symphony toric presbyopic implant

Symfony or Tecnis Multifocal lens for Presbyopia Treatment

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.

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.

Fear afraid eye surgery

Afraid of eye surgery

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

Cataract Surgery Best Doctors

Finding Cataract Surgery Best Doctors

Made Easy

Eye problems like cataract need urgent treatment. Some cases may only require non-invasive treatments, but others may require invasive treatments like surgeries. Cataract surgery is a sensitive procedure that must be handled with care by only the top cataract surgery doctor, for a slight mistake may cause blindness to the patient. However, with the growing number of cataract surgery doctors today, a cataract patient may have a hard time looking for the best one in the lot. Fortunately, with proper knowledge and information, you will be able to get the service of the top cataract surgery doctor. Here are some of the points that you need to remember when Finding Cataract Surgery Best Doctors

Ask for Referrals

You can ask for a referral from your eye doctor if he or she knows a cataract surgeon that can help you. If your eye doctor provides you a name, you can ask further questions such as:

    • Is the surgeon certified?
    • How many cataract surgeries he or she has done?
    • Financial arrangements for fees

Read Testimonials

  • Well like cataract surgeons have books filled with feedback from patients over the years. Read this testimonial book to get to know your prospective cataract surgeon and the staff better.

Watch Video Reviews

  • If picture is worth a thousand words than a cataract video review is worth a million. See and listen to video reviews of cataract surgeon on you tube and other video sharing sites.http://youtu.be/NlVH-H7s6OM
  • See a happy patient after Cataract surgery!

Your Surgeon’s License

  • This is the primary thing that you have to consider when looking for the top cataract surgery doctor. This is not the sole basis, but without this, you may just be looking for more harm than good. Your cataract surgery doctor must have his license and/or certificate posted in his clinic for his patients to see. The license will serve as the validation, permit, and identification of your surgeon.

Ask Your Queries

  • Once you have shortlisted a number of cataract surgery doctors, you can give them a call or visit so you can ask your queries away. Do not be shy in asking questions as you will be putting the fate of your eyes in the hands of the top cataract surgery doctor that you will be selecting.You can ask:
    • How long has he or she been doing cataract surgeries?
    • How many successful operations did he or she have?
    • Where can you read the feedback of their previous clients?
    • How much would the procedure cost?
    • Are there any complications?

These are just the basic things that you can do whenFinding Cataract Surgery Best Doctors. Always be assertive so as not to put yourself in harm’s way. Top Cataract Expert Rajesh Khanna,MD serving the Beverly Hills area, has been referred by countless celebrities and politicians. He knows that word of mouth is the best referral and strives to make each patient happy with new and improved vision.

*written by Los Angeles Cataract specialist, Dr. Rajesh Khanna