McMann Eye Institute

Hawaii's Premier LASIK Surgery Practice

Why Choose US?

Why Over 5,000 People Have Chosen McMann Eye Institute

In a word – RESULTS!

While many surgeons or centers claim to be the best, we provide our patients with proof of our success rates. 98% of Dr. McMann’s LASIK patients have reached their optimal vision goals without enhancements. However, Dr. McMann doesn’t just perform LASIK on every patient. Your eyesight is unique, so your treatment should be as well. McMann Eye Institute also offers other eye care procedures, such as PRK, Premium Cataract Surgery, and Lens Replacement.

Along with his proven results, you will see that Dr. McMann is also very involved with patient care. He will personally create your treatment plan, he performs the procedure, and he is always available for you during your post-operative care.

Once you go through the consultation process and see the attention to detail that McMann Eye Institute offers, you will see why over half of our patients are referred by other physicians, patients, friends and family members. In fact, some of our staff and many family members have had LASIK with Dr. McMann and this helps us understand your questions and concerns.

Our goal is to make you feel comfortable and excited
about your decision and help you every step of the way.

LASIK Eye Tracking and Astigmatism

LASIK Eye Tracking Makes Astigmatism Correction Available in Hawaii

More than one-in-three people in the US has astigmatism, and many have been told they are not candidates for LASIK because they have astigmatism. McMann Eye Institute has been named a “Specialized Astigmatism Center” by Technolas Perfect Vision, providing the first comprehensive LASIK treatment of Astigmatism approved by the FDA. The McMann Eye Institute is the first practice in Hawaii to offer Advanced Control Eyetracking (ACE) on its Technolas LASIK platform.

Eyetracking allows lasers used during LASIK surgery to compensate for eye movements during the procedure, thus adding an important level of assurance. However, no eyetracker has been able to adjust for subtle rotations of the eye that occur during the laser treatment – that is until now. Since subtle eye movements are common during the LASIK treatment this unique tracking technology ensures that the intended treatment precisely matches the eye’s prescription. This is especially important for patients who have astigmatism in addition to their nearsightedness or farsightedness, which represents the majority of contact lens and eyeglass wearers in the U.S.

“Many patients with astigmatism believe that they are not suitable candidates for laser vision correction. With the advent of ACE this is no longer true. We finally have a laser vision correction procedure that is ideally suited for the treatment of astigmatism,” said Dr. McMann, Chief Surgeon and Medical Director of McMann Eye Institute. “This technology is one of a kind.  Rotation of the eye during LASIK could result in less than full correction of astigmatism, which is very common among LASIK patients, and an increased chance of the need for a secondary enhancement procedure.”

“We have always been committed to bringing the latest technology available to Hawaii. Our LASIK practice has grown because we have been able to provide the best treatments for all of our patients with all prescriptions. This has enabled us to set ourselves apart from our competitors,” says Dr. McMann.

Review of Laser Vision Correction Technology Available Today

No other LASIK system available in the US can compensate for eye rotation during the LASIK treatment. Both the Technolas ACE and VISX S4 IR (AMO) trackers compensate for the cyclorotation of the eye that can occur between the sitting position during critical diagnostic measurements and lying down on the LASIK bed.   However, only the Technolas ACE tracker can adjust the delivery of laser pulses in response to eye rotation during the LASIK treatment. Furthermore, the Technolas ACE system is enabled for both conventional and custom wavefront-guided LASIK treatments, while the VISX S4 IR tracker cannot adjust for cyclotorsion associated with conventional LASIK treatments. The eyetrackers of the Wavelight and Ladarvision lasers (Alcon Laboratories) cannot compensate for eye rotation at all.

This new eyetracker also doubles the speed of tracking so as to allow the laser to rapidly adjust to the eye’s movements; response time with ACE is now under 7 milliseconds, or 0.007 seconds. ACE also adjusts for the pupil center shifting that can occur between light and dark settings, critical to the proper centering of customized LASIK treatments over the pupil.

About the McMann Eye Institute

 The McMann Eye Institute is a Hawaii ophthalmic surgery practice founded in 2007 by Dr. Michael A. McMann. Dr. McMann, the founder and Medical Director of the McMann Eye Institute.  He has extensive training and experience in performing laser vision correction (LASIK, PRK) and advanced techniques for cataract surgery, corneal transplantation surgery, and management of corneal and external eye disease.  For more information visit the company’s website at http://www.OahuLasik.com/.


About Technolas Perfect Vision

 Technolas Perfect Vision is a joint venture between Bausch & Lomb, the global eye health company, and 20/10 Perfect Vision AG, the femtosecond laser developer, that is focused on the laser vision correction industry. The new company combines the refractive eye surgery assets of both businesses, and will utilize its global service and support infrastructure to introduce new, laser-based vision correction procedures, especially focusing on treatments for presbyopia. FDA approval of its ACE eyetracker in May comes on the heels of receiving CE Mark in April to commercialize the company’s INTRACOR procedure in Europe and elsewhere. INTRACOR represents a new femtosecond laser treatment for hyperopic (farsighted) presbyopes. Technolas Perfect Vision now markets product brands such as the INTRACOR femtosecond laser workstation with the CUSTOMFLAP, CUSTOMSHAPE and INTRACOR procedures, the TECHNOLAS 217z100 excimer laser system, which includes the ZYWAVE and ORBSCAN diagnostic devices, and the ZYOPTIX brand of laser vision correction treatments, as well as the HANSATOME and ZYOPTIX XP microkeratomes. For more information visit the company’s website at www.technolaspv.com.

