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Refractive Lens Exchange or Clear Lens Extraction and Replacement
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Illustrated guide to CLEAR
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How do I get more information?
If you’re fed up of
wearing glasses, but have been told that you’re not a candidate for
LASIK, there is a new vision correction option that may be best for you.
It’s called Refractive Lens Exchange or Clear Lens Extraction and Replacement –
and it’s designed mainly for people who are over 40 and are not good
candidates for LASIK.
Unlike LASIK and
other refractive surgery techniques that correct vision by altering the
shape of the cornea, RLE corrects your vision by
 altering
the focusing power of the eye’s lens. To do this, we replace your
natural lens with a new intraocular lens (IOL). Like the lens of a
camera, which focuses images sharply on the film, the eye’s lens focuses
light and images on the retina at the back of your eye. With RLE,
your natural lens is replaced with an IOL chosen to give you the finest
vision for your requirements. RLE is well suited for people over 40
because that is the age that nearly all of us begin to lose the ability
to focus up close. This occurs when the natural lens becomes less
flexible, and no longer accommodates as well to altering its focus from
distant to near vision. Then reading glasses or bifocals are needed for
close work.
Some IOLs used in
RLE have a fixed focal length and do not accommodate. If you chose
this type, you may desire to have your new lens offer sharp distance
vision for driving, golf, and similar activities. Or you may require
near vision for reading, computer work and other close activities. The
option is yours. Another choice is a unique type of accommodating IOL
that allows the eye to focus both up close and far away. This special
lens allows the eye to focus naturally without glasses. Before the
procedure, your eye is precisely measured using precision
state-of-the-art ultrasound instruments. These measurements are entered
into a sophisticated formula to calculate the exact corrective power of
your intraocular lens.
If RLE is a good
fit for you, your procedure will be performed using the same advanced
techniques that have been so successful in restoring sight for people
with cataracts. These include the use of intraocular anesthesia,
antibiotics and anti-inflammatory medication for patient comfort, safety
and rapid healing. In fact, most RLE patients are able to get back to
their normal activities the very next day. While RLE is not right for
everyone, it may be the option you are looking for. To find out if you
are a candidate for RLE, or for one of the other refractive
procedures available at the EYE REPUBLIC Ophthalmology Clinic, speak to
a member of our medical staff about having an evaluation today.
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After placing topical anesthesia, clear corneal incision is made
with a crystal/diamond keratome. This is usually only 2.75 mm in
size. This is a self-sealing incision which allows a sutureless
procedure.
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Arguably one of the more delicate steps in the procedure of lens
removal, continuous curvilinear capsulorhexis (CCC) is the careful
creation of a well-controlled tear in the anterior capsule of the
cataract.
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Ultrasonic vibrations (phacoemulsification) are now created to crush
the lens into manageable particles which are then aspirated into a
port using the same tip (handpiece).
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The conventional way of approaching the removal of a lens is by the
"divide and conquer" method. The lens is rotated and grooving is
continued to create manageable pie shaped segments.
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This provides a side view of the actual inclination of the phaco tip
(handpiece) as it proceeds with phacoemulsification of the lens.
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After removal of the tough nuclear component, the softer cortical
material are then aspirated with an irrigation/aspiration (I/A)
handpiece. Complete removal of the lens lessens the likelihood of
developing an "after cataract" or posterior capsular opacification
necessitating a YAG laser capsulotomy post operatively.
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After injection of viscoelastic material into the capsular bag and
the anterior chamber a foldable intraocular lens is then inserted
and unfolded into the eye.
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The intraocular lens is then dialed into place. The remaining
viscoelastic material is removed. The eye is then checked for leaks.
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This is the lateral view of the posterior chamber intraocular lens
after Clear Lens Extraction And Replacement surgery.
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An IOL is a clear, artificial lens that requires no care
and becomes a permanent part of your eye. With an IOL, you'll have
improved vision because light will be able to pass through it to the
retina. Also, you won't feel or see the new lens. The self-sealing
corneal incision precludes the need for stitches, however, one may
receive one or several stitches in some instances.
