Bioptics Surgery

Bioptics Surgery is a specialized vision correction procedure that combines both refractive surgery and lens-based techniques to provide optimal visual outcomes. This approach is particularly beneficial for patients with high refractive errors or those who are not suitable candidates for standard laser vision correction procedures.

In a Bioptics procedure, patients typically undergo two steps:

  • 1. Lens-Based Procedure: An intraocular lens (IOL) (during RLE procedure) or Phakic IOL (during ICL procedure) is implanted to address major part of refractive error
  • 2. Laser Vision Correction (Kerato-Refractive Surgery): This may involve LASIK, PRK, or SMILE to correct residual refractive errors or other vision concerns.

Bioptics aims to enhance overall visual acuity, allowing patients to achieve clear vision across multiple distances without the need for glasses or contact lenses.

Bioptics offers several advantages:

  • Comprehensive Vision Correction: By combining two techniques, Bioptics addresses both corneal and lens-related vision issues, providing a more holistic solution.
  • Improved Visual Outcomes: Patients often experience significant improvements in visual acuity and quality of life post-surgery.
  • Customizable Solutions: The procedure can be tailored to meet individual visual needs, with various IOL options available.
  • Reduced Dependence on Glasses: Many patients find they no longer need glasses or contact lenses after Bioptics surgery.

The Bioptics procedure generally involves the following steps:

Step 1: Preoperative Assessment

A thorough eye examination using the Pentacam and IOL Master 700 will help determine the appropriate treatment plan.

Step 2: Intraocular Lens Implantation

The first phase involves performing a Lens Based Procedure. Either an IOL is implanted during Refractive Lens Exchange (RLE) procedure or a Phakic IOL is implanted during an ICL procedure to address the major part of refractive error. This step is performed using the Alcon Centurion Phaco Machine, ensuring precision and safety.

Step 3: Refractive Surgery

After a recovery period,a refractive surgery technique (such as LASIK, PRK, or SMILE) to correct any residual refractive errors using corneal sculpting.

Step 4: Recovery

Patients can expect a quick recovery, with most experiencing improved vision within a few days after the second phase of the procedure.

Post-operative care is essential for a successful recovery. After Bioptics surgery:

  • Follow-Up Visits: Patients will need to attend follow-up appointments to monitor healing and visual outcomes.
  • Eye Drops: Prescribed eye drops will help prevent infection and manage inflammation
  • Activity Restrictions: Patients are advised to avoid strenuous activities and swimming for a few weeks post-surgery.
  • Visual Adjustment: It may take time for vision to stabilize as the brain adjusts to the new lens.

Choosing the right IOL is crucial for achieving the best post-surgery vision. We offer a range of premium IOLs to meet the diverse needs of our patients. Below are the main types of IOLs we provide:

Multifocal IOLs

Purpose: Multifocal IOLs are designed to correct both near and distant vision. This lens has multiple focal points, allowing patients to see clearly at varying distances without relying on glasses.

Advantages
  • Reduces dependence on reading glasses or bifocals after surgery.
  • Patients experience clearer vision for tasks like reading, using mobile devices, and driving.
  • Suitable for those who wish to minimize the need for corrective eyewear.
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Trifocal IOLs

Purpose: Trifocal IOLs are the latest advancement in lens technology, offering vision correction at three distinct ranges: near, intermediate, and far distances. This makes trifocal lenses ideal for individuals who lead active lifestyles and need good vision at all distances.

Advantages
  • Provides seamless vision from close-up tasks (like reading) to mid-range activities (like working on a computer) and far-range vision (like driving).
  • Better performance in low-light conditions, improving night vision.
  • Great for individuals who need to perform a variety of activities without constantly switching between glasses.
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EDOF (Extended Depth of Focus) Lenses

Purpose: EDOF lenses are a more recent innovation, designed to provide a continuous range of vision, especially for intermediate distances. They create a “stretched” focal point, offering better vision for tasks like using computers, tablets, or reading at arm’s length.

Advantages
  • Ideal for patients who spend a lot of time using digital devices.
  • Reduces glare and halos compared to multifocal lenses, making it a good option for those sensitive to bright lights or who frequently drive at night.
  • Enhanced depth of field provides sharper vision across a broader range, making it an excellent choice for an active lifestyle.

Ideal for: Patients looking for a smooth, continuous range of vision and reduced visual disturbances like glare and halos, especially those with an active lifestyle

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Toric IOLs

Purpose: Toric IOLs are specially designed to correct astigmatism in addition to the cataract. Astigmatism occurs when the cornea has an irregular shape, leading to blurred or distorted vision. Standard IOLs do not address this issue, but toric IOLs have different powers in different parts of the lens to correct the uneven curvature.

Advantages
  • Corrects astigmatism and improves distance vision at the same time.
  • Reduces or eliminates the need for glasses or contact lenses to correct astigmatism after cataract surgery.
  • Suitable for patients with significant astigmatism who want sharper vision and less dependence on corrective eyewear.

Ideal for: Individuals with moderate to severe astigmatism who wish to correct both cataracts and astigmatism in one procedure.

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Aspheric IOLs

Purpose: Aspheric IOLs are designed to mimic the natural shape of the human lens. Standard IOLs have a spherical shape, which can cause minor optical aberrations. Aspheric lenses, however, are shaped more like a natural lens, which allows for better light focusing and improves contrast sensitivity.

