Corneal and Refractive Surgery

The cornea is like a clear window at the front of the eye. Diseases that damage it and affect sight include infection (bacterial and viral such as the herpes or cold sore virus), trauma and dystrophies, such as keratoconus and Fuchs’ endothelial dystrophy.

Image courtesy of Megor1 http://creativecommons.org/licenses/by/3.0

Specialists who perform this surgery:

Mr Mark Batterbury

Special Lens implants (as part of cataract surgery, clear lens extraction, refractive surgery)

During cataract (lens) surgery, it is standard to insert an implant (intraocular lens, IOL). This is usually focused to provide distance vision but not necessarily reading vision. Special (premium) lens implants can be inserted if there is astigmatism (toric IOLs) or to give vision at all distances (far, intermediate (computer) and reading). These lens implants are not suitable for all people and require special assessment and expertise for their use. They do not always give perfect vision, but can make it more likely that spectacles (glasses) will not be used after surgery.

Refractive surgery

This form of surgery is undertaken on people who wear glasses or contact lenses but do not have cataract. There is usually some form of surgery that can be used whether you are long sighted, short sighted, need reading glasses or have astigmatism.
Techniques include laser (excimer) surgery and clear lens extraction (refractive lens surgery) with lens implant (IOL) insertion. LASIK and LASEK are types of laser eye surgery.

Corneal and external eye disease

The cornea is like a clear window at the front of the eye. Diseases that damage it and affect sight include infection (bacterial and viral such as the herpes or cold sore virus), trauma and dystrophies, such as keratoconus and Fuchs’ endothelial dystrophy.
Modern treatments include cross linking and corneal transplantation. Nowadays it may not be necessary to replace the entire cornea: lamellar surgery can now be performed such as endothelial transplantation (DSAEK).
Blepharitis and dry eye type conditions are very common and can be troublesome. Most people can be helped by simple remedies.

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