Transcription
Yourguide toCATARACTSURGERY
NORMAL LENSCLOUDY CATARACT LENSSUTUREDINCISIONANATOMYCataracts are not a disease but a progressivecondition that causes the eye’s natural lensto become cloudy. Cataracts may be whiteor take on color, such as yellow or brown.As cataracts become increasingly opaqueand dense, the retina receives less and lesslight, and the light that does reach the retinabecomes increasingly blurred. This causesgradual impairment of vision. If left untreated,cataracts can cause unnecessary blindness.TREATMENTThere is no medical treatment for cataracts.Early in the development of cataracts, vision willbe improved by changes in eyeglasses. Whencataracts advance beyond this stage and visioncannot be improved with glasses, the cataract(cloudy lens) must be removed if the patientdesires better vision. The focusing power of theeye will be restored with a lens implant at thetime of cataract surgery.SURGERYSYMPTOMSCommon cataract symptoms include blurredvision, halos around light, glare, double visionand reduced color perception. To be certain,however, it is recommended you have a complete eye examination by an ophthalmologistor optometrist.HEALTHY EYELENSSELF-SEALINGINCISIONA D VA N C E S I N C ATA R A C T S U R G E R Y C ATA R A C T SCORNEATHE DOCTORS OF MID FLORIDA EYE CENTER CONTRIBUTEDTO THE DEVELOPMENT OF SELF-SEALING, NO-STITCHCATARACT SURGERY, AND TO THE DEVELOPMENT OFADVANCED INTRAOCULAR LENSES USED BY DOCTORSACROSS THE COUNTRY. THEY HAVE PERFORMED MORETHAN 75,000 CATARACT PROCEDURES.MODERN CATARACT SURGERY IS ONE OF THEMOST SUCCESSFUL PROCEDURES IN THE U.S.Cataract surgery is not an emergency, but is advisable when the cataract begins to interfere withnormal daily activities such as golf, tennis, driving(particularly at night) reading and sewing. Moderncataract surgery is one of the most successfulprocedures in the U.S., and our success rates areover 99% (all surgeries carry some risk, which youshould discuss with your doctor). Mid Florida EyeCenter’s board-certified, fellowship-trained doctorshave contributed to the development of self-sealing,no-stitch cataract surgery, and they’ve performedtens of thousands of cataract and lens implant procedures, most using no needles, only eye drops foranesthesia, and now without blades. This techniqueenables rapid recovery with very little disturbanceof the patient’s daily routine. If the cataract is theonly problem with your eyes, you have every reason to look forward to restored vision.EYE WITH CATARACTRETINALight enters the eyethrough the cornea,passes through thenatural crystallinelens and is accurately focused ontothe retina, providinga crisp, clear image.CATARACTAs the eye ages, thelens becomes cloudier, allowing less lightto pass through. Thelight that does makeit to the retinais diffused or scattered, leaving visiondefocused and blurry.Mid Florida Eye Centerhas had thehonor of beingasked by the leading eye care companiesto participate in clinical trials for many lensimplants including astigmatism correcting(toric) implants and multifocal implants.From helping pioneer no-stitch/no-needlecataract surgery techniques to opening thearea’s first eye surgery center, Mid FloridaEye Center has been advancing eye care inLake and surrounding counties for over 25years. Now, with Laser Cataract Surgery,our patients have more options than everbefore for restoring their vision and beingindependent of glasses.EXPERIENCE MATTERSTogether, our internationally renownedcataract surgeons Dr. Jeffrey D. Baumann,Dr. Gregory J. Panzo, and Dr. Keith C. Charleshave performed more than 140,000 successfulcataract and laser procedures. They understand how to effectively leverage lasertechnology to achieve the best possiblevisual outcomes.ADVANCED TECHNOLOGY LENSESWhen paired with the right lens, Laser CataractSurgery can dramatically improve your visionat all distances. Thanks to our participationin groundbreaking clinical research trials,we have a diverse selection of advancedtechnology lenses. We will help you choosethe ones that best fit your lifestyle.KEEPING AN EYE ON NEW TECHNOLOGIESIntroducing the ORA System We’re always on the lookout for newtechnologies that benefit our patients. ORASystem is a revolutionary technology usedduring cataract procedures to help surgeonsachieve the best visual outcomes possible.With ORA, we can accurately measure youreye’s unique characteristics to determinewhich intraocular lens implant (IOL) will fitbest. If you’ve previously had LASIK, R.K.,or laser surgery, ORA can significantlyimprove your chances of getting the resultsyou’ve always wanted.
