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Information & Consumer
Review for Lens Implants
Harvard Eye Associates — Southern California's Most Experienced Lens Implant Surgeons
CrystaLens®, ReZoom® and ReSTOR® Lens Implants Crystalens®, ReZoom® and ReSTOR® - Background Information New eye surgery lens implants, the Crystalens, ReZoom and ReSTOR lenses, can now provide both reading and distance vision without glasses for people undergoing cataract or refractive lens implant surgery. For 50 years, eye surgeons have used lens implants to replace the eye's internal focusing lens, but until recently every lens implant acted simply like a fixed-focus lens.
Three new lens implants have been FDA-approved recently for correction of both distance and reading vision. Each of these implants works slightly differently, and not all implants are right for all patients. This page is designed to help people interested in these new-technology lens implants to understand the similarities and differences between them. Our surgeons have extensive experience implanting all of the lenses described here and are take pride in helping each patient make an unbiased, informed decision on an implant that will provide a lifetime of clear vision. To schedule a free consultation and find out whether Crystalens, ReZoom, or ReSTOR is right for you - Schedule Your Appointment Now .
Comparison Chart of Crystalens®, ReZoom® and ReSTOR® Lens Implants*
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Crystalens |
ReZoom |
ReSTOR |
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Focusing Mechanism
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Implant moves back and forth (autofocuses), powered by eye muscles
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Light focused simultaneously through three zones for far, arm's length, and near vision
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Light focused through 'apodized' lens, giving far and near focusing
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Distance vision (road signs, TV captions)
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+++
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+++
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+++
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Arm's length vision at 2-3 feet (computer screen)
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+++
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++
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+ / -
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Near Vision at 1-2 feet
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+
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++
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+++
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Clarity for driving at night
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+++
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+
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+
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Crystalens |
ReZoom |
ReSTOR
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How quickly will I have clear vision for...
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Far away
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Immediate
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Immediate
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Immediate
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Arm's length (2-3 feet)
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Slowly improves over one to several weeks
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Immediate
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Immediate
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Up close (1-2 feet)
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Slowly improves over one to several weeks
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Immediate
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Immediate
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Crystalens |
ReZoom |
ReSTOR |
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Advantages
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True accommodating lens. Theoretically best clarity of vision.
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Excellent results for distance and arm's length.
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Best for fine print. Results are immediate.
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Disadvantages
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Some "learning curve" in re-training muscles to focus. May need glasses for some fine print.
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May get glare when driving at night.
May need glasses for some fine print.
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May get glare when driving at night.
Limited arm's length vision.
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Crystalens
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ReZoom
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ReSTOR |
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Ideal Candidate
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Active, young people who may not mind glasses for very fine print but need clear vision for driving at night.
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People who do not drive at night or are not bothered by glare. People who spend a great deal of time reading.
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People who do not drive at night or are not bothered by glare. People who spend a great deal of time reading and do not mind wearing glasses for computer use.
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Crystalens® vs ReZoom® vs ReSTOR® Lens Implants:
Differences and Comparisons Crystalens® - 'Auto-focusing' for Far, Near, and Everything In-Between
The Crystalens implant (made by Eyeonics, Inc.) can give reading vision (within
1-2 feet), arm's length (2-3 feet), and distance vision without glasses because
this implant actually adjusts its position within the eye as the eye looks
from far to near subjects, much like an 'auto focus' mechanism on a camera.
The Crystalens is powered by the same ciliary body muscles that move and focus
the eye's own natural lens. Its unique, hinged shape allows for this lens
movement and gives a seamless transition from far to arm's length to near
vision. Most people with the Crystalens have clear far vision (driving, television)
and intermediate vision (arm's length, computer screen) without any glasses.
About 95% of people can also read newsprint without glasses. Some people do
need glasses for fine print, especially in dim light. Of the three lenses,
the Crystalens is most likely to provide the best vision for driving at night.
CLICK
HERE for MORE on the CRYSTALENS® .
CLICK HERE FOR
VIDEO: PBS
TELEVISION PROGRAM on the CRYSTALENS® implant .
ReZoom® - Progressive Lens Inside the Eye
The ReZoom lens (made by Advanced Medical Optics, Inc.), like the ReSTOR lens
(see below), is a non-moving lens implant. It gives near (1-2 feet), arm's length
(2-3 feet), and distance vision simultaneously because it has three focusing
zones. Light entering the eye passes through all three of these zones simultaneously.
This means there is no 'learning curve' for reading with this lens. Distance
and reading vision are available almost immediately. However, some patients may
have difficulty with driving at night because of glare from oncoming lights.
This can occur with any lens implant but is more likely with implants that focus
light in two or more places at once. Just as progressive spectacle lenses can
cause distortion under certain conditions, the ReZoom lens may not give perfect
vision in dim light situations. The ReZoom lens gives generally satisfactory
arm's length (computer screen, arm's length) vision but may not yield perfect
vision for reading very small print up-close.
ReSTOR® Lens - The Space-Age Bifocal
Like ReZoom, the ReSTOR lens is a non-moving lens implant. It too can give distance and near vision simultaneously. Rather than having three separate focusing zones like ReZoom, however, the ReSTOR lens focuses vision using an 'apodized' surface. This high-tech manufacturing process gives the lens a gradual blending of focusing power throughout the entire lens surface. With the ReSTOR lens, 97% of people can see both distance objects (road signs) and near objects (reading material within 1-2 feet) without difficulty, especially in good light. Arm's length vision (the computer screen, for example) at 2-3 feet is less clear, and most people will need glasses for these kinds of tasks. In dim light, the lens is designed to give better distance vision. However, 5% of people with ReSTOR do notice significant haloes or glare around lights at night. For people who do a great deal of night driving, both ReZoom and ReSTOR may not be ideal choices.
Making A Decision on a Lens Implant: Crystalens, ReZoom, or ReSTOR. Which is best for You?
Like Lens implants are meant to last a lifetime. Fortunately, most people will be very happy with whatever lens implant choice they make. The Crystalens, ReZoom, and ReSTOR lenses have all been rigorously tested by the US FDA before being approved for use. For most people, any of the three will provide excellent results. To arrange a consultation with one of our doctors to discuss specific recommendations for you, please contact us.
Choosing Harvard Eye Associates for Your Lens Implant
Our doctors have a combined total of nearly 100 years of experience with nearly 50,000 lens implants of almost every type ever made. Harvard Eye Associates' surgeons were among the first in the world to use soft, folding lens implants for small incision cataract surgery in the 1980s and continue to break new ground being among the first surgeons in the country to be authorized to use the lenses described above.
Over the years we have conducted numerous FDA research studies on new implant technologies, and we continue to perform studies on existing and upcoming technologies. Our doctors have authored dozens of scientific publications, serve on scientific advisory boards for a number of healthcare technology companies, and are reviewers for major vision science journals.
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*Individual results may vary considerably from patient to patient. Rare but significant
surgical complications can occur with any lens implant, despite stated information.
This document is intended only as a broad review of the general concepts involved
in making a decision between lenses. It is beyond the scope or intent of this
web page to provide an exhaustive review of lens implant technology or a prediction
of what any individual patient may experience. Consult with your doctor for more
information.
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