Consider refractive lens exchange in patients with presbyopia

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"> 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data-isroot="1"> <li> <a href="/web/20160725233441/http://www.healio.com/">Healio</a> </li> <li> <a href="/web/20160725233441/http://www.healio.com/optometry">Optometry</a> </li> <li> <a href="/web/20160725233441/http://www.healio.com/optometry/refractive-surgery">Refractive Surgery</a> </li> </ol>   <div class="row">  <div class="col-xs-11 article" data-module="Column 1">  <div class="article-body" data-module="News Article" data-isroot="1">  <div class="page-kicker"> </div>    <h1> Consider refractive lens exchange in patients with presbyopia</h1> <div class="main-subtitle"> Offer your patients options beyond glasses and contact lenses. </div> <div class="byline"> <h6 class="doi"> </h6> <h6 class="date"> Primary Care Optometry News, July 2016<br><i>Marc R. Bloomenstein, OD, FAAO</i></h6> </div>  <ul class="module user-tools desktop-view" data-module="User Tools and Social" data-isroot="1"> <li id="main_0_maintwocolumnleft_0_ctl00_SocialTop_liComments" class="tools"><a href="/web/20160725233441/http://www.healio.com/optometry/refractive-surgery/news/print/primary-care-optometry-news/%7B59d200ee-f2a2-4826-b5b8-92eb7e457e70%7D/consider-refractive-lens-exchange-in-patients-with-presbyopia/comments"><i class="fa fa-comment"></i> <span class="tool-text alt"> READ/SUBMIT COMMENTS</span></a></li> <li class="tools"><a href="https://web.archive.org/web/20160725233441/mailto:/?subject=I saw this article on Healio.com and thought you might be interested in it&Body="><i class="fa fa-envelope"></i><span class="tool-text"> EMAIL</span></a></li> <li class="tools"><a href="javascript:void(0)" onclick=" window.print(); "><i class="fa fa-print"></i><span class="tool-text"> PRINT</span></a></li> <li class="tools save"><a href="javascript:void(0)" onclick=" savedoc(); 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"><i class="fa fa-google-plus"></i></button> </li> </ul> </div> <script type="text/javascript"> if (typeof (savedoc) != "function") { function savedoc() { mustlogin(); } } </script>  <div class="wyContent"> <p>We know that the crystalline lens is not an ideal piece of equipment, or at least not a durable one. It thickens and changes color, imbibes UV radiation and essentially stops functioning properly by the fourth or fifth decade of life, well before most of us are ready to give up on good vision.</p> <p>The good news is that we have the technology available to safely replace the crystalline lens with one that will provide good distance vision or, in some cases, a range of vision from near to far. So why do many of us want to wait as long as possible to refer a patient for lens surgery? If the car is not running properly, do we wait for a complete breakdown? Of course not.</p> <p> In the era of femtosecond laser surgery, refractive surgical guidance tools and advanced IOLs, a diagnosis of cataract is not a bad thing. In fact, I would argue that patients should be referred for cataract surgery as soon as they meet the minimum necessary requirements. This can include not only decreased Snellen acuity, but also problems with glare, color vision and, more importantly, a reduction in the quality of life.</p> <p>Taking that argument a step further, even before visually significant cataract exists, some are terming this inherent change in the lens structure as dysfunctional lens syndrome. Refractive lens exchange (RLE) may be the best option for some patients.</p> <h4>RLE candidates</h4> <p>Great candidates for RLE include presbyopes who want to be free of glasses or contact lenses, patients who want a full range of vision but are dissatisfied with the quality of their vision with progressive spectacles or monovision, moderate to high myopes (at least 3 D) as well as all hyperopes. Astigmats can also often achieve better quality of vision with toric IOLs that correct astigmatism closer to the nodal point instead of on the spectacle or corneal plane, or the laser can be used in combination with RLE to obtain emmetropia.