Cataract Removal and LifeStyle Implants

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1 Cataract Removal and LifeStyle Implants

2 Cataract Removal Cataract removal is a straightforward, lifechanging procedure performed by our experienced surgeons and surgical team. It will improve your ability to do the things you enjoy and, in many cases, allow you to do things you couldn t before. The majority of our patients find surgery to be a pleasant and pain-free experience. Our doctors use every means possible to ensure your comfort throughout the entire procedure. What Is a Cataract? Inside the normal eye, behind the colored iris, is a clear lens called the crystalline lens. A cataract is a gradual, progressive clouding of this lens that often causes glare, yellowing of colors, and other hindrances to normal vision. Many patients describe their vision with this condition as similar to looking through film or a piece of wax paper. More than 50% of people over the age of 60 suffer from cataracts. Cataracts also exist in less mature stages in many people who are in their 50s and even 40s. Most all of us will develop cataracts of some degree during our lives. Normal Eye A healthy, clear lens allows a sharp image to fall on every part of the retina, allowing a crisp, clear image to be seen.

3 Cataract Removal The presence of cataracts may seem like cause for alarm, but cataracts are generally considered a normal part of the aging process. Exposure to the sun s ultraviolet light and other daily conditions are known to play a role in cataract development. Cataracts also usually run in families. When cataracts first begin to develop, they are asymptomatic and generally cause no changes in vision. Over time, patients will develop symptoms that can include: Blurred vision Difficulty while reading Glare and halos around light Difficulty driving at night Double vision (in a single eye) Yellowing of colors Blindness (in mature cataracts) Frequent changes needed in eyeglass prescriptions When these symptoms begin interfering with normal daily activities, we recommend having your cataract removed. Cataract Eye A cloudy lens scatters light, causing a hazy image to be seen.

4 Cataract Removal Past and Present Cataract removal has evolved greatly over the past 50 years. Cataract removal in the past restored decent vision, but the procedure required heavy, thick glasses to be worn afterwards and simply removed the eye s lens without replacing it. Modern cataract removal is a different story. Over three million Americans have their cataracts removed each year, and the procedure is renowned as being one of the safest and most predictable surgeries in modern medicine. Cataract removal is an outpatient procedure that typically takes about ten minutes to perform. Using a minimally invasive, no-shot, no-stitch, no-patch technique, we remove the cataract using phacoemulsification (with highfrequency ultrasound) or by laser cataract removal with placement of a lens implant to restore vision. Intraocular Lens Technology Some intraocular implants are designed to give patients great spectacle independence after cataract removal. We call these lenses LifeStyle lens implants. LifeStyle lenses are implanted in the same way that standard monofocal lenses are implanted, but they work quite differently in design and quality of vision restored. LifeStyle implants correct both distance vision and reading vision with minimal or no need for glasses after the cataract has been removed. Intraocular Lens Implant (IOL)

5 Blade-Free Laser Assisted Cataract Removal A breakthrough technique in cataract removal is now available for our patients Blade-Free Laser Assisted Cataract Removal using LenSx technology! Texas Eye and Laser Center is one of the FIRST surgical facilities in the United States to offer this state-of-the-art technology. The LenSx laser is the first FDA-approved femtosecond laser for cataract removal. Benefits of the LenSx Laser Cataract Removal Include: Blade-free procedure Increased accuracy and precision Enhanced comfort and safety Treating a Cataract? There is no proven method for reversing cataract development; therefore the best way to treat a cataract is with surgery that removes the old cloudy lens and replaces it with a clear lens implant to restore your vision. While all human eyes are similar, every eye is different in size, depth, curvature of the cornea and other key features. By taking these individual aspects into account, the LenSx laser makes laser cataract removal more precise and predictable. This results in improved visual results. This advanced technology is a partnership between you and your surgeon, computer controlled and patient friendly. The blade-free technique is less invasive to the eye with a faster visual recovery and return to normal activities earlier than in traditional cataract removal. Another advantage of laser cataract removal is its combination with the LifeStyle lens. These lenses provide superior vision to standard monofocal lens implants. This allows our patients to be less dependent on glasses and provides an improved lifestyle. Femtosecond Laser

