Custom Refractive Surgery

Custom Refractive Cataract Surgery

State of the art cataract surgery refers to techniques to decrease the recovery time for the eye after surgery, and to match the post operative vision with the needs of the patient. Our doctors use no-stitch surgery which reduces the need for anesthesia and allows for a smoother and more comfortable post-operative recovery period. There is no implant that can give the patient perfect vision at every distance, and it is not possible to restore vision to the way the patient saw when they were a teenager.

However, through sophisticated measurements and calculations, Dr. Galiani and Dr. Derham can choose an intraocular lens implant which will attempt to reduce or eliminate the need for full time glasses wear for most of the activities of daily living.

Virtually all health insurance plans cover cataract surgery and traditional implants once the patient's vision drops to a certain level. For certain patients, additional techniques such as Limbal Relaxing Incisions, Astigmatic Lens Implants and Multifocal Lens Implants may be discussed and recommended to provide an optimal visual outcome. Health insurers allow the patient to choose these options and self-pay the additional costs that are incurred in these procedures.


Femtosecond Laser Assisted Cataract Surgery

Our surgeons are proud to be among the first in Bucks County to offer the latest advancement in ophthalmic surgery technology – femtosecond laser assisted cataract surgery. Using the latest Catalys system, Drs Galiani and Derham can perform parts of the surgery with laser precision. The laser can be used to tailor treatment for astigmatism, reduce energy used to remove the cataract, and assure proper placement of the intraocular lens. Most patients who are candidates for cataract surgery are also candidates for this new technology.

Premium Intraocular Lens

Extended Depth of Focus (Symfony) Intraocular Lens

An exciting addition to our custom refractive surgery options is the new Technis Symfony Extended Depth of Focus lens. We were the first in the area to provide this exciting new lens option to our patients. This lens provides excellent distance vision as well as intermediate and some near vision. 85% of patients with this lens were spectacle-independent in industry studies.

From the company’s website: The Symfony lens is approved in more than 50 countries around the world, and has been widely studied, with data from numerous clinical studies involving over 2,000 eyes. In clinical studies, the Symfony lens:

  • Provided seamless, day-to-night vision. Patients could see objects sharply and clearly at near, intermediate and far away distances, and points in between.
  • Provided high-quality vision. Some IOLs may leave patients with an inability to focus clearly due to competing wavelengths of light passing through the lens at different angles (known as chromatic aberration), or with vision that is not completely focused because of the shape of the lens (known as spherical aberration). The Symfony lens has been engineered to correct these issues.
  • Demonstrated a low incidence of halo and glare, which may be perceived as rings or blurring around bright lights. Glare and halo can sometimes affect an individual’s ability to drive at night or to perform other visual tasks.

Astigmatic (Toric) Lens Implant

While cataract surgery corrects cloudy lenses, it still leaves patients that have astigmatism with distorted blurred vision. Toric lenses are premium lens implants specially designed to correct astigmatism along with overall vision because the correction is manufactured directly into the lens. The lens is able to be implanted and rotated in the eye at a specific axis to provide the needed correction.

Patients with very high amounts of astigmatism may need both Limbal Relaxing Incisions and an Astigmatic or Toric IOL to achieve the best possible post operative visual correction.

Multifocal Lens Implants

Advancements in technology have produced multifocal IOL’s that allow patients to see clearly at all distances – near, far and many distances in between.
These implants can help reduce the need for near correction (reading glasses) after cataract surgery.

There are several types available, based on your examination and visual needs. Our doctors can recommend which option would be best for the patient.

Accommodating Lens Implants

These are new technology lenses such as the Crystalens, which have the ability to focus at multiple distances similar to our natural lenses.

For more information about Our Services, or to schedule an appointment, please complete our online form or call 215.345.5144.