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How Vision Changes Over Time

Understanding how your eyes change over time can help bring you one step closer to reclaiming younger vision.

Healthy Eye

In a healthy eye, the crystalline or natural lens is flexible and pliable. Muscles and fibers within the eye relax and contract, reshaping the lens in order to change focus to near, far or in between, and back again. In a healthy eye, light enters through the eye's natural lens and focuses directly onto the retina, yielding a clear image.

Presbyopia

Presbyopia is a common age-related condition that is usually first noticed around the ages of 40 and 50. As we age, the once-flexible natural lens becomes firmer and less responsive to the eye's efforts to change focus. This lack of flexibility reduces the eye's ability to switch from seeing objects at a distance to seeing objects up close, resulting in the need for reading glasses or bifocals.

Presbyopia occurs when the eye's lens loses its ability to change focus and direct light precisely onto the retina. This typically results in blurred vision when reading or looking at objects up close.

SIGNS OF PRESBYOPIA

  • Loss of ability to read up close
  • Difficulty viewing a computer screen
  • The need for reading glasses or bifocals
  • The need to hold objects farther away to read

Cataracts

Cataracts are a common vision disorder that occurs as a normal part of the aging process. As we age, proteins in the eye slowly begin to cluster together, causing the eye's natural lens to become clouded and discolored. When this occurs, light rays passing through the eye become scattered and unfocused, resulting in a blurry image. Cataracts cause light to scatter as it passes through the eye's natural lens, resulting in blurred, hazy vision.

SIGNS OF CATARACTS

  • Difficulty driving, especially at night
  • Difficulty seeing at night
  • Difficulty viewing a computer screen
  • Colors appear dim and faded
  • Frequent change in eyeglass prescription

What Are the Solutions?

Cataract surgery is the only treatment that allows you to regain lost vision due to cataracts. When cataracts are removed during your surgery, a surgeon will replace the eye's natural lens with an intraocular lens (IOL). There are two main types of IOLs: monofocal and multifocal. Monofocal IOLs treat cataracts only. Multifocal IOLs are designed to treat both cataracts and presbyopia. ©2012 Abbott Medical Optics Inc. www.AbbottMedicalOptics.com 2011.10.24-CT4175

Make an Informed Decision

Over 18 million people choose to restore their vision and undergo cataract surgery every year.1 Cataract surgery is a straightforward outpatient procedure that removes the clouded natural lens in your eye and replaces it with an artificial lens called an intraocular lens (IOL).

Multifocal IOL vs. Monofocal IOL: What You Need to Know

When selecting a lens, there are two general types of lenses to choose from: multifocal or monofocal lenses. Both will treat your cataract and reestablish your vision, but there are a few key differences. A multifocal IOL is designed to correct both cataracts and presbyopia. Presbyopia is a common age-related condition. Beginning around the age of 40, the natural lens inside the eye begins to harden and becomes less flexible. This reduces the eye's ability to switch focus from near to far to in between and back again, resulting in vision loss and, in most cases, the need for reading glasses or bifocals. A multifocal lens has several different focus regions that are designed to allow you to see clearly up close, far away and in between, and, in most cases, will eliminate your need for glasses. After surgery, you may experience an adjustment period during which you may see rings around lights at night. This is normal, and as the eye adjusts to the lens over time, the visual impression of these rings typically lessens or goes away. In contrast, a monofocal lens has only one focus region. It allows you to see objects far away, but you will continue to need glasses for reading and other up-close activities.

Monofocal IOL vs. Multifocal IOL

Monofocal IOLs provide good distance vision, but you will continue to need reading glasses to see up close. Multifocal IOLs are designed to provide you with improved near, intermediate and distance vision and reduce or eliminate your need for reading glasses. Talk to your doctor about all the benefits of a multifocal IOL and if the TECNIS® Multifocal IOL is the right choice for your lifestyle.

"At 70 years old, I never would have believed I would have perfect vision and not have to wear glasses anymore! I'm thrilled." -Joyce Burt

Important Safety Information – TECNIS® Multifocal Intraocular Lens (IOL)

Indication: TECNIS® Multifocal intraocular lenses are indicated for primary implantation for the visual correction of aphakia in adult patients with and without presbyopia in whom a cataractous lens has been removed by phacoemulsification and who desire near, intermediate and distance vision with increased spectacle independence. The intraocular lenses are intended to be placed in the capsular bag.

