Indiana Eye Clinic is now performing iStent® implantation during cataract surgery, an innovative new technique that can reduce the effects of glaucoma and lower the chance of progression.

iStent is a tiny medical implant that can help restore the eye’s natural fluid outflow and reduce pressure inside the eye. Intraocular pressure (IOP) is one of the most important risk factors for glaucoma. iStent is the world’s smallest medical implant, only about 1-millimeter long.

Patients who have cataracts and glaucoma, or are at risk for glaucoma onset, now have a chance to have both conditions addressed during a single procedure.

Most glaucoma patients who receive the implant can reduce and sometimes eliminate the need for daily eyedrop medication. iStent® has an excellent safety record, and is covered by Medicare and most private insurance companies.

“Indiana Eye Clinic becomes one of the first ophthalmic practices in Central Indiana to offer iStent,” said Dr. Nicholas Rader, co-founder of IEC. “We’re proud to have been leaders in bringing the newest eye procedures to this area for more than 30 years.”

John Goodman

Lots of people deal with chronic eye and vision problems — including the rich and famous.

For instance, John Goodman took time off from his busy film career a few years ago to have his cataracts removed. Though he had just turned 60, his vision had deteriorated enough to make daily life a challenge.

Goodman chose to have his natural eye lenses replaced with an advanced intraocular lens (IOL). The Indiana Eye Clinic has a number of options on advanced lens for cataract patients.

It’s a common fallacy that cataracts only affects senior citizens. In fact, we frequently see patients in their 50s or even 40s with cataracts!

This article has a list of other well-known people dealing with chronic issues that impact their vision. What’s interesting is that many of these conditions were not even known about until the celebrity chose to share the news themselves. It just goes to show that people can live healthy, happy and productive lives while dealing with eye issues.

Did you know that Mila Kunis was blind in one eye for many years? Her large, dark eyes are undoubtedly her most famous feature. She suffered from iritis, in inflammation of the eye. She eventually underwent surgery to correct the problem, and now has normal vision. This also involved replacing her natural lens with an artificial lens.

Other celebs with eye problems:

  • Bono of U2 has glaucoma. This possibly explains his ever-present sunglasses.
  • Judi Dench has age-related macular degeneration.
  • Missy Elliott sought therapy and treatment for Graves’ Disease, which can cause eyes to bulge or protrude.
  • Brittany Howard of the band Alabama Shakes had multiple eye conditions from early childhood, including  retinoblastoma, or cancer of the eye, that left her partially blind in one eye.

It just goes to show that wealth or fame doesn’t prevent anyone from having vision problems. Many of these can be prevented or addressed more effectively the earlier they’re detected. If you’re experiencing issues with your eyesight, seek help from a qualified ophthalmic physician right away.


Ambulatory Surgery Center

Indiana Eye Clinic’s Ambulatory Surgery Center (ASC) was one of the first of its kind to be licensed in the state of Indiana. They have become more popular with the passage of years, in no small part because they can keep costs down — for both patients and doctors — while maintaining the same outcomes as a hospital surgery center.

Recently the Indianapolis Star ran an article on which local hospitals have the cheapest prices for various procedures, including surgical eye procedures. You can read the entire article by clicking here.

In its survey of cataract surgery with lens replacement, the state average to have this procedure at a hospital is $8,582. One area hospital came in below this figure, but four other hospitals were quite a bit above that average. One hospital charged nearly $11,000!

Compared to this, the cost to have cataract surgery at an ASC is much lower.

Here at the Indiana Eye Clinic, you can have the same procedure done for as little as $3,550, which includes physician and facility fee charges.

As you can see, there are ways to cut your medical bills, and ambulatory surgery centers are one vehicle to do just that.

By Dr. William F. Keeling, Ophthalmologist

Cataract Surgery is one of the oldest known surgical procedures, first described in ancient Egypt as a cataract “couching” operation. In the 5th century BC, the surgery consisted of pushing the cataractous lens into the back of the eye with a blunt object; later, they used a sharpened pencil-like instrument. In some cases limited vision would return, but without a lens of any kind. The eye was severely defocused and vision was blurry. Over many centuries, there was little advancement in the basic goal of cataract surgery, which was to leave the eye without a lens.

In the late 1940s Dr. Harold Ridley of London was caring for the many RAF pilots injured in World War II. He observed a number of pilots with fragments of the aircraft windshield still lodged inside the eye. The RAF Spitfire canopy was made of a plastic material, polymethylmethacrylate (PMMA). [envira-gallery id=”7701″]

Surprisingly, PMMA caused little trouble inside the pilots’ eyes. His observations led him to question whether it would be possible to make an intraocular lens out of this material and implant it into the eye at the time of surgery.

In 1949, Dr. Ridley commissioned a lens manufacturer and plastics company to create the first Perspex CQ PMMA intraocular lens. And in 1950 he performed the very first intraocular lens implant. Through the 1970s Dr. Ridley went on to perform over 1,000 such operations. It would take more than 25 years for intraocular lens (IOL) implantation to become the standard of cataract surgery in the U.S.

PMMA implants are still manufactured and used today, although there have been many significant advancements in intraocular lens (IOL) materials and design. The invention of an implantable, inert and technically feasible IOL was a revolution in cataract surgery.

Interestingly, IOLs were nearly banned in the U.S. in the 1970s. It was only through the efforts of actor Robert Young, who starred on “Marcus Welby, M.D.” and was an implant patient himself. Young used his star power, particularly with fans of his show over age 60, to testify before an FDA committee, which resulted in the approval of their use under investigational status.Shot 4

Initial IOLs were one-piece rigid plates of clear plastic. Such lenses required large incisions and sutures to close the surgical site. In 1984 a new flexible silicone lens was produced, nicknamed he“Mazzocco taco” after its inventor, which could be folded and implanted through a very small incision, and then unfolded in the eye. This ushered in the era of small incision surgery.

In the 1990s, the shape of IOLs were modified to create a 3-piece model: a central optic (lens) with thin plastic positioning loops (haptics) anchored to the edge of the lens. These newer lenses could be implanted into the back of the eye, behind the iris and pupil.

Historically, many materials have been used to make IOLs including true glass, stainless steel and nylon. Today modern lenses are manufactured from one of three basic materials: silicones, hydrophobic acrylics and hydrophilic acrylics (aka hydrogel), all of which are flexible polymers. As of 2004 there were nearly 1,548 types of IOLs available from 33 different manufacturers throughout the world.

Today, the Indiana Eye Clinic uses the most modern, proven intraocular lenses and techniques. These IOLs include Aspheric (aberration free), Multifocal, Accomodating (focusing) and Toric (astigmatism correcting) designs. During cataract surgery/IOL implantation, we are able to utilize the most modern in-house surgical equipment, including eight different lasers (including excimer, and femtosecond) and the Ora Intraoperative Wavefront scanner. Surgical approaches are custom-designed for each patient according to their needs.