1. Neuhann IM, Lege BAM, Bauer M, et. al: Static and Dynamic Rotational Eye Tracking During LASIK Treatment of Myopic

Astigmatism With the Zyoptix Laser Platform and Advanced Control Eye Tracker. J Refract Surg, 2009; in press.

2. Chang J: Cyclotorsion during laser in situ keratomileusis. J Cataract Refract Surg 2008; 34:1720–1726.

3. Ghosh S, Couper TA, Lamoureux E, et. al.: Evaluation of iris recognition system for wavefront-guided laser in situ keratomileusis

for myopic astigmatism. J Cataract Refract Surg 2008; 34:215–221.

4. Randleman JB, White AJ, Lynn M, et. al.: Incidence, Outcomes, and Risk Factors for Retreatment After Wavefront-optimized

Ablations with PRK and LASIK. J Refract Surg. 2009; 25:273-276.

###

News Media Contacts:

Name: Jason Sealey

Contact: +1-808-677-2733

OahuLasik.com

 

Name: Bob Anello

Contact: +1-949-297-3531

www.technolaspv.com

Editor’s Note: Technolas, the Technolas Perfect Vision logo, ACE, CUSTOMFLAP, CUSTOMSHAPE, HANSATOME,

INTRACOR, ORBSCAN, ZYOPTIX, and ZYWAVE are trademarks or registered trademarks of Technolas

Perfect Vision GmbH, Munich, Germany. Other trademarks are trademarks of the respective owners.

LASIK: How Safe is it?

LASIK: How Safe is it?

By Michael A. McMann, M.D.

No, really, how safe is it?

Chances are, you know someone who has had LASIK surgery, or you may have considered the procedure yourself.

Despite the allure of ditching daily eyewear, the decision to undergo this elective surgery is one most people understandably deliberate on for quite a while. So we asked Michael McMann, MD, a Fellowship-Trained Eye Surgeon specializing in Cornea and Refractive Surgery, just how safe LASIK really is.

 

“Like any surgery, the experience of the surgeon is the most important factor in achieving the best results.” —Michael A. McMann, MD

 

I’ve heard LASIK described as quick, easy, and painless.  Is it?

Make no mistake — LASIK is surgery, and anyone who implies otherwise is not entirely forthcoming.

The surgeon creates a flap in the cornea, and a laser is used to reshape the underlying cornea. The surgery takes less than half an hour, and patients feel pressure, but no pain.

However, that does not mean it is a simple procedure that just anyone can perform.  Like any surgery, the experience of the surgeon is the most important factor in achieving the best results.

In addition to the experience of the surgeon, what other  factors are important?

A number of factors are crucial to success with LASIK surgery. It starts with a thorough pre-operative exam by a qualified surgeon and staff to ensure you are a good candidate.

The quality of the surgical tools, such as the laser, is also very important. We believe that having dedicated, on-site laser machines in a controlled operating room environment, where temperature and humidity are constantly monitored, contributes to better outcomes in our patients.  We also have the best laser platform in Hawaii which allows us to customize the procedure to each patient’s eye measurements to ensure the best vision possible.

How common are complications?

The complication rate for LASIK surgery is very low, making it one of the safest surgical procedures around.

We perform a full comprehensive examination to identify any factors such as dry eyes and thin corneas that may increase the risk for complications.

At McMann Eye Institute, our rate of complications is extremely low, with the majority of them occurring less than 1 percent of the time, and our rates of enhancement [the need for additional laser adjustments] are under 2 percent.

Who really shouldn’t have the surgery?

Good question — there are people who are not good candidates for LASIK surgery. In fact, I generally turn down roughly 20 percent of the prospective patients who come in for an evaluation.

Some of the more common reasons include high refractive errors [nearsightedness or farsightedness], dry eyes, thin or abnormally shaped corneas, cataracts, and retinal problems from diabetes.

The good news is that if you do not qualify for LASIK, we offer an array of alternative surgical procedures, such as PRK or LASEK, corneal implants, phakic intraocular lenses, and cataract surgery with presbyopia- or astigmatism-correcting intraocular lenses.

What’s the bottom line for anyone considering LASIK?

LASIK is not for everybody, but those who are good candidates can experience a vision-changing and life-changing experience.

As with any surgery, people should do their homework beforehand, and choose a surgeon and facility they have every confidence in.

Want to Know More?

At the McMann Eye Institute, our surgeon and staff have been delivering LASIK care for over 10 years and have performed more than 5,000 surgical procedures.

To make an appointment for an eye exam to determine if you are an appropriate candidate for LASIK, call 808-677-2SEE or (808) 677-2733 or visit us online at OahuLasik.com.

