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Karen Shepherd consults with Dr. Brad Britton.

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"Say Goodbye to eyeglasses"

Woodward woman among three in state to undergo new cataract surgery on both eyes

Published in Woodward News, 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 Woodward News

Karen Shepherd, 56, has struggled with eyeglasses and contact lenses for 15 years.

Rural Woodward plays havoc with eyes that don't see well at night. "There are no lights in the country," Shepherd said Friday. "When I was living six miles out of town, I couldn't tell the difference between the pavement ending and beginning."

She decided to turn to her family eye doctor, Dr. John Hawkins of Woodward, when her driving ability was becoming impaired. What Dr. Hawkins found were visually significant cataracts, common among people over 60 years old.

Shepherd was a perfect candidate for a new cataract replacement lens surgery for people who develop cataracts and who want to be able to see clearly, near, intermediate and far without corrective lenses, said Dr. Brad Britton, founder of BVA in Edmond.

Now, she needs no bifocals, contacts or reading glasses, and she can see as well as she did years ago. With her previous visual perception, she shouldn't have been driving, especially at night, Dr. Britton told her.

But for Shepherd, her mobility is critical, especially when you have to drive 90 miles just to go shopping, and an even longer drive to see her three children and six grandchildren.

Shepherd is one of only three people in the state to have cataract accommodating lens replacement surgery, or crystalens ®. It's the most innovative technological advance in eye surgery since Lasik was introduced in 1995, said Britton. He was one of three ophthalmologists in the state to first perform the Lasik surgery.

Now Dr. Britton is the first in the state to perform the crystalens ® procedure. Oklahoma joins the ranks of 35 other states with a physician performing the crystalens ® cataract eye surgery.

There are people who can't see their computer screens, for example, without a corrective lens, Britton said. 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.

Shepherd starting wearing bifocals at 41. She was having headaches and blurry vision. She tried contacts for three years, but her vision wasn't as improved as she hoped. Then she started wearing trifocals. As a secretary of engineer at Northwest Electric Co., she does a great deal of "book work." Her eyes are critical to her performance.

"I thought I was seeing very well until I got these," she said of her crystalens ®. "It's a WOW factor."

Over the years, 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.

The crystalens ® procedure is for the older population, age 45 to 65, who get cataracts. That's something we will all experience some day, but it depends to what degree.

"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."

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," he 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."
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 is the more you read, the more your vision improves, as the muscles that move the lens strengthen after years of atrophy.

"I'm looking at the way things bloom – the tree, the lights, the patterns, everything is clear. I'm just amazed, I can't even explain it," said Shepherd, who has lived in the Woodward area 28 years. Now, her children will trust her to drive the grandkids around, she said.

The Edmond resident hasn't forgotten his rural roots. Dr. Britton was born in Cordell and grew up in many small towns, including Woodward, where he attended grade school at then-Mooreland Grade School.

He also lived in Yukon, Norman and graduated as valedictorian from Weatherford High School. He established a Weatherford specialty clinic 13 years ago while with Oklahoma City Clinic and opened his own practice eight years ago in Edmond, BVA – BVA. He traveled from Edmond to Weatherford once a week for seven or eight years, serving patients.

BVA Advanced Eye Care includes seven ophthalmologists and several optometrists. Its mission is to serve the rural areas, with hubs in Edmond, Ada, Tulsa and Elk City, and satellites in Clinton, Hobart and 30 other places in state, including Woodward, Shattuck and Fairview.

 

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