New technology and therapy New technology and therapy in ophthalmology: See well in ophthalmology: See well at every age at every age Jennifer K. Burgoyne-Dechant, MD Board certified ophthalmologist
May 07, 2015
New technology and therapy in New technology and therapy in ophthalmology: See well at every ageophthalmology: See well at every age
Jennifer K. Burgoyne-Dechant, MD
Board certified ophthalmologist
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TechnologyTechnology
Historically, vision correction choices were limited to spectacles and squinting.
But today, we live in an age of vision technology and surgical choices!
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Basic termsBasic terms
Myopia
Presbyopia
Hyperopia
Astigmatism
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Memories …Memories …
We’ve come a long way baby!
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Hard contact lensesHard contact lenses
Advent of hard contact lenses Non gas-permeable Lots of discomfort Short wearing time But WOW, no more glasses!
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Soft contact lensesSoft contact lenses
Soft contact lenses start a revolution Comfortable Overnight/continuous wear Colored! Astigmatism correction — torics Cosmetic/decorative Single use disposable Expensive initially
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New age spectaclesNew age spectacles
When function meets fashion
High refractive index — no lenses Photosensitive color change — transition
lenses Progressive add lenses — no-line bifocal New Wavefront lens correction — custom
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Refractive surgery: RKRefractive surgery: RK
Radial keratotomy
Surgical remodeling of the eye to correct myopia, decrease need for glasses
Pioneered in the 60s — flattens the curvature of the cornea
4-cut, 8-cut and 16-cut procedures for specific results
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Refractive surgery: EXCIMER laserRefractive surgery: EXCIMER laser
Laser PRK — laser correction revolutionizes industry LASIK with keratome — “flap and zap" All laser LASIK — Femtosecond laser Custom ablations Eye tracking capabilities
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Refractive surgery: Other proceduresRefractive surgery: Other procedures
INTACS — corneal inlay Now used for corneal keratonus
Implantable contact lenses — used for extreme near-sightedness
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Lens based surgeries Lens based surgeries
Lens surgeries
Old style cataract surgery — Aphakia with thick-lens glasses, ridged lens
Extra-capsular cataract surgery with intraocular lenses
Phacoemulsification revolution Viscoelastic devices — save
the corneal endothelium
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Lens based surgeries cont.Lens based surgeries cont.
Smaller and smaller incisions Intraocular lenses (IOLS)
Foldable silicone Acrylic Monofocals
Premium IOLs: Multifocal Torics Light adaptable
Refractive lens exchange … a new era of vision
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Cosmetic ophthalmology and Cosmetic ophthalmology and oculoplasticsoculoplastics
Eyelid surgery Blepharoplasty —
eyelid lift (upper and lower)
Eyebrow lift — the eyes have it!
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CosmeticsCosmetics
Botulinum toxin BOTOX® Cosmetic, Dysport® and Myobloc® to treat:
Glabellar (frown) lines Blephrospasm and facial spasm Excessive sweating Headaches
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Sodium Hyaluronate or “HA”Sodium Hyaluronate or “HA”
Restore volume and contour Eye surgery — protects delicate eye tissue during surgery
Healon®
Amvisc® DuoVisc®
Orthopedics — joint lubricant Supartz®
Synvisc®
Cosmetic purposes — facial filler Juvederm®
Restylane®
Perlane®
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Beauty benefitsBeauty benefits
LATISSE®
Once a glaucoma eye drop — LUMIGAN®
Now creates long lush eye lashes
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The eyes have it!The eyes have it!
Today’s technology offers you: Good vision – without glasses Great looks
BOTOX® Cosmetic
LASIK
Fillers
LATISSE®
Blepharoplasty