Lasik Hawaii

Implantable Miniature Telescope Press Release

Patient Receives First Bionic Eye Telescope

Implant by Hawaii Surgeons

 HONOLULU, Jan. 18, 2012    — Two surgeons from Hawaii, Dr. Michael McMann of the McMann Eye Institute and Dr. Michael Bennett of Retina Institute of Hawaii, have successfully implanted the FDA-approved eye telescope, a first in Hawaii, at the Queen’s Medical Center in Honolulu. The first-of-its-kind telescope implant is integral to CentraSight™, a new patient care program for treating patients with end-stage age-related macular degeneration (AMD), the most advanced form of AMD and the leading cause of blindness in older Americans.  It is the only medical/surgical option that improves visual acuity by reducing the impact of the central vision blind spot caused by end-stage AMD.

Smaller than a pea, the telescope implant uses micro-optical technology to magnify images, which would normally be seen in one’s “straight ahead” or central vision. The images are projected onto the healthy portion of the retina not affected by the disease, making it possible for patients to see or discern the central vision object of interest.

Patients with end-stage AMD have a central blind spot. This vision loss makes it difficult or impossible to see faces, read, and perform everyday activities such as watching TV, preparing meals, and self-care. The telescope implant has been demonstrated in clinical trials to improve quality of life by improving patients’ vision so they can see the things that are important to them, increase their independence, and re-engage in everyday activities.

“I believe this Implantable Miniature Telescope is not only an evolutionary product, but a revolutionary one.  We have patients who may never see again because of end-stage macular degeneration and this new technology provides them with another chance to potentially see their loved ones’ faces again.  It is truly remarkable and exciting to be a part of,” says Dr. Michael McMann, of the McMann Eye Institute.

The treatment program is generally coordinated by retina specialists who treat macular degeneration and other back-of-the-eye disorders. The surgical insertion of the implantable miniature telescope lens is performed by the cornea surgeon.  The treatment program focuses on comprehensive patient care, requiring prospective patients to undergo medical, visual, and functional evaluation to determine if they may be a good candidate. A unique aspect of the evaluation is the ability to simulate, prior to surgery, what a person may expect to see once the telescope is implanted to determine if the possible improvement will meet the patient’s expectations.

“After decade’s worth of research and development, we finally have technology capable of restoring sight and visual function for patients suffering from chronic macular degeneration,” says Dr. Michael Bennett, of the Retina Institute of Hawaii.  “This is a very exciting breakthrough both in medical history and for patients who never thought they would see again.”

Dr. McMann, a cornea eye surgeon, and Dr. Bennett, a retina eye surgeon, are one of the first teams to perform the surgery nationwide.  As long time colleagues, Dr. McMann and Dr. Bennett were both trained at Emory University, one of the pioneering Phase I and Phase II surgical centers for the implantable device. Their natural union combines the best of their collective cornea and retina refractive skills.

The telescope procedure is performed on an outpatient basis and is covered by Medicare. Post-implantation, the patient will learn how to use their new vision in everyday activities by working with Dr. Kellen Kashiwa, the regional CentraSight visual rehabilitation provider.

Patients and physicians can find more information about the telescope implant and related treatment program at www.CentraSight.com or by calling (888) 999-4134.

 

About the McMann Eye Institute

The McMann Eye Institute is an Oahu-based ophthalmic surgery practice founded in 2007 by Dr. Michael A. McMann.  Dr. McMann, the founder and Medical Director of the McMann Eye Institute, has extensive training and experience in performing laser vision correction (LASIK, PRK) and advanced techniques for cataract surgery, corneal transplantation surgery, and management of corneal and external eye disease.

If you’d like more information about this topic, or to schedule an interview with Dr. McMann, please contact him at (808) 677-2733 or e-mail at info@OahuLasik.com.

SOURCE: McMann Eye Institute

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Leeward Laser Vision LLC LASIK Technology


 

FOR IMMEDIATE RELEASE

FOR MORE INFORMATION CONTACT:

JASON D. SEALEY

MCMANN EYE INSTITUTE /

LEEWARD LASER VISION, LLC.

91-2139 FT. WEAVER RD.  SUITE 202,

EWA BEACH, HI  96706

(808) 677-2733

McMann Eye Institute Partners with Leeward Laser Vision Center of Hawaii to Offer LASIK Surgery to Leeward O’ahu

Ewa Beach, O’ahu, Hawai’i – December 14, 2009 The McMann Eye Institute & Leeward Laser Vision, LLC are proud to be the first in the State of Hawaii to offer the Bausch and Lomb – Technolas Perfect Vision technology, combined to provide the very best wavefront customized LASIK.  This partnership offers unparalleled surgical experience with the best technology all in a brand new state-of-the-art LASIK surgery facility in the heart of leeward O’ahu.

Leeward Laser Vision Center of Hawaii is located at Hawaii Medical Center West and is the first (non-military) LASIK surgery center outside the city of Honolulu.  For patients living in north, central, and leeward O’ahu this will be the most convenient location for first-class LASIK refractive eye surgery.

 

Leeward Laser Vision, LLC, and LASIK eye surgeon Dr. Michael A. McMann of the McMann Eye Institute announced today that they have begun offering their patients the latest technology in laser vision correction, commonly known as LASIK, an acronym for Laser Assisted In Situ Keratomileusis.

“This partnership between the McMann Eye Institute & Leeward Laser Vision will offer truly personalized laser vision to patients using the Technolas Perfect Vision Zyoptix Laser Vision Correction System for the treatment of near-sightedness and astigmatism,” said Dr. McMann.

