
The first multifocal IOL of its kind, the AcrySof ReSTOR IOL draws upon decades of expertise and technology for an intraocular lens that truly helps cataract patients see it all—near, far, and everything in between—without the need for reading glasses or bifocals after surgery.
The majority of modern IOLs are made from either silicone or a hard plastic called polymethylmethacrylate (PMMA), but AcrySof ReSTOR IOL uses a soft, foldable acrylic, which makes implantation easier for the surgeon and more comfortable for the patient. A smaller incision also removes the need for stitches, providing faster recovery times and clearer, more youthful vision.
With AcrySof ReSTOR IOL, patients with both cataracts and presbyopia can have both conditions corrected at the same time, eliminating the need for spectacles after surgery in most patients.
Many IOLs today offer ultraviolet (UV) light-filtering protection, as sunlight has long been suspected as a contributor to cataracts by damaging the retina. AcrySof ReSTOR IOL offers similar filters, protecting your eyes from all high-energy blue light, which includes not only the sun’s harmful rays but also artificial light such as fluorescent bulbs.
Apodization is the gradual tapering of the diffractive steps from the center to the outside edge of a lens to create a smooth transition of light between the distance, intermediate and near focal points.
Diffraction involves the bending or spreading of light to multiple focal points as it passes through the lens.
On the ReSTOR IOL, the center of the lens surface (shown in extreme close-up to your right) consists of an apodized diffractive optic. This means that the series of tiny steps in that center area work together to focus light for near through distance vision.
The ReSTOR IOL delivers quality vision for various lighting situations. In brightly lit conditions, the central apodized diffractive portion of the ReSTOR IOL sends light waves simultaneously to both near and distant focal points, while, in dimly lit conditions, the surrounding refractive area sends greater energy to distance vision.
Refraction involves the redirection of light passing through the lens, to focus on the retina. Refraction is used to correct your vision. To better understand vision, see: How the eye functions.
The refractive region of the outer ring of the ReSTOR lens bends light as it passes through the lens to a focal point on the retina. This outer ring surrounds the inner apodized diffractive region and is dedicated to focusing light for distance vision.
The ReSTOR lens is like two lenses in one. One refractive lens is for distance vision, and the other one, a diffractive lens, is for both distance and near vision. ReSTOR is not dependent on the movement of the lens. Instead, it has a unique apodized diffractive optic that is new to IOL design. This optical design of the lens distributes light between near vision and distant vision to accommodate vision at a range of distances. While a perfect intraocular lens has yet to be developed, the FDA results for the ReSTOR lens have been better than all previous multifocal implants.
For the first time in the history of ophthalmology, the majority of patients who choose the ReSTOR lens can be completely independent of glasses for all daily activities. The ReSTOR lens can reduce or eliminate both farsightedness and nearsightedness while simultaneously addressing presbyopia in patients having cataract surgery. The ReSTOR lens also can correct presbyopia in a pre-cataract condition with a procedure called "refractive lens exchange", for those who do not yet have cataracts and are highly motivated to be glasses free (note that a RLE procedure would be an off-label use of the ReSTOR lens, which has currently been FDA approved only for use in conjunction with cataract removal).
The ability to read quickly and easily in an independently conducted study, ReSTOR patients were tested to see how easily they could read paragraphs of decreasing font size, and their results were compared to patients with other IOLs. While only one of 13 patients with other IOLs could read small type (such as the newspaper), four of five ReSTOR patients were still able to read small type quickly and easily.
If you are interested in receiving a ReSTOR lens implant, the first step is to call Harvard Eye for an appointment. We will set a date for your qualification examination, during which your eye doctor will determine if your eyes are healthy and suitable for surgery. Your exam will include a complete eye history and a thorough examination of both eyes.
Prior to surgery, you will undergo an examination to determine your general health, which will assist the surgery staff in preparing for any special needs. You may be prescribed eye drops or other medication to be taken prior to surgery and you may also be asked to obtain medications in advance for your postoperative care.
Before treatment, be sure to tell us about any medication you take or allergies you have. You will receive instructions regarding preparation prior to surgery (e.g. food/drink, transportation, arrival time). In all cases, you will need to arrange for someone to drive you home after surgery and to your next appointment. You will not be allowed to drive yourself until you receive permission from our ophthalmologist. If you are a contact lens wearer, you will need to stop wearing your contact lenses during your baseline refraction and on the day of surgery.
After you arrive and complete the surgery center check-in, you will be taken to the preoperative area and readied for the surgery. Before the procedure, your eye will be numbed with a topical or local anesthetic, and a mild sedative may be given if necessary. You will be taken to the operating room where your eye will be cleaned and prepared to receive the lens. A drape will be placed over you to keep the area around your eye clean. Our ophthalmologist will place an instrument in your eyelids to assist in stabilizing your eye. This instrument is used to hold the eyelids apart, to give better access to the eyeball.