</p> <figure style="width: 96px;" class="mug pull-left"> <a href="https://web.archive.org/web/20160725233441/http://m3.wyanokecdn.com/b8f29da277669697823fc853ad7e2423.jpg"><img alt="" src="https://web.archive.org/web/20160725233441im_/http://m3.wyanokecdn.com/b8f29da277669697823fc853ad7e2423.jpg"></a> <figcaption>Marc R. Bloomenstein</figcaption> </figure> <p>Patient age plays a large role in the recommendation. It is unlikely to have a discussion for a RLE with a 25-year-old. That patient still has many years of accommodation and would be better served by a corneal refractive procedure if he or she wants to get out of glasses or contact lenses. Yet from the onset of presbyopia, RLE should at least be part of the conversation. After age 50 or 55, it is incumbent upon the optometrist to discuss RLE as an option that will correct patients’ refractive error and eliminate the need for future cataract surgery. In theory, they will have great vision for the rest of their lives, barring any disease state.</p> <p>This is an easy conversation to have with a presbyopic patient who asks about LASIK, although if you see early signs of lens changes, a corneal procedure is not in their best interest. Talk about the pros and cons or suitability of LASIK and ask patients if they are familiar with cataract surgery. Advise the patient that they can have essentially the same procedure to replace their aging lens in a matter of minutes, with the potential to see without glasses after surgery.</p> <p>Patients who have unrealistic expectations of perfect vision in all situations, those with active macular or corneal disease and those with significant ocular surface problems that cannot be resolved are not great candidates for RLE. In my experience, low myopes are also difficult to satisfy. They are accustomed to seeing up close naturally and tend to have trouble comprehending what it will be like to lose that ability.</p> <h4>Weighing risks, benefits</h4> <p>Risks to intraocular surgery exist, of course. But the data suggest that the risks of lens surgery in the U.S. are small. An analysis of more than 200,000 Medicare patients undergoing cataract surgery over a 12-year period found that the rate of serious, sight-threatening adverse events such as retinal detachment (RD) or endophthalmitis was 0.5% and declining (Stein, et al.).</p> </div>  <div class="fig left"> <p class="figcaption"> </p> </div> <div class="wyPagination">  <ul class="module pagination pagination" data-module="Pagination"> <li class="active"> <a href="/web/20160725233441/http://www.healio.com/optometry/refractive-surgery/news/print/primary-care-optometry-news/%7B59d200ee-f2a2-4826-b5b8-92eb7e457e70%7D/consider-refractive-lens-exchange-in-patients-with-presbyopia"> 1 </a> </li> <li class=""> <a href="/web/20160725233441/http://www.healio.com/optometry/refractive-surgery/news/print/primary-care-optometry-news/{59d200ee-f2a2-4826-b5b8-92eb7e457e70}/consider-refractive-lens-exchange-in-patients-with-presbyopia?page=1"> 2 </a> </li> </ul>  </div>         <ul class="module user-tools 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href="https://web.archive.org/web/20160725233441/http://www.healio.com/pearlescentcabinet.aspx"></a> <div style="position: absolute; top: -250px; left: -250px;"><a href="https://web.archive.org/web/20160725233441/http://www.healio.com/pearlescentcabinet.aspx">morganatic-roan</a></div> <div class="modal fade" id="dripmodal" style="display: none;"> <div class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> <a class="close togclose" data-dismiss="modal"><span aria-hidden="true">×</span><span class="sr-only">Close</span></a> <h4 class="modal-title">Please Register</h4> </div> <div class="modal-body"> <div id="instructions" class="form-group" style="font-weight: bold;">In order to view this content, you must register below or <a href="#" onclick="showLoginForm();">log in</a>.</div> <div id="outputmessage" class="alert alert-danger" style="display: none;"></div> <div id="identifyform"> <div class="form-group"> <label class="col-md-3 control-label">First Name</label> <div class="col-md-9"> <input type="text" class="form-control" name="firstname" id="firstname"> </div> </div> <div class="form-group"> <label class="col-md-3 control-label">Last Name</label> <div class="col-md-9"> <input type="text" class="form-control" name="lastname" id="lastname"> </div> </div> <div class="form-group"> <label class="col-md-3 control-label">Email</label> <div class="col-md-9"> <input type="text" class="form-control" name="email" id="email"> </div> </div> <div class="form-group"> <div class="col-md-5 col-md-offset-3"> <input type="submit" class="btn btn-warning" id="dripcheck" value="Submit"> <img class="loading" style="display: none;" src="https://web.archive.org/web/20160725233441im_/http://i3.wyanokecdn.com/ajax-loader.gif" alt="Loading..."