BASIC CATARACT SURGERY Basic cataract surgeryis an option forall patients butyou must keep the following in mind; basiccataract surgery is a manual procedure wherethe surgeon uses a blade for some portionsof the surgery. The lens used in basic cataractsurgery is a monofocal (single focus) lens,which does not correct any optical problemwith your eye other than the cataractremoval. The potential drawback is that aftersurgery you may need to wear glasses for alltasks, even if you didn’t wear glasses beforesurgery. Basic cataract surgery with amonofocal lens is covered by insurancebut there is an additional fee for allnon-covered services/items.B L A D E L E S S L A S E R C ATA R A C T S U R G E R Y Because there is such a diverse selectionof monofocal lenses and potential opticalproblems that may go undetected, we offerBasic Plus cataract surgery as an option ifyou choose to forego or are not a candidatefor laser cataract surgery. We use a rangeof highly advanced technologies to captureprecise measurements and perform amore comprehensive evaluation. Thesemeasurements and the data they provide arethen used to plan and perform cataract surgeryto exact specifications not attainable with basiccataract surgery. Basic cataract surgery andthe monofocal lens are covered by insurancebut not the additional fees associated withthis advanced technology and comprehensiveevaluation.Laser cataract surgeryis an opportunity for patientswho want increased freedom fromglasses. It’s the most advancedcataract surgery techniqueavailable today. The surgeryis bladeless, giving surgeonsincreased accuracy and the abilityto correct astigmatism. Plus, thelaser’s real time 3-D visualization,when combined with our surgeon’sexpertise, results in a trulycustomized cataract procedure.When paired with advancedtechnology options, the precisionof laser cataract surgery candramatically improve your visionand lifestyle! Although insurancecovers the cost of cataract surgerywith a monofocal lens, they do notcover the additional fees associatedwith the advanced technologyoptions performed with the laser.LENSX AUTOMATES THE MOST CHALLENGING STEPS OFTRADITIONAL CATARACT SURGERY, SUCH AS PERFORMINGCORNEAL INCISIONS, OPENING THE CAPSULE ANDSOFTENING AND BREAKING UP THE CATARACT. PRIORTO THE INTRODUCTION OF THIS LASER, BASIC CATARACTSURGERY INVOLVED THE CREATION OF SEVERAL SMALLINCISIONS MADE MANUALLY WITH A BLADE. WITH LENSX ,THE SURGEON CAN CREATE THOSE INCISIONS WITH THE LASER,RESULTING IN A SIGNIFICANTLY HIGHER DEGREE OF PRECISION.BASIC SURGERY BLADELESS LASER SURGERY Surgeon manually makes the corneal incisionswith a bladeThe LenSx laser makes the incisionsSurgeon manually makes an opening in the frontof the lens’ capsule to gain access to the cataractThe LenSx laser makes the openingSurgeon divides the cataract manually with anultrasonic probeThe LenSx laser divides the cataractSurgeon removes the cataract with an ultrasonicprobe and suctionSurgeon removes the cataract with an ultrasonicprobe and suctionIntraocular lens (IOL) is inserted by the surgeonIntraocular lens (IOL) is inserted by the surgeon
is anartificiallens that is implanted during cataract surgery.Traditionally, monofocal IOLs were usedin all cataract surgeries; however peoplestill needed glasses to correct near vision,and glasses or additional surgery to correctany astigmatism. Today technologicallyadvanced IOLs that are used in cataractsurgery allow you to see well at alldistances with little or no help from glasses.ASTIGMATISMDISTANCEMULTIFOCAL ADVANCED TECHNOLOGY AND IOLINTRAOCULAR LENS IMPLANTS-IOL An intraocular lens implant (IOL)NEARCUSTOM FULL RANGE VISIONINTERMEDIATEA D VA N C E D T E C H N O L O G Y A N D I O L O P T I O N S ADVANCED IOLS ARE AVAILABLE TO CORRECT ASTIGMATISM.Advanced IOLs are also available to evencorrect astigmatism.Once cataract surgery is recommended, youwill be presented with different packageoptions based on your visual needs and whattype of IOL best suits your lifestyle. The Basicmonofocal IOL is usually covered by insuranceas part of the cataract surgery procedure.Keep in mind advanced technology IOLs canprovide better visual results and improve thequality of life for many years.CATARACT SURGERY WITH IOL IMPLANTATIONLaser cataract