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Lens replacement for presbyopia is an exciting new option for people over 40 who want to decrease dependence on eyeglasses or contact lenses. According to Dr. R. E. Oursler of Graystone Eye, lens replacement often treats high amounts of farsightedness or nearsightedness more accurately than laser vision correction. "LASIK is extremely popular but not everyone is a good candidate," Dr. Oursler explains, "This procedure has actually been in existence longer than LASIK but has improved tremendously over the past five years." Lens replacement for presbyopia is essentially the same as a cataract operation with a lens implant. However, in this case, it is done prior to developing cataracts. "With this procedure you prevent (the patient) from ever getting cataracts and at the same time you correct their nearsightedness and farsightedness. We actually prefer this procedure for some patients," he added. Margaret Frisbey opted for lens replacement surgery and describes not having to wear glasses as "wonderful." At age 74, she chose this option over LASIK to avoid cataract surgery. "Not ever needing cataract surgery was a very attractive option," she said. "My vision is fine, but I can see as well as I did in my 20's and 30's." Because the natural lens is removed, lens replacement for presbyopia is somewhat more invasive than LASIK. After the eye is anesthetized, a tiny ultrasound instrument is used to break up and remove the natural lens. A clear capsule is left behind in which to place the implant. The implant is placed through this small incision into the space where the natural lens was. The incision seals on its own without stitches. The entire procedure usually takes 10 to 15 minutes. There is no pain, however, some patients will feel a mild pressure sensation during the surgery. Patients can resume normal activity the very next day. Also, because the natural lens is removed, the patient subsequently is unable to focus at close range. This is why it is best suited for patients over 40 who are already wearing bifocals. Dr. Oursler's solution to this problem is to implant a multifocal lens. "These lenses allow the patient to focus both near and far," he explained. "Therefore allowing them to read the newspaper and drive a car without glasses." For more information about Lens Replacement for Presbyopia at Graystone Eye, contact Larcie Jackson at (828) 304-6606.
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