Advanced Cataract and Presbyopia Treatment Clearly Advanced Cataract and Presbyopia Treatment Clearly. Better vision for your active life. Welcome to the [Practice Name] educational seminar on advanced cataract treatment and technology. This presentation is intended to be an aid for educating patients on eye conditions, cataract surgery options, and presbyopia treatment. 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. 2010.01.08-CT1576

Your Lifestyle Our Goal: Match the right cataract and presbyobia treatment to your lifestyle Your work or hobbies Sports and leisure activities Reading and computer use Driving habits Desire to do daily activities without depending on glasses At [Practice Name], we’re committed to offering our patients the most advanced cataract and presbyopia treatment and technology available today. Our first step is to match the right treatment option to your lifestyle and vision needs with the goal of helping you to be as independent of glasses as possible. First, we start by understanding your daily activities, such as work, hobbies, sports, and computer use.

Your Vision Needs Important questions to make the right treatment choice What time of day or night do you drive most often? How much reading do you do each day? Where do you like to read? Outside during the day Inside under bright light Inside in dim light How much do you use a computer? We even focus on understanding the time of day and light conditions when you drive or read most often.   With the lens technology that we offer at [practice name] today, we can optimize your vision so you can enjoy everyday activities in low-light environments like reading a menu in a dimly lit restaurant, taking a walk at dusk, or even driving at night.

The Healthy Eye The crystalline lens focuses light onto the retina and images are clear The healthy human eye can focus sharply on near objects, things far away, and everything in between. The cornea and crystalline lens focus incoming light by bending all the light rays to meet at a single point on the retina. These images are then transferred via the optic nerve to the brain where we “see” them. Light is sharply focused Crystalline Lens

What is a Cataract? Cataracts are a clouding of the eye’s natural crystalline lens Cataract Light rays dissolve and vision is blurred Now, let’s learn about eye conditions that affect your vision and lifestyle.   Cataracts happen when the natural lens inside the eye becomes cloudy, brown, or yellow. As a result, light entering the eye is scattered by the lens with a cataract before it can focus on the retina, so vision becomes blurry or dark and colors become muted. Almost everyone over 60 years of age will develop cataracts.

Symptoms of a Cataract Signs you may have cataracts Difficulty driving Difficulty seeing at night Difficulty viewing a computer screen Colors appear dim and faded Frequent change in glasses prescription Normal Vision Vision with Cataracts If you have a cataract, it will affect your lifestyle. You will have difficulty with driving, seeing at night, and looking at a computer screen, as well as have frequent changes in your eyeglass prescription.

What is Presbyopia? Presbyopia is when the natural crystalline lens hardens and loses flexibility. Signs you may have presbyobia: Loss of ability to read up close Difficulty viewing a computer screen Need reading glasses or bifocals Holding objects further away to read Presbyopia commonly begins to happen around the age of 50. The natural crystalline lens inside the eye begins to harden and become less flexible.   So, what does this mean for your vision? You will notice that it is difficult to switch focus from near, far, in between, and back again, such as looking at a map, then to a road sign, and back to the map again. If you have presbyopia, you may lose the ability to read up close. You may also have difficulty looking at a computer screen and need reading glasses or bifocals. Or you may find that you need to hold objects at arm’s length to read.

What Are My Treatment Options? Cataract Surgery Cataract surgery is performed over 15 million times worldwide every year.* The cataract is removed through a process called phacoemulsification or “phaco” in which the cataract is broken up using ultrasonic waves. An intraocular lens implant is then placed in your eye. This procedure takes only about 15 to 30 minutes. You may be eligible for different types of intraocular lenses. The following simulated images are designed to educate you on your lens options. *Market Scope. 2008 Annual Cataract Surgeon Survey. St. Louis, Mo: Market Scope LLC.