surgery with an advancedtechnology multifocal IOL is designed toreduce the dependency on glasses andsignificantly improve vision at all distances.This option is best for patients wanting tobe free of glasses for most of their dailyactivities. Although insurance covers thecost of cataract surgery they do not coverthe additional fees associated with theadvanced technology options. Patients mustmeet specific requirements to bea candidate.Positives: Excellent vision at all vision ranges Reduced or eliminated needfor glasses Wavefront Analysis For True VisionDiagnosticsNegatives: May experience halos around lightsat night (usually short term) May experience difficulty in lowlighting situations, like reading in darkrooms.4 4 4 4CUSTOM DISTANCE VISIONASTIGMATISM- CORRECTION AND ADVANCED TECHNOLOGY IOLCombines laser cataract surgery with anadvanced technology IOL to provide cleardistance vision for patients with astigmatism,usually without a need for distance glasses.Although insurance covers the costof cataract surgery they do not coverthe additional fees associated withthe advanced technology options.Positives: Excellent distance vision, withoutglasses, for astigmatism patients Wavefront Analysis For True VisionDiagnosticsNegatives: Will likely still require glasses forclose-up vision4 4BASIC PLUS VISIONCATARACT REMOVALLENS INSERTIONVISION RESTOREDAfter making a small incisionin your eye, your surgeon willinsert an instrument about thesize of a pen tip to removethe cataract, using highfrequency sound waves togently break up the cloudy lens(phacoemulsification), and thenaspirate it away.The cataract-affected naturalcrystalline lens is replaced withan artificial intraocular lensimplant (IOL). IOLs are typicallymade of a flexible material,allowing your surgeon to foldand insert the IOL through a verysmall incision. Once inserted, theIOL opens, and its haptics,or “arms,” unfold to keep itin place.Once the cataract is removed,and the IOL is in proper position,light can once again travelunimpeded to the back of youreye. Recovery after cataractsurgery is generally quick andimprovement usually occurswithin only a few days andmaximum improvement in a fewweeks.MONOFOCAL IOLBecause there is such a diverse selectionof monofocal IOLs and potential opticalproblems that may go undetected, weoffer Basic Plus cataract surgery. Highlyadvanced technologies are used to captureprecise measurements, the data is thenused to plan and perform cataract surgeryto exact specifications not attainable withbasic cataract surgery. Basic cataractsurgery and the monofocal IOLs are coveredby insurance but not the additional feesassociated with this advanced technologyand comprehensive evaluation.Positives: Most costs are usually covered byinsurance and MedicareNegatives: Will likely still require glasses forclose-up vision Does not correct Astigmatism4 Depending on the degree of your astigmatism, see next page.4
rld.SeeA B O U T A S T I G M AT I S M Astigmatismis Treata conditionincataractswhich theandnottreated. It is importanttoonenotethatnone withoneprocedure.surface of the eye is shapedtheastigmatismreductionoptionsareperfect al rather than round. Astigmatism typicallyor completely predictable, but all are designedcauses blurry, distorted vision at all distances if to reduce the amount of astigmatism present.STEP 1:BEFORE SURGERYWe will first review your medical history and perform a thorough eye exam. Once it has beendetermined that a cataract is the problem with your vision, advanced measurement techniquesthat utilize state-of-the-art computer and ultrasound technology will accurately measure anddetermine the power of the lens implant to be inserted and the degree of astigmatism whichmay be corrected. Next, our surgical coordinator will discuss your IOL Package Optionsfinancial arrangements and review your insurance coverage. You will receive step-by-step,preoperative instructions so that on the day of surgery, you will arrive as relaxed as possible.STEP 2:SIMULATED VISION WITH ulatedvisionwithASTIGMATISMcataracts and astigmatismSIMULATED VISION WITH A MONOFOCALSimulatedvisionSimulatedvisionwitha lIOL and tigmatismA S T I G M AT I SEyeMEyeRwithEwithD UCataractCCataractTION OPTIONS Eye withCataractIOL IMPLANTAs