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CataractPhiladelphia

Cataract Surgery Philadelphia

  • Cataracts
  • Complex
    • Cataracts and Astigmatism
    • Cataracts and Glaucoma
      • Hydrus MicroStent: Cataracts and Glaucoma
      • iStent
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    • Cataracts after LASIK
    • After Retinal Surgery
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    • Cataracts in Monocular Patients
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    • Cataracts in Special Populations
    • Cataract Instrumentation
    • Cataract Failures
  • Implants
    • Premium Implants
    • RxSight Light Adjustable Lens
    • PanOptix Trifocal
    • AcrySof IQ Vivity
    • Toric Implants
  • Co-Management
  • Risks
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CataractPhiladephia introduces a superior surgical experience for our Light Adjustable Lens patients.

We are the first and only practice in the region to offer *ONCE AND DONE: cataract surgery for both eyes on the same day.


RxSight Light Adjustable Lens

Serving Philadelphia, Bucks County, Delaware Valley, Conshohocken, Warminster, Montgomery County, King of Prussia and Phoenixville


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The Next Evolution of the Light Adjustable Lens

RxSight has enhanced the safety and predictability of their Light Adjustable lens by adding a layer of UV-protection to their groundbreaking intraocular implant. Patients achieve uncompromisingly clear vision and customize their visual results. ActivShield preserves the power and versatility of this technology.

Imagine an implant that can be fine-tuned after cataract surgery. An intraocular lens that can be precisely adjusted to your refractive needs. The Light Adjustable Lens is the breakthrough technology patients and surgeons have been demanding for years. A 90 second in-office “tune-up” eliminates astigmatism and customizes the lens to a perfect focus. This implant is ideal for post-LASIK patients, those who prefer monovision, and individuals who want the sharpest possible vision.


The specialized silicone of this implant can be modified using medical grade Ultraviolet (UV) light. Any deviation from target can be corrected after the eye has healed. Furthermore, you can test drive the refractive results and choose the endpoint that satisfies your visual needs.


Dr. Lewis introduces the Light Adjustable Lens.


How the RxSight LAL works.


What you need to know about wearing the UV glasses.

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Story One

Three Light Adjustable Lens (LAL) Patients

The Engineer

AR was a near-sighted engineer whose cataracts were making driving difficult at night. He longed to eliminate his glasses but wanted to avoid the haloes experienced by his friend who had had a multifocal implant. He choose perfect distance vision in both eyes without glasses using a LAL. After his first adjustment he was thrilled with “the best distance vision he had ever experienced” but wanted more near. The second adjustment gave him freedom from glasses for almost all activities and he elected to lock-in.  He had un-compromised distance vision for all activities and was glasses free for all near tasks except for the reading of technical manuals. The LAL allowed this patient to refine his goals and achieve his best result.

The Socialite

LM enjoyed glasses free vision with monovision contact lenses until her cataracts developed. She elected to continue her monovision when a PanOptix was ruled when her macular pucker was indentified. Following her first adjustment LM wanted even more reading vision than she had enjoyed with her monovision contacts. After her second adjustment she said, “perfect, now… lock me in”.  

The Reader

CV required glasses for distance and near once she reached middle age. After her cataracts developed she sought freedom from glasses. Her astigmatism made a LAL her best option. After her first adjustment her distance and intermediate vision was excellent but she wanted more clarity for reading. After her second adjustment she requested “a little bit more reading”. She achieved her personalized refractive solution following her third adjustment and now enjoys reading and driving without glasses.

Conclusion

Unlike any previous intraocular lens, the LAL gives surgeons the ability to achieve their refractive goals precisely. The LAL gives patients the ability to design and re-design their refractive endpoint.


RxSight Engineer gets LAL

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Story Two

Monovision Contacts versus the Light Adjustable Lens (LAL)

Until now, surgeons been unable to achieve the accuracy of monovision after cataract surgery that patients enjoyed before their cataract developed. Despite the most advanced pre-operative and intra-operative techniques, the best cataract surgeons can not calculate an implant power with the same accuracy as contact lenses. 

The LAL gives doctors and patients the same accuracy as contact lenses with a non-surgical opportunity to experiment and finally select their ideal reading distance. Many surgeons also feel the LAL provides an extended depth of focus that outperforms contact lens monovision.

For monovision patients who develop cataracts, nothing can compete with the safety, flexibility, and precision of the LAL.

Former LASIK patients and the Light Adjustable Lens (LAL)

Cataract patients who have had previously LASIK surgery are less likely to achieve 20/20 glasses-free vision than cataract patients who never had LASIK. This discrepancy arises from the inability of modern implant calculation formulae to precisely determine the correct implant power in the post-LASIK eye. The LAL addresses the unique challenges of former LASIK patients.  In fact, patients with an LAL are twice as likely to achieve 20/20 glasses-free vision as patients with any other intraocular implant. 

