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We recommend the patient bring in each completed puzzle book and exchange it for the next.

Some offices prefer to give their patients several booklets at one time and let the patients work through them at their own pace.

There are six books so it will take twelve weeks to complete the entire program.

The program is a series of structured exercises that allow the eyes to focus on letters of progressively smaller size, thereby stimulating the eyes to accommodate.

“So basically it is identical distance-wise to a monofocal lens with the benefit of intermediate and reading,” he said. Dougherty said is the variable accommodation of the lens, “I find everyone gets the intermediate and most patients get near but it’s variable in terms of axial length, so I do occasionally have patients who need reading glasses particularly for low lighting and low-contrast print.

But virtually everyone gets vision good enough after binocular implantation to read newspaper print.” There is currently no perfect, one-size-fits-all lens and because each lens has its own specific characteristics, surgeons still say that careful patient needs assessments are important to find the right lens for each patient. Slade has financial interests with eyeonics (Aliso Viejo, Calif.). Horn has financial interests with Alcon (Fort Worth, Texas). Dougherty has financial interests with Alcon and Lenstec (St.

If the Crystalens is only going to be implanted in one eye, or if it is anticipated that the second eye will not be implanted within one month of the first eye, the program should be started once the implanted eye is two weeks post-op.

The patient was a minister who needed to have excellent intermediate vision because he stands at a podium to speak and is on the computer often. Horn described, “I noticed when I was sitting talking to him that he was reading a list of questions but the questions were on his lap. And I saw that he was reading them with his Re STOR eye that I had just operated on because his other eye was still hyperopic so he couldn’t have been reading it with that eye.Petersburg, Fla.), which is in Phase III of the FDA clinical trials, is Dr. “With this lens I get on average about 2.0 diopters of accommodation, with some patients getting up to 3.It’s got a large optic, 5.75mm, so I don’t have issues with glare with the lens and I find that of the two accommodating lenses, [it is the easier one] to put in. Dougherty, principal investigator in the FDA trials, said that there are no issues with anterior vaulting, unlike the Crystalens since the Tetraflex is a 5 degrees anteriorly vaulted accommodating lens that works by contraction of the ciliary muscles to increase vitreous pressure. Dougherty said he likes about the lens is that because there’s a known distance from the optic to the focal point as it does not have hinges, his lens calculations are identical to what he would get with a standard monofocal lens.Book One should be very easy for the patient, the font size being the largest.Once that book is completed, the patient can advance to the next book.

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