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19 June 2009


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PRELEX SAFETY

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How safe is the procedure?

PRELEX uses new technology in the form of the multi-focal lens or pseudo-accommodative lens, combined with a well proven surgical procedure. Every year in the UK alone almost a quarter of million people undergo cataract surgery, in which the lens is replaced with a lens implant using the same surgical techniques required for PRELEX. At Grange Eye Consultants your surgeon is highly skilled and trained in both the procedure itself and the new technology.

As with all surgery there are risks, even though cataract surgery is now considered one of the quickest and safest surgical interventions available. PRELEX is the same procedure in a non-cataract patient. Although the vast majority of patients achieve excellent results without complications, it should not be forgotten that PRELEX is a surgical procedure. As with all forms of eye surgery, PRELEX has risks and whilst we make every effort to minimize them they cannot be totally eliminated. You can discuss these risks further with your surgeon, but in the end, only you can determine if the benefits of having PRELEX are worth it for you. As an elective procedure, there always exists the alternative of wearing glasses, bifocals or contact lenses.

Although the vast majority of patients achieve excellent results without complications, it should not be forgotten that PRELEX is a surgical procedure. As with all forms of eye surgery, PRELEX has risks and whilst we make every effort to minimize them they cannot be totally eliminated.

The most common risks associated with PRELEX are:
i.
Retinal Detachment – occurs when the retina detaches from its normal position and can result in severe loss of vision if surgical correction is not successful. The approximate risk of a retinal detachment in the general population is 0.01 % per year. Someone who is hyperopic has a smaller risk than this, whereas a myopic patient has a slightly higher risk than this.
ii.
Infection - every time there is an incision made in an eye for any reason it is possible to get an infection inside the eye which has the potential to cause severe visual loss. This problem is extremely rare and our rate of endophthalmitis is less than 0.03%. After the PRELEX operation, to help protect against infection eye-drops are prescribed which must be used as directed
iii.
Macular Oedema – is an accumulation of fluid at the central retina which can cause temporary or permanent reduction in vision after surgery. The postoperative eye-drops also help to reduce this risk.
iv.
Floaters – are often noticeable immediately after surgery but usually become less noticeable with time.
v.
Posterior Capsule Opacification (PCO) – is thickening of the residual lens membrane which supports the lens implant. Approximately 25% of patients will, at some stage, notice a reduction in their vision due to PCO. It may occur months or even years after surgery and is easily and quickly dealt with by outpatient laser treatment.
vi.
Other possible complications include tearing of the lens capsule (<1%) which could mean that it is more difficult to implant an intraocular lens. There are other extremely rare complications which your surgeon will discuss with you prior to surgery.


How common is PRELEX?
Although you may not have heard about PRELEX, the procedure itself is regularly performed by a number of Consultants in the UK. It has previously been called by a variety of names so the promotion of it under the name PRELEX is relatively new.

PRELEX has recently received the  Mark in the European Union.


Why should I choose Grange Eye Consultants for my PRELEX?

PRELEX SurgeyOur Consultant Ophthalmic Surgeons, have each performed in excess of 6,000 cataract procedures so are highly skilled in the removal of the natural lens using the latest micro-incision phaco technology. They have been using foldable IOLs and multi-focal lenses for over 8 years. When using a multi-focal or accommodative lens, particularly in the PRELEX patient, accurate biometry is crucial to select the right power for your eyes. At Grange Eye Consultants we use the latest technology to measure all aspects of the eye enabling us to achieve the best visual outcome thereby eliminating or reducing your dependence on glasses.

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