Refractive Lens Surgery

Initial Consultation

If you wish to consider having refractive lens surgery either ask your doctor or optometrist to refer you, or complete the contact form and we will arrange an appointment for you.

Assessment of your suitability for surgery depends, amongst other things, on your spectacle prescription over several years. Please make sure that you gather as much information about your previous prescriptions as possible. Most opticians will be able to provide you with copies of your old prescriptions if you have lost them.

If you have had an assessment for, or had previous laser refractive surgery, it is important to bring as much information about this as possible with you.

If you don’t manage to bring your old prescriptions and other necessary information with you, you may end up needing a further appointment before surgery could be considered.

If you have already had surgery for cataract and are interested in having enhancement surgery carried out to improve the result, I would prefer a referral from your optician or family doctor. If you feel unable to do this, please complete the contact form, this will help me to gather as much of the necessary information as is possible before your appointment.

Having a copy of your most recent opticians measurements for glasses and their findings will assist me in assessing you.

At your initial assessment, I will examine and measure your eyes. My examination will include an assessment of your vision, a full, microscopic (slit-lamp), examination of the front of your eyes including pressure measurement (tonometry) and examination of the retina at the back of your eyes after dilating your pupils. I will carry out measurements of the shape of the front of the eyes (keratometry) and measure the length of the eyes using a laser that is accurate to within +/- 0.02mm, to calculate the strength of the new lens needed to help you to see better. If your cataract is very advanced it may not be possible to measure your eye using this technique. In this case ultrasound measurements can be used instead; these measurements are less accurate and may result in you needing slightly stronger glasses after your operation.

I will discuss your visual requirements and what focus would best suit your needs. Most people choose to have good vision in the distance without glasses and to use glasses for reading, although this is the commonest choice, it is not an automatic choice. What is best for you mey be different. I will guide you, and try to help you to choose what is best for you.

Some eyes are suitable for one of the newer types of lens that can, without glasses, give a much wider range of good focus.

One lens offers good distant vision, good intermediate vision and even reasonably good close vision. Other special, or premium lenses can give good distance and near vision without glasses. I will discuss the artificial lens options available to you and explain the complications and risks of surgery. I will then ask you to sign a consent form that will confirm that you understand the risks and benefits involved in cataract surgery. There is absolutely no need to decide during the consultation – what is important is that you make the right decision for you. If you are unsure what is best for you, you will be asked to take time to think things over and get in touch when you have decided, or when you feel that you wish to discuss things further.

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