Eyeworld Supplements

actually found a 1.8-line improvement in near vision with RevitalVision training with the Crystalens AO. Dr. Dick: We've been using the Crystalens AO since it came out. We've achieved excellent results, and we've had no complications. Patient selection, setting expectations Dr. Lindstrom: Dr. Ang, you have all this data now, how do you decide what to use on whom? Dr. Ang: What we usually do is we lay all the options down for patients. If they're interested in presbyopia correction, and most people are, first we tell them that we will most likely improve their distance vision from before cataract surgery. For near they have two choices: Either we give them something that's very good for near, but they will have to live with glare, halos, or a decrease in contrast sensi- tivity, or we have something that has lessened glare, halos, or contrast issues, but may occasionally require low power reading glasses to comple- ment the near vision. We offer these choices to patients so that it's very clear from the start what they can expect. They will then likely throw the question back to you, asking what you recommend. I ask them simple daily life questions, such as if they drive. If yes, then I go for the Crystalens AO. If they say they don't drive but do most of their work on the computer, the Crystalens AO is still an option. Only if they say they don't mind glare and halos and just want good reading vision, then we veer toward the multi- focals. Dr. Lindstrom: Over time, I've learned I need to ask the right questions and get a feel for the patient and then make a recommendation, and that's pretty much what I think many people experience. As you say, in the end, we have to listen to our patients and then make a recommendation. Dr. Dell, what tools are you using today that help you tune in to what you think will be best for your patients? Dr. Dell: You're absolutely right that it comes down to asking the appropriate questions. Unfortunately, we often " I feel confi- dent offering this lens to my patients. We use it at our clinic on a routine basis. In our clinical experience, we have excellent results, and it works better than all models before " H. Burkhard Dick, M.D. March 2012 7

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