6 Visual Freedom Correction Options FREE No-Blade Femtosecond Laser Cataract Removal with LenSx Option One: Standard Lens Implants Great vision with glasses Removes cloudy lens and replaces it with a new, clearer one, reducing visual haze Typically still requires the use of glasses or contacts for distance, intermediate and near vision Option Two: Reading Glasses Only Provides excellent distance vision Reading glasses are required If necessary to fine-tune your distance vision, LASIK may be performed three months postoperatively Option Three: Visual Freedom with LifeStyle Lenses Typically allows freedom from glasses for 90% of activities. Reading glasses may need to be worn occasionally Utilizes a LifeStyle Lens implant such as ReSTOR, TECNIS or Crystalens If necessary to fine-tune your vision, LASIK may be performed three months postoperatively OPTION ONE OPTION TWO My sincere thanks to Dr. Brian Ranelle and Dr. Jerry Hu and their staff for making my LifeStyle implant surgery an immediate and overwhelming success. I have never worked with a more caring, considerate, professional group of people, and I really look forward to coming back to the office because they were all so very nice to me. Rick Stacy, Stacy Furniture, Grapevine, Texas OPTION THREE Making Your Decision Cataract removal options are a big decision. Our doctors and staff will answer all of your questions and will help you choose the right option for your eyes and lifestyle.

7 LifeStyle Implants In the past, cataract patients generally had to depend on reading glasses or bifocals after cataract removal. Today, the AcrySof ReSTOR intraocular lens implant provides a more glassesindependent option. The ReSTOR lens is a breakthrough in premium intraocular lens technology that can provide cataract patients with a complete range of vision. Through its unique design, the ReSTOR lens allows people to see at various focal points. The result is clear vision, with limited spectacle dependence, at all ranges. Furthermore, this LifeStyle implant can be used for cataract patients who have been diagnosed with presbyopia. The ReSTOR lens has been implanted in over 20 million eyes since Clinical trials have reported that 80% of the recipients surveyed were glasses-free, and newer studies have shown up to 94% spectacle-free. Whether reading, watching television, watching a movie, or sightseeing, the ReSTOR lens can provide the proper focus you need to see clearly, most often with no need for glasses. Unlike accommodative lenses, a multifocal lens does not depend on the muscles of the eye to provide clear vision. The lens implant distributes light to points that provide focus between near and far. The TECNIS Multifocal IOL is a third-generation LifeStyle lens that provides excellent vision, near or far. This greatly reduces or eliminates the need for reading glasses or bifocals. In fact, nearly nine out of ten patients in the TECNIS FDA clinical trial reported never needing glasses after implantation.

8 LifeStyle Implants Over time, many people will develop presbyopia. This condition, like a cataract, is considered a natural part of the aging process. Presbyopia occurs when the eye s natural crystalline lens loses its ability to change shape this is called loss of accommodation. Presbyopia is commonly diagnosed in people in their 40s and is generally why most people will purchase their first pair of reading glasses. Crystalens is an accommodative lens implant. Designed with a hinge, this lens moves gently forward and backward, using the eye s natural focusing muscles, to give patients a complete range of vision at a single focal point. This lens mimics the eye s natural focusing action, and thusly accommodation is restored in Crystalens patients. This lens is designed to help patients gain spectacle independence. Often times, patients will find that they need to wear glasses shortly after Crystalens implantation. However, as the eye muscles resume accommodation, Crystalens patients will find that their vision actually improves over time. The more patients read and perform activities using their eyes, the faster their visual acuity improves enough to perform those activities without glasses for most things. Astigmatism is a common condition of the eye that some cataract patients have lived with their whole lives. Astigmatism is a condition wherein the cornea is curved in an unusual way. The corneal curvature is irregular resulting in blurred vision. Standard IOLs and most accommodative and multifocal IOLs cannot correct this condition. However, the Toric IOL can fix this common refractive error. The AcrySof Toric IOL is a foldable, onepiece lens that can eliminate astigmatism in our cataract patients. The special design of the Toric IOL makes it possible to reduce and usually eliminate corneal astigmatism without any added steps during cataract removal. The Toric IOL is designed specifically for cataract patients who have astigmatism. Its design provides quality distance vision independent of glasses or contact lenses. Glasses will still be needed for near and computer work.

