Episode 10

Light Adjustable Lens

This episode provides a detailed case study and overview of the Light Adjustable Lens (LAL) technology used in cataract and refractive surgery, particularly for patients who have previously undergone LASIK.

Written By

Dr. Raymond Stein

About This Episode

 The Light Adjustable Lens is highlighted as an excellent treatment option because traditional intraocular lens (IOL) calculations are often inaccurate in eyes with prior laser vision correction, and repeat LASIK enhancements carry risks.

The article outlines a 63-year-old male patient’s journey, detailing how the LAL was customized post-surgery using ultraviolet (UV) light adjustments to achieve both distance and near vision (monovision) correction. Key learning points emphasize that the LAL allows for post-operative customization of vision and requires patients to wear UV-blocking glasses until the lens is “locked in” with a final UV treatment.

Contraindications, such as small pupils or unwillingess to comply with follow-up appointments, are also listed.

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