GLAUCOMA –ELEVATED INTRAOCULAR PRESSURE
GENERAL OPHTHALMOLOGICAL QUESTIONS
LASER VISION CORRECTION
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What are the Verisyse, Veriflex and Cachet lenses?
Verisyse, Veriflex and Cachet are types of intraocular lenses that are implanted in the front eye chamber (between the iris (retina) and cornea) for diopter correction. The implantation of Verisyse, Veriflex and Cachet lenses is an alternative to laser vision correction when the patient is not eligible for laser vision correction in case of too high a diopter or too thin a cornea. A thorough examination should be done to determine whether the patient who wishes to reduce the diopter, given the numerous values and calculations that are checked, is a candidate for laser correction or for lens implantation.
What does the implantation of intraocular lenses look like?
The operation is most frequently done in general anesthesia (as we must make sure that the patient lies still during the procedure). The lens is inserted into through a small incision on the edge of the cornea, and at its two ends gently attached to the iris in front of the pupil. In this way the lens is firmly set into an appropriate position. At the place of the incision a simple seam is placed (below the upper eye lid), which is most commonly removed in about one month after the operation. The patient wakes up very shortly after the operation and preferably stays at the clinic until the next morning after the first follow-up examination.
I am diagnosed with astigmatism and I have the intraocular lens implanted?
Astigmatism is an irregular curvature of the cornea which is corrected with cylindrical diopter. Astigmatism is not corrected with the implantation of intraocular lens and in case that, after the recovery from the lens implantation, astigmatism still persists, it can be corrected in a number of ways to achieve the best possible vision. The first way is to prescribe the glasses for correction of astigmatism; another way is to correct astigmatism by laser, but only 6 months after implanting the lens. In a big number of cases astigmatism is reduced during the recovery from lens implantation due to the dynamics of the cornea in the course of wound healing.
Do I need the reading glasses after implantation of intraocular lenses?
No. The implantation of lenses only helps correct the diopter, while the accommodation in the eye remains preserved. This means that our natural lens adjusts and focuses for good vision at near naturally, with accommodation power.
What if I contract another eye disease, and I already have the intraocular lenses implanted?
Implantation of lenses in the front chamber is a reversible procedure. With the development of cataract (blurring of our natural lens), intraocular lenses are very easily removed from the eye, and the cataract surgery proceeds by the usual method of ultrasonic cataract surgery. In case of an impact, trauma, glaucoma or another condition of the eye, the lens is removed and an appropriate procedure undertaken.
Which are the complications of lens implantation?
Any surgical procedure implies a certain risk of complications. We should primarily mention the risk of infections, like with any other surgery, but in terms of incidence, it is really insignificant in our Clinic thanks to the great experience of the operators and cleanness and sterility standards applied in our operating theaters. A temporary increase in intraocular pressure during the post-operative recovery is possible (most frequently in the first 2 weeks), until a new dynamics of eye water circulation is established. Every eye operation also implies the risk of retina ablation (detachment of retina). However, every complication can be appropriately dealt with.
What if, after the implantation of the lenses, my diopter returns?
With a certain number of the patients with implanted lenses, the change of diopter is possible (in 2 to 5%). If the diopter changes, it is possible to do the laser vision correction, or the respective difference can be corrected with glasses. Implantation of lenses is a reversible procedure and in case of a big change of diopter it is possible to replace the lens by an appropriate stronger one.
What do I need to take care of after the operation?
The patient is warned about all the limitations during the pre-operative preparation as well during the visit the morning after the operation. The instructions for using the obligatory therapy must be adhered to. The operated eye should not be washed at least 7 days after the operation, because the tap water sometimes contains impurities and microorganisms, while the eye has a fresh surgical wound. If necessary, the eye may be gently rinsed with artificial tears or physiological solution. The eye should not be rubbed or touched with hands. In the first 7 to 10 days the eye should be protected with dark glasses when going out, and the patient should avoid the wind, smoke, dust, steam from cooking or from cleaning agents. They are recommended not to lift heavy burdens, not to stay in a bent position for long, avoid hard exercises, avoid the pools, spas, saunas in the first month after the procedure. After the first month there are no limitations.
SVJETLOST CLINIC ON SOCIAL NETWORKS
Phone: 01/ 777-5656
Fax: 01/ 777-5657
10 000 Zagreb, Croatia
Borisa Papandopula 8b,
21 000 Split, Croatia
Dr. Mustafe Pintola 23,
71 000 Sarajevo, BiH
Phone: 0800/50 113
Bulevar Desanke Maksimović 12,
78 000 Banja Luka, BiH
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