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Adjustable Vision Technology

Light Adjustable Lens™ by RxSight®

Explore the future of vision correction with the Light Adjustable Lens (LAL) at Rudd Vision, where advanced technology meets personalized care. Whether you’re considering cataract surgery or refractive lens exchange, Dr. Jay Rudd and his expert team are here to guide you. Located in Puyallup and proudly serving patients from Olympia through Tacoma, and up to Seattle, WA, Rudd Vision is dedicated to providing a superior vision experience in a warm and welcoming environment. Discover how our cutting-edge solutions can help you achieve clearer vision and an enhanced quality of life.

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Custom Vision Correction

What is the Light Adjustable Lens?

The Light Adjustable Lens (LAL) is an innovative intraocular lens implant that stands out as the only FDA-approved IOL capable of being adjusted after implantation. This cutting-edge lens is made from a special material that responds to UV light, allowing for precise, post-surgery modifications to fine-tune vision correction. With the Light Adjustable Lens, up to twice as many of Dr. Rudd’s patients are able to achieve 20/20 vision after cataract surgery, reducing or even eliminating the need for glasses or contact lenses.1

During cataract surgery, the eye’s clouded natural lens is removed and replaced with an artificial intraocular lens (IOL) to restore clear vision. Traditionally, IOLs are selected before surgery and cannot be altered afterward. However, the LAL offers a breakthrough by allowing adjustments after implantation, ensuring a more personalized vision correction experience.

Refractive lens exchange (RLE) is a procedure similar to cataract surgery but performed electively for patients who do not yet have cataracts. RLE replaces the eye’s natural lens with an IOL to correct vision issues such as nearsightedness, farsightedness, or presbyopia. The LAL is an ideal choice for RLE as it provides the opportunity to achieve precise visual outcomes in well-selected patients. With this technology, we are often able to reduce or eliminate glasses or contact lenses, even in some of our more challenging cases.

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How It Works

How Does the Light Adjustable Lens Work?

Unlike traditional intraocular lenses that have a fixed prescription determined before surgery, the Light Adjustable Lens (LAL) offers the unique advantage of post-surgical customization. This lens is crafted from a special photosensitive material that can be precisely adjusted using UV light.

After the initial recovery period from cataract or refractive lens exchange surgery, patients return to the office for a series of light treatments. During these sessions, Dr. Rudd will expose the LAL to specific patterns of UV light using a specialized light delivery device. This exposure gently alters the curvature of the lens, allowing for fine-tuning of your vision correction. Once the optimal vision is achieved, a final light treatment “locks in” the prescription, ensuring optimal refractive outcomes.2

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How We Can Help

Benefits of the Light Adjustable Lens

The Light Adjustable Lens offers a range of significant benefits for both cataract and refractive lens exchange (RLE) patients, including:

  • Customizable Vision: The LAL is the only intraocular lens implant that can be adjusted after surgery, allowing for personalized vision correction tailored to each patient’s needs.
  • Enhanced Accuracy: The ability to fine-tune the lens power after implantation leads to more precise vision correction, reducing the likelihood of refractive errors and improving overall visual outcomes.
  • Reduced Dependence on Eyewear: Many patients experience a significant reduction or even elimination of their need for glasses or contact lenses after surgery with the LAL.
  • Quick and Painless Adjustments: Post-surgery light treatments are fast, safe, and non-invasive, providing a convenient way to achieve optimal vision without additional surgery.

Leaders In Vision Correction

Why Choose Rudd Vision for Vision Correction?

At Rudd Vision, our mission extends beyond simply improving your sight—we’re dedicated to enhancing your overall quality of life through exceptional vision surgery. Led by Dr. Jay Rudd, a highly experienced ophthalmologist, our approach to vision correction surgery, whether it’s cataract surgery or refractive lens exchange (RLE), is rooted in a commitment to excellence and personalized care.

  • Unparalleled Expertise and Technology: Dr. Rudd’s extensive experience combined with state-of-the-art technology ensures that every procedure is tailored to meet your unique vision needs. From the latest advancements in cataract surgery to the precision of the Light Adjustable Lens, we strive to deliver the best possible outcomes.
  • Comprehensive Team Support: At Rudd Vision, we believe in a team approach. Our dedicated staff works closely with you and your primary eye care provider at every stage of your journey, partnering to deliver the guidance and support needed to make your experience as smooth and comfortable as possible.
  • In-Office Surgical Suite: Enjoy the convenience and comfort of our in-office surgical suite, where all preoperative, surgical, and post-operative care is provided. This environment allows for a more personalized and calming experience, with familiar staff by your side throughout the process.
  • A Commitment to Your Experience: From the moment you walk through our doors to your final postoperative visit, every interaction at Rudd Vision is designed to make you feel valued. We are committed to offering a welcoming, respectful, and supportive environment that goes beyond medical care to enhance your overall well-being.

Choose Rudd Vision for your vision correction surgery, and take the first step towards a brighter, clearer future.

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Your Surgery

Preparing for Vision Correction Surgery

Preparation for your vision correction surgery at Rudd Vision begins with a comprehensive consultation with Dr. Jay Rudd. This initial meeting is essential for creating a personalized treatment plan tailored to your specific needs. During this consultation, Dr. Rudd will conduct a thorough eye examination to assess your vision and overall eye health, including screening for conditions such as glaucoma or macular degeneration. Together, you and Dr. Rudd will discuss your options, including lifestyle lenses, to determine the best approach for your surgery.

Once your procedure—whether it’s cataract surgery or refractive lens exchange (RLE)—is scheduled, you will receive detailed preoperative instructions. These guidelines will cover everything from pre-surgery eye drops to any necessary adjustments to your daily routine. We’ll also provide information on what to expect during your recovery period to ensure you’re fully prepared.

A crucial part of your preparation includes arranging transportation, as you won’t be able to drive immediately after your surgery. Ensuring a smooth and informed preparation process is our priority, helping to make your experience as comfortable and stress-free as possible.

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How It Works

The Cataract Surgery and RLE Procedures

Both cataract surgery and refractive lens exchange (RLE) are outpatient procedures designed to restore and enhance your vision, typically taking only 10 to 15 minutes per eye.

  • Preparation: On the day of your surgery at Rudd Vision, you will spend a 1-2 hours with us to allow for preparation and post-operative recovery. Before the procedure begins, your eyes will be numbed with anesthetic eye drops, and you may receive a mild oral sedative to ensure your comfort. A device will gently keep your eye open, so there’s no need to worry about blinking during the procedure.
  • Procedure: The surgery starts with the creation of a small incision in the cornea. At Rudd Vision, this is achieved using a femtosecond laser, which offers a higher level of precision compared to traditional methods. The natural lens of the eye is then broken up and removed in a process called phacoemulsification. Finally, the Light