Advanced Technology IOL Archives • East Carolina Center for Sight

Zeiss Veracity Cataract planning tool

December 1, 2018November 11, 2018 by Dr. Charles Titone

Dr Titone has added Veracity to your Cataract Surgery

The new cataract planning tool by Veracity Surgical division of Zeiss generates comprehensive surgery plans by seamlessly integrating with our Electronic Medical Records (EMR) system and IOL master 700 with Total Keratometry.

The platform synthesizes critical data and presents the data that is needed at each step of the procedure, helping Dr Titone work more efficiently, reduce risks due to manual data copying, and improve outcomes for our patients.

With Veracity Surgical, doctors can create customized, efficient, one-click plans for each patient based on a holistic view of the patient because the system can access relevant data from the patient’s EMR. Vital information such as problem lists, medications, prior surgeries, and refractions are taken into consideration to individualize and optimize surgical planning. A patient questionaire helps choose the lens that will meet our patients visual goals.

Using this systematic thorough approach Dr Titone can go through many different surgical options in real time to find the best possible combination for you.

Schedule your Cataract evaluation with Veracity today

Type your Contact information below to have us contact you.

1011 WH Smith Blvd Ste 108, Greenville NC

(252) 355-7301

FDA Approves Staar Surgical Toric Visian ICL

November 11, 2018September 16, 2018 by Dr. Charles Titone

It is Here Book your evaluation today

Now you can have clear Vision without glasses or contacts! The Visian Toric ICL can correct Nearsightedness and Astigmatism.

Who is a Good Candidate for Visian ICL?

Visian ICL Candidates

Are between 21 and 45 years old.
Are nearsighted with mild to severe myopia (-3D to -20D).
Have not had a change in prescription of more than .5D in a year.
Are looking for a procedure that doesn’t create dry eye syndrome.
Are nearsighted with astigmatism from -3.0 D to ≤ -15.0 D (spherical equivalent) with astigmatism of 1.0 D to 4.0 D (Eyeglass measurements)
Are nearsighted with astigmatism with spherical equivalent ranging from greater than -15.0 D to -20.0 D (spherical equivalent) with astigmatism of 1.0 D to 4.0 D (Eyeglass measurements)
Have an anterior chamber depth (ACD) of 3.00 mm or greater, from the back of the cornea to the front surface of the natural lens
You must have a stable refractive history (within 0.5 D for both spherical equivalent and cylinder for 1 year prior to implantation).
The Visian TICL is for placement in behind the Iris of an eye with is natural lens intact.

Schedule your evaluation Today

MONROVIA, Calif.–(BUSINESS WIRE)–Sep. 13, 2018– STAAR Surgical Company (NASDAQ: STAA), a leading developer, manufacturer and marketer of implantable lenses and companion delivery systems for the eye, is today announcing that the FDA has granted approval of the PMA Supplement for the Visian Toric ICL for the correction of myopia with astigmatism.

This approval represents a meaningful expansion of the Implantable Collamer® Lens (ICL) product line for the correction of refractive error in patients with both myopia and astigmatism which are common conditions in the United States (US). Astigmatism affects approximately 30 percent of the population.¹

The ICL in both spherical and toric designs has been associated with significant improvements in quality of life. Patients have described ICL surgery as “life changing” or wished they had opted for the surgery sooner.² The approval of the Visian Toric ICL is also an important step towards the future availability of advanced ICL models in the US, such as the EVO/EVO⁺ Toric ICL.

“FDA’s approval of STAAR’s Visian Toric ICL in the U.S. provides an exciting treatment option for myopic patients with astigmatism in search of visual freedom. We are thrilled to be able to offer this lens in the United States and look forward to officially making the Visian Toric ICL available to U.S. surgeons for their patients on November 1^st, 2018,” said

FDA approves update to IOL master 700 to include posterior corneal measurements

September 9, 2018September 9, 2018 by Dr. Charles Titone

Dr Titone at East Carolina Center for Sight has been selected to be one of the first in the USA to receive the new Total Keratometry upgrade for the IOLMaster 700. This will allow us to select the best possible Lens power for our cataract surgery patients.

The IOLMaster^®700 from ZEISS with SWEPT Source OCT technology now allows us to directly measure the posterior corneal surface. It combines unique telecentric keratometry measurement of the anterior corneal surface with measurement of the posterior corneal surface in order to calculate Total Keratometry (TK^®).

There are two exclusive new formulas: Barrett TK Universal II and Barrett TK Toric

The current Barrett Toric Calculator uses a unique eye model to predict the posterior corneal surface. Using Total Keratometry with the Barrett Toric Calculator would thus lead to overcompensation of posterior corneal astigmatism.

Because of this, Graham Barrett has developed two new IOL power calculation formulas: the Barrett TK Universal II for non-toric IOLs, and the Barrett TK Toric for toric IOLs. Both new formulas use posterior corneal surface measurements instead of the eye model used by the Barrett Toric Calculator

We Can use existing IOL calculation formulas – no need for a second device, third-party software or an online calculator

This decreases errors in manual data entry and streamlines workflow.

