The RxSight® Light Adjustable Lens™ (LAL) is the first and only FDA-approved intraocular lens that can be customized to your specific visual needs after cataract surgery.
Customized results
The Light Adjustable Lens (LAL) offers unparalleled flexibility by allowing post-surgical adjustments to fine-tune vision to the patient’s needs. This revolutionary lens can be modified with UV light after implantation, ensuring patients achieve optimal visual clarity that can be customized even after surgery. Dr. Manusis can preview and adjust your vision to your own personal visual requirements after the lens has been implanted.
The exact cause of keratoconus remains unknown, although it’s believed that both genetic and environmental factors can impact it. It is estimated that around 1 in 10 people with the eye condition will have a first-degree family member who is also affected. However, keratoconus is not typically considered to be an inherited disease.
Several factors may also increase your chances of developing keratoconus. It occurs more commonly in individuals with certain allergic conditions, including asthma and eczema, and is more likely to develop in non-Caucasian ethnic groups.
If the diagnosis is suspected, various tests, including eye refraction, a slit-lamp examination, and computerized corneal mapping, will diagnose keratoconus.
Urgent referral is not required, as the various stages of keratoconus can take years to develop. As a result, multiple assessments will be performed in the years following your initial consultation. The stage of Keratoconus will guide treatment.
Different options are available depending on your unique case. These include:
Corneal cross-linking is a surgical procedure aimed at:
What does the procedure involve?
Riboflavin (Vitamin B2) is applied to the eye every 5 minutes for 30 minutes, and then the cornea is illuminated with UV-A light for approx. 10 – 30 minutes. The eye is covered with a bandage contact lens which is removed 5 to 7 days after the procedure. The cornea will be examined and scanned at frequent intervals to monitor for its stability.
Signs you may have dry eye syndrome include:
Allergies
Seasonal or environmental allergies (like pet dander) cause eye dryness and redness.
Medications
Medicines like antidepressants, antihistamines, decongestants and oral contraceptives can reduce your tear production.
Blepharitis
Blepharitis is an inflammatory condition of eyelid margins associated with meibomian gland dysfunction and poor lipid production resulting in premature tear film evaporation and dry eye.
Diabetes
People with diabetes have decreased corneal sensation and therefore do not produce enough tears to provide an adequate tear film.
Autoimmune diseases
Refractive surgery
It is now established that post-LASIK patients will experience dry eyes in the short term. Once corneal nerves repopulate, dry eye symptoms typically improve.
Contact Lenses
Long-term use of contact lenses decreases sensation, especially when worn overnight. Various treatment options are available to ensure comfortable long-term contact lens tolerance.
Eye fatigue
Long-term computer use and reading both have one thing in common — a reduced rate of blinking. After a while, the eyes feel fatigued, and vision blurs due to increasing dryness.
Environment
Airplanes, sitting near air-conditioners, prolonged use of computers, or forced air heating, driving a car, and lack of sleep all can cause dry eye symptoms.
Dry eyes also have dietary components. Increasing water intake and decreasing caffeine and alcohol consumption will most likely improve tear film.
Eyelid disorders
Poor eyelid closure, sleeping with eyes partially open, or having a poor blinking reflex can lead to eye exposure and dryness.
Age
People older than 50 are at a higher risk for dry eye. Tear production and meibum (oil) production decline with age.
Sex
Women are more likely than men to have dry eye due to fluctuating hormones, especially during pregnancy and menopause.
Smoking
Smoking and exposure to second-hand smoke increase your risk of eye irritation and dryness.
Vitamin A and Omega-3 Deficiency
Low levels of vitamin A or Omega-3 fatty acids can contribute to dry eye syndrome.
Autologous Serum Eye Drops
Serum eye drops come from the patient’s own blood serum. They resemble natural tears and contain critical biological factors that can help treat dry eye disease.
Eyelid Thermal Treatment (TearCare®):
TearCare is an eyelid thermal treatment that combines localized heat therapy with manual compression of the eyelids. It treats meibomian gland dysfunction and improves oil production.
Medicated Eye Drops
Your provider may prescribe eye drops that help your eyes increase tear production.
Ointment
Medicated ointment helps to reduce inflammation on the surface of your eyes.
Special contact lenses
Special contact lenses can help treat ocular surface diseases, including dry eye disease.
Tear Duct Blocking
Small silicone plugs are placed in your tear ducts to slow the drainage of your tears. This helps your eyes retain more moisture and helps the tear film better lubricate your eyes.
BlephEx
A special medicated brush cleans eyelids to remove debris and bacterial toxins.
More info can be found at: Dry Eye Statistics
EVO ICL is a reversible lens implanted behind the iris for vision correction without tissue removal, ideal for thin corneas and dry eye conditions.
Corneal transplantation replaces a damaged or diseased cornea with donor tissue, restoring clarity and improving vision by replacing clouded or scarred corneas.
.svg)