theeyeages,lensbecomesAs eyetheeyeages,thethelensbecomesAs theages,thelensbecomescloudier,allowinglesslightto passcloudier,allowinglesslighttocloudier, allowing less light to passpassIs an advanced gh.lightthatdoesmakethrough.The Thelightthatdoesmakeitmaketoit toit sdiffusedorscattered,designed to correctastigmatism.It leavingis leavingthe retinais diffused or mportant to understand that the IOL and theuse of the laser can reduce your withAstigmatismat the time of cataractsurgeryand corneareduce the need forglassesforeitherdistanceWhen the surface of the corneahas hashasan unevencurvature,shapedmorean moreor near tasks but typicallynotthanforboth.a footballthana basketball,visionlikelikea footballa basketball,visionLASIK/PRKlike a football than a basketball, lurredordistortedvisioncauses blurred or distorted vision e arenotfocusedbecauselightraysarethenotfocusedon on onespottoprovideclearvision.one spot to provide clear vision.Althoughthis resultis typical,individual resultsmay vary.Althoughthis isresultis typical,individualmay vary.Althoughthis resulttypical,individualresultsresultsmay vary.SIMULATED VISION ionwithASTIGMATISMCORRECTINGIOLwithIOLAcrySof ToricAcrySof IQ IQToricIOLAcrySof IQ ToricIOL& LASER CATARACT ryCataractremovalan ultrasonicis insertedCataractremovalan- ultrasonicprobeis insertedCataractremoval- an -ultrasonicprobeisprobeinsertedASTIGMATIC KERATOTOMYthrough a tiny incision. The probe breaks the cloudythrough a tiny incision. The probe breaks the cloudythrough a tiny incision. The probe breaks the cloudyIs a procedure nsintopieces,thenthenthemaway.are made on the cornea manually with asurgical blade or withLenstheImplantationlaser in anattempt- ThecataractousImplantationcataractousis isLensLensImplantation- The- Thecataractouslenslensis lensto reduce astigmatismandlikelyreducethereplacedan artificialintraocularlens(IOL).replacedan lymadeofaflexiblematerial,allowingneed for deof a flexibleormaterial,yoursurgeonto foldandinsertthroughyoursurgeonto ldandinserttheIOLthrougha a atasks but on.Is a refractiveYou can choose to have a basic monofocalis reshaped with the use of a laser to reduce(single focus) IOL implanted for distance visionastigmatism and likely reduce the need forand wear separate reading and computerglasses for either distance or near tasks butglasses, or have the lens implanted for neartypically not for both. This procedure is notvision and wear CALMULTIFOCALTORICTORICIOLTORICAcrySofIQIOLToric rySofIQ ToricIOLToricToric Intraocular(IOLs)are artificialimplantedin theadult patientsfollowingcataractsurgery.These lensesare designedto correctpre-existingastigmatism,is the inabilityCAUTION:Restrictedbytheor ontheoforderof a physician.DESCRIPTION:The AcrySofIQ ToricIQIntraocularLensesLenses(IOLs) areartificiallenses lensesimplantedin the eyeof eyeadultofpatientsfollowingcataractsurgery.These lensesare designedto correctpre-existingcornealcornealastigmatism,which whichis the inabilityof the of theCAUTION:Restrictedby lawbyto lawsaletobysaleor onordera physician.DESCRIPTION:The AcrySof Surgery at Mid Florida Eye Center is performed on an outpatient basis at our fully-accreditedsurgical centers, the area’s first surgery facilities dedicated completely to eyes. In most cases,anesthetic eyedrops and mild sedation are used. However, you will be monitored throughoutyour surgery by a licensed anesthesia provider. Using no needles means less risk of complications and use of the eye immediately following surgery. Drs. Baumann, Panzo and Charles usea technique called phacoemulsification (and laser assistance if you choose) – a micro-surgicaltechnique that uses a small probe and sound waves to liquefy the cataract material, which isthen suctioned out of the eye. This technique preserves the eye’s natural support structureto hold the intraocular lens implant. The procedure usually takes just 10 minutes, and mostpatients are able to return to most normal activities the next day.STEP 3:Vision Restored - Once inserted, the IOL opens,RELAX-YOU’REIN GOODHANDS.T H E D AY O F S U R G E R Yvery small incision.VisionRestored- Onceinserted,the opens,IOL opens,VisionRestored- Onceinserted,the IOLGLASSES OR CONTACTLENSESandits haptics,orunfold“arms”unfoldtoin place.itshaptics,or “arms”unfoldto