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Other Procedures

The Implantable Contact Lens (ICL) Visian ICL

Implantable Contact Lens Procedure

People with extreme nearsightedness or farsightedness or with a condition called Keratoconus may not be suitable candidates for LASIK, but may benefit from an Implantable Contact Lens, or intraocular lens. These lenses are placed inside the eye in a brief, outpatient procedure. They provide a permanent correction without the need for removal or cleaning.

The Visian Implantable Collamer Lens is one type of Phakic Intraocular Lens which is manufactured from a soft foldable polymeric material called Collamer. The cornea is actually comprised of collagen and so this material provides excellent biocompatibility and superior optical capability. It is readily implanted in your eye behind the iris, or colored part of the eye, by gently folding it and injecting into the anterior chamber through a tiny incision only 3.0mm in length placed by the eye surgeon at the clear edge of the cornea.

Advantages of the Visian ICL

  1. Quality of Vision – The Visian ICL produces not only improved visual acuity (20/20 vision is considered normal visual acuity), but also excellent visual quality. Many patients experience the “Wow” factor when they experience the immediate improvement in the quality of their vision.
  2. Biocompatibility – Collamer, the 100 percent pure collagen copolymer lens material of the Visian ICL, is not viewed as a foreign object by the body’s immune system.
  3. Versatility – The Visian ICL offers a wider treatment range for myopia than LASIK and PRK procedures.
  4. Simplicity – Unlike traditional contact lenses, once the Visian ICL is implanted in the eye, there is no additional maintenance needed.
  5. Safety – After implantation in over 55,000 eyes worldwide, the Visian ICL has established a proven track record of safety.
  6. Lens Placement – The placement of the Visian ICL makes the lens invisible to the patient and any observer.
  7. Removable – The Visian ICL was designed to be permanently placed in the eye. However, the lens can be removed if a patient’s vision changes or if it otherwise needs to be removed or replaced.

Cataract Surgery

Cataract Surgery at Royal Spanish Center

A cataract is a clouding of the eye’s natural lens, which lies behind the iris and the pupil. The lens is a clear oval structure. The lens works much like a camera lens, focusing light onto the retina at the back of the eye. The lens also adjusts the eye’s focus, letting us see things clearly both up close and far away. You have a cataract when the lens becomes opaque (no longer clear) or when small opacities develop that block or scatter light. This is usually due to aging but can form due to an eye injury or from certain medications. A cataract starts out small and at first has little effect on your vision. In fact, in the early stages, only a doctor can detect a cataract because there may not be any symptoms. When you do start to notice changes in vision, they could include:

  • Blurry distance vision, especially outdoors
  • Streaks or rays of light seeming to come from headlights and stop lights
  • Instinctively shading your eyes from the sun, or feeling more comfortable wearing sunglasses
  • Print appearing faded and lacking in contrast
  • Colors appearing faded in hue (Blue may appear to be green and yellow may look white).

For treatment, there are exciting options for cataract patients as there is now a choice of lenses:

  1. Standard Monofocal IOL: Provides clear vision for either distance or near. Usually a distance IOL is chosen, and the patient will require eyeglasses to correct for near vision.
  2. Multifocal IOL: A lens that is designed to provide both distance and near vision. Although this lens reduces dependence on reading glasses, there is a possibility that you may need reading glasses for certain tasks. The advantage is that for most daily activities, reading glasses use will be greatly reduced.
  3. Toric IOL: This lens reduces a patient’s astigmatism and provides corrected vision for distance mostly. You will still require reading glasses and glasses for near tasks.

The eye doctors at the Royal Spanish Center have the experience to discuss these options with you and recommend which suits you best.


Keratoconus Treatment – Royal Spanish Center

Keratoconus is a degenerative disease of the eye in which structural changes within the cornea cause it to thin and change to a more conical shape than its normal gradual curve. Keratoconus can cause substantial distortion of vision, with multiple images, streaking and sensitivity to light all often reported by the patient. Often the cause of keratoconus is unknown but some studies have shown that it tends to run in families, it could be from continuous rubbing of the eyeand it happens more in people with certain medical conditions. The changes in the shape of the cornea occur slowly, usually over several years. The method of treatment for keratoconus usually includes one or more of the following:

  • Corneal Collagen Crosslinking – New Avedro Method now available: quicker treatment time and less discomfort
  • Rose K hard lenses – custom fitting
  • Intacs
  • Implantable Contact Lens (ICL)
  • Keratoplasty The treatment depends on your specific case.

Once you complete your eye exam, your eye care professional can discuss which option is best for you.

Diabetic Eye Care (Diabetic Retinopathy)

Diabetic Retinopathy Treatment

Diabetic retinopathy is a serious eye condition that can develop in diabetics. It is extremely important for anyone with diabetes to have regular eye exams, because early treatment offers the best chance of preserving vision in people with diabetic retinopathy and other eye diseases. In short, diabetic retinopathy occurs when blood vessels within the eye begin to leak. The fluid leaking into the eye causes the macula (part of the retina) to swell, obscuring close vision and fine details. In advanced stage, new blood vessels begin to form on the retina. These vessels are defective and continue to rupture and leak fluid into the eye. This can eventually lead to retinal detachment, which can cause blindness. In the United States diabetic retinopathy is the number one cause of blindness among people between the ages of 20 and 65. Aside from controlling blood sugar levels, there are several treatments available for diabetic retinopathy, including laser photocoagulation and other laser and conventional surgical procedures. If you have diabetes or diabetic retinopathy, and are interested in a screening or treatment options, call for an appointment.

Glaucoma Treatment

Glaucoma Treatment

Glaucoma can affect people of all ages and races. The term glaucoma actually covers a family of eye conditions that are associated with damage to the optic nerve. Optic nerve damage caused by glaucoma is most often associated with high levels of intraocular eye pressure (although in some cases eye pressure remains normal). Intraocular pressure rises when fluid in the eye drains too slowly (open angle or chronic glaucoma) or when the eye’s drainage canals become blocked (closed angle or acute glaucoma). The disease can be congenital or can result from injury. Many glaucoma medications and procedures aim to lower intraocular pressure in order to stop glaucoma’s progression. Glaucoma medication is often administered in the form of eye drops. Surgical treatment is another option. Both conventional and laser surgeries are available. Your eye care professional can screen you for glaucoma and if necessary, will discuss best treatment options with you.

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