ReSTOR eye surgery is a relatively quick and pain-free surgical procedure. Our ophthalmologist will make a tiny incision in your eye and remove your cataract by phacoemulsification. The ophthalmologist will replace your cataract with the ReSTOR through a tiny injector tube. The lens will unfold and the incision sealed.
A temporary shield will be placed over your eye to protect it during the immediate postoperative period. You will be transported to a recovery area until you have stabilized and are ready to go home (after approximately one hour). After you have stabilized from the surgery, you will be asked to go home and relax for the rest of the day (no lifting, exercise, or other strenuous activity). You may not drive yourself home, so be sure to arrange for someone to be there when you are ready for release.
Your ophthalmologist may give you eye drops to use when you return home, with instructions on when and how to use the eye drops. After your ReSTOR lens implant procedure, you should only have minor discomfort, if any, but if you experience pain, be sure to let us know.
You will return for an evaluation the day after surgery to determine the results of your surgery. At that time, we will explain further care of your eye and schedule your next follow-up visit. Follow all postoperative instructions given to you. Do not rub your eye as this may cause disruption of the wound or cause corneal edema. Some slight discomfort is normal during the healing process. Contact Harvard Eye immediately if you experience any unexpected pain, discharge, trauma, or anything that appears abnormal.
You will return to Harvard Eye the day after your surgery for an examination. The shield will be removed and your eye will be observed under a special microscope to make sure the lens is positioned correctly and that there are no complications. Although there may be some improvement in your vision at this time, keep in mind that the full visual effects of your surgery will take 2-4 weeks to stabilize. Most patients are able to return to work and resume normal non-strenuous activities.
You will be given appointments for additional follow-up visits to monitor your progress. These are of vital importance. Standard postoperative exams are performed at 1 day, 1 week, 1 month, 3-6 months, and yearly thereafter. If you experience any pain, trauma or unusual discomfort during the postoperative period, immediately contact Harvard Eye for instructions.
As always, Harvard Eye is first and foremost concerned about what is best for each individual patient. Call us today for your personalized consultation!
|
Harvard Eye Associates Laguna Hills Office Map and Directions 24401 Calle de la Louisa Suites 300-312 Laguna Hills, California 92653 949.951.2020 FAX: 949.356.1690 |
Harvard Eye Associates San Clemente Office Map and Directions 665 Camino de los Mares Suites 102-103 San Clemente, California 92673 949.493.5411 FAX: 949.493.5726 |
The eye doctors of Harvard Eye Associates perform advanced technology diagnostic testing and treatment, as well as taking the time necessary to provide each patient with information needed to fully understand his or her condition and to achieve the best possible visual outcome.
If you or a family member or friend have not had a recent routine eye examination, have a specific eye condition that needs addressing, or are looking for an eye specialist, second opinion, or professional eye consultant please take a moment to Request an Appointment.
New techniques or improvements in a current technique are occasionally introduced to the medical world.
The FDA has chosen Harvard Eye Associates as a clinical research study center of emerging technology. This great honor makes it possible for us to offer qualifying patients access to advancements in eye care not yet available to the general public.
Click below to see how you may benefit.
If you have questions about your eyes, Harvard Eye Associates is here with the information you need.
We've dedicated sections of our website expressly to list of Frequently Asked Questions and Answers, covering LASIK, cataract surgery, glaucoma, macular degeneration, dry eyes and more, plus an online form where you may submit questions directly to an eye doctor.
Please click below to have your questions about vision answered.
Internationally regarded as the go-to specialist in eye care, Harvard Eye offers a combined experience of over 100 years and over 100,000 surgical procedures. The doctors of Harvard Eye Associates have treated virtually every known eye condition there is, plus a few previously unknown.
Whether you or a loved one are having a first eye exam, a repeat eye exam, or are seeing a new eye doctor at Harvard Eye for the first time, there are a number of routine questions you can expect.
Your answers to these questions during eye exams are anything but routine for your eye doctor, so you may want to arrive prepared.
Read testimonials and watch videos of actual Harvard Eye Associates patients who have benefited from our professionalism, dedication, and commitment to high quality patient care.
Our offices provide patients with all eye care needs from routine eye exams to complex surgical procedures.
We are both proud and grateful that our patients have chosen to trust their vision with Harvard Eye!
Volunteer work is extremely important to Harvard Eye Associates. Twice yearly, we travel the world to teach and perform surgery to people who have no other resources, and have raised hundreds of thousands of dollars to providing medical training and supplies to developing countries.