Dr. Burgoyne-Dechant of Via Christi Clinic spoke to Via Christi Women's Connection about new technology and therapy in ophthalmology.

1. New technology and therapy in
ophthalmology: See well at every age
Jennifer K. Burgoyne-Dechant, MD
Board certified ophthalmologist

2. Technology
Historically, vision correction choices
were limited to spectacles and squinting.
But today, we live in an age of vision
technology and surgical choices!
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3. Basic terms
Myopia Hyperopia
Astigmatism
Presbyopia
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4. Memories …
We’ve come a long way baby!
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5. Hard contact lenses
Advent of hard contact lenses
 Non gas-permeable
 Lots of discomfort
 Short wearing time
 But WOW, no more glasses!
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6. Soft contact lenses
Soft contact lenses start a revolution
 Comfortable
 Overnight/continuous wear
 Colored!
 Astigmatism correction — torics
 Cosmetic/decorative
 Single use disposable
 Expensive initially
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7. New age spectacles
When function meets fashion
 High refractive index — no lenses
 Photosensitive color change — transition
lenses
 Progressive add lenses — no-line bifocal
 New Wavefront lens correction — custom
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8. Refractive surgery: RK
Radial keratotomy
 Surgical remodeling of the
eye to correct myopia,
decrease need for
glasses
 Pioneered in the 60s —
flattens the curvature of
the cornea
 4-cut, 8-cut and 16-cut
procedures for specific
results
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9. Refractive surgery: EXCIMER laser
Laser
 PRK — laser correction revolutionizes industry
 LASIK with keratome — “flap and zap"
 All laser LASIK — Femtosecond laser
 Custom ablations
 Eye tracking capabilities
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10. Refractive surgery: Other procedures
 INTACS — corneal inlay
 Now used for corneal keratonus
 Implantable contact lenses — used for
extreme near-sightedness
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11. Lens based surgeries
Lens surgeries
 Old style cataract surgery — Aphakia with
thick-lens glasses, ridged lens
 Extra-capsular cataract surgery with
intraocular lenses
 Phacoemulsification revolution
 Viscoelastic devices — save
the corneal endothelium
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12. Lens based surgeries cont.
 Smaller and smaller incisions
 Intraocular lenses (IOLS)
 Foldable silicone
 Acrylic
 Monofocals
 Premium IOLs:
 Multifocal
 Torics
 Light adaptable
 Refractive lens exchange …
12 a new era of vision

13. Cosmetic ophthalmology and
oculoplastics
Eyelid surgery
 Blepharoplasty —
eyelid lift (upper and
lower)
 Eyebrow lift — the eyes
have it!
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14. Cosmetics
Botulinum toxin
 BOTOX® Cosmetic, Dysport® and Myobloc® to treat:
 Glabellar (frown) lines
 Blephrospasm and facial spasm
 Excessive sweating
 Headaches
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15. Sodium Hyaluronate or “HA”
Restore volume and contour
 Eye surgery — protects delicate eye tissue during surgery
 Healon®
 Amvisc®
 DuoVisc®
 Orthopedics — joint lubricant
 Supartz®
 Synvisc®
 Cosmetic purposes — facial filler
 Juvederm®
 Restylane®
 Perlane®
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16. Beauty benefits
LATISSE®
 Once a glaucoma eye drop — LUMIGAN®
 Now creates long lush eye lashes
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17. The eyes have it!
Today’s technology offers you:
 Good vision – without glasses
 Great looks
BOTOX® Cosmetic LATISSE®
Blepharoplasty
LASIK
Fillers
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