What Are My Lens Options? Multifocal Lens vs. Monofocal Lens Multifocal Intraocular Lens or IOL Corrects poor vision caused by both cataracts and presbyopia Provides vision at all distances – near, far, and in between Gives you more freedom from wearing glasses than a monofocal lens Patented optics and materials provide high quality vision at all distances, under any lighting condition Designed to balance the cornea and the lens DISTANCE FOCAL POINT NEAR FOCAL POINT There are two main options in choosing an IOL: monofocal and multifocal intraocular lens or IOL. Making a decision between the two lenses depends on what’s most important to you. With a multifocal lens, you may be able to see near, far, and everything in between without wearing glasses. A multifocal IOL can correct both cataracts and presbyopia.   Many patients who lead an active lifestyle prefer a multifocal lens, because they don’t have to worry about losing their glasses or hassling with glasses while playing golf or traveling.

What Are My Lens Options? Multifocal Lens vs. Monofocal Lens Monofocal Intraocular Lens or IOL Corrects vision for seeing in the distance Cannot correct presbyopia or seeing up close Glasses may still be required One Distance Focal Point Monofocal IOLs correct your vision for looking at things in the distance. Most people see well enough at a distance to function without glasses while driving or playing golf. However, most people still need glasses for reading or working on the computer.

Advanced Multifocal Lens Technology TECNIS® Multifocal Lens The advanced lens for your life See near, far, and everything in between, both day and night Nearly 9 out of 10 patients enjoy freedom from glasses1 According to a recent clinical study, 92% of patients would choose the TECNIS® Multifocal lens again1 At [practice name], we provide the most advanced lens available today. Only the TECNIS® Multifocal Lens provides high-quality vision at all distances and all lighting conditions, even in dim light.   According to a recent clinical study, nearly 9 out of 10 patients don’t wear glasses after receiving the TECNIS® Multifocal IOL, and 92% of patients were so satisfied with the results of their new lens, that they would choose the TECNIS® Multifocal Lens again. 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. 1. TECNIS Multifocal Foldable Acrylic Intraocular Lens [package insert]. Santa Ana, Calif: Abbott Medical Optics Inc. .

TECNIS® Multifocal Lens Exceptional full range of vision Road signs and children at crosswalk in the distance Dashboard at intermediate vision Coffee cup up close Simulated vision with a standard monofocal lens Simulated vision with the TECNIS® Multifocal Lens Now, let’s compare the two images. The traditional lens on the top shows that although distance vision is clear, the coffee cup and dashboard are blurry.   The TECNIS® Multifocal image on the bottom shows that you can see the coffee cup up close, the road signs in the distance, and the dashboard in betweenall clearly.

TECNIS® Multifocal Lens Glows or halos may appear around lights at night with multifocal lenses However, this effect usually diminishes over a period of weeks or months Immediately after surgery, you may notice rings around lights when driving at night. However, as your eye adjusts to the lens over time, the visual impression of rings typically lessens or goes away. For many people, the ability to see near, far, and everything in between outweighs any inconvenience that may be experienced from halos.

TECNIS® Multifocal Lens Uniquely designed for any lighting condition, even low light Reading a menu in a dim restaurant Walking at dusk Driving at night Another unique feature of the TECNIS® Multifocal IOL is the patented optics and material that provide high-quality vision in low-light environments. As light is reduced, most lenses lose the ability to provide good vision.   Activities such as reading a menu in a dim restaurant, walking at dusk, or driving at night become more difficult. Only the TECNIS® Multifocal Lens gives you high-quality vision in low-light conditions, so you can safely enjoy your daily activities.

TECNIS® Multifocal Lens See clearly at near, intermediate, and far distances See clearly in all light conditions, even low light See clearly without glasses If you lead an active lifestyle and don’t want glasses to slow you down, the TECNIS® Multifocal Lens may be the lens for you. It is designed to provide you with high-quality vision at any distance and in all lighting conditions – even in dim light, so you can be free of glasses and get back to the activities you enjoy. After examining your lifestyle and vision needs, Dr. [X] will determine if the TECNIS® Multifocal Lens if right for you.

Important Safety Information Clearly. Better vision for your active life. 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.

Important Safety Information 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 U.S. 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 in 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). TECNIS is a trademark owned by or licensed to Abbott Laboratories, its subsidiaries or affiliates. ©2010 Abbott Medical Optics Inc.