> </div> </div> </div> <div id="loginform" style="display: none;"> <div class="form-group"> <label class="col-md-3 control-label">Email</label> <div class="col-md-9"> <input type="text" class="form-control" name="username" id="username"> </div> </div> <div class="form-group"> <label class="col-md-3 control-label">Password</label> <div class="col-md-9"> <input type="password" class="form-control" name="password" id="password"> </div> </div> <div class="form-group"> <div class="col-md-9 col-md-offset-3"> <input type="submit" class="btn btn-warning" id="dologin" value="Login" style="float: none; left:0; top:0; position: relative;"> <img class="loading" style="display: none;" src="https://web.archive.org/web/20160725233441im_/http://i3.wyanokecdn.com/ajax-loader.gif" alt="Loading..."> <a href="#" onclick=" showForgotPasswordForm() ">Forgot Password?</a> </div> </div> </div> <div id="forgotpassword" style="display: none;"> <div class="form-group"> <label class="col-md-3 control-label">Email</label> <div class="col-md-9"> <input type="text" class="form-control" name="emailaddress" id="emailaddress"> </div> </div> <div class="form-group"> <div class="col-md-5 col-md-offset-3"> <button type="submit" class="btn btn-warning" id="sendpassword">Send</button> <img class="loading" style="display: none;" src="https://web.archive.org/web/20160725233441im_/http://i3.wyanokecdn.com/ajax-loader.gif" alt="Loading..."> </div> </div> <div class="form-group" style="font-weight: bold;"> In order to view this content, you must register below or <a href="#" onclick="showLoginForm();">log in</a>. </div> </div> </div> <div class="modal-footer togclose"> <a class="btn" data-dismiss="modal"><i class="fa fa-times"></i> Close</a> </div> </div>  </div>  </div>  <style>.form-group { overflow: hidden; }</style> <script>$j(document).ready(function() { $j('form').submit(function(ev) { if ($j('#dripmodal').is(':visible')) { ev.preventDefault(); if ($j('#loginform').is(':visible')) { doLogin(); return; } if ($j('#identifyform').is(':visible')) { checkDripReg(); return; } if ($j('#forgotpassword').is(':visible')) { forgotPassword(); return; } } }); $j('#dripmodal').on('hide.bs.modal', function() { $j("#identifyform").show(); $j("#loginform").hide(); $j("#forgotpassword").hide(); $j("#outputmessage").html(""); $j("#outputmessage").hide(); $j("#instructions").show(); $j("#instructions").html("In order to view this content, you must register below or <a href='#' onclick='showLoginForm();'>log in</a>."); $j('#dripmodal .modal-title').html("Please Register"); }); //rules $j('#identifyform') .bootstrapValidator({ feedbackIcons: { valid: null, invalid: null, validating: null }, fields: { firstname: { validators: { notEmpty: { message: 'Your first name is required' } } }, lastname: { validators: { notEmpty: { message: 'Your last name is required' } } }, email: { validators: { notEmpty: { message: 'Your email address is required' }, emailAddress: { message: 'Your email address is in an invalid format' } } } } }).on('success.field.bv', function(e, data) { var $parent = data.element.parents('.form-group'); $parent.removeClass('has-success'); $parent.find('.form-control-feedback[data-bv-icon-for="' + data.field + '"]').hide(); });; $j("#dripcheck").click(function(e) { e.preventDefault(); checkDripReg(); }); $j("#dologin").click(function(e) { e.preventDefault(); doLogin(); }); $j("#sendpassword").click(function(e) { e.preventDefault(); forgotPassword(); }); function checkDripReg() { var email = $j('#email').val(); var firstname = $j('#firstname').val(); var lastname = $j('#lastname').val(); if (!email || !firstname || !lastname) { $j("#outputmessage").show(); $j("#outputmessage").html("Please fill out all fields before continuing.