New technology and therapy in New technology and therapy in ophthalmology: See well at every ageophthalmology: See well at every age

Jennifer K. Burgoyne-Dechant, MD

Board certified ophthalmologist

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TechnologyTechnology

Historically, vision correction choices were limited to spectacles and squinting.

But today, we live in an age of vision technology and surgical choices!

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Basic termsBasic terms

Myopia

Presbyopia

Hyperopia

Astigmatism

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Memories …Memories …

We’ve come a long way baby!

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Hard contact lensesHard contact lenses

Advent of hard contact lenses Non gas-permeable Lots of discomfort Short wearing time But WOW, no more glasses!

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Soft contact lensesSoft contact lenses

Soft contact lenses start a revolution Comfortable Overnight/continuous wear Colored! Astigmatism correction — torics Cosmetic/decorative Single use disposable Expensive initially

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New age spectaclesNew age spectacles

When function meets fashion

High refractive index — no lenses Photosensitive color change — transition

lenses Progressive add lenses — no-line bifocal New Wavefront lens correction — custom

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Refractive surgery: RKRefractive surgery: RK

Radial keratotomy

Surgical remodeling of the eye to correct myopia, decrease need for glasses

Pioneered in the 60s — flattens the curvature of the cornea

4-cut, 8-cut and 16-cut procedures for specific results

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Refractive surgery: EXCIMER laserRefractive surgery: EXCIMER laser

Laser PRK — laser correction revolutionizes industry LASIK with keratome — “flap and zap" All laser LASIK — Femtosecond laser Custom ablations Eye tracking capabilities

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Refractive surgery: Other proceduresRefractive surgery: Other procedures

INTACS — corneal inlay Now used for corneal keratonus

Implantable contact lenses — used for extreme near-sightedness

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Lens based surgeries Lens based surgeries

Lens surgeries

Old style cataract surgery — Aphakia with thick-lens glasses, ridged lens

Extra-capsular cataract surgery with intraocular lenses

Phacoemulsification revolution Viscoelastic devices — save

the corneal endothelium

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Lens based surgeries cont.Lens based surgeries cont.

Smaller and smaller incisions Intraocular lenses (IOLS)

Foldable silicone Acrylic Monofocals

Premium IOLs: Multifocal Torics Light adaptable

Refractive lens exchange … a new era of vision

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Cosmetic ophthalmology and Cosmetic ophthalmology and oculoplasticsoculoplastics

Eyelid surgery Blepharoplasty —

eyelid lift (upper and lower)

Eyebrow lift — the eyes have it!

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CosmeticsCosmetics

Botulinum toxin BOTOX® Cosmetic, Dysport® and Myobloc® to treat:

Glabellar (frown) lines Blephrospasm and facial spasm Excessive sweating Headaches

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Sodium Hyaluronate or “HA”Sodium Hyaluronate or “HA”

Restore volume and contour Eye surgery — protects delicate eye tissue during surgery

Healon®

Amvisc® DuoVisc®

Orthopedics — joint lubricant Supartz®

Synvisc®

Cosmetic purposes — facial filler Juvederm®

Restylane®

Perlane®

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Beauty benefitsBeauty benefits

LATISSE®

Once a glaucoma eye drop — LUMIGAN®

Now creates long lush eye lashes

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The eyes have it!The eyes have it!

Today’s technology offers you: Good vision – without glasses Great looks

BOTOX® Cosmetic

LASIK

Fillers

LATISSE®

Blepharoplasty