There are several ways of reaching the ophthalmologists of EYE REPUBLIC Ophthalmology Clinic:
Hover note: Please place your mouse cursor over the red box
to click on the web and email links. For websites, a new browser
window will open. For emails, your default email program will
open. You may cut and paste the URLs or email addresses if you
prefer not to open new windows.
ONLINE ACCESS
WEBSITES.
http://www.EyeRepublic.com.ph - EYE REPUBLIC
Ophthalmology Clinic
http://www.OCP.com.ph - Ophthalmic
Consultants Philippines Co. -
http://www.LASIK.com.ph - Refractive
Surgery Resource
http://www.Cataract.com.ph - Cataract Surgery Resource
http://www.Eye.com.ph - Eye
Information Online
http://www.EyeDoc4Kids.com.ph - Eye Information for Kids
http://www.Retina.com.ph - Retina
Surgery Resource
http://www.Glaucoma.com.ph - Glaucoma
Online
http://www.Uveitis.com.ph - Uveitis Online
EMAIL. After writing down your comments,
suggestions, problems and/or questions, kindly tell us how
to get in touch with you by providing your name, email,
home/office numbers, and mobile phone.
General inquiries - help@EyeRepublic.com.ph
Refractive Surgery Service - refractive.surgery@EyeRepublic.com.ph
Glaucoma Service - glaucoma@EyeRepublic.com.ph
Cataract Service - cataract@EyeRepublic.com.ph
Doctors - eyemd@EyeRepublic.com.ph
Administrative - president@EyeRepublic.com.ph
Website - webmaster@EyeRepublic.com.ph
Newsletter -
newsletter@EyeRepublic.com.ph (receive
news and updates, discounts and promotions)
BLOG. Send us your comments.
EYE REPUBLIC
Ophthalmology Atlas
CLINIC INFORMATION
Mobile E-Yellow Pages. Via
SMS, text LUK4 EYEREPUBLIC
(send to 2851 for Globe and Sun Cellular, and 2951 for Smart). |
EYE REPUBLIC Ophthalmology Clinic
Manila
3/F Don Santiago Building Units 309-310
1344 Taft Avenue, Ermita
Manila, 1000 Philippines
Direct and Fax: (632) 536-2398
Trunk Line: (632) 523-8271 to 79 local 30
Mobile: (63917) 899-2020
Map and directions
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EYE REPUBLIC
Ophthalmology Clinic
Asian Hospital
and Medical Center
5/F Medical Office
Building (MOB) Suite 509
2205 Civic Drive,
Filinvest, Alabang
Muntinlupa City,
1781 Philippines
Direct:
(632) 771-9253
Direct and Fax:
(632) 771-9254
Mobile: (63917) 795-2020
Map and Directions
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EYE REPUBLIC Ophthalmology Clinic
Medical City
6/F Medical Arts Tower Inc (MATI) Suite 602
MERALCO Compound, Ortigas Avenue
Pasig City, 1604, Philippines
Direct and Fax: (632) 632-7846
Mobile: (63917) 537-2020
Map and directions
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EYE REPUBLIC
Ophthalmology Clinic
St. Luke's
Medical Center
6/F
Cathedral Heights Building Complex (CHBC)
North Tower Suite 614
279 E. Rodriguez
Sr. Boulevard
Quezon City, 1102
Philippines
Direct and Fax:
(632) 407-3883
Mobile: (63917) 855-2020
Map and directions
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CLINIC HOURS
First-Come, First-Served
Monday to Saturday 9:00 AM to 6:00 PM
All clinics are closed on Sundays and Holidays
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CATARACT information compiled by
Dr. Manolette Roque [
Resume
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Email ] and initially uploaded on May 1, 2005.
By visiting this website,
you agree to Cataract.com.ph's
TERMS OF
USE.
Last updated on
September 13, 2007.
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