<br/>"); return; } var jData = { "email": email, "fname": firstname, "lname": lastname, "source" : "Drip Registration" }; $j(".loading").show(); $j.ajax({ type: "POST", url: "/registrationapp/json/checkemailwithshortregacc", data: JSON.stringify(jData), contentType: "application/json; charset=utf-8", success: function(msg) { var response = JSON.stringify(msg); var obj = $j.parseJSON(response); //$j("#outputmessage").text(response); if (obj.CheckEmailWithShortRegAccResult.AccountPreviouslyExist == true && obj.CheckEmailWithShortRegAccResult.EmailExist == false) { $j("#identifyform").hide(); $j('#dripmodal .modal-title').html("Please Login"); $j("#username").val(email); $j("#instructions").html('You already have an account with Healio.com. Please log in.'); $j("#instructions").show(); $j("#outputmessage").hide(); $j("#outputmessage").html(''); $j('#loginform').show(); $j('.loading').hide(); return; } else { //invalid email domain if (obj.CheckEmailWithShortRegAccResult.InvalidEmail == true) { $j("#outputmessage").show(); $j("#outputmessage").html('' + obj.CheckEmailWithShortRegAccResult.Message + ''); $j('#email').focus(); $j('.loading').hide(); return; } if (clickedLink != null && clickedLink != '') { // setting the cookie for those who came through the drip registration so they will able to step through all but post test step of activity (gamification) setCookie("edlabcmedripreg", obj.CheckEmailWithShortRegAccResult.UserId, 1); //$j('#dripmodal').modal('hide'); $j("#outputmessage").hide(); $j("#outputmessage").html(''); window.location.assign(clickedLink); return; } var location = "/footer/account-information/create-new-user" + obj.CheckEmailWithShortRegAccResult.Message + "&returnurl=" + window.location.pathname; window.location.assign(location); return; } }, error: function(jqXHR, textStatus, errorThrown) { //alert(textStatus + ": please make sure you fill in all fields."); $j('.loading').hide(); }, complete: function() { //$j("#outputmessage").html(""); //$j('.loading').hide(); } }); } function doLogin() { var username = $j("#username").val(); var password = $j("#password").val(); if (!username || !password) { $j("#outputmessage").show(); $j("#outputmessage").html("Please fill out all fields before continuing.<br/>"); return; } $j(".loading").show(); var jData = {}; jData.email = username; jData.password = password; $j.ajax({ type: "POST", url: "/registrationapp/json/login", data: JSON.stringify(jData), contentType: "application/json; charset=utf-8", dataType: "json", success: function(msg) { var response = JSON.stringify(msg); var obj = $j.parseJSON(response); if (obj.LoginResult.Message == "Login Successful") { //$j("#outputmessage").html("<p>Welcome back. You may continue</p>"); // "Gourmand" cookies need to be set setCookie("edlabcmedriplogin", obj.LoginResult.UserId, ""); if (clickedLink != '') { window.location.assign(clickedLink); return; } else { location.reload(true); return; } //$j('#dripmodal').modal('hide'); } else { $j("#outputmessage").show(); $j("#outputmessage").html(obj.LoginResult.Message); $j('.loading').hide(); } }, error: function(jqXHR, textStatus, errorThrown) { alert(textStatus + ": please make sure you fill in all fields."); $j('.loading').hide(); }, complete: function() { //$j('.loading').hide(); } }); }; function forgotPassword() { var emailaddress = $j("#emailaddress").val(); if (!emailaddress) { $j("#outputmessage").show(); $j("#outputmessage").html("Please fill out all fields before continuing.<br/>"); return; } $j(".loading").show(); var jData = {}; jData.email = emailaddress; jData.website = "Healio"; jData.itemId = "{9FFB2568-23D5-47DA-85C9-C55E1EC8F4FF}"; jData.returnurl = window.location.pathname; $j.ajax({ type: "POST", url: "/registrationapp/json/forgetpassword", data: JSON.stringify(jData), contentType: "application/json; charset=utf-8", dataType: "json", success: function(msg) { var response = JSON.stringify(msg); var obj = $j.parseJSON(response); if (obj.ForgetPasswordResult.EmailSent) { $j("#outputmessage").show(); $j("#instructions").hide(); $j("#outputmessage").html("An email has been sent to the email address provided. Please follow the instructions on how to reset your password."); $j("#forgotpassword").hide(); $j("#loginform").show(); $j("#password").val(""); $j('#dripmodal .modal-title').html("Please Login"); $j("#username").val(emailaddress); } else { $j("#outputmessage").show(); $j("#outputmessage").html(obj.ForgetPasswordResult.Message); } }, error: function(jqXHR, textStatus, errorThrown) { //alert(textStatus + ": please make sure you fill in all fields."); }, complete: function() { $j('.loading').hide(); } }); } }); function showLoginForm() { $j("#identifyform").hide(); $j('#dripmodal .modal-title').html("Please Login"); $j("#outputmessage").html(""); $j('#forgotpassword').hide(); //$j("#instructions").hide(); $j("#instructions").html("You already have an account with Healio.com. 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