“The shape of your eye varies, much like fingerprints, from person to person.  The Zyoptix system maps thousands of data points on the surface of the eyeball and provides a three-dimensional picture of the shape and characteristics of the patient’s cornea.  I can then personalize the treatment based upon that information.  The documented results of this system from the FDA trials are outstanding,” stated Dr. McMann.  “Technolas Perfect Vision offers industry leading technology built upon the foundations created by Bausch & Lomb and 20/10 Perfect Vision, and we are excited to offer our patients this state of the art technology to the residents of leeward O’ahu”

Results from a multicenter clinical trial1 within the United States for the Zyoptix system were submitted to the FDA and showed impressive patient outcomes, which include:

  • 99.7% of patients said their quality of vision was improved;
  • 84.7% of patients expressed extreme improvement;
  • 91.5% of patients had 20/20 or better visual acuity without glasses after the Zyoptix system treatment;
  • 98.8% of patients were satisfied or extremely satisfied with their results;
  • 0% of patients were dissatisfied with their results;
  • 98.2% of patients said they would have the procedure again.

“Data from the U.S. clinical study clearly shows that the Zyoptix technology produces excellent visual outcomes as determined by customer satisfaction,” said Dr. McMann.  “Not only were more than 98 percent of the patients satisfied or extremely satisfied six months after the procedure, none of the patients were dissatisfied and there were no re-treatments during the study period.  Traditional LASIK surgery can’t say that.”

The Technolas Perfect Vision Zyoptix system is unique for a variety of reasons, particularly the advanced iris registration and tracking software, and the ability to change the diameter of the laser treatment area with its advanced diagnostic system, which analyzes thousands of data points across the entire eye – to produce a personalized vision treatment plan.  Technolas Perfect Vision Zyoptix system success has been proven outside the United States for many years – with more than 100,000 procedures in Europe and other parts of the world.  The FDA approval has now made it available here in the United States.

– more –

 

About the McMann Eye Institute

The McMann Eye Institute is an Oahu-based ophthalmic surgery practice founded in 2007 by Dr. Michael A. McMann.  Dr. McMann, the founder and Medical Director of the McMann Eye Institute, has extensive training and experience in performing laser vision correction (LASIK, PRK) and advanced techniques for cataract surgery, corneal transplantation surgery, and management of corneal and external eye disease.

If you’d like more information about this topic, or to schedule an interview with Dr. McMann, please call Jason Sealey at (808) 677-2733 or e-mail him at info@OahuLasik.com.

SOURCE McMann Eye Institute.

For more information visit their website at www.OahuLasik.com.

About Technolas Perfect Vision

Technolas Perfect Vision was formed by combining Bausch & Lomb’s Refractive Surgery division with 20/10 Perfect Vision, a visionary German femtosecond laser company.  This new joint venture company is dedicated, first and foremost, to creating a new premium procedure segment in corneal refractive surgery based upon proprietary intrastromal femtosecond laser treatment of presbyopia.  More information about the Zyoptix system can be found at www.zyoptixusa.com.  Information about the Company can be found on the Technolas Perfect Vision Web site at www.technolaspv.com.

#   #
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Leeward Laser Vision LLC

Leeward Laser Vision Center of Hawaii offers unparalleled experience with a new state-of-the-art LASIK surgery facility in the heart of Leeward O’ahu.

Ewa Beach, Oahu, Hawaii – October 16, 2009 – Leeward Laser Vision Center of Hawaii has been established to provide a state-of-the-art refractive surgery facility located in the heart of leeward O’ahu in an announcement made by Michael A. McMann, MD, the Medical Director.  As a founding member, he has been providing the residents of O’ahu and the state of Hawaii with the very best in eye care since 2006.

“Leeward Laser Vision was established in order to improve patient access to laser vision correction surgery on the leeward side of the island of O’ahu.   Our goal is to exceed the highest standards of care in both refractive surgery and patient care while serving the needs of our community,” said Dr. McMann.

As chief refractive surgeon, Dr. McMann brings a wealth of knowledge and 12 years of ophthalmic clinical practice experience in the military and private practice.

If you would like further information about the eye care services offered please contact the Leeward Laser Vision Center of Hawaii.  We invite you to discover how our expertise, exceptional patient service and our technology will enhance your eye care experience.

 

About Leeward Laser Vision, LLC

  • First and only center in Hawaii to offer the Bausch and Lomb – Technolas Perfect Vision ZyoptixÔ laser technology, combined to provide the very best in Wavefront Customized LASIK.
  • First and only center in the Hawaii to offer an FDA approved Advanced Control Eyetracking (ACE), for the Technolas LASIK platform.  This ensures that the laser treats your prescription regardless of your eye movement; this technology is only available with Technolas the most advanced wavefront-guided laser system available in the U.S.
  • First LASIK surgery center in Hawaii located outside the city of Honolulu.  (non military)
  • First state-of-the-art LASIK surgery center located in Leeward Oahu.
  • For patients living in north, central, and leeward O’ahu  – the most convenient location for first-class LASIK refractive eye surgery.

