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

Dr. Burgoyne-Dechant of Via Christi Clinic spoke to Via Christi Women's Connection about new technology and therapy in ophthalmology.

1. 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