Cataract Surgery

LenSx Laser

LenSx®

With LenSx®, patients now have the option of choosing a computer-controlled, bladeless cataract laser to take of the most critical steps of the cataract surgery procedure. LenSx® made by Alcon is the most technologically advanced option for cataract patients today. Like the Wavefront laser, a custom map is made of your eye which means the cataract surgery procedure is 100% customized. The LenSx® uses integrated optical coherence tomography (OCT) which captures precise, hi-res images of your eyes.

The LenSx® laser uses a femtosecond laser to make the corneal incisions, break apart the cloudy cataract lens and creates a perfect size capsulotomy.

 

LenSx and Laser Cataract Surgery FAQ

  • What is a femtosecond laser? 

The femtosecond laser is one that emits pulses with durations between a few femtoseconds and hundreds of femtoseconds.  For nearly a decade, femtosecond lasers have helped surgeons perform LASIK with unparalleled precision and safety. Designed to revolutionize key steps in the cataract procedure, the LenSx Laser now allows surgeons to deliver the benefits of precise femtosecond laser technology. That means cataract surgery is more precise, predictable, reproducible and safe — from the team that began the femtosecond era in ophthalmology

  • Why did NVISION decide to begin utilizing the LenSx laser for cataract surgery?

NVISION has been a leader in refractive surgery since 1999 and prides itself on innovation in technology.  More eye doctors choose NVISION for themselves and their patients because this technology combined with a seasoned surgical team translates to greater safety, precision and outcomes.  NVISION has many historical “firsts” including:

  • 1st provider in California (and currently the only provider in California) to offer Ziemer CrystalLine® laser technology  and is currently the only provider in California to date
  • 1st provider in California to offer the LenSx femtosecond LASER and currently the only provider to date
  • NVISION Medical Director Tom Tooma, MD was a pioneer in LASIK and was a principal investigator in the field of laser vision correction since 1993.  Helped several excimer (a form of ultraviolet laser) laser manufacturers obtain FDA approvals for their lasers in the US.  He was the first in the US to:
    • perform LASIK surgery
    • to perform custom Wavefront-guided LASIK.
    • use the femtosecond laser
    • NVISION Surgeons were:
      • 1st surgeons in the world to use a commercial IntraLase Laser to perform bladeless LASIK
      • 1st surgeons in the world to combine the commercial use of IntraLase® technology with Intacts® (corneal rings) to treat patients with keratoconus, a disorder that leads to the loss of vision in young adults.
      • 1st  surgeons in California to perform surgery with the LenSx femtosecond laser

 

  • Will all the NVISION’s offices offer the LenSx laser for cataract surgery?

Currently the LenSx is available only at NVISION’s Pacific Hills Surgery Center in Laguna Hills.

  • Why are surgeries taking place at Pacific Hills Surgery Center and not the other centers?

The surgical protocols for cataract surgery differ from those required for LASIK surgery.  NVISION’s Pacific Hills Surgery Center has met and exceeded strict health and safety codes required to perform cataract surgery as well as other outpatient surgeries.  Pacific Hills is Medicare Certified and accredited by the Accreditation Association for Ambulatory Healthcare (AAAHC).

  • Will cataract surgeries only be done by the LenSx laser from now on?

The surgeon will decide the best technology for the patient based on the patient’s specific conditions.  In some cases, traditional cataract surgery may be required; in others LenSx will be the preferred choice.

  • How does the LenSx laser work?

LenSx automates the most challenging steps of traditional cataract surgery.  Prior to the introduction of this laser, traditional cataract surgery involved the creation of several small incisions during the procedure. All of these incisions were made manually with a blade. With LenSx, the surgeon can create those incisions with a significantly higher degree of precision.  This combined with the real-time image guided feature aids the physician in seeing the activity taking place in the eye during surgery and aids the surgeon in performing:

Anterior capsulotomyan incision that opens the clear, cellophane-like capsule that wraps the natural crystalline lens of the eye
Lens fragmentation – softening and breaking up of the cataract lens of the eye
All corneal incisions – all incisions of the cornea associated with cataract surgery

 

  • Will this procedure be covered by insurance like most cataract surgeries?

 

Cataract surgery is typically paid for by Medicare and many insurance companies.  Individuals must check with their respective carriers for specific eligibility and coverage benefits.  LenSx is a premium enhanced procedure that requires an out-of-pocket fee from the patient.  Patients will receive specific information on the cost of their procedure during the consultation process.  The price will vary based on each individuals’ specific circumstances.

 

  • What are the complications associated with the LenSx laser?

Risks are associated with any surgical procedure but the LenSx is designed to provide a greater degree of safety and precision than traditional methods.

  • What should a patient expect after surgery?
    • Generally, greatly improved vision
    • Freedom from having to wear corrective eyewear such as glasses or contact lenses.
    • With upgraded lens implants, the clouded natural lens of the eye is replaced with an artificial lens that can better focus light onto the retina. Most importantly, cataract surgery is designed to completely remove the problem, stopping the progression of vision loss and resulting in the ability to see more clearly, without fogginess, halos, and other symptoms.
    • Some redness will be noted on the eye from the suction device.  This is normal and painless and will go away in a week or so.
  • How long does the LenSx laser procedure last?
  • 10 – 15 minutes on average depending on the complexity of the procedure
  • What is the cost of the LenSx laser procedure?

The fee for the LensX laser varies by surgeon; your surgeon will discuss costs with you after he/she determines the best plan for your vision correction..

  • Is the LenSx procedure covered by Medicare or other major insurances?

Currently LenSx is considered a premium procedure not covered by Medicare, HMO’s or other insurance companies.  Similar to upgraded lenses, these premium services are available on a cash pay basis; however, financing is available through Care Credit through your surgeon’s office.