About Dr. McMann

Michael A. McMann, M.D., the Medical Director of the McMann Eye Institute, has advanced fellowship training and experience in the surgical and medical management of corneal disease, as well as LASIK refractive eye surgery.   Also specializes in Keratoconous, advanced techniques for cataract surgery and corneal transplantation, in addition to general ophthalmology eye care.  His various accolades include:

  • Performed the first Implantable Minature Telescope (IMT) surgery  in Hawaii at The Queen’s Medical Center
  • Performed the first Corneal Transplant at the Hawaii Medical Center.
  • Performed first Descemet’s Stripping Endothelial Keratoplasty (DSEK) procedure at Tripler Army Medical Center.
  • Named the “Best of Leeward Oahu in Laser Vision Correction,” for 5 years in a row by the United States Local Business Association, and Honolulu Advertiser’s “Best of the Best.”
  • As a former active duty army surgeon, Dr. McMann has performed over 5,000 procedures and has performed LASIK on over 20 fellow physicians and is regarded by his peers as the trusted choice for laser vision correction.

###

News Media Contacts:

Name: Jason Sealey

Contact: +1-808-677-2733

www.OahuLasik.com

Editor’s Note: Technolas, the Technolas Perfect Vision logo, ACE, CUSTOMFLAP, CUSTOMSHAPE, HANSATOME, INTRACOR, ORBSCAN, ZYOPTIX, and ZYWAVE are trademarks or registered trademarks of Technolas Perfect Vision GmbH, Munich, Germany. Other trademarks are trademarks of the respective owners.

Latest Advance in LASIK Eye Surgery

  

 

 

Latest Advance in LASIK Eye Surgery Approved by the

US Food and Drug Administration

FOR RELEASE 28TH MAY 2009

ST. LOUIS, MO ― The US Food and Drug Administration recently approved a first of its kind technology for LASIK eye surgery, known as Advanced Control Eyetracking (ACE), for the Technolas LASIK platform. Eyetracking allows lasers used during LASIK surgery to compensate for eye movements during the procedure, thus adding an important level of assurance. However, no eyetracker has been able to adjust for subtle rotations of the eye that can occur during the laser treatment – that is until now. This new eyetracker locks on to the eye’s unique iris pattern just before the laser treatment begins, and then monitors the pattern throughout the procedure. When rotation of the iris pattern is detected during the treatment the direction of laser pulses is nearly instantaneously adjusted accordingly. This ensures that each laser pulse of the LASIK treatment is delivered to its intended location on the cornea.

“Several published medical studies involving almost 2,000 LASIK cases clearly demonstrate the benefit of the comprehensive, active, rotational eye tracking afforded by ACE technology,” according to Dr. Scott MacRae, Professor of Ophthalmology at the University of Rochester in New York.(1-3) “This technology is one of a kind. Rotation of the eye during LASIK could result in less than full correction of astigmatism, which is very common among LASIK patients, and an increased chance of the need for a secondary enhancement procedure.”

Review of LASIK Technology Available Today

 No other LASIK system available in the US can compensate for eye rotation during the LASIK treatment. Both the Technolas ACE and VISX S4 IR (Abbot Medical Optics, Santa Ana, CA) trackers compensate for the cyclorotation of the eye that can occur between the sitting position during critical diagnostic measurements and lying down on the LASIK bed. However, only the Technolas ACE tracker can adjust the delivery of laser pulses in response to eye rotation during the LASIK treatment. Further, the Technolas ACE system is enabled for both conventional and custom wavefront-guided LASIK treatments, while the VISX S4 IR tracker cannot adjust for cyclotorsion associated with conventional LASIK treatments.

The eyetrackers of the Wavelight and Ladarvision lasers (Alcon Laboratories, Fort Worth, TX) cannot compensate for eye rotation at all. The Wavelight system employs a four-point LED illumination pattern that the patient views, known as NeuroTrack™, which the company claims prevents any rotation during the procedure; however, no clinical data is available to confirm that this is indeed the case. In fact, a recent large study by Emory University using the Wavelight laser demonstrated that astigmatic eyes were nearly twice as likely as non-astigmatic eyes to require a touch up or enhancement procedure following LASIK. Increased enhancement rates among astigmatic eyes could be indicative of eye rotation during the treatment that goes unchecked.(4)

This new eyetracker also doubles the speed of tracking so as to allow the laser to rapidly adjust to the eye’s movements; response time with ACE is now under 7 milliseconds, or 0.007 seconds. ACE also adjusts for the pupil center shifting that can occur between light and dark settings, critical to the proper centering of customized LASIK treatments over the pupil.  The first six US installations of ACE technology will be completed by mid-June. For a demonstration of how ACE works go to www.ready4lasik.com.

About the McMann Eye Institute

 The McMann Eye Institute is a Hawaii ophthalmic surgery practice founded in 2007 by Dr. Michael A. McMann. Dr. McMann, the founder and Medical Director of the McMann Eye Institute.  He has extensive training and experience in performing laser vision correction (LASIK, PRK) and advanced techniques for cataract surgery, corneal transplantation surgery, and management of corneal and external eye disease.  For more information visit the company’s website at http://www.OahuLasik.com/.

