Lens replacement surgery: a solution for bad eyesight

Written by: Mr Michael Tappin
Published:
Edited by: Robert Smith

Short-sightedness (myopia) and long-sightedness (hyperopia) are two of the most common issues related to eyesight. LaserVision co-founder and consultant ophthalmologist, Mr Michael Tappin, gives us the lowdown on one of the world's most frequently performed surgical procedures that treats these conditions.
 

eyesight

Why do people choose lens replacement surgery?

LASIK (laser eye surgery) has been the most common procedure used for correcting long and short sight for quite some time. In the past few years however, lens replacement surgery (refractive lens exchange) has become the most popular vision correction technique for people over 45 years of age. It uses bespoke lenses to correct long or short sight and astigmatism, whilst also removing or preventing future development of cataracts. 

 

What does lens replacement surgery involve?

The surgery replaces the natural lens in the eye with a new artificial lens tailored to the individual. This restores vision which remains stable over the long-term and these lenses don’t wear out. Compared to laser eye surgery, lens implants can correct a much larger range of long sight, short sight and astigmatism.

 

What different type of lenses are available for lens replacement surgery?

There are several styles of artificial lens, also known as intraocular lens, available to correct vision. For patients, sometimes choosing the lens system to best suit their needs can be a challenge so having an understanding of the choices before attending a consultation is useful.

 

The most common lens used is a single focus lens. This corrects vision in one area, usually distance, leaving patients to use glasses for reading. A variation known as blended or monovision uses a distance vision in the dominant eye and a slightly nearer focus in the non-dominant eye. This provides a greater depth of focus from reading to distance, reducing the need for near and distance glasses.

 

There are several types of multifocal lenses. The design I most frequently use now is the trifocal lens as these provide the greatest degree of spectacle independence. These are designed with three focal distances to provide vision from distance, intermediate and near.

 

How can lens replacement surgery benefit your patients?

Ultimately, lens replacement surgery greatly improves eyesight which of course offers many benefits in day to day life. However, an essential part of my consultations to ensure patients are completely satisfied is to find out their individual requirements and expectations to help decide which lens system is the most appropriate for each patient and their preferred lifestyle.

 

If you’re struggling with bad eyesight, we recommend seeing a specialist such as Mr Michael Tappin who will be able to further advise, diagnose and indicate the best form of treatment for your specific case.

By Mr Michael Tappin
Ophthalmology

Mr Michael Tappin is a renowned consultant ophthalmologist based in London, Guilford and Woking. He is a founding member and director of Laser Vision, with private practice clinics at Nuffield Health Woking Hospital and Circle Mount Alvernia Hospital. His main areas of expertise include the cornea, cataracts, laser eye surgery, lens replacement, corneal transplants, presbyopia and anterior segment disease. 
 

Mr Tappin commenced his medical journey at St Mary’s Hospital Medical School, London, qualifying with an MBBS in 1990, Following this, he undertook fellowships in corneal and refractive surgery at Moorfields Eye Hospital in London and Sir Charles Gairdner Hospital in Perth, Australia.
 
In addition to his private practice, Mr Tappin holds an NHS practice at the Royal Surrey County Hospital. He offers a full range of vision correction procedures along with laser cataract surgery and Sulcoflex DUET Lens Exchange - an adjustable solution to correct vision at all distances and it's the first to offer lifelong reversibility. Furthermore, he offers treatment for conditions such as corneal grafts, anterior segment disease and dry eyes.

In 2005, he became the first surgeon in the UK to perform endothelial cell transplantation, now known as DMEK. This pioneering technology is less invasive and can be used to treat Fuchs Dystrophy and endothelial cell failure.
 
Mr Tappin is devoted to research, taking a keen interest in the areas of corneal transplant surgery and cataract lens implants. He enjoys sharing his medical knowledge with his fellows, regularly lecturing on the most recent developments in corneal transplantation.

Mr Tappin has contributed to numerous publications, some of which can be found on ResearchGate and PubMed. He is a member of several medical organisations, including the Royal College of Ophthalmologists, the Medical Defence Union and the European Society of Cataract and Refractive Surgeons.

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