Our Procedures
: ReSTOR®
Finally, the opportunity for freedom from reading
glasses and bifocals.
Until recently, life without reading glasses or bifocals
was not an option for most cataract patients. You now have an option.
The AcrySof® ReSTOR® IOL is a unique technological innovation that can provide you with quality vision throughout the entire visual spectrum – near through distance – with increased potential independence from reading glasses or bifocals! Dr. Mills was the first surgeon in Reno to be selected, become certified and implant the ReSTOR® IOL.
How does the AcrySof® ReSTOR® IOL work?
As we perform daily activities such as reading, watching television or working at the computer, our eyes are constantly focusing on objects at varying distances – up close, far away and everything in-between. The ability to quickly change focus throughout this range of vision is called accommodation. Unfortunately, this ability diminishes as we grow older¹, causing us to become dependent on bifocals or reading glasses. However, the AcrySof® ReSTOR® IOL was designed to provide quality near to distance vision by combining the strengths of apodized diffractive and refractive technologies. Similar technology has been used for years in microscopes and telescopes to improve image quality, and has now been patented for use in intraocular lenses by Alcon.
Apodized Diffractive Technology
Apodization is a very complex optical feature of the ReSTOR® lens which optimizes the visual quality at both distance and near. Apodization is the gradual tapering of the diffractive steps from the center to the outside edge of a lens to create a smooth transition of light between the distance, intermediate and near focal points. Diffraction involves the bending or spreading of light to multiple focal points as it passes through the lens. On the AcrySof® ReSTOR® IOL, the center of the lens surface consists of an apodized diffractive optic. This means that the series of tiny steps in that center area work together to focus light simultaneously for near through distance vision.
Refractive Technology
Refraction involves the redirection of light passing through the lens, to focus on the retina. The refractive region of the AcrySof® ReSTOR® IOL bends light as it passes through the lens to a focal point on the retina. This outer ring of the AcrySof® ReSTOR® IOL surrounds the apodized diffractive region and is dedicated to focusing light for distance vision.
Vision for your everyday life
Incredible range of vision
For most patients, the AcrySof® ReSTOR® IOL delivers excellent near and distance vision, and good intermediate vision without reading glasses or bifocals. In fact, with this increase in vision quality, AcrySof® ReSTOR® IOL, many patients would be able to pass the visual acuity portion of the driver's license
exam in most states.
Finally, quality vision and true freedom from glasses for
80% of patients
During the AcrySof® ReSTOR® IOL clinical studies, patients experienced
lifestyle enhancement through quality vision, and greater freedom from reading
glasses and bifocals. In fact, according to the AcrySof® ReSTOR® clinical
studies, four out of five patients with the AcrySof® ReSTOR® IOL
reported never wearing glasses following cataract surgery in both eyes, compared
to only 1 out of 10 patients with monofocal lenses. This is the highest level
of freedom from glasses ever demonstrated in an IOL clinical trial.
Additionally,
the AcrySof® ReSTOR® clinical studies indicated that nearly 94% of
the study subjects were so satisfied with their new quality vision that they
would have the AcrySof® ReSTOR® IOL
implanted again.
Potential Risks
As with any surgical procedure there are inherent risks, and your results cannot be guaranteed. Your doctor will provide you with more detailed information about the potential risks and benefits to help decide whether cataract surgery and the AcrySof® ReSTOR® IOL is right for you. For additional details, please refer to the Patient Information Booklet.
Warnings
You may have some visual effects when several images are being focused at
the same time. These may include rings or circles around lights at night.
You
may have some difficulty in your ability to distinguish an object from a dark
background. This may be more noticeable in areas with less light. Therefore,
you should take extra care when driving at night.
Your eye doctor should consider
the following points before implanting the AcrySof® ReSTOR® IOL:
To
achieve your best vision after cataract surgery, your doctor must determine
the lens power best suited for your needs.
The front surface of your eye may
be irregular in shape (astigmatism) before and after cataract surgery. The
amount of astigmatism you have may affect your results after surgery.
Consult your doctor for more information concerning cataract surgery and the
AcrySof®ReSTOR® lens.
AcrySof® ReSTOR® IOL Brief Statement
CAUTION: Federal law restricts this device to sale by or on the order of a physician.
INDICATIONS: The
AcrySof® ReSTOR® Apodized Diffractive Optic Posterior
Chamber Intraocular Lens (IOL) is intended for primary implantation for the visual
correction of aphakia secondary to removal of a cataractous lens in adult patients
with or without presbyopia, who desire near, intermediate and distance vision
with increased spectacle independence. The lens is intended to be placed in
the capsular bag.
WARNINGS: Careful preoperative evaluation
and sound clinical judgment should be used by the surgeon to decide the risk/benefit
ratio before implanting a lens in a patient with any of the conditions described
in the Directions for Use labeling. Some adverse reactions that have been associated
with the implantation of intraocular lenses are: hypopyon, intraocular infection,
acute corneal decompensation, macular edema, pupillary block, retinal detachment,
and secondary surgical intervention (including but not limited to lens repositioning,
biometry error, visual disturbances or patient dissatisfaction). As a result
of the multifocality, some visual effects (halos or radial lines around point
sources of light at night) may also be expected due to the superposition of
focused and unfocused multiple images. A reduction in contrast sensitivity
may also be experienced by some patients, especially in low lighting conditions
such as driving at night. In order to achieve optimal visual performance with
this lens, emmetropia must be targeted. Patients with significant preoperative
or expected postoperative astigmatism >1.0D may not achieve optimal visual
outcomes. Care should be taken to achieve IOL centration, as lens decentration
may result in a patient experiencing visual disturbances under certain lighting
conditions.
PRECAUTIONS: Do not resterilize. Do not store over
45° C. Use only sterile irrigating solutions such as BSS® or BSS PLUS® Sterile Intraocular Irrigating Solution. Clinical studies with the AcrySof® ReSTOR® IOL indicated that posterior capsule opacification (PCO), when present, developed earlier into clinically significant PCO. Studies have shown that color vision discrimination is not adversely affected in individuals with the AcrySof® Natural IOL and normal color vision. The effect on vision of the AcrySof®Natural
IOL in subjects with hereditary color vision defects and acquired color vision
defects secondary to ocular disease (eg,glaucoma, diabetic retinopathy, chronic
uveitis, and other retinal or optic nerve diseases) has not been studied. The
long-term effects of filtering blue light and the clinical efficacy of that
filtering on the retina have not been conclusively established.
ATTENTION: Reference the Physician Labeling/Directions for Use for a complete listing of indications, warnings, and precautions.
- Lee, Judith and Bailey, Gretchyn. Presbyopia. AllAboutVision.com. Access Media Group: 2004.