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The Importance of Pupil Size

My article on LASIK for farsightedness

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PROJECTS

Current Projects Include:

· VISX HYPEROPIC (Farsightedness) STUDY (APPROVED 11/98)
· STAAR SURGICAL IMPLANTABLE CONTACT LENS (ICL) – for the correction of hyperopia
· CLEAR LENS EXTRACTION FOR THE CORRECTION OF FARSIGHTEDNESS
· Alcon Phakic Anterior chamber Lens FDA Study


VISX HYPEROPIC (Farsightedness) STUDY

Dr. Salz is the Principal Investigator for the VISX Hyperopic (farsighted) and Hyperopic-Astigmatism FDA clinical trials at Cedars-Sinai Medical Center. The VISX laser was the first laser approved for the correction of nearsighted astigmatism and higher amounts of myopia. This system has been used at Cedars-Sinai Medical Center since October of 1990. The results for the correction of farsightedness have been very encouraging and the FDA just approved the correction for farsightedness in early November of 1998.


STAAR SURGICAL IMPLANTABLE CONTACT LENS (ICL) – for the correction of hyperopia

The implantable contact lens is placed inside the eye on top of the patient’s natural lens and it is designed for the correction of higher amounts of farsightedness and nearsightedness. Dr. Salz is one of 6 US surgeons selected by STAAR Surgical to participate in this FDA sponsored study for the correction of farsightedness. Patients who have high myopia who are potential candidates for this surgery can be referred to a center is Las Vegas for the actual surgery and followed in Los Angeles by Dr. Salz.


CLEAR LENS EXTRACTION FOR THE CORRECTION OF FARSIGHTEDNESS

Dr. Salz has recently published 2 book chapters on the correction of high amounts of farsightedness by removing the patient’s natural lens and replacing it with a stronger lens calculated to correct their vision. This technique is identical to the technique to remove cataracts that is performed in the US approximately 1 million times per year and has proved to be one of the safest surgical procedures ever developed. In clear lens extraction, a small 3.0 mm. incision is made into the eye, the natural lens of the eye is removed by breaking it up ultrasonically and aspirating it. Then, a flexible implant of the proper power is placed inside the eye through this same small incision. Patients usually experience a dramatic improvement in their vision the next day.


Alcon Anterior Chamber Phakic Lens Study for High Myopia

Many highly nearsighted patients who would benefit most from LASIK surgery cannot have it because they are too nearsighted. The new Alcon FDA study is designed to place a lens implant in front of the pupil to correct the vision of patients up to -16 diopters of myopia. It will be an alternative to the two currently approved phakic implants – the Versaiye which clips to the iris and the STAAR which is implanted behind the iris. We are currently enrolling patients in this study (summer of 2006).