see far and near

New Technology Allows You to See Near and Far Without Glasses

See Near and Far and everything in between. Without the need of any visual aids

Say Bye Bye Trifocals, Bifocals and goodbye Readers too.

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.

see far and near and everything inbetween
Man playing golf, stuck in bunker needs to see far and near.

No more glasses ever?

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.

  • Is it something only older people get?

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.

  • NOW THAT WE HAVE DETERMINED PRESBYOPIA IS A PAIN IN THE ….., WHAT SHOULD I DO?

    Or How can I see near and far ?

We have a few choices to overcome this natural malady.

  • Glasses – Cheaters, readers, bifocals, trifocals, progressives.
  • Monovision
  • Multifocal Contact lenses

And the new technology _ PIE

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.

  • Glasses can fog  in the rain
  • Not possible to swim with glasses
  • Scuba diving is no fun
  • Always forgetting where you kept them.
  • Dont let your pet bit them
  • or your grand kids scratch them
  • You can add your own problems with glasses here _____

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 Los Angeles 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

Beverly Hills Presbyopia Treatment Options

Beverly Hills Presbyopia Treatment Options

Hi, it’s Dr Rajesh Khanna, and if you were born before 1965, you should not miss this episode, because now we’re going to discuss about presbyopia with a flurry of questions. Oh my God, I didn’t even realize that a lot of people would be interested. But the number of questions are even more than what came for lasik. We’ll start with the first question and it is actually related to the same word “start”.

When does presbyopia start, or when does presbyopia occur?” So presbyopia means ageing eyes in simple terms. Around 40 to 50, between that age group, our lens has hardened, the muscles… they’re called ‘Zonules’ , they’re very thin fibrous but they act like muscles that pull against the shape of the lens, they begin to weaken. So in that age group, it’s almost mathematical how the weakness occurs. Usually at age 40, you need zero diopters of reading add, but by the time you hit sixty, you need plus three reading add. In between for every four – five years, it increases by half a diopter. “When does presbyopia stabilize?” So it begins to stabilize towards the end of 50’s and early 60’s, because the maximum limit is reached, which is 3 diopters.

When does presbyopia occur? Beverly Hills Presbyopia Treatment Options by Dr.Rajesh Khanna - Los Angeles Lasik, Cataract, Presbyopic Implants, ICL, Pterygium Specialist
Presbyopia Treatment Options by Dr.Rajesh Khanna

Who gets presbyopia?” Everybody gets presbyopia. Whether you are a man, woman, whichever ethnicity, but not 100%, so you know that everything that is a bell-shaped curve, some people will get it in their 30’s, and some people will not get it until 70’s, but the rule of thumb, everybody gets presbyopia around 45 years of age, which affects the near end reading activities.

Who discovered presbyopia?” I think even as early as Benjamin Franklin, or even if you go back to the 13th century, there are pictures where people have invented some sort of glasses to be able to read. So I think presbyopia had been there for a long time with us. And it might have started when men and women started living longer. Because as you know, people who follow the Paleolithic diet etc, in those times, human age was around 30-32 years, so people did not live long to experience presbyopia. But I think that around the time of our millennia, about 2000 years ago, when human life began to increase, we experienced presbyopia.

What does it mean presbyopia?” Presbyopia means ageing eyes. “What age does presbyopia start?” We again discussed that, around 40 to 45. “What to do when you get presbyopia?” There are a couple of things you can do. You can push your hands a bit further and try to read. You can get glasses, or you can put a contact lens in one eye and not the other and make it for reading, or there are surgical procedures which we will discuss in following questions and answer.

What is presbyopia contact lens?” So I was just hinting at that. So if you wear contact lens in one eye, that will help you read with one eye, whereas the other eye will see far. There are also multifocal contact lenses, but they don’t work very well because with each blink, the lenses move. And most of the people are not able to tolerate that fluctuation in image. “What does presbyopia mean in medical terms?” So in medical terms, it’s the failure of the lens to change its power, by changing its shape.

What is presbyopia and myopia?” So that’s important because presbyopia occurs in everybody. Whether you are farsighted, you’re plano, or myopic. So in farsighted people, it occurs maturely in their 30’s, myopia people who are nearsighted can read fairly longer into their 40’s and sometimes 50’s until it begins to affect them too.

Why is presbyopia not a refractory error?” This is a very good question, because the refractory errors we say are myopia, hyperopia and astigmatism because they are static. Presbyopia is a failure of the dynamic part. So just to repeat that, nearsightedness, farsightedness and astigmatism are static problems, so they occur under 40, whereas presbyopia is a dynamic problem.

Are hyperopia and presbyopia the same?” No, hyperopia just now as we mentioned, is a static problem with the eye being small or the cornea being flat, whereas presbyopia is an ageing issue.

And now, we are going to come to some questions which will be tackled in our next episode, ‘How to kill or treat presbyopia’, so stay tuned for the next episode. Thank you and have a wonderful day.

Everyone will experience presbyopia as they grow older. If you are currently using reading glasses or bifocals, you may be interested in some of the more permanent presbyopia treatment options that are now available. Our experienced Beverly Hills ophthalmologist Rajesh Khanna, MD offers three main forms of presbyopia treatment:

There is no reason you should resign yourself to using reading glasses or bifocals for the rest of your life. Today’s presbyopia treatment options make it possible to enjoy clear vision at all distances again, freeing you to do and enjoy more on a daily basis.

To discuss presbyopia treatment in more detail, please contact The Khanna Institute today or call (888) 339-8143 to schedule a consultation with our experienced Beverly Hills eye doctor. We serve patients in Beverly Hills, Westlake Village, and surrounding areas of Los Angeles, California.

Above 65 Years Old

7 Myths Cataract Surgery

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.

Cataract surgery is painful. Myths Cataract Surgery #5

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.

Cataract Surgery Los Angeles

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.

What is Cataract Eye Surgery?

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.

Advanced Refractive Cataract Surgery Los Angeles

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. 

What is Advanced Cataract Surgery?

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!