We prefer the LAL in patients with previous LASIK because we can exceed their refractive expectations


Our RxSight LDD (light delivery device), shown below, resembles a standard office slit-lamp. It is computer driven and comfortably adjusts the Light Adjustable Lens to your specifications.

RxLight delivery device

CALL FOR AN APPOINTMENT

(215) 886-9090

RxSight Light Adjustable Lens

Select uncompromised clarity with an IOL that matches your visual requirements

learn more

PanOptix Trifocal dominates Cataract Philadelphia

Enjoy a glasses-free life, with the most advanced multifocal IOL.

learn more

AcrySof IQ Vivity

Designed to deliver an extended focal range and a monofocal-like visual disturbance profile

learn more

Dropless and Less Drops Cataract Surgery

Choose safer surgery and save $100 to $300 per eye

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Hydrus MicroStent: Cataracts and Glaucoma

Stop your glaucoma drops with the Hydrus MicroStent.

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Live Surgery Stream

lewislasik

Full compliance with all guidelines 😷 related to the Coronavirus crisis

Lewis LASIK
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.

#ophthalmology #ophthalmologist #ophthalmictech #ophthalmologyresident #ophthalmicphotography #ophthalmicsurgery #cornea #corneasurgery #eyesurgeon #eyesurgery #eye #oculardisease #optometry  #optometrystudent #optom #sunyoptometry #osuopt #salusuniversity #glaucoma #glaucomasurgery #retina #chorioretinalfolds
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
There are various types of cornea transplantation There are various types of cornea transplantation procedures and each is best suited for different patients based on diagnosis and other factors. This is an MDALK (maximum depth anterior lamellar keratoplasty) that retains the innermost layer of cells and membrane, but replaces as much diseased tissue as possible. It has excellent clarity and comparatively good visual outcomes. 
#ophthalmology #ophthalmologist #ophthalmictech #ophthalmologyresident #ophthalmicphotography #ophthalmicsurgery #cornea #corneasurgery #eyesurgeon #eyesurgery #eye #oculardisease #optometry #optometrystudent #optom #sunyoptometry #osuopt #salusuniversity #mdalk #corneatransplant
Corneal infection! This series of images highlight Corneal infection! This series of images highlights a case of pseudomonas aeruginosa microbial keratitis (corneal infection) related to contact lens wear. Keep in mind the cornea is about 0.5 millimeters thick! Not much room to allow an infection to move deeper.
Pic 1. The resultant scar after the infection cleared.
Pic 2. At presentation, the eye is injected (red) with a large central infiltrate (immune response) and necrotic stromal tissue (dying cells). Pic 3. There was extensive inflammation in the anterior chamber including fibrin strands
Pic 4. Note the presence of a hypopyon (accumulation of white blood cells at the bottom of the anterior chamber).
Pic 5. This is two days after initiating treatment with fortified antibiotics. The pupil is intentionally dilated (for comfort) and anterior chamber inflammation is improving. There is a small unrelated fiber present that was subsequently removed.
Pic 6. A closer look at the scar and the shadow it casts. These scars disrupt the vision permanently. Fortunately this patient has achieved good acuity, yet blur, glare and haze can be persistent.
(Sorry for poor photo quality in pictures 2/3/4)

It is important to work quickly to identify the organism responsible for these infections to tailor treatment appropriately. If left untreated infection can spread to devastating results.

#ophthalmology #ophthalmologist #ophthalmictech #ophthalmologyresident #ophthalmicphotography #ophthalmicsurgery #cornea #corneasurgery #eyesurgeon #eyesurgery #microbialkeratitis #eye #oculardisease #optometry #optometrystudent #optom #sunyoptometry #osuopt #salusuniversity
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At the Philadelphia, Pennsylvania cataract surgery offices of Dr. James S. Lewis, patients are assured the highest quality treatments and impeccable care. Dr. Lewis and his team use the latest surgical technologies and techniques to deliver the best possible results. CataractPhiladelphia offers a wide range of premium IOLs, including PanOptix, Vivity, Toric and Light Adjustable Lens. Dr. Lewis also treats patients with both cataracts and glaucoma through an enhanced range of micro-invasive glaucoma surgical options.

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Salus University
ISRS
ASCRS
American Academy of Ophthalmology
ESCRS
AECOS

* currently only PanOptix, Vivity, Toric, and the Light Adjustable Lens patients qualify for ONCE AND DONE.

 
RELATED LINKS
  • Fab Eye Care Center
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  • Laser Dry Eye
  • LASIK TV

CALL FOR AN APPOINTMENT

(215) 886-9090

8380 Old York Road
Suite 110
Elkins Park, PA 19027

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