keepinitplace.and andits haptics,or “arms”tokeepit keepin itplace.DISCUSSYOUROPTIONS.A LITTLEROUTINEMAINTENANCE.AFTER SURGERYYou will be sent home with a series of medicated eye drops that you will use over the next fewweeks. The precise schedule for these medications will be explained before your surgery andyou will be given an instruction schedule. Our nurses will meet with you following your surgery to answer any questions you may have. CAUTION: Restricted by law to sale by or on the order of a physician. DESCRIPTION: The AcrySof IQ Toric Intraocular Lenses (IOLs) are artificial lenses implanted in the eye of adult patients following cataract surgery. These lenses are designed to correct pre-existing corneal astigmatism, which is the inability of theeyefocusclearlyany distancebecauseof differencetheprovidecornea,and provideWARNINGS/ PRECAUTIONS:Contactyoureye doctorif ofyouthehavethefollowingsymptomswhileusingtheeye prescribeddropsyour doctor:itching,redness,eye toclearlyfocustoatclearlyat any atdistancebecauseof differencecurvatureson theoncornea,and providedistancevision.vision.WARNINGS/ PRECAUTIONS:youreyedoctorimmediatelyif youanyof anythe of ofeye to focusany distancebecauseof differencecurvatureson curvaturesthe cornea,anddistancevision.distanceWARNINGS/ PRECAUTIONS:ContactContactyour eyedoctorimmediatelyifimmediatelyyou e antibioticdropsby prescribedyourbydoctor:itching,redness,wateringof watering ToricIOLhasnotestablishedbeeninestablishedin eyepatientswitheyeconditions,aseye pressureor complicationsin theeye (diabeticretinopathy).Asanywithany ivityeye,sensitivitytoThelight.Thesafetyand ofeffectivenessof the AcrySofhasnotestablishedbeenin patientswitheyeconditions,assuchan increasein eye inpressure(glaucoma)or complicationsof diabetesin sThese Theseeye,toThelight.safetyand effectivenessof the AcrySofIQ Toric chas suchan increasein ationsof diabetesin .Theseinvolved.your eye,yoursensitivityto light.safetyandeffectivenessthe magetotheiris(thecoloreddiaphragmrisks may include, but are not limited to, infection, damage to the lining of the cornea, the retinal layer which lines the inside back wall of your eye may become separated from the tissue next to it (retinal detachment), inflammation or swelling inside or outside the eye, damage to the iris (the colored diaphragmaroundthepupil),eye cannotpressurethatcannotbe medicinecontrolledby medicineandsecondarysurgicalprocedure.AIOLtoricIOL correctsastigmatismit iscorrectplacedin the correctin theisthata possibilitythattheIOLtoricIOL becouldbe yThis maythe anpupil),an increasein eye inpressurethat becannotbe controlledby medicineand secondarysurgicalprocedure.A toriccorrectsastigmatismonlyitwhenitwhenis inplacedin the positioncorrectpositionin theeye.isTherea thinthearound aroundthe pupil),increasein urgicalprocedure.A in torictheIOLcouldbecouldplacedincorrectlyor couldeye.withinThiseye.may resultless improvementorin avisionreductionin rrected,fullyorvisualitcausemaysymptoms.cause symptoms.visualsymptoms.Asanywithany keyeyoureye doctorprovideyouanwithIQPatientToric PatientInformationBrochure, an AcrySofinless inimprovementor a reductioninbecausevisionyour astigmatismbeenfullyit urgery,askto provideyouAcrySofToricInformationBrochure,result inresultless improvementor a reductionyour astigmatismnot hasbeennotfullycorrected,or lved.Priorinvolved.to youtowithanwithAcrySofIQ Toric enefitsand Discussanyquestionspossiblerisksbenefitsand yourbenefitswithyoureye doctor.whichwill youinformyourisksof youtherisksassociatedany questionsabout aboutpossiblerisksandwitheyedoctor.which willinformof isDiscussanyaboutpossiblerisks andbenefitswitheyeyourdoctor. 2012Novartis11/12TOR12464PA 2012NovartisTOR12464PA 2012Novartis11/1211/12TOR12464PAYA G L A S E R C A P S U L O T O M Y Cataracts do not grow back.Sometimes, after the initial successful cataract surgery,vision can become blurred when the capsule that supportsthe intraocular lens becomes cloudy. This problem can be easily remedied with laser surgery.Your doctor will use a YAG laser to open the center of the lens capsule. This procedure allowslight to pass clearly to the retina again and takes only a few minutes to perform. There are norestrictions after the procedure and the opening made is permanent.