East Carolina Center for Sight where Great vision is Our Mission.

The new TK upgrade comming to East Carolina Center for Sight

Find out how Zeiss is changing the way we calculate Intraocular lenses for catarct surgey

Refractive Laser Assisted Cataract Surgery Coming to East Carolina Center for Sight

April 8, 2018May 19, 2013 by Dr. Charles Titone

Refractive Laser Assited Catarct Surgery arrives!

I am excited to announce the arrival of Refractive Laser assisted cataract surgery (ReLacs) at East Carolina Center For Sight.

ReLacs is a package of services including:

The LenSx Laser from Alcon: A Femtosecond laser to make all incisions in the eye including the lens to achieve the most accurate and reproducible currently available surgery. Use of the laser results in a safer procedure. Less ultrasound is necessary to remove the lens particles as well.

Multiple additional eye measurements using different methods and multiple different methods of calculation to allow me to get the most accurate determination of your intraocular lens power. This is in addition to the standard measurements done in regular cataract surgery.

The ReLacs package can be paired with a Lifestyle lens; Multifocal or Toric to allow the best correction and rehabilitation of your vision.

Animation LenSx

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Live surgery with LenSx , Ultrasound is used in second half of surgery to remove lens fragments but the amount of energy is much less than conventional surgery.

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The most recent software updates have made the laser faster, the imaging sharper, and the interface better improving the procedure even more.

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See if you are a candidate for ReLacs with the LenSx Laser! Schedule your evaluation Today.

Preloaded IOL’s

June 19, 2012June 19, 2012 by Dr. Charles Titone

Preloaded IOL’s have been slow to be adopted in the USA. Alcon has had the SN60 available for many years in a B cartridge and recently released it in a C. Lenstec the makers of SoftecHD received FDA approval for the SoftecHD PLI(pre loaded injector) a few months ago and expects release in the US market by the end of the summer or early fall. The system looks very well conceived and easy to use.

What’s New in Ophthalmology

May 19, 2013May 28, 2011 by Dr. Charles Titone

Alcon announced the immediate availability of their expanded range of Acysof T6 through T9 Astigmatism correcting Intra ocular lens implants. This means we can now correct a broad range of Astigmatism with the lens we put in the eye at the time of cataract surgery allowing more patients to be eyeglass free after surgery! We have been using the lower power Acrysof Toric lenses T3-T5 with great success. Patients with higher astigmatism needed additional surgery to fully correct vision, now most patients can be done with the lens alone. Patients with even higher astigmatism that could not be fully corrected at all can now be corrected with additional surgery. These new lenses correct from 2.57 to 4.11 diopters of astigmatism. You can learn more about this lens here http://www.reclaimyourvision.com/acrysof-iq-toric-iols.aspx.

If you are wanting better reading vision theAlcon Acrysof Restor lens has to be a great choice for your Cataract or Clear lens replacement surgery; soon the astigmatism correcting feature of the Acrysof toric Intraocular lenses will be combined with this lens for patients with astigmatism! Alcon just announced these lenses outside the USA, after FDA approval they will be available here. Learn more here http://www.restortoric.com/.

On the Focusing lens front (We call these Accommodating Intraocular lenses): Lenstec’s Tetraflex is an intraocular lens implant (IOL) that is used for cataract surgery. The Tetraflex IOL accomodates to give a range of vision. The Tetraflex is not yet FDA approved in the United States, but is currently in use in Europe. Lenstec will also introduce Tetraflex HD after FDA approval. Lenstec’s Softec HD is a precision monofocal lens that is already FDA approved for single focus lens replacement. The expected advantage of the Tetraflex and Tetraflex HD over the Softec HD is a wider range of sharp vision without glasses or contact lenses for distance, computer, and reading activities. The lens works by flexing within the eye when patients attempt to read. Dr Titone uses the SoftecHD lens by Lenstec its clarity of vision reported by patients is impressive, we are looking forward in offering the TetraflexHD to our patients when it becomes FDA approved.

Tetraflex reviews have been favorable by surgeons and patients. Tetraflex lens in the news Click this link to an article by a U.S. surgeon who has implanted Tetraflex as part of the FDA trials.

See the TV news story about patient who had Tetraflex IOL in Miami during U.S. FDA trials.

[vsw id=”9UGJY9xqysk” source=”youtube” width=”425″ height=”344″ autoplay=”0″]The Acysof Toric, Acrysof Restor and Tetraflex costs are usually partially covered under medical insurance, there are added out-of-pocket costs compared to standard lenses. If you are seeking the best vision you can have after cataract or clear lens surgery you should consider one of the Advanced Technology lenses, speak to Dr Titone about your options or ask questions on the blog.