9 Texas Eye Surgery Center Texas Eye and Laser Center is proud to have our on-site surgery center located at our Hurst location. Texas Eye Surgery Center has TEXAS EYE SURGERY CENTER at our Hurst location achieved the highest level of accreditation possible for a surgery center, Accreditation Association for Ambulatory Health Care AAAHC. Our ambulatory surgery center (ASC), provides our patients with outpatient eye surgery. The surgery center features comprehensive services, including two state-of-the-art operating rooms (O.R.s) housed in a modern and comfortable building with easy access to parking for our patients. With the collective vision of Drs. Brian Ranelle, Jerry Hu and the administrative leaders, we have been able to create a magnificent facility that offers the patients Blade-Free Laser Assisted Cataract Removal. Texas Eye Surgery Center provides the community with an effective, greatly needed resource that makes it possible for us to provide immediate and convenient care to our Ophthalmology patients. Our surgeons and team of specially trained nurses and technical staff are particularly sensitive to the needs of patients undergoing surgical procedures. We look forward to serving you and providing a safe and pleasant environment for you and your family. TOP: Dr. Terrell, Dr. Head, and Dr. Webb BOTTOM: Dr. Ranelle and Dr. Hu

10 Our Surgeons Brian D. Ranelle, DO Dr. Brian Ranelle is board certified by the American Board of Ophthalmology, the Osteopathic Board of Ophthalmology and the American College of Eye Surgeons. After graduating from UT in Austin and medical school in Kansas City, Mo., he completed his internship and Ophthalmology residency in Detroit, Mi. He received additional training during his fellowship with the Houston Eye Associates. Dr. Brian Ranelle has over 30 years of refractive surgery experience and performed the first LASIK procedure in Ft. Worth, Tx., in He has extensive experience with advanced bladefree cataract removal techniques including laser assisted cataract removal, the most advanced cataract procedure in the world. Dr. Ranelle uses the advanced lens implants of ReSTOR, TECNIS, Toric, and Crystalens to improve vision after cataract removal. Dr. Ranelle is presently involved in clinical trials for advanced lens implants to further improve visual outcomes after cataract removal. He also has extensive experience treating glaucoma and diabetic retinopathy with lasers and ocular diseases. Dr. Brian Ranelle s memberships include The American Academy of Ophthalmology, Osteopathic College of Ophthalmology, American Society of Cataract and Refractive Surgery and the International Society of Refractive Surgery. He is a founding member of the American College of Ophthalmic Surgery. He is a member of the Tarrant County Medical Society, Tarrant County Ophthalmology Society, Texas Medical Association and the AMA. Dr. Brian Ranelle was born and raised in Ft. Worth, Tx., where his father, Dr. Hugo Ranelle, was a long time Ft. Worth physician. He is married with two children and one grandchild and is an avid snow skier and mountain climber. Jerry G. Hu, MD Dr. Jerry Hu completed a fellowship in cornea and refractive surgery with the world-renowned Jules Stein Eye Institute at University of California, Los Angeles. Dr. Jerry Hu graduated with honors from Davidson College, N.C., and attended Duke University School of Medicine. Following his internship in California, he returned to Duke University and completed his residency in Ophthalmology. Dr. Jerry Hu cofounded the Texas Eye Surgery Center, which offers the state-of-the-art ophthalmic surgeries in a clean, pleasant and efficient outpatient setting. Throughout his career, Dr. Jerry Hu has been active in the forefront of ophthalmic surgeries, including blade-free femtosecond laser assisted cataract surgery, blade-free wavefront-guided custom IntraLASIK, and no-stitch endothelial cornea transplants. Dr. Hu is among the select surgeons in the Metroplex area who are fellowship-trained in modern laser refractive surgery, including bladefree intralasik, flapless LASEK, PRK, CK, as well as wavefront custom treatment. Dr. Jerry Hu also pioneers the most up-to-date surgical techniques in the sutureless endothelial cornea transplants and the no-recurrence, no-stitch pterygium surgery. In addition, Dr. Hu has extensive experience in the treatment of glaucoma, diabetic retinopathy, dry eyes and other ocular diseases. Widely published in various fields of ophthalmic research, Dr. Jerry Hu actively participates in various clinical studies on cataract implants and serves as a influential investigator in multiple ongoing FDA trials. Dr. Jerry Hu s selected memberships include: The American Medical Association, American Society of Cataract and Refractive Surgery, American Medical Association, Texas Medical Association, Tarrant County Medical Society and Tarrant County Ophthalmology Association.

11 Our Locations Hurst 1872 Norwood Dr. Suite TEXAS EYE SURGERY CENTER Suite Texas Eye and Laser Center Hurst, TX Norwood Dr W Harwood Rd Hurstview Dr W Harwood Rd Brown Trail To Fort Worth To Euless West Fwy Ft. Worth 3405 Locke Ave., Suite 100 Ft. Worth, TX To Weatherford To Arlington 30 West Fwy Locke Ave MONTGO MERY Lovell Ave Trinity W Vickery Smiley Photo Ave W Rosedale (817)