About Technolas Perfect Vision

 Technolas Perfect Vision is a joint venture between Bausch & Lomb, the global eye health company, and 20/10 Perfect Vision AG, the femtosecond laser developer, that is focused on the laser vision correction industry. The new company combines the refractive eye surgery assets of both businesses, and will utilize its global service and support infrastructure to introduce new, laser-based vision correction procedures, especially focusing on treatments for presbyopia. FDA approval of its ACE eyetracker in May comes on the heels of receiving CE Mark in April to commercialize the company’s INTRACOR procedure in Europe and elsewhere. INTRACOR represents a new femtosecond laser treatment for hyperopic (farsighted) presbyopes. Technolas Perfect Vision now markets product brands such as the INTRACOR femtosecond laser workstation with the CUSTOMFLAP, CUSTOMSHAPE and INTRACOR procedures, the TECHNOLAS 217z100 excimer laser system, which includes the ZYWAVE and ORBSCAN diagnostic devices, and the ZYOPTIX brand of laser vision correction treatments, as well as the HANSATOME and ZYOPTIX XP microkeratomes. For more information visit the company’s website at www.technolaspv.com.

1. Neuhann IM, Lege BAM, Bauer M, et. al: Static and Dynamic Rotational Eye Tracking During LASIK Treatment of Myopic

Astigmatism With the Zyoptix Laser Platform and Advanced Control Eye Tracker. J Refract Surg, 2009; in press.

2. Chang J: Cyclotorsion during laser in situ keratomileusis. J Cataract Refract Surg 2008; 34:1720–1726.

3. Ghosh S, Couper TA, Lamoureux E, et. al.: Evaluation of iris recognition system for wavefront-guided laser in situ keratomileusis

for myopic astigmatism. J Cataract Refract Surg 2008; 34:215–221.

4. Randleman JB, White AJ, Lynn M, et. al.: Incidence, Outcomes, and Risk Factors for Retreatment After Wavefront-optimized

Ablations with PRK and LASIK. J Refract Surg. 2009; 25:273-276.

###

News Media Contacts:

Name: Jason Sealey

Contact: +1-808-677-2733

OahuLasik.com

 

Name: Bob Anello

Contact: +1-949-297-3531

www.technolaspv.com

Editor’s Note: Technolas, the Technolas Perfect Vision logo, ACE, CUSTOMFLAP, CUSTOMSHAPE, HANSATOME, INTRACOR, ORBSCAN, ZYOPTIX, and ZYWAVE are trademarks or registered trademarks of Technolas Perfect Vision GmbH, Munich, Germany. Other trademarks are trademarks of the respective owners.

Seniors: Aging and Vision Loss

Seniors:  Aging and Vision Loss

As we get older it is normal that our vision changes. Our eyes may find it harder to read small print, take longer to adjust from light to dark and be more sensitive to glare from sunlight or unshielded light bulbs. There’s a decline in depth perception that can make it hard to judge distances, and perceiving contrasts and colors may become more difficult.

Sight provides much pleasure, but it’s also an important part of staying safe and independent. Because our eyes do so much for us, they deserve good care and attention.

Be kind to your eyes!

Don’t smoke. Studies show that tobacco smoking is an important risk factor in the early onset of an eye disease called age-related macular degeneration (AMD). This disease causes serious and permanent loss of central vision.

Reduce glare. Wear sunglasses that provide 99 to 100% UV-A and UV-B protection when you go outside during the day. They will protect you from UV rays that can harm your eyes even on a cloudy day.

Protect your eyes from accidents. Here are some ways to prevent damage to your eyes:

  • put a grease shield over frying foods
  • make sure that spray cans and bottle nozzles are pointed away from you
  • wear safety glasses in the workshop and when opening and using chemical products like ammonia
  • when using bungee cords, be careful of recoil

Eat your carrots. Studies show that a daily dose of the vitamins and minerals found in melons, citrus, carrots, spinach and kale may help slow the progress of age-related eye diseases such as macular degeneration, glaucoma or cataracts.

Get an eye examination. Many changes to vision happen so slowly that you may not realize you have a problem. If you are over 40 years of age, the most important thing you can do to protect your vision is to have an eye exam on a regular basis.

Vision changes

Here are the most common changes that come with age:

Presbyopia is the inability to focus on close objects or small print. Reading glasses usually solve the problem. The usual age of onset is 40.

Floaters are tiny spots or specks that float across the field of vision, that are often normal. If a floater appears right in your line of vision, sometimes moving your eye around will make it shift out of your central vision. If you notice a sudden change in the number or types of spots you see, or if they come with light flashes, these may be signs of a serious problem.

Dry eyes are a common problem, especially with aging. Your eyes may feel gritty, itchy or burning. Your doctor may suggest special eye drops that act as tears. In a few serious cases, surgery may be needed to correct the problem.

Tearing (watery eyes) is another common problem. It may be because you are more sensitive to light, wind or changes in temperature. Simply protecting your eyes by shielding them or wearing sunglasses may solve the problem. The condition can also be a result of an eye infection, eye irritation or blocked tear duct, all of which can be appropriately treated.

Vision loss

Here are the most common reasons for age-related vision loss:

Cataracts are a gradual clouding of the natural lens of the eye that prevents light from reaching the retina. If the central part of the lens is cloudy, you may not be able to read or drive unless the cataract is removed. This is one of the most successful surgeries done in medicine today.

