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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

Premium Cataract Surgery Philadelphia Surgeon – James S. Lewis, MD
Serving Northeast Philadelphia, Phoenixville, Ambler, Abington, Elkins Park, Fort Washington, Glenside and Conshohocken

Our mission is to provide all of our patients with the most advanced pre-operative, intra-operative, and post-operative technology, services, and results. We recognize that not all patients have the same visual needs, goals or expectations. Choose your strategy and get the most from this life-enriching procedure.

What Are My Options?

  • Option 1: Wear Glasses for Distance, Intermediate, and Near

If you are satisfied wearing bifocals or trifocals after cataract surgery read no further.

  • Option 2: Choose Premium Cataract Surgery

Contemplate excellent distance, intermediate, and near vision without glasses or contact lenses. Understand the advances in technology that transform conventional cataract surgery into an elective enhancement of visual performance. Consider this singular opportunity to upgrade your quality of life and rejuvenate your eyes.

With over 4.2 million cataract surgeries performed in the US annually Medicare and 
the other health insurance companies have intentionally limited your treatment options. They will not pay for the correction of astigmatism, ametropia or presbyopia. Astigmatism distorts image focus, ametropia reduces image clarity, and presbyopia blurs intermediate and near objects.

Consequently, standard post-operative cataract patients should expect to depend on bifocals or trifocals to maximize distance, intermediate and near vision.

Even if you had perfect distance vision, perfect near vision, or successful monovision prior to cataract formation you can not expect this to persist after standard cataract surgery.

Fortunately, advances in lens technology 
and laser corneal sculpting effectively 
address these limitations. Medicare and the other health insurers recommend patients seeking more from their cataract 
procedure pay the supplemental costs. Premium Cataract Surgery was developed 
for patients seeking customized refractive results and enhanced vision

Visual Rehabilitation

Cataract surgery remains one of the safest 
and most rewarding experiences for both doctor and patient. This painless outpatient procedure is performed under topical anesthesia with sedation administered by a board certified Anesthesiologist. Intraocular instillation of antibiotics and steroids eliminates the need for pre-op topical medications, minimizes infection risk, and reduces the frequency, quantity, and cost of post-op drops. Surgery requires only minutes and vision returns swiftly.  Our complication rate is less than 0.5% which is well below the 
national average.

Our practice will continue to provide the very best surgical results to all patients regardless of their financial status.

Premium Cataract Surgery

Standard cataract surgery replaces the aging crystalline lens with a single focus implant which lacks astigmatism control and presbyopia management.
 For those seeking more, consider the options.

We insert an intraocular implant at the conclusion of every cataract procedure. Implants replace the cloudy lens (cataract) which is removed during the surgery. Before the operation patients must chose between a standard and a premium implant. To help with this decision, we will present your medically appropriate options and provide specific recommendations based on your ophthalmic status and visual preferences.

A Premium implant is never covered by health insurance and incurs “out of pocket” costs above and beyond your insurance-specific deductible and co-payments. Financing is available and these expenses qualify for reimbursement through health savings accounts and similar programs. Premium implants are used in between 20 and 70% of cataract surgeries in the US.


Standard Implants


These implants, known as spherical monofocals, are included in the cost of cataract surgery. In virtually all cases you should expect to wear glasses for reading, driving, and computer work to achieve the clearest vision. To prevent misunderstandings, please review the following special cases.

  • If you select a standard implant and you never needed glasses prior to cataract surgery you should expect to use bifocals or trifocals.
  • If you select a standard implant and you are a monovision patient, either naturally or through contact lenses, you should expect to wear bifocals or trifocals.
  • If you select a standard implant and you are a LASIK patient and were not dependent on glasses or contact lenses, you too should expect to wear bifocals or trifocals.

Patients who have selected a standard implant can eventually achieve some degree of independence from glasses if they elect post cataract surgery LASIK or contact lenses. Naturally, this will incur additional costs.


Premium Implants


TORIC
Most patients with pre-existing astigmatism or latent astigmatism (>50% of our patients) will benefit from a TORIC implant. TORIC implants make vision clear at a single focal-point. Patients can choose to be less dependent on glasses at distance, intermediate, or near. TORIC implants cost $1750 per eye.


PanOptix
Some patients want minimal dependence on glasses at all distances. These patients benefit from the PanOptix implant. This second generation multifocal is ideal for patients who are highly motivated to significantly reduce their dependence on glasses. Canadian, Australian, South American, Asian and European surgeons have had access to PanOptix for years and they have embraced the technology. Our experience has been excellent with extraordinary patient satisfaction. PanOptix is also effective in patients with astigmatism. The cost of the PanOptix is $3500 per eye.


Light Adjustable Lens
Patient who want uncompromised distance visual clarity without glasses will benefit from the the Light Adjustable Lens (LAL). Our practice is the first in Pennsylvania and one of only 40 across the country entrusted with this breakthrough technology. This implant, years in development, is “fine-tuned” in the office soon after cataract surgery. Patients with previous eye surgery like LASIK or RK and those interested in monovision are also ideal candidates. The introductory cost of this technology is $3500 per eye.


Qualifications
Premium implants are not appropriate for all patients. We will describe your options and provide our recommendation after a detailed consultation and a battery of diagnostic tests.


Point – Counterpoint

  • Why aren’t premium implants covered?
    Because insurance companies consider it a luxury and not a basic health need. They don’t cover LASIK, conventional contact lenses, or LipiFLow, an FDA-approved treatment for dry eye. Commercial insurance companies are first and foremost a for-profit corporation. Every dollar they don’t spend on you is a dollar they can keep for themselves. Government funded insurance like Medicare is aggressively limiting spending in Ophthalmic surgery to provide general health coverage to a wide swath of patients.
  • I’ve always worn glasses…..I don’t need anything fancy.
    Improvement in glasses-free visual function improves quality of life.
  • I like wearing glasses.
    You can still wear glasses. Upgraded IOLs provide greater safety by making you functional without glasses. Furthermore, visual quality improves when the refractive correction is internal (implant) rather than external (glasses).
  • I can’t afford it.
    Financing is available. Also, the cost of glasses and contact lenses over the decades ahead can be substantial.
  • My friend doesn’t wear glasses and she didn’t choose a “premium” lens.
    Most patients adjust to their clinical results. Patients with PanOptix or a Toric outperform those without these advanced implants.
  • I don’t want problems with glare.
    Previous generation multifocal lenses had issues in a small subset of patients. PanOptix is not plagued by debilitating dysphotopsia (glare and haloes) like these earlier designs. Our practice has become a strong proponent of this new implant.

CALL FOR AN APPOINTMENT

(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...
learn more
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
learn more

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.
read more

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 ...
learn more
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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