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Advanced Refractive Cataract Surgery

Older couple looking at a laptopThe goal of offering our Advanced Refractive Surgery options is to give you the choice in having surgery performed using the latest, most advanced surgical techniques and technology available. This provides you the best opportunity to see without glasses for the majority of your day. Advanced refractive surgery options are NOT covered by your insurance.

Astigmatism Management is an exciting area of cataract surgery. Astigmatism is a common condition where your eye is out-of-round, shaped more like a football than a basketball. Your vision is potentially affected by two types of astigmatism — corneal and lenticular — and we can correct both using advanced surgery options.

Recent advances in IOL technology also give cataract patients the option of choosing advanced lens implants that provide a fuller range of vision, unlike the single-focus design of a monofocal lens. These lifestyle lenses are designed to improve your vision to see near, far and at all ranges in between, along with one-step correction of astigmatism to improve your distance vision.  

Correcting Minor Astigmatism

For those patients who only have minor corneal astigmatism, a femtosecond laser can be used to deliver precise relaxing incisions in the cornea to reduce small amounts of astigmatism allowing for better-unaided distance vision after surgery.

Correcting Distance Vision & Astigmatism

Correcting distance vision equipmentPatients with more significant levels of astigmatism will benefit from the AcrySof® Toric lens implant. This lens incorporates unique optics to compensate for specific deficiencies in your vision and can provide great distance vision. Use of the femtosecond laser and ORA system are included in the toric lens package.

Correcting Distance & Near Vision With a Trifocal Lens

Intraocular lensesPrevious lens replacement technologies provided only one focal point — distance — leaving people dependent upon reading glasses or bifocals after cataract surgery. Recent advances in trifocal technology now make it possible for you to read the words on prescription bottles, magazines, newspapers and computer screens, without magnifying glasses or bifocals, while still clearly seeing objects at a distance. These lenses use very small, concentric circles working together to focus light for both near and distance vision. The trade-off is slightly more halos around lights at night, and a slight compromise to distance vision in low light, so discussion with Dr. Carlson about the best lens choice for you is important. With advanced lens implants — PanOptix® and PanOptix® Toric — the vision we can help you maintain as you age is better than ever before in the history of ophthalmology. Use of the femtosecond laser and ORA system are included in the trifocal lens package.

Correcting Distance & Intermediate Vision With an EDOF Lens

AcrySof™ IQ Vivity™ cartonThe AcrySofIQ Vivity extended depth of focus (EDOF) intraocular lens implant is designed to deliver distance vision very much like a monofocal lens implant but with the added benefit of good intermediate (at arm’s length) and functional near vision (up close). These lenses offer an improved range of vision with minimal complaints of halo, glare or compromised distance vision in low light after surgery compared to a trifocal lens implant. The IQ Vivity™ lens is also available in a Toric version which means it can correct corneal astigmatism too. During your cataract consultation, Dr. Carlson will carefully assess and discuss what lens implant option best suits your individual eyes and visual goals. Use of the femtosecond laser and ORA system are included in the EDOF lens package.

Advanced Surgery for Previous Laser Vision Correction Patients

For candidates who have previously had laser vision correction, at minimum Dr. Carlson recommends the use of the Optiwave Refractive Analysis (ORA) system during surgery. Due to changes that have occurred on the eye from previous surgery, this system provides advanced measurements and calculations for the best possible outcome during cataract surgery.

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