Glaucoma is an eye problem that develops when the pressure within the eye starts destroying the nerve fibers within the retina. If not treated early, glaucoma can cause vision loss and blindness. Because most people have no early symptoms, it is very important to have regular eye exams. Treatment may include eye drops, medication or surgery. Statistically, people of Filipino and Asian descent have a higher rate of incidence of glaucoma.

Age-related macular degeneration is an eye disease that occurs when the macula (the central part of the retina responsible for sharp vision) is damaged. This damage can be the result of many factors, including aging, and causes permanent loss of central vision. Regular eye exams can detect the disease early on and laser treatments can slow down central vision loss.

Diabetic retinopathy is an eye problem linked to diabetes. Changes to blood vessels can cause the retina to become oxygen starved. Symptoms include cloudy vision and seeing spots. This condition goes through many stages and can result in blindness. If you have diabetes, have regular examinations and inform your eye specialist if you are diabetic. Treatment can slow down vision loss. Laser treatment in the early stages often proves successful.

For most seniors, normal age-related vision loss can be corrected or stopped with glasses, medication or surgery.  For others, using vision aids and making changes to their homes and routines help them stay safe and independent.  For those who have more serious vision loss, there are many services available to help you through this difficult period of adjustment.

Call my office today at # 677- 2733 to make an appointment to see me personally if you have any questions about eye care or to discuss any of the age-related vision conditions described above.

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Dr. Michael A. McMann is a Board-Certified Ophthalmologist and Fellowship Trained Surgeon in Cornea, External Disease & Refractive Surgery.  The McMann Eye Institute is located in the Hawaii Medical Center West – St. Francis Medical Office Plaza in ‘Ewa Beach.

Glaucoma Information

Q: What is Glaucoma

A:  Glaucoma is a disease that causes a gradual degeneration of cells that make up the optic nerve which carries visual information from the eye to the brain. As the nerve cells die, vision is slowly lost, usually beginning on the outside of your field of vision.

Q: What are the causes of Glaucoma?

A: Often, the loss of vision is unnoticeable until a significant amount of nerve damage has occurred. For this reason, almost half of all people with glaucoma may be unaware of their disease.

The exact cause of primary open-angle glaucoma, the most common form of the disease, is uncertain. Other forms of glaucoma (such as angle-closure, secondary and congenital glaucoma) occur in relation to specific physical causes.

Elevated fluid pressure within the eye (intraocular pressure) seems related in some way to all cases of glaucoma.  However, even those cases with apparently normal pressure seem to benefit from treatment aimed at lowering pressure.

Q:  Can Glaucoma be prevented?

A:  Unfortunately, glaucoma cannot be prevented. Factors that increase the risk of glaucoma include age, race, diabetes, eye trauma, and long-term use of steroid medications.

Glaucoma is traditionally defined by a triad of signs, including the presence of at least two of the following:  elevated intraocular pressure,  optic disc cupping, and visual field loss.

However, case definitions used in the various epidemiologic studies of the disease have differed on specific criteria. Only cases of primary open-angle glaucoma that had clear signs of optic nerve head damage and/or reproducible visual field loss (definite open angle glaucoma) are included in the prevalence estimates.

Q: How common is glaucoma?

A: Glaucoma affects more than 2.2 million Americans age 40 and older, or about 1.9% of the population.

Q: Who is at risk?

A: Glaucoma can occur in people of all races at any age.  However, the likelihood of developing glaucoma increases if you:

  • are of Filipino, Japanese, Pacific Islander or African American descent
  • have a relative with glaucoma
  • are diabetic
  • are very nearsighted
  • are over 35 years of age
  • Glaucoma appears to be more common initially in women, but by age 65, prevalence becomes more comparable between the sexes.

Q: What are the treatment methods?

A: Most cases of glaucoma can be controlled and vision-loss slowed or halted by treatment.  To control glaucoma, Dr. McMann will use one of three basic types of treatment:  medicines, laser surgery, or filtration surgery.  The goal of treatment is to lower the pressure in the eye.   Unfortunately, any vision lost due to glaucoma cannot be restored.

For more information on Glaucoma, please visit my website at www.oahulasik.com.  I invite you to make an appointment to see me personally, if you have any questions about glaucoma or would like to discuss other eye care treatment options.

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Dr. Michael A. McMann is a Board-Certified Ophthalmologist, and Fellowship-Trained Surgeon in Cornea, External Disease & Refractive Surgery.   His office is located in the Hawai’i Medical Center West – St Francis Medical Office Plaza in ‘Ewa Beach.  He can be reached at 677-2733.

PRESBYOPIA: The Eye’s Inability to Focus as We Age

PRESBYOPIA:  The Eye’s Inability to Focus as We Age

What is presbyopia?

Presbyopia (prezbe-ope -ah) is the loss of the eye’s ability to change its focus to see objects that are near.  Presbyopia is not a disease, but a part of the natural aging process of the eye that affects everybody at some point in life. It generally starts to appear around age 45.

 

Why do I need to hold reading material farther away in order to see it?

 When we’re young, our eyes naturally have the ability to change their focusing power.  However, when we reach our mid 40’s, the ability to change our eyes’ focusing power diminishes.  This natural aging change, called presbyopia, turns our eyes from having a dynamic focusing range to something that has a fixed focus in whatever your natural refractive error is.