Advantages
  • Provides sharper and clearer vision, especially in low-light conditions such as nighttime driving.
  • Reduces glare and halos that can be caused by traditional spherical IOLs.
  • More closely mimics the optical performance of the eye's natural lens, delivering higher-quality vision.

Ideal for: Patients who want enhanced visual clarity, especially in situations like driving at night, or those who prioritize sharpness and reduced optical aberrations.

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Candidates for Bioptics surgery typically meet the following criteria:.

  • Adults with high refractive errors not suitable for traditional laser procedures.
  • Individuals seeking correction for presbyopia or residual refractive errors post-laser surgery.
  • Patients who wish to reduce their dependence on glasses or contact lenses.
  • A thorough evaluation by our experienced ophthalmologists will help determine if Bioptics is the right choice.

As with any surgical procedure, Bioptics carries some risks, including

  • Infection: While rare, there is a possibility of infection post-surgery.
  • Visual Disturbances: Some patients may experience halos, glare, or other visual disturbances, particularly at night.
  • Need for Glasses: Although Bioptics aims to reduce dependence on glasses, some patients may still require them for specific tasks.

Our team will discuss these risks in detail during your consultation, ensuring you are well-informed.

We pride ourselves on using cutting-edge technology to ensure precise and safe refractive surgeries.

Oculus Pentacam – Gold Standard Tomography

The Oculus Pentacam is an advanced diagnostic device that provides comprehensive imaging of the cornea and anterior segment, crucial for pre-surgical evaluations and post-operative monitoring. The device is first of its kind to be capable of detailing posterior corneal surface amking it gold standard for decision making in laser refractive procedure.

Advantages

  • Detailed Corneal Analysis: Measures corneal thickness, curvature, and elevation to detect abnormalities like keratoconus or irregular astigmatism.
  • 3D Anterior Segment Imaging: Offers a complete view of the eye's front structures, aiding in customized treatment planning.
  • Safety Screening: Helps identify patients who may not be suitable candidates for refractive surgery, ensuring safe and effective outcomes.
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Zeiss IOL Master 700 – Precision Optical Biometry

The Zeiss IOL Master 700 is the gold standard in optical biometry. It provides extremely accurate measurements of the eye, which are critical for selecting the right intraocular lens (IOL) and used for all lens based refractive surgery procedures including ICL and RLE/ PRELEX. The machine uses swept-source OCT (Optical Coherence Tomography) to map the entire length of the eye, ensuring optimal lens positioning and power calculation.

Advantages

  • Enhanced precision in preoperative measurements and IOL selection reduces the risk of post-operative refractive errors, ensuring better visual outcomes.
  • It provides a full-length scan of the eye, which helps detect any issues early, allowing for a more customized surgical plan.
  • Suitable for complex cases, such as eyes with high astigmatism or previous surgeries like LASIK.
  • Best data capturing power for accuracy even in advanced cataracts

Alcon Centurion Gold Phacoemulsification System with Active Sentry

This is one of the most advanced cataract surgery phacoemulsification system available especially useful with lens bared refractive surgery procedures systems available.

Advantages

  • Active Fluidics: This feature maintains stable intraocular pressure (IOP) throughout the surgery, reducing the risk of complications and making the procedure safer for patients.
  • Efficiency: The Centurion system uses advanced energy management to emulsify and remove the lens more efficiently, minimizing trauma to the eye and shortening recovery time.
  • Real-Time Pressure Monitoring: Active Sentry provides real-time feedback and adjustments during surgery, ensuring smoother and more precise operations.
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VisuMax Femtosecond Laser System – The Most Advanced FS Laser System

The VisuMax is a revolutionary femtosecond laser system by Zeiss, widely recognized for its precision and versatility in performing bladeless LASIK and SMILE (Small Incision Lenticule Extraction).

Advantages

  • Ultra-Precise Flap Creation: Capable of creating corneal flaps as thin as 80 microns, preserving corneal strength, especially in patients with thin corneas.
  • SMILE Capability: Enables minimally invasive refractive correction with a small incision, resulting in faster recovery and fewer dry eye symptoms.
  • Gentle Treatment: Operates with low suction, providing a comfortable experience during the procedure.

Why Mahajan Eye Centre?

Expertise and Experience

Our experienced surgeons have been performing Biotptics surgeries for decades, ensuring high success rates and patient satisfaction.

Advanced Technology

Our investment in latest technology (IOL Master 700, Oculus Pentacam, VisuMax, Alcon Centurion, Zeiss Lumera etc.) enables us to provide safer, precise, and efficient surgeries.

Personalized Care

We customize every aspect of your Refractive surgery, from pre-surgical measurements to selecting the IOL that best suits your lifestyle and vision needs.

Comprehensive Post-Op Care

Our team will guide you through a smooth recovery process, ensuring that any post-surgery issues are promptly addressed as needed.

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Frequently Asked Questions

The entire Bioptics procedure typically takes about 30-60 minutes, depending on the complexity of the case.
Most patients experience minimal discomfort during the procedure due to local anesthesia. Mild discomfort may occur during the recovery phase.s.
Various IOLs can be used, including multifocal, trifocal, and accommodating lenses, based on the patient’s visual needs.
Many patients can resume light activities within a day or two, but should avoid strenuous exercise for at least a week.
While many patients enjoy improved vision and reduced dependence on glasses, some may still need them for specific tasks.
Patients should follow pre-operative instructions provided by their surgeon, including any recommendations regarding medications, contact lenses, and lifestyle changes.
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