Cataract Removal - LASIK Ft. Worth

Cataract Removal
and
LifeStyle Implants
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.
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.
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)
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
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 ONE
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
“
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 TWO
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.
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 1991. 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.
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.
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
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.
vision. Standard IOLs and most accommodative
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.
cataract patients. The special design of the Toric
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
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.
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
Dr. Ranelle and Dr. Hu
BOTTOM:
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 1997. 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.
Our Locations
Hurst
1872 Norwood Dr.
Suite 100 - TEXAS EYE SURGERY CENTER
Suite 200 - Texas Eye and Laser Center
Hurst, TX 76054
wo
r
No
od
Dr
ood
Rd
Hurstview Dr
arw
WH
Rd
Brown Trail
ood
arw
WH
To Euless
To Fort Worth
183
121
Ft. Worth
3405 Locke Ave., Suite 100
Ft. Worth, TX 76054
To Weatherford
To Arlington
30
y
t Fw
Wes
West F
wy
Photo Ave
Smiley
Lovell Ave
Trinity
MONTGO MERY
Locke Ave
ale
osed
WR
W Vickery
(817) 540-6060
www.texaseyelaser.com