In individuals who are less than 40 years of age, the eye can be thought of as an auto focus camera.  In an auto-focus camera, all one has to do to get sharp pictures is to point the camera in that direction, the auto-focus mechanism kicks in and you get sharp pictures.  After age 40, the presbyopic eye can be thought of as a fixed focus camera.  Fixed-focus cameras, the most basic of all cameras, have a non-adjustable lens.

What causes presbyopia?

 We have a lens inside our eyes which is encircled by a muscle.  When that muscle contracts or squeezes, it changes the shape of the lens in our eye thus changing the focusing power of the eye.  Our lens is continually growing throughout our lifetime.  However, our lens is contained within a capsule making it an enclosed space.  So, by about the time we reach our mid 40’s the lens has become significantly dense and no matter how hard that muscle wants to squeeze, the lens just doesn’t want to flex anymore and our eye loses its dynamic focusing ability and becomes a fixed focus camera.

I’m older than 40 and cannot see well at distance, but I can see well up close without glasses.  Do I have presbyopia?

 Yes.  Everybody becomes presbyopic.  It’s a natural aging process and it’s impossible to avoid as we age.  The situation described is somebody who is myopic (nearsighted).  Their eyes natural refractive error causes them to be blurred at distance, but they can see up close.

Most people who are myopic have glasses for distance vision and when they become presbyopic; they simply remove their glasses in order to see up close.  However, due to their degree of nearsightedness, they may not be comfortable reading at their eye’s focusing distance.  Or perhaps they do not like taking off their glasses to read.  This can be solved by using bifocals.  Bifocals have the top portion of the lens for distance vision and the bottom portion for reading vision.  They can be made both with a line and without a line.  Bifocals with a line are the standard bifocals you’re used to seeing.  No-line, also known as progressive, bifocals have the reading power in the bottom of the lens transitioned into the lens.  Somebody wearing these appear to be wearing regular glasses and not bifocals.

 

 I still see well at distance, but now I need to push reading material further away in order to see it.  What should I do?

 In this case, you would probably only need reading glasses in order to see up close.  Over the counter reading glasses are OK and are good enough to get by.  However, prescription reading glasses are always better because they correct for any astigmatism or differences between your two eyes that over the counter reading glasses do not account for.

I used to see well both at distance and up close, but now both are blurry.  What’s going on?

 In this case, you probably were a little farsighted your whole life and never knew it.  When you are slightly to moderately farsighted and young, your eye actually has too little focusing power.  Since the lens inside our eye is so flexible when we’re young, the eye can usually compensate for this lack of focusing power by flexing the lens inside the eye even more to allow us to focus up close.  This refractive error serves young people well who have it because they are able to function very well without glasses.

As we age and the lens becomes less flexible, it loses the ability to make up for this overall focusing weakness in the eye.  So, these farsighted folks all of a sudden realize they need glasses usually in their mid to late 30’s to see well at distance.  They usually become fully presbyopic at an earlier age like in their early 40’s and need to wear bifocals or stronger reading glasses in order to see up close.  This type of refractive error serves one well when they’re young, but when they become middle aged it becomes a detriment because they end up having no focal plane where they can see clearly without glasses unlike nearsighted folks.

Is there a way to surgically correct for presbyopia?

 There is no way to completely surgically correct for presbyopia.  However, we do have some techniques and even surgical implants which can really make a great positive impact on patient’s lives.

One technique that we employ is something called monovision.  Monovision is where we correct one eye for distance vision (usually the dominant eye) and one eye for near vision (usually the non-dominant eye).  It is a compromise since one eye is always blurry which can decrease depth perception slightly, but this is quickly overcome by patients who enjoy this technique as it allows them to be completely free of glasses.  We can do monovision either with contact lenses or with LASIK eye laser surgery.  We of course do a contact lens trial in monovision first before we offer LASIK eye laser surgery to see if it’s something you like.  If it is something you end up enjoying, then permanent correction with LASIK eye laser surgery becomes an excellent option.

Another option we can explore is a multifocal intra-ocular lens.  Intra-ocular lenses are what we implant into the eye to replace the natural lens which is usually removed during cataract surgery.

My personal favorite multifocal intra-ocular lens is an intra-ocular lens called the ReSTOR.  The ReSTOR is highly engineered to split the light coming into the eye thus producing two focal points in the eye – one for distance vision and one for near vision.  This new intra-ocular lens allows most people to completely function well without the use of glasses.  This new intra-ocular lens, however, is considered cosmetic and is not covered by insurance carriers.  However, Insurance carriers will cover the cost of any medically necessary cataract surgery as well as a standard intra-ocular lens.

For more information on Presbyopia, the ReSTOR® intra-ocular lens, and LASIK please visit my website at www.oahulasik.com.  I invite you to make an appointment to see me personally if you have any questions about eye care or would like to discuss any of the presbyopic correcting options described above.

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Dr. Michael A. McMann is a Board-Certified Ophthalmologist and Fellowship Trained Surgeon in Cornea, External Disease & Refractive Surgery.  His office is located in the Hawai’i Medical Center West – St Francis Medical Office Plaza in ‘Ewa Beach.  He can be reached at 677-2733.