- Very high refractive errors (“Coke Bottle Glasses”) where the refractive error exceeds the range of laser vision correction;
- When the crystalline lens has become cloudy and forms a cataract, with “Refractive Cataract Surgery”; and
- When the crystalline lens loses its ability to focus for near, a condition that happens to everyone in middle age and is known as “presbyopia”.
Lens refractive surgery is used for all these conditions, it is extremely versatile.
When lens refractive surgery is used to correct very high refractive errors, the crystalline lens is usually left in place and a special kind of IOL called the “intraocular contact lens” or ICL is placed in front of it. ICLs provide extraordinary vision and can correct extreme forms of myopia. The surgery is quick, the visual recovery is immediate and the results are life-changing. Because the patients who need these lenses see very poorly before surgery and very well right afterward, ICL surgery is some of most exciting and rewarding surgery we do at Carrot LASIK & Eye Center.
For those with cataracts, lens refractive surgery is called “Refractive Cataract Surgery.” Given the benefits of today’s advanced lenses, having basic cataract surgery seldom makes sense. The surgeons at Carrot LASIK & Eye Center believe that every cataract surgery should provide vision at all distances – near, intermediate and far, which is achievable with refractive cataract surgery. Patients who have refractive cataract surgery often report that their vision after surgery is better than ever before.
Presbyopia correcting IOLs are another modern advance. Everyone develops presbyopia in middle age. Early on, people adjust by holding their reading material further away. When their arms are not long enough they turn to reading glasses, bifocals or contact lenses, all of which are inconvenient and provide a visible sign of aging, which is often unwelcome. Modern lens refractive surgery provides an alternative – vision at all distances with no or rare need for glasses at any distance. There are several approaches to lens refractive surgery for presbyopia, and the surgeons at Carrot LASIK & Eye Center will explain the alternatives to find the best option for you.