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Buzard Eye Institute

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Clear Lens Exchange as a Refractive Surgery

Kurt Buzard MD FACS

Clinical Assistant Professor

Tulane University Medical School
University of Nevada Medical School
Buzard Eye Institute
Las Vegas Nevada

Clear Lens vs LASIK

• Incipient cataracts present several difficulties to LASIK
• Laser may exacerbate lens changes
• Lens changes may create refractive changes in the future
• Cataract surgery negates LASIK

Clear Lens vs Phakic IOL

• I believe phakic IOL is the future of refractive surgery...better lenses/less glare/reversability fewer long term complications
• For the older patient or patient with incipient cataract, Clear Lens is the procedure of choice

Technique

• The way clear lens extraction is done is a major part of the success and prevention of complications
• We use Blue Line incision technique
• Calculate IOL with Hoffer program
• Star 3-piece IOL

Blue Line

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