SEEING IS BELIEVING: Geneva W., 71, Tavares ResidentGeneva is a patient who wishes she’d opted forcataract surgery years ago. She had worn glasses since age 42, but her deteriorating eyesightwas starting to affect her life. Geneva had putaway her scrapbook, a favorite pastime of hers,and was even having trouble recognizing neighbors as they walked by her house.As a regular patient of Dr. Baumann, she wasaware of the option for surgery, but had neverfelt ready to give it a try until now. “That’s whatI appreciate about Dr. Baumann,” she says. “He’svery conservative and never pushy. But when Ihave a problem, he’s always right on top of it.”Based on Geneva’s lifestyle and needs,Dr. Baumann recommended a multifocalAN OPPORTUNITY FOR A BRIGHTER FUTURE: intraocular lens implant designed to improve vision at a range of distances. She recalls that onthe day of surgery, she felt 100% ready. “My onlyapprehension was the anesthesia, because I don’tusually require very much. But I told the anesthesiologist that I only needed a small amount and theyactually listened, it’s not often that they do. I wasso impressed that my needs were heard!”Following surgery, Geneva was amazed thatshe was able to have such drastic improvementsso quickly. “Every time I looked at somethingI couldn’t believe I was seeing it with my bareeyes. I just couldn’t get over the fact thatI could see at all distances from reading toworking on the computer to driving withoutmy glasses!”Steven S., 56, Mount Dora ResidentFor some patients, the opportunity to participate in a clinical research study can be lifechanging. For Steven, participating in a research study was like winning the lottery. Hehad astigmatism, an eye condition that causesblurry vision, and was dependent on glasses foreveryday life. Even with glasses, he was finding it difficult to enjoy his two favorite hobbies:reading and container gardening. With his visionprogressively getting worse, he was forced toFOR STEVEN, PARTICIPATING IN A RESEARCH STUDY WAS LIKE WINNING THE LOTTERY.MEDICARE, INSURANCE AND FEES A B O U T O U R C ATA R A C T S U R G E O N S JEFFREY D. BAUMANN, M.D.Cataract/Implant Specialistn Cornea/Glaucoman Extensive ExperienceIn All Types of IOL Implantsn LasersnDR. BAUMANN received his undergraduatedegree from the University of Florida withHigh Honors, and received his medicaldegree from the University of Miami. Hecompleted his medical internship and servedhis residency in Ophthalmology at theOchsner Clinic and Eye, Ear, Nose and ThroatHospital in New Orleans and a Fellowship inCorneal Transplants and Anterior SegmentSurgery at Tulane Medical Center. Hespecializes in cataracts and implants and hasperformed over 35,000 cases. Dr. Baumannwas past president of the Lake CountyMedical Society and has been on the boardof directors of The Florida Society ofAmbulatory Surgery Centers and the PhysicianAdvisory Board for Amsurg Corporation. He isboard-certified in Ophthalmology.change the prescription of his glasses every sixmonths. “It was getting to be quite an ordeal,”he recalls. When, during a routine visit, Dr. Panzopresented him with the opportunity to participate in a research study for the toric multifocallens, a type of intraocular (inside your eye) lensimplant, Steven jumped at the chance. “Here Iwas expecting to have my prescription changed,and instead I was given the opportunity tochange my life!”GREGORY J. PANZO, M.D.Cataract/Implant Specialistn Glaucoma Specialistn Extensive ExperienceIn All Types of IOL Implantsn LasersnDR. PANZO received his undergraduate degreefrom the University of Notre Dame in SouthBend, Indiana, and his medical degree fromTemple University School of Medicine inPhiladelphia. He completed his medical internship and served his residency in Ophthalmologyat Cleveland Clinic Foundation in Ohio. Hismany accomplishments include a Fellowship inGlaucoma and Anterior Segment Surgery at theUniversity of Iowa. He specializes in cataracts,implant surgery and glaucoma, and has performed over 35,000 cases. Dr. Panzo has servedas a principle investigator for multiple eye careclinical research studies. These studies havecontributed to advancements in implants andmedications. He is past Chief of Surgical Staff ofLeesburg Ambulatory Surgical Center. Dr. Panzois board-certified in Ophthalmology.KEITH C. CHARLES, M.D.nnnnCataract/Implant SpecialistExtensive Experiencein All Types of IOL ImplantsLASIKCornea/GlaucomaDR. CHARLES received his undergraduatedegree from Duke University wherehe was elected to the Phi Beta Kappahonor society. He received his medicaldegree from the University of SouthernCalifornia and completed a residencyin Ophthalmology at Case WesternReserve University in Cleveland. Hismany accomplishments include aFellowship in Cornea and RefractiveSurgery at Emory University in Atlanta.Dr. Ch
Eye Center has been advancing eye care in Lake and surrounding counties for over 25 years. Now, with Laser Cataract Surgery, . If you've previously had LASIK, R.K., or laser surgery, ORA can significantly . covers the cost of cataract surgery with a monofocal lens, they do not
