New technology and therapy in ophthalmology: See well at every age

New technology and therapy in ophthalmology: See well at every age

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  New technology andtherapy in ophthalmology: See well at every age Jennifer K. Burgoyne-Dechant, MD Board certified ophthalmologist
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  Technology Historically, vision correction choices were limited to spectacles and squinting. But today, we live in an age of vision technology and surgical choices! 2
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  Basic terms Myopia Hyperopia Astigmatism Presbyopia 3
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  Memories … We’ve come a long way baby! 4
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  Hard contact lenses Advent of hard contact lenses  Non gas-permeable  Lots of discomfort  Short wearing time  But WOW, no more glasses! 5
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  Soft contact lenses Softcontact lenses start a revolution  Comfortable  Overnight/continuous wear  Colored!  Astigmatism correction — torics  Cosmetic/decorative  Single use disposable  Expensive initially 6
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  New 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 7
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  Refractive 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 8
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  Refractive surgery: EXCIMERlaser Laser  PRK — laser correction revolutionizes industry  LASIK with keratome — “flap and zap"  All laser LASIK — Femtosecond laser  Custom ablations  Eye tracking capabilities 9
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  Refractive surgery: Otherprocedures  INTACS — corneal inlay  Now used for corneal keratonus  Implantable contact lenses — used for extreme near-sightedness 10
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  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 11
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  Lens based surgeriescont.  Smaller and smaller incisions  Intraocular lenses (IOLS)  Foldable silicone  Acrylic  Monofocals  Premium IOLs:  Multifocal  Torics  Light adaptable  Refractive lens exchange … 12 a new era of vision
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  Cosmetic ophthalmology and oculoplastics Eyelid surgery  Blepharoplasty — eyelid lift (upper and lower)  Eyebrow lift — the eyes have it! 13
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  Cosmetics Botulinum toxin  BOTOX® Cosmetic, Dysport® and Myobloc® to treat:  Glabellar (frown) lines  Blephrospasm and facial spasm  Excessive sweating  Headaches 14
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  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® 15
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  Beauty benefits LATISSE®  Once a glaucoma eye drop — LUMIGAN®  Now creates long lush eye lashes 16
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  The eyes haveit! Today’s technology offers you:  Good vision – without glasses  Great looks BOTOX® Cosmetic LATISSE® Blepharoplasty LASIK Fillers 17