Refractive lens exchange

Refractive lens exchange is a method of vision correction in which the natural lens is exchanged for a high-quality lens implant. After the procedure, you will no longer need glasses for distance vision or reading. A trifocal lens ensures good vision from any distance.

• quick and noticeable improvement in visual acuity, resulting in better quality of life and everyday functioning
• additional eye protection: the implanted lens has a yellow filter against blue light that is harmful for the macula, and a UV filter
• possibility to stop using corrective glasses (when multifocal lenses are implanted)
• state-of-the-art ZEPTO technology for capsulotomy, which improves the safety, predictability and efficacy of cataract surgery. With ZEPTO, a perfectly round opening is automatically and rapidly made in the lens capsule. The capsule supports your natural lens and will also be used to support the newly implanted artificial lens
• lens implantation using the disposable AutonoMe delivery system for improved sterility and safety of refractive lens exchange
• possibility to operate on both eyes on the same day

Multifocal lenses
Multifocal lenses make it possible for you to stop using glasses after the procedure. Multifocal lenses allow you to see sharply from close, far and intermediate distances (computer screen):

• Panoptix

The Panoptix lens provides perfect near and far vision. It is dedicated for individuals without astigmatism, but with diagnosed presbyopia (age-related loss of ability to see object sharply from close distances).

• Panoptix Toric

The Panoptix Toric lens guarantees excellent distance and near vision. It is recommended for individuals with presbyopia and astigmatism.
Our doctors will select a suitable type of lens for you based on your medical history and general health.

• Vivity

Vivity is the latest intraocular lens by Alcon. It is the first non-diffractive extended depth of focus intraocular lens with a minimal risk of undesired optical effects. A Vivity lens will eliminate your refractive error and you will see well in the majority of daily situations.

• Vivity Toric

The Vivity Toric lens ensures good vision in the majority of daily situations and eliminates astigmatism. This lens provides a very good refractive effect with a minimal risk of undesired optical effects.

The system supports the surgeon in planning and performing intraocular procedures. Among other functions, the device indicates the location of incision and the precise site of lens implantation. A digital marker assists the surgeon during the procedure, which is of particular importance for toric and multifocal lenses.

The ORA System is one of the greatest technological achievements in cataract surgery. The device makes it possible to perform real-time eye measurements during a cataract procedure. This technology helps to verify whether nearsightedness, farsightedness or astigmatism are being properly corrected during the procedure.

We pay particular attention to the evaluation visit. Extraordinarily precise measurements and tests are necessary for you to become free from glasses. At the St. Adalbert’s Hospital, a full ophthalmic examination and other diagnostic tests are performed to obtain eye parameters of the patient. These values will be used to calculate the measurements of the intraocular lens implanted during the procedure.

• The procedure is performed under eye drop anaesthesia. You will be conscious throughout the operation.
• The whole procedure takes about a dozen minutes.
• After applying a topical anaesthetic, the doctor opens the eye and fragments the natural lens in a delicate manner, removes it and cleans the posterior eye chamber; the doctor then gently inserts the new lens, which quickly assumes the desired shape.
• Finally, the doctor applies antibiotic and anti-inflammatory drops to your eye and puts a dressing on it.
• During one session you can have both of your eyes operated on if you have medical indications. Safety is our priority, and for this reason, each eye is treated as undergoing a separate procedure.

• You should not touch or rub the operated eye.
• You should strictly follow your doctor’s instructions and put drops in your eye.
• You should not play sports for about 2 weeks.
• You should protect the operated eye from any pollutants and sun rays.
• Vision recovery is usually very quick. Many patients can see very well already on the next day. Sometimes the vision is blurry and out of focus, which is associated with a natural healing process.
• In the case of trifocal lenses, the best results are achieved when the procedure is performed on both eyes: the process of adaptation is faster.
• A visual side effect of seeing halos occurs in approximately 10% of patients, but resolves over time.

The first follow-up visit takes place already in the next day. You will receive detailed guidance regarding eye care and follow-up visits.

lek. Andrzej Dmitriew