In recent years, several promising alternatives to laser vision correction surgery have been developed and put into practice or clinical trial stage. We currently perform Clear Lens Exchange with intraocular lenses and look forward to implanting the new accommodating intraocular lenses in the near future, once safety profiles have been established. So if you're considering lens implant surgery in New Jersey you need to look no further then Dr. Kenneth S. Miller and the friendly and helpful staff at Laser Vision Correction Center of New Jersey.
Many people with extreme nearsightedness or farsightedness are not good candidates for laser vision correction because of their high refractive error. For these people, Clear Lens Exchange (CLE) may be a wonderful alternative. During the procedure, the surgeon removes the natural, crystalline lens in the eye and replaces it with an artificial intraocular lens (IOL). The technique used for CLE has been performed for decades on cataract patients with excellent results.
Patients considering lens implants surgery such as CLE need to be aware that the operation will reduce, but not eliminate their need for glasses, if they choose a single vision (traditional) intraocular lens implant. Because the eye's natural lens is removed and replaced with an artificial lens of fixed-focal length, the eye will lose its natural ability to accommodate - automatically change focus between near and distant points. These patients who undergo CLE with a single vision implant will still require reading glasses for close work. However, for people with extremely high levels of refractive error - particularly those over 50 who have already lost most of their natural ability to focus at close range - CLE with a single vision implant can be an excellent option. In addition, monovision (see FAQ for more information on monovision) can be used with CLE to allow distance vision and reading without glasses.
In 2006, the FDA has approved multifocal intraocular lens implants, which can restore distance vision and the ability to read without glasses after CLE! Multifocal implants are now available and are the preferred implant for patients undergoing CLE. Please contact us to schedule a FREE consultation for the ReSTOR® multifocal intraocular lens.
Intraocular Contact Lenses (ICLs), also known as implantable contact lenses or Phakic Intraocular Lenses, approved in 2004, are a promising new technique with the potential to correct a much wider range of refractive errors than currently possible with lasers. An ICL is the placement of an artificial lens in front of, or directly behind the iris, without removing the eye's natural lens. Currently, only the anterior (in front of the iris) ICL has been approved.
This method of implantation has several distinct advantages over CLE. First, because the natural lens is not removed, the eye retains its ability to accommodate (change focus). In addition, while the ICL is a permanent solution, it can be replaced if necessary with a different power to adjust for changes in the patient's refractive error.
Implantable contact lenses hold the promise of clear vision for all patients, regardless of their refractive error or corneal condition. Currently, many ICLs are in the clinical trial stage awaiting FDA approval. If they prove to be as effective as current refractive procedures and meet stringent safety requirements, they are expected to be widely adopted by ophthalmologists. We look forward to offering this promising new treatment once a long term safety profile has been approved.
Accommodating IOLs represent a groundbreaking development in implantable lens technology. These new, "flexible" lenses allow the eye to continue to accommodate - adjust focus between near and distant points - even after removal of the natural lens.
Accommodating IOLs are implanted in the eye using the same surgical technique currently in use for cataract surgery and CLE. Unlike current procedures, however, the power of this IOL would be altered by the eye's ciliary muscles, which control the shape of the lens by relaxing or constricting, thus allowing the artificial lens to change focus and function like a natural lens.