|Procedures:Our Lens Implants
|Recognizing that not all individuals who desire to reduce their dependence on glasses are candidates for LASIK, Hale Vision also offers intraocular lens implants (IOLs), such as Technis MultiFocal, ReStor, and Toric IOLs in Milwaukee. By implanting these artificial lenses, the surgeon corrects refractive errors, which in turn reduces the patients' need for glasses. Hale Vision is regarded as one of Milwaukee's most highly experienced advanced technology IOLs specialty clinics. In the paragraphs below, we will discuss these exciting vision correction technologies and the results they help achieve.|
|Intraocular Lens Implants|
Lens implants (intraocular lens implant or IOL) have been the mainstay of cataract surgery since their creation in the 1940's by Dr. Harold Ridley. These lenses, when placed inside the eye after the natural lens has been removed, provide either good distance or near vision, depending on what has been selected by the patient. Recently, however, specialized implants have been developed that can provide both good distance and near vision following their insertion. Lens implants have now entered the realm of refractive surgery and can be divided into two main categories, pseudophakic and phakic.
Pseudophakic implants are those that are inserted inside the eye after the natural lens has been removed. These lenses have traditionally been used after the removal of a cataractous (cloudy) natural lens. These pseudophakic implants can also be used after removing the natural lens before it becomes a cataract, a process known as "clear lens extraction." While cataract surgery is typically covered by insurance, "clear lens extraction" procedures are not, as they are not correcting the reduced vision caused by a cataract. In this regard they would be similar to Lasik and other refractive procedures, being classified as elective.
Pseudophakic IOLs can be further divided into two distinct groups: monofocal and multifocal. Monofocal lenses have a single focus. This can be selected to corrected either distance or near vision but not both. Multi-focal lenses have, as their name indicates, more than one focus point and can be used to correct near and distance vision at the same time. Multifocal lenses can be further subdivided into "pseudoaccommodative" and "accommodative". Accommodation is the process by which the natural eye shifts focus from distance to near, allowing our eye to read our favorite book and suddenly look up to the see the noisy bird in the backyard. This "accommodation" is caused by a change in the shape of the flexible young natural lens initiated by a muscular function inside the eye. This function weakens with age as the lens becomes much less flexible and the muscles somewhat weaken.
Phakic implants are lens that are inserted inside the eye while the natural lens is left in place. These implants can be used to correct nearsightedness, farsightedness, and eventually astigmatism.
All implants can be modified to improve on their optical quality with the addition of filtration tints, special edging, wavefront adjustments, etc. This is an exciting field that will blossom over the next few years at a technologic rate not seen before. This is driven by the desire of our patients to retain high quality vision throughout their lives and not to settle for anything less than being the most functional and productive people they can be. These are our patients and we hope you are among them.
|Pseudo-Accommodative / Accommodative IOL|
The FDA approved the first "accommodative" IOL, the Crystalens, in November 2003. This new type of IOL attempts to restore the eye's ability to focus on near objects without the need for reading glasses, while still allowing the patient to see well in the distance. A second lens, the ReStor, a diffractive, pseudo accommodative implant, was approved by the FDA in March of 2005. At Hale Vision Laser & Implant Center, we believe that over the next decade we will see tremendous advancements in this area and this type of surgery will become the surgery of choice for our patients over fifty-five.
While Dr. Hale is trained to perform both the Crystalens and the ReStor, he is currently favoring the ReStor. As a highly experienced ReStor Milwaukee specialist, Dr. Hale feels that ReStor IOLs offer the best chance of spectacle independence for our patients. We feel that it is important to pick the best procedure and not necessarily the first procedure when it comes to intra-ocular procedures, as they carry certain significant potential complications. We will keep our patients updated on this technology as it becomes available.
|ReSTOR Patient Information Booklet|
Information about the Visian ICL
|The Visian lens by Staar Surgical recieved FDA approval for the treatment of myopia in 2005. This implant is inserted through a very small incision in the cornea and is placed behind the colored iris. Toric and Hyperopic models are available internationally and will hopefully be available in the US in the reasonably near future.|
|What Is the Visian ICL?|
|The Visian ICL is an Implantable Collamer Lens that works with the eye to correct vision. Unlike traditional contact lenses that go on the surface of the eye, the Visian ICL is positiioned inside the eye between the iris (colored part of the eye) and the natural lens where it stays indefinitely. If your vision changes dramatically, however, it can be removed from the eye.|
|Safe, Proven Procedure|
|The safely and effectiveness of the Visian ICL implantation procedure has been proven with over 75,000 implants worldwide as well as recent U.S. FDA approval. Unlike corneal refractive surgery, the Visian ICL does not permanently alter the structure of the eye. Instead, the phakic IOL is placed in the eye's posterior chamber, where it works with the natural lens to correct vision.|
|Ivan A Ireland, M.D.|
|Our office takes pride in our long history of offering leading edge refractive technology for our patients. Dr. Ivan A. Ireland, an experienced laser surgeon and corneal fellow from the Albany Medical College, provides the lens services at Hale Vision. He is experienced in both phakic and pseudophakic lens implantation. He also concentrates, often in consultation with Dr. Hale, on complicated refractive cases and receives cases from doctors all around the area.|
I have lived much of my life wearing glasses; knowing that if I misplaced them, I'd not be able to see much of anything.
It has been just over one year since I had multifocal lens implant surgery at Hale Vision. It was suggested I have lens implant surgery rather than Lasik surgery due to the fact that I had the start of cataracts. Dr. Ireland and his staff were fantastic. They were up-front with me and told me exactly what to expect. This has been a life changing experience for me. It's almost like a miracle! I love to hunt, fish, and read. It's wonderful to be able to enjoy these activities without glasses. Thank you, Dr. Ireland! You've changed my life!
Keith D. Rismeyer
We feel it is very important for you to understand the different surgical techniques we use. You can learn more from our Video Library.
First and foremost, I'd like to say thank you to Dr. Lanny Hale and his team for changing my life for the better. I had grown so tired of the daily h... Read More
Hale Vision Laser and Implant Center
20350 Watertower Blvd. #200
Brookfield, WI 53045
Phone: (262) 789-9029
Fax: (262) 789-9069
Toll Free: (877) 789-9029