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Toss the bifocals and contact lenses

Edmond's Dr. Brad Britton first in state to provide new cataract surgery

Published page 1, The Edmond Sun, December 2004
(EDITOR’S NOTE: Since publication of this news article, Dr. Brad Taylor has become the second surgeon in the state to be certified to perform the crystalens® procedure)

By Carol Hartzog
Special to The Edmond Sun


And baby boomers don't want to wear bifocals.

A new surgical procedure for cataracts is coming down the pike just as the baby boomer population is reaching age 45-65. It is the newest technology impacting people who develop cataracts and who want to be able to see clearly, near, intermediate and far without corrective lenses or eyeglasses.

Cataracts are something we will all experience in the future, some more than others.

Dr. Brad Britton with BVA of Edmond is the first in the state to perform what is called the crystalens ® procedure, or cataract lens replacement procedure.

crystalens ® is the most innovative technological advance in eye surgery since Lasik was introduced, said Britton. In 1996, Dr. Britton was one of the first three ophthalmologists in the state to perform the revolutionary Lasik surgery.

There are people who can't see their computer screens, for example, without a corrective lens. It impacts those facing bifocals, who don't want to hassle with glasses and contact lenses. Traditional cataract surgery leaves you still having to wear glasses.

The procedure actually removes the lens, and replaces it with an artificial lens, which moves as the muscle contracts.

"It's a godsend for cataract patients, just in time for the baby boomer generation to start coming of age – an affluent generation wanting to remain as active and viable as possible," said Dr. Britton. "They want to be able to do whatever it takes to not have to wear bifocals."

The heavy amount of reading in the legal profession taxed attorney Craig Cole's patience.

"You don't go anywhere without your glasses. You might go without your briefcase. You might go without your best friend, but not your glasses."

"In the courtroom, trying to glance down and up to find your place, reading the material, it becomes an art form," said the attorney who has practiced for 32 years in downtown Oklahoma City. In more recent years, he would practice what he was going to do, with a great deal of memorization. "I can track the material now, much better."

Cole, an Edmond resident of 20 years, is one of three patients in the state who has had both eyes implanted. A dozen are waiting in the wings and will have their second eyes done the end of the month.

"You can't imagine the restorative power of the new lenses. It's better than the old type of cataract surgery with the single focal, limited vision. … If I knew where to buy stock in the company, I'd buy it."

In a two-year time span, attorney Craig Cole went from clear to totally frosted vision.

An active 60-year-old, he couldn't see facial features three feet in front of him. He is a woodworker, gardener and knife maker. He sketches out the design before beginning a project. His lines were becoming bowed to the eye.

"I couldn't get the garden bed level with my rake. It looked bowed," Cole said. He's worn eyeglasses for 20 years, but they limited his active lifestyle of mountain climbing and snow skiing.

He decided to turn to his family eye doctor, Dr. Larry Olsen of Edmond, when his driving ability was becoming impaired. What Dr. Olsen found were visually significant cataracts, common among people over 60 years old.
Cole was surprised because he had no family history of cataracts nor any indication of cataract development. The standard cataract surgery was an option, but eyeglasses would still be needed. With woodworking, he needs to see distance and up close, and "thick glasses are not too attractive in my profession."

Cole was a perfect candidate for the new cataract replacement lens surgery, said Dr. Britton, founder of BVA, or BVA, in Edmond. Cole is one of only three people in the state to have both artificial lens surgically implanted.

"My vision is beyond expression," he said Wednesday just a week after the second-eye surgery. "I can see the pores in your face, the threads in your jacket – and count them."
crystalens ® is a cataract replacement lens that works naturally with the eyes’ muscles to give you the quality of vision enjoyed when you were younger.
crystalens ® “hinges” are designed to allow the lens to move, or accommodate to focus on objects near, far and all distances in-between seamlessly. Unlike old-style fixed focal lenses, which didn’t move, crystalens® has the ability to move, thus focusing as your eye’s natural lens did when you were younger.
And the best part about the new implants, Cole said, is the more you read, the more your vision improves, as the muscles that move the lens strengthen after years of atrophy.

Oklahoma joins the ranks of 35 other states with a physician performing the crystalens® surgery.

Unfortunately, Medicare patients cannot receive the benefits of this surgery as yet, so thus, the cut off of age 65, Dr. Britton said. Medicare won't even allow its beneficiaries to pay for it out of pocket. But medical leaders say they hope that will change any day, as the issue is at the top of the list of Medicare's concerns.

"The ones most excited about this technology are those who have been farsighted all their lives. They want to not have to keep up with their glasses," Dr. Britton said. "crystalens ® is for patients who were going to cataract surgery anyhow, but the traditional cataract surgery gave them the distance sight, but they still had to have reading glasses."

"If you're going to have cataract surgery, this is the type of implant I would want in my eye. Most likely my parents will have it done before their 65th birthday."

The evolution of cataract treatment has gone through many phases -- from having to wear very thick glasses to lens implants, but patients still had to wear glasses or lens, said Dr. Larry Henry with BVA.

Cataract treatment then evolved into mono-vision lenses, where one lens allows you to see up close and another at a distance. Not everyone can adjust to that, physicians say.

Lasik surgery is for younger people who wear glasses and contacts to see clearly in the distance. This impacts about half the population, but only 2 percent utilize the procedure.

For Cole, when he spends time with his three grandsons, "gran'pa doesn't have to fiddle with his glasses when he has to tie the hook on Ethan's fishing line."


 

 

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