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Published: The Norman Transcript, May 8, 2005

For Moore woman, May 3rd brings new significance

33-year-old among a few in state to undergo new cataract surgery

By Carol Hartzog
Special to the Norman Transcript


Dixie Szymanski of the Moore area struggled with her vision all her life, wearing eyeglasses since she was 1 years old. Cataracts in both eyes, eye infections and allergies made the situation worse.

But those inconveniences paled in comparison to what happened May 3, 1999.

The metro-area tornado that ripped through Moore not only demolished her home, but her left eye was knocked back into her head, and her face and neck were crushed. The bones around her left eye socket were broken, as was her jaw and neck. A head gash required 100 staples to close.

She had complete memory loss for a few days, wore a neck brace for three months, and even had her eye sewn shut to heal. The surgeons literally had to pick her eye up and put in five titanium plates behind the eye socket and in the jaw.

With some double vision and halos, she hasn’t been able to read street signs and night-driving was starting to be hazardous. She thought Lasik vision correction might be helpful to correct her problems. But the cataracts prevented that option.

Thirteen surgeries later, she has one more to go.

On this the sixth year since the May 3 tornado – Tuesday – Szymanski will replace her lens with an artificial lens. The procedure is new to Oklahoma – the 35th state with two physicians performing the crystalens ® procedure, just approved by the FDA last year.

crystalens ® 'a dream come true'

Szymanski is a perfect candidate for the 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.

With the procedure, patients need no bifocals, contacts or reading glasses. And for this 33-year-old with a husband and two small children, that possibility is “a dream come true.”

"I hate glasses. My contacts weren't working (with my allergies), with limited peripheral vision is a hassles, and when it’s hot, they are slipping on you," said Szymanski, whose twin sister has worn glasses since she was 5 months old. She has an appointment later this month to see what can be done for her.

"They gave me hope that maybe, someday, I could see 20/20," she said.

May 3rd will be bittersweet for Szymanski. She will have a hopefully life-changing surgical procedure and the tornado experience has made her appreciate life much more than before. She doesn’t fret over the little things like she used to.

But that day in 1999 was not only traumatic for her, but for two of her three sisters. They too lost houses in the tornado. One sister lived just a few houses down from her, and the other lived in Newcastle. All three homes were destroyed.

The Szymanskis chose to build about a mile north of their home on Southwest 138th, but they remain in the Moore School District. One sister rebuilt on the same Newcastle spot while the other built near May Avenue.

Physicians first in state to perform surgery


Szymanski is one of only 45 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 statewide to first perform the Lasik surgery.

Now Dr. Britton and Dr. Brad Taylor are the first in the state to perform the crystalens® procedure.

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.

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.

Procedure a godsend for cataract patients

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.

BVA Advanced Eye Care includes eight ophthalmologists and four 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.

In July, BVA will be opening an office in Norman with Dr. Josh Powell hanging up his shingle.


 

 

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