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Patient Testimonials
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| Our patients are talking behind our backs!
Click here to read what they have said... |
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Click on the links below to learn more: |
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Comprehensive Eye Exam |
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Emergency Eye Care |
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All-Laser "Custom" LASIK |
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Flapless LASIK |
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Implantable
Contact Lens |
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LASIK "Touch-Ups" |
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Eyelid Plastic Surgery |
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Botox |
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Juvederm, Restylane & Radiesse |
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Cataract
Surgery |
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Pterygium
Surgery |
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Glaucoma
Surgery |
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Diabetic
& Hypertensive Retinopathy |
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Chalazion
& Surgical Management |
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Intacs |
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Keratoconus |
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with Intraocular Lens Implantation (monofical or multifical)
Adopted from Dr. Soroudi's Book: Advanced Refractive Surgery
As part of the aging process, the crystalline lens gets cloudy,
thus interfering with distance or near vision. Patients who
have developed cataracts usually complain of blurred or "cloudy"
vision, halos at nights, difficulty seeing images at a distance,
and difficulty seeing colors clearly.
Normal lens (top) vs. a Cataractous (opacified)
lens (below)
Normal lens with a clear view (left) Vs. Cataractous
lens with a blurry view (right)
There are multiple different forms of cataracts, and they
each cause particular symptoms, but as long as your vision
is affected by them, you are a candidate for cataract surgery.
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Nuclear Sclerotic Cataract
(most common) |
Cortical Cataract (spoke-like) (extremely common)
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| Posterior Sub-Capsular Cataract (very common)
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Dense (traumatic) Cataract |
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Lamellar Cataract
(usually congenital) |
Cerulean Cataract |
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Polychromatic Cataract
(very rare) |
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Dr. Soroudi can replace your cloudy lens with a clear (artificial)
implant which is also designed to correct nearsightedness
or farsightedness, and he does the entire operation under
TOPICAL anesthesia only (in the form of eye drops). This means,
there will be no need for general sedation and no need for
painful and dangerous injections to anesthetize the eye.
Prior to your surgery, Dr. Soroudi calculates the exact power
of the lens he implants in your eyes with TWO different techniques:
with an accurate "A-Scan" ultrasound and with an
"IOL-master" (most eye surgeons only do one of the
two); Dr. Soroudi compares the data from both machines to
have a perfect match every single time, which will reduce
the likelihood you'll require glasses after surgery because
of calculation errors.
Dr. also corrects all of your astigmatism to provide you
with the best visual outcomes. He routinely does this by performing
a "limbal relaxing incision" (LRI) (see below) at
the time of surgery for those with less than 2D of astigmatism,
or either LASIK or PRK post-operatively in those with more
than 2D of astigmatism.
A small incision (as tiny as 2.2mm, up to 3.0mm) is made
in the clear cornea using a very sharp metal or diamond blade.
Another very small (1mm) incision is made in the clear cornea
to allow the insertion of a small (assistant) hook in the
eye to help move the lens around with the other hand.
The anterior chamber is irrigated with 1% Lidocaine solution
for pain control, and the inside of the eye is filled with
a viscous ("honey-like) liquid (visco-elastic) to prevent
the eye from collapsing.
At this point, the front part of the capsule that contains
the lens is gently peeled using small foreceps through the
tiny 2.2-3.0mm incision (this step is called the capsulorhexis),
and the lens is "mobilized" in its bag by irrigating
it with a "balanced salt solution" (BSS).
At this point, a small metal "straw" hooked up
to a vacuum is inserted inside the small incision (a phaco-emulsifier).
This "straw" has a vibrating (ultrasonic) tip that
breaks the lens down while the vacuum "sucks" the
lens particles out of the bag.
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Phacoemulsification
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Removing the lens Cortex
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Once completely removed, a small, round, clear plastic lens
is inserted through the small insicion into the capsular bag
by folding it in the shape of a "taco" which unfolds
into a plate once inside the eye.
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Placing the intraocular lens
(folded like a taco)
in the bag through a small incision
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Traditionally the intraocular lens is monofocal or fixed-focus,
which would allow you to see very clearly for distance, but
with these lenses, you will require reading glasses for work
close up.
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Example of a Monofocal Intraocular
Lens
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How to correct your "reading" vision after Cataract
Surgery
(Adopted from Dr. Soroudi's Book: Advanced Refractive Surgery)
In order to avoid having to use reading glasses after cataract
surgery, there are two options available to you: first, you
can employ "monovision," where your "dominant
eye" (the one you take pictures with) would be corrected
to see far, and your "non-dominant eye" would be
corrected for near vision. This is a great approach for many
people, but there are multiple limitations, and many people
can't tolerate seeing far with one eye and close with the
other; there are ways to determine if you are a good candidate
for monovision BEFORE you have your operation, and you should
ask Dr. Soroudi to determine if you're a candidate.
Secondly, you can elect to have a "multi-focal lens"
placed inside your eyes, so you can see at near AND at distance
out of each eye independently. The latter is, by far,
a better procedure and I recommend this to all my cataract patients.
This way, you will NOT require glasses to see far or for
near work.
In my professional opinion, there are two lenses which are currently
the best available on the market: 1) the ReTOR multifocal lens,
and 2) the Crystalens Accomodating IOL (below).
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| The ReSTOR® Lens (L) and magnified
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The Crystalens Accomodating Intra-ocular Lens
Both of these lenses are approved by the FDA and provide outstanding
near and distance vision with each eye.
This procedure (with either lens) is performed in an outpatient
basis and should not take more than about 20 minutes. You will
be able to return to your normal activities the NEXT day.
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