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Light Adjustable Lens (LAL)

We are excited to share with you that we are now offering the revolutionary Light Adjustable Lens™ from RxSight® as the newest lens option in our cataract program. The Light Adjustable Lens is the first and only lens that can be customized after cataract surgery. This customization is achieved through revolutionary macromer technology that allows the lens to be tailored and precisely customized through a series of postoperative light treatments.

With this customization, we are able to provide precise and customized vision results. The Light Adjustable Lens is customized through a series of 3-5 light treatments, and in between treatments patients will be able to “test drive” their vision to help us discover their final, preferred vision outcome.

  • Since the LAL is a monofocal lens, there is a very little risk of glare and halos after surgery, leading to enhanced vision and patient satisfaction
  • Highly accurate adjustable lens technology aids in precise and customized vision outcomes
  • The lens is tailored and optimized through a series of office-based light treatment procedures that take only a few minutes each
  • Benefit of patients “test driving” their vision before the final light treatment provides an advantage over non-adjustable lenses

With the Light Adjustable Lens, you can now customize your vision after your cataract surgery. You will have the unique ability to adjust and preview your vision based on your personal desires and lifestyle requirements. The Light Adjustable Lens delivers superior visual outcomes that fixed IOLs cannot match. In a study of 600 subjects, those who received the Light Adjustable Lens followed by adjustments were twice as likely to achieve 20/20 distance vision at 6 months without glasses as those who received a standard (fixed) monofocal IOL.

The Light Adjustable Lens is made of a special photosensitive material that changes the shape and power of your implanted lens in response to ultraviolet (UV) light to optimize your vision. These light treatments are delivered in your doctor’s office with the Light Delivery Device (LDD) after your eye has healed.

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FAQs

  • The Light Adjustable Lens (LAL) is the only intraocular lens that can be adjusted in the eye after cataract surgery.
  • The Light Adjustable Lens (LAL) is the only IOL that allows you and your doctor to design, trial, and customize your vision after cataract surgery. Adjustability takes cataract surgery to the next level by giving you a lens tailored specifically for your visual needs.
  • In an FDA study of 600 subjects, those who received the Light Adjustable Lens (LAL) were twice as likely (as those who received a standard monofocal IOL) to achieve 20/20 vision without glasses.
  • If you select the Light Adjustable Lens, the first step is to have your cataract safely removed. Then, the adjustable IOL is implanted. The cataract removal and IOL implantation procedure are the same as if you selected a non-adjustable IOL.
  • After surgery, you will be provided with RxSight UV protective glasses to wear during all waking hours to protect your new lenses from ambient UV light, like the sun.
  • After surgery, you will let your eyes heal for approximately 3-4 weeks.
  • Between 3 and 5 total light treatments, each lasting approximately 90 seconds and separated by approximately 3 days are required. The total number of light treatments is based on the achievement of you and your doctor’s desired outcome.
  • The Light Adjustable Lens is made of a special photo-sensitive material. This material changes the power of your implanted lens in response to UV light. This feature increases the likelihood that you will achieve your desired vision after cataract surgery.
  • To receive the light treatment, you will be placed in front of the RxSight Light Delivery Device(LDD). This device will non-invasively deliver UV light to your Light Adjustable Lens which changes the power or prescription of the lens to meet your lifestyle.
  • 24 hours after the final light treatment, no further changes can be made to the implanted LAL. You can then remove the UV protective glasses and enjoy your custom vision.

The Light Adjustable Lens (LAL®) is made of a special photosensitive material that changes shape and power of the implanted lens in response to ultraviolet (UV) light. The light treatments are delivered by the RxSight Light Delivery Device (LDD) which are done in your doctor’s office. What makes the Light Adjustable Lens so unique is that these changes are made to the lens after it has been implanted in your eye and you have healed from surgery.

Please follow all instructions provided to you by your eye doctor and staff, including use of the UVblocking glasses that will be provided to you. As with any cataract surgery, your vision may not be perfect after surgery. While your eye doctor selected the lens they anticipated would give you the best possible vision, it was only an estimate. Fortunately, you have selected the Light Adjustable Lens! In the following weeks, you and your eye doctor will work together to optimize your vision. Please make sure to pay close attention to your vision and be prepared to discuss preferences with your eye doctor.

The UV-blocking glasses you are provided with protect the Light Adjustable Lens from UV light sources other than the LDD that your doctor will use to optimize your vision. Exposing the Light Adjustable Lens to other UV light sources can potentially change the lens correction in an uncontrolled manner. If you do not wear the provided UV-blocking eyewear, your vision may not improve or it could get worse. If this happens, please contact your physician.

The UV-blocking glasses should be worn at all times until your eye doctor tells you that you no longer need to wear them (usually 24 hours after your final light treatment). Total wear is typically about 4-5 weeks in duration, however, this may vary depending on the number of light treatments delivered.

No. You should wear the UV-blocking glasses provided to you. These glasses have a special protective coating that no other glasses have.

Please notify your eye doctor/clinic as soon as possible if one of your two pairs of UV-blocking glasses are lost, damaged or unwearable, and then continue to wear the other pair. If both pairs are lost or damaged, wear the darkest sunglasses you have and contact your eye doctor/clinic.

It is very important that you do not forget to wear your UV-blocking glasses. However, if you do forget, please put them on as soon as you remember.

Between 1 and 3 light treatments, each lasting approximately 90 seconds and separated by approximately 3 days, are required. The total number of light treatments is based on the achievement of the desired visual outcome that you and your doctor selected. Once you have achieved your final optimal vision, the lens power is permanently locked with two final light treatments to prevent any further changes.

Numbing drops will be applied to your eye. There may be some mild pressure or discomfort, and some patients have perceived the treatment to be bright, however the light treatments should not be painful.

Your vision may be blurry immediately after each treatment due to a gel used during application of the light treatment, but this should resolve quickly. Additionally, your eye may be dilated for the treatment, which may require wearing the tinted UVblocking glasses for a few hours. It may take approximately 24 hours after each light treatment to notice an improvement in your vision. The light from the LDD may also cause a temporary or long-lasting pink or red afterimage, which is common with a light source directed to the eye. This tinge to your vision is especially noticeable on things that normally look white should resolve. Speak with your doctor if the pink or red after image remains.

Contact us today to learn more about LAL!

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