Risks: As with many things, there may be a trade-off. If you decide to have a multifocal lens, your use of glasses may decrease, but at the cost of losing some of the sharpness of your vision. Even with glasses, this loss of sharpness may become worse under poor-visibility conditions such as dim lighting or fog. There may also be some visual side effects, such as halos and glare from lights at night, that are more common than with a monofocal IOL. Halos are rings of light that you may notice when looking directly at a source of light, such as oncoming car headlights. Glare is a scattered light effect that can appear around a source of light.

General risks with cataract surgery and IOL implantation: Whatever your lens choice, there are risks and possible complications of cataract surgery and lens implantation. Complications could be minor or temporary, or could permanently affect your vision. Complications are rare and may include the worsening of your vision, bleeding or infection. Contact your eye doctor right away if you have any of the following symptoms after surgery: itching, pain, flashing lights, "floaters," a "curtain" in your vision, redness, severe headache, nausea/vomiting, sensitivity to light or watery eye.

PLEASE NOTE: Warnings and precautions accompany all IOLs because they are prescription-only medical devices. The following warnings and precautions apply to all multifocal IOLs.

Warnings: A very small number of patients (less than 1% in US clinical studies) may be dissatisfied and request removal of their multifocal IOL. Under poor-visibility conditions, your vision may be reduced more than it would be with a monofocal IOL. Under these conditions, you may have more difficulty recognizing some traffic signs and hard-to-see objects on the road. Therefore, you may need to take extra care when driving, especially in poor-light conditions. In rare instances, multifocal IOLs may make some types of retinal surgery more difficult.

Precautions: If your eye is not healthy (including glaucoma), your vision may not be good even after your cataract is removed. In this case, you may not get the full benefit of the multifocal IOL. Before surgery, your eye doctor will check to see if you have any eye diseases. Be sure to tell your eye doctor if you have any health conditions that may affect your surgery or vision, and provide an updated list of medications to the doctor. There is a chance that your vision with a multifocal IOL may not be good enough to perform very near or detailed "up close" work without glasses. The TECNIS® Multifocal IOL is designed for near vision at approximately 13 inches. Take all prescribed medicines and apply eye drops as instructed. You should avoid any activity that could harm your eye while you are recovering from surgery. Before and after the surgery, your eye doctor will tell you about activity restrictions. If you wear contact lenses, your eye doctor may ask you to discontinue wearing your lenses prior to being evaluated for the multifocal IOL. There were no patients 21 years old or younger included in the clinical study. As a result, there are insufficient data to support safety and effectiveness of this IOL in this age group.

Adverse events: The most frequently reported adverse event that occurred during the clinical trial of the TECNIS® Multifocal lens was macular edema, which occurred at a rate of 2.6%. Other reported reactions, occurring in 0.3%–1.2% of patients, were inflammation of the eye and secondary surgical intervention (including biometry error, retinal repair, iris prolapse/wound repair, trabeculectomy, lens repositioning and patient dissatisfaction).

REFERENCE:

1. Market Scope. The 2011 Comprehensive Report on the Global Presbyopia Correcting Surgery Market. St. Louis, MO: Market Scope LLC.

TECNIS is a trademark owned by or licensed to Abbott Laboratories, its subsidiaries or affiliates.

©2012 Abbott Medical Optics Inc. www.AbbottMedicalOptics.com 2011.10.24-CT4175

Questions About the TECNIS® Multifocal Lens

Q: Is the TECNIS® Multifocal Lens procedure safe?

A: Every surgical procedure has risks and potential side effects. Your doctor will explain all of these in full detail. However, the lens removal and lens implant technique used in the TECNIS® Multifocal Lens procedure is performed over 18 million times per year worldwide1 and is recognized for its safety and predictability.

Q: How long will it be before I see well?

A: Everyone heals at a different rate, but in most cases, you will notice improved vision almost immediately after your procedure. You may, however, have an adjustment period during which you see some glare or halos around bright lights. In most cases, this goes away over a period of weeks or months.

Q: Will I be totally free from glasses?

A: Many people with the TECNIS® Multifocal Lens experience the best eyesight they've had in years. In fact, nearly 9 out of 10 people do not require glasses after receiving a TECNIS® Multifocal implantable lens.2

Q: Am I a candidate for the TECNIS® Multifocal Lens?

A: If you've been diagnosed with cataracts, you may be a candidate for the TECNIS® Multifocal Lens. Whether the TECNIS® Multifocal Lens is the right choice for you depends on your personal preferences, lifestyle and the overall health of your eyes. Your doctor will make a recommendation following a complete eye exam. Ask your doctor about the lens that provides nearly 9 out of 10 patients with freedom from glasses.