye. Enter the Symfony IOL.
The Symfony IOL is the first and only extended range of vision IOL that corrects presbyopia. This means, that unlike the Monofocal IOL that only allows you to correct distance vision, or the Multifocal IOL that allows you to correct both but with a compromise in your distance vision, that you can now correct both without loss of quality. It also comes in a Non-Toric and Toric version for patients with astigmatism! Another added benefit of the Symfony IOL, which the Multifocal IOL had a problem with, is that there are no glares or halos with this lens, making your newly corrected vision even better!
The Symfony IOL is implanted during a routine cataract operation. Completed with minimum recovery time, most patients are able to go back to their normal lives within 24 hours. With a routine operation, minimal recovery time, and improved distance and reading vision without glares or halos, the Symfony IOL sounds like a great choice! If you agree and would like more information or would like to schedule a consultation call today 310 482 1240
Femtosecond Cataract Surgery is a recent advancement.
Of all the types of surgeries performed, cataract surgery is the most common with approximately 19 million people undergoing the operation each year worldwide! In the United States it id the most commonly performed surgical procedure. Femtosecond cataract surgery is an attempt to remove cataracts with more precision making it safer due to the precision of laser technology.
Patients undergoing Femtosecond cataract surgery may have their operation without the need for blades at all. The whole procedure is done through a small incision the size of a pin to remove the cataractous lens restoring vision. The features of femtosecond lasers include:
Before Femosecond cataract surgery was offered to the public it first underwent numerous studies. The studies showed the technique to be both safer and more effective than traditional methods. By introducing such precision to the operating room, the success rate has been increased immensely. Even the densest cataracts can be liquefied with little effort and less chance of damage to the eye itself.
As the equipment is able to take and create an image that is 3 dimensional it can give such precise results that it can take as little as few seconds to dissolve the cataract without a single cut . It is the first of its kind and has been deemed to be a safe method of removing cataracts to date.
The precision of this innovative technique has many benefits over traditional cataract surgery.
With traditional cataract removal there have been cases where tears have occurred to the anterior capsular which can lead to permanent sight loss or reduced sight. In cases where the cataract has been allowed to get worse over time (especially when waiting on long lists has occurred) it can be difficult to remove the cataract traditionally. Even in cases where the cataract is older and hard, Femtosecond cataract surgery is able to chop it with better results and faster recover time for patients. As the size of the capsulotomy remains consistent there is also a reduced chance of the lens being in the wrong position. Femtosecond lasers are an advantage in traumatic cataracts too.
A word of caution. Recent studies have shown that the laser may not be needed in all situations. In many eyes, experienced surgical hands can give better results. So judgement has to be applied.
As the amount of people being seen with cataracts each year is on the rise the waiting list for surgery and ultimately the waiting time can be shortened significantly.