Archive for October, 2014

Multifocal Implant Cataract or Refractive Lens Exchange with the Mplus Implant

Friday, October 17th, 2014

After over 250,000 procedures with the Mplus implant in Europe, we introduced this technology in Canada 3 years ago.
The implant is a segmented bifocal with minimal loss of light.
Unlike other multifocal implants patients typically have satisfactory reading, intermediate, and distance vision.
The Mplus is not pupillary dependent and as such reading can be very good even in dim light.
Patients can have some glare and/or halos at night but typically this is mild and improves with time.
The best candidates are those in which their line-of sight is less than 0.4 mm of the centre of the pupil. We are currently measuring this factor with the Acutarget machine.


Difficulty Reading? Raindrop Corneal Inlay

Friday, October 17th, 2014

The Raindrop Corneal Inlay is the newest inlay and was performed first in Canada at the Bochner Eye Institute 5 months ago. The inlay is currently available only through special access through Health Canada.
The inlay is transparent, only 2 mm in size, and placed beneath a corneal flap.
The Raindrop increases central steepening to enhance reading.
Unlike other inlays it can provide satisfactory reading vision even in dim light.
Follow-up on our initial patients have been very encouraging with a high patient satisfaction and quick return of both distance and near vision.


Laser Cataract Surgery- The First Centre in Canada to use the Catalys Precision Laser

Friday, October 17th, 2014

After performing over 800 laser cataract procedures with the Catalys system here are our results and/or impressions:
Perfectly round capsulotomy in 100% of eyes
Elimination of phacoemulsification in 85% of cases
Reduction of phacoemulsification in all hard lenses
No cases of ruptured posterior capsules
Less corneal edema, especially in those with corneal guttata
Less intraocular tilting because of a perfectly round capsulotomy
High patient satisfaction

Read our Article on Femtosecond Cataract Surgery

Topography-PRK & CXL Enhancing BCSVA

Friday, October 17th, 2014

Topography-PRK (TG-PRK) combined with CXL continues to evolve in the treatment of keratoconus, pellucid marginal degeneration, and ectasia. Here are a few important points to understand:
The excimer laser guided by topography can flatten steep areas and steepen flat areas of the cornea to decrease irregular astigmatism. By reducing irregularity of the corneal surface, BCSVA can be improved.
Results are better if TG-PRK is combined with CXL rather than performing CXL initially and TG-PRK at a later date.
The best candidates are those with clear corneas, a thickness of over 450 microns, and a dioptric difference across the cornea of less than 10 diopters.
The main goal is to improve BCSVA and not necessarily UCVA. Glasses and or contact lenses are still typically required postoperatively.
98% of cases have shown success in stabilizing the corneal curvature and preventing the need for a corneal transplant.



Top Choice Awards is honoured to announce that Bochner Eye Institute has been voted Top Laser Vision Correction Services of 2014 in City of Toronto

Friday, October 17th, 2014

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