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Cataract Philadelphia

Cataract Surgery Philadelphia

  • Cataracts
  • Complex
    • Cataracts and Astigmatism
    • Cataracts and Glaucoma
      • Hydrus Microstent
      • Ahmed M4
    • Cataracts and Cornea
    • Cataracts and Dry Eye
    • Cataracts after LASIK
    • After Retinal Surgery
    • Cataracts After Glaucoma Surgery
    • Cataracts in Monocular Patients
    • Cataracts after Trauma
    • Cataracts in Special Populations
    • Cataract Instrumentation
    • Cataract Failures
  • Implants
    • RxSight Light Adjustable Lens
    • PanOptix Trifocal
    • Toric IOLs
  • Co-Management
  • Risks
  • Yag

Surgery for Cataract Patients with Glaucoma– Dr. Lewis
Serving Northeast Philadelphia, the Main Line, King of Prussia, Conshohocken, Philadelphia, Phoenixville, Willow Grove, Abington, and surrounding areas.

Hydrus MicroStent, iStent, iStent Inject, GATT, Goniotomy, and Ab Interno Canaloplasty have revolutionized the management of cataract patients with mild to moderate glaucoma. The FDA has approved these techniques for the treatment of mild to moderate glaucoma at the time of cataract extraction.

We now perform Hydrus exclusively in appropriate cases of cataract with mild to moderate glaucoma. Our clinical results, in more than 200 procedures, are superior to those achieved with the other modalities. Our statistics match the three year peer-reviewed literature (Horizon Study) in which 80% of single drop glaucoma patients could safely stop their pressure lowering drops following Cat/Hydrus. More importantly, this landmark study showed a significant reduction in significant glaucoma progression (versus non-MIGS patients) thereby reducing the need for secondary invasive glaucoma surgery following three years of clinical observation.

First in the Pennsylvania, New Jersey, Delaware & Maryland to Perform The Hydrus Procedure

Dr. Lewis is the first in the area to perform this glaucoma surgery.

The procedure required to implant the Hydrus® Microstent is designed to be quick, less invasive, and performed in conjunction with cataract surgery. Doctors can now, using the unique delivery system, implant a Hydrus Microstent through the very small incisions needed for cataract surgery. No additional incisions are necessary (unlike many of the more traditional surgical procedures used to treat glaucoma). This significantly less invasive approach is called “ab-interno”, and may lead to fewer complications and faster healing times than traditional glaucoma surgery. Following cataract surgery, the Hydrus Microstent is inserted into the outflow canal of your eye, called “Schlemm’s canal.” Normally, you will not be able to see or feel the tiny device in place following your procedure.

Hydrus Implantation Animation

More about Hydrus Microstent

iStent:

  • Creates a permanent opening in your trabecular meshwork
  • Improves your eye’s natural fluid outflow to safely lower IOP
  • Works continuously to improve the outflow of fluid from your eyes
  • Improves outflow with a single bypass

iStent Mechanism Demonstrated

(no sound)


  • Glaucoma Introduction
  • Glaucoma Description
  • How Fluid Circulates in the Eye
  • Glaucoma Cause
  • Glaucoma Risk
  • Ocular Hypertension
  • Open-Angle Glaucoma
  • Narrow- Angle Glaucoma

Nearly one out of six patients of cataract age have some form of glaucoma. Sometimes this has not been diagnosed because glaucoma is a silent condition.

figure_1

The region marked A is the cataract. Excess pressure causing glaucoma is produced at B. Their proximity help explain why cataracts and glaucoma frequently co-exist. Schlemm’s canal is the exit route for excess aqueous humor C and is the focus of the Aquaflow procedure.
In addition to helping cataracts patients with glaucoma, Dr. Lewis is also experienced in treating cataract patients suffering from astigmatism and dry eye. Dr. Lewis is one of the more experienced cataracts surgeons in the United States, and he has been recognized as a foremost cataract and MIGS provider.

 
 
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(215) 886-9090

RxSight Light Adjustable Lens

Select uncompromised clarity with an IOL that matches your visual requirements.
RxSight's FDA-approved implant is customized to your eye's post-operative needs. Monovision patients can test drive their vision and achieve their desired focus. LASIK patients achieve the WOW-factor they remember. Patients can permanently and completely eliminate their astigmatism. Perfectionists can obtain the clearest vision without glasses...
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PanOptix Lens

PanOptix Trifocal dominates Cataract Philadelphia

Enjoy a glasses-free life, with the most advanced multifocal IOL.
Alcon’s PanOptix implant, a second generation trifocal, provides continuous focus without glasses for tasks like driving, reading, and computer use. PanOptix has been available outside the US for a half dozen years and it is driving the premium intraocular lens markets in Canada, Australia, and Europe. Our practice uses advanced intraocular lens power calculation methods to select the ideal PanOptix or PanOptix Toric implant for appropriate
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Dropless and Less Drops Cataract Surgery

Choose safer surgery and save $100 to $300 per eye.
Intraocular antibiotics administered at the time of eye surgery reduces risk. We have employed this technique on every appropriate procedure since 2014. By instilling antibiotics and steroids in the operating suite we reduce the need for postoperative drops saving patients $100 to $300 per eye.
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Hydrus: Cataracts and Glaucoma

Stop your glaucoma drops with Hydrus MicroStent.
Hydrus MicroStent has emerged as the best surgical option for patients with cataracts and mild to moderate glaucoma. Unlike alternative MIGS procedures, Hydrus has been shown to reduce the risk of aggressive glaucoma progression. Nearly 80% of patients using a single drop each night can stop their glaucoma medication ...
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Lewis LASIK

In the Pennsylvania cataract surgery offices of Dr. James S. Lewis, patients can expect the highest quality treatments and impeccable care. Dr. Lewis and his talented team use the latest surgical technologies and techniques to deliver the best possible results. A wide range of services including premium IOLs, refractive procedures, corneal care(Cross Linking), and MIGS (micro-invasive glaucoma surgery), including Hydrus® Microstent, TORIC Intraocular Lens, Alcon's new PanOptix and now the new Light Adjustable Lens are offered by our practice.

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Related Sites

  • Phoenixville Eye Associates
  • LewisLASIK
  • Dry Eye Philadelphia
  • Laser Dry Eye
  • LASIK TV

FOLLOW US

Our practice will start seeing patients again on M Our practice will start seeing patients again on Monday, May 11th in full compliance with all local, state, and federal guidelines. This includes masks, social distancing, and the disinfection of all common surfaces. Elective surgeries are also being rescheduled. Care will be taken to avoid office congestion and minimize exposure to COVID-19.

We require: ➡️ You do not have fever, chills, shaking, muscle pain, headache, sore throat, or a loss of taste or smell ➡️ You have not had exposure to anyone with a flu-like illness within the past two weeks ➡️ You wear a mask or equivalent facial covering over both your nose and mouth ➡️ You agree to maintain social distancing ➡️ You avoid touching your eyes, nose, mouth, and face ➡️ You enter the office alone if possible

Expect to hear from our staff shortly. You may contact us at your convenience from links at jameslewismd.com
Chorioretinal folds are a known finding following Chorioretinal folds are a known finding following penetrating glaucoma surgery, as in these two cases who underwent Ahmed valve tube shunt placement. Prevalence is estimated between 10-50% of incisional glaucoma surgeries.

Pic 1.) several linear chorioretinal folds throughout the posterior pole. Intraocular pressure was 4mmHg at the time of this photo. The fundus and visual acuity returned to baseline within a week as IOP leveled at 10mmHg.
Pic 2.) Small choroidal folds can be seen distributed temporal to the macula. This image also demonstrates a large hemorrhage consistent with ocular decompression retinopathy.
Pic 3.) shows complete resolution of the choroidal folds and hemorrhage after 4 weeks in patient 2.

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Inflammation of the anterior chamber can create fi Inflammation of the anterior chamber can create fibrin plaques that are readily seen within the pupil. The second and third images demonstrate an almost completely occluded pupil with synechia formation. The fourth image demonstrates an ultrasound biomicroscopy image of a patient in angle closure following complete pupil occlusion from fibrin (blue arrow). Aggressive corticosteroid therapy can ‘melt’ the fibrin and cycloplegics can mechanically disrupt it. Nd:YAG laser can also instantly disrupt total occlusion.

#ophthalmology #ophthalmologist #ophthalmictech #ophthalmologyresident #ophthalmicphotography #ophthalmicsurgery #cornea #corneasurgery #eyesurgeon #eyesurgery #eye #oculardisease #optometry #ocularinflammation #optometrystudent #optom #sunyoptometry #osuopt #salusuniversity
Descemet stripping endothelial keratoplasty (DSEK) Descemet stripping endothelial keratoplasty (DSEK) is a corneal transplant procedure that replaces only the innermost cells of the cornea. It is readily combined with cataract surgery to improve refractive outcomes. This is a one day post operative visit of a DSEK showing faint edema and remaining air bubble. The air bubble will typically dissolve over the first 48-72 hours.

#ophthalmology #ophthalmologist #ophthalmictech #ophthalmologyresident #ophthalmicphotography #ophthalmicsurgery #cornea #corneasurgery #eyesurgeon #eyesurgery #corneatransplant #dsek #fuchsdystrophy #endothelium #eye #oculardisease #optometry #optometrystudent #optom #sunyoptometry #osuopt #salusuniversity
Ocular surface disease is a complex state that rep Ocular surface disease is a complex state that represents a poorly performing pre-corneal tear film. It can frustrate many patients and can be challenging for clinicians. No two cases are alike.

In this case, a young patient without evidence of desiccation or inflammation had persistent physical symptoms. Biomicroscopy revealed clear lid margins, no conjunctival injection, and no corneal epitheliopathy. Meibography (imaging the meibomian glands) provides insight into the cause. A previous course of oral medication that acts on sebaceous glands has likely impacted his meibomian glands as well. The gland dropout is easily seen as truncation and atrophy. The final video demonstrates a noninvasive tear-breakup time where the red squares are regions with early loss of tear film stability.

#ophthalmology #ophthalmologist #ophthalmictech #ophthalmologyresident #ophthalmicphotography #ophthalmicsurgery #cornea #corneasurgery #eyesurgeon #eyesurgery #dryeye #ocularsurfacedisease #OSD #eye #oculardisease #optometry #optometrystudent #optom #sunyoptometry #osuopt #salusuniversity
Iris cysts are benign. If suspected, they should b Iris cysts are benign. If suspected, they should be imaged with ultrasound biomicroscopy (UBM) to confirm the diagnosis and rule out other causes of iris elevation.
#ophthalmology #ophthalmologist #ophthalmictech #ophthalmologyresident #ophthalmicphotography #ophthalmicsurgery #cornea #corneasurgery #eyesurgeon #eyesurgery #ubm #eye #oculardisease #optometry #optometrystudent #optom #sunyoptometry #osuopt #salusuniversity

Live Cataract, Corneal,
and Glaucoma Surgery

 
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(215) 886-9090

8380 Old York Road
Suite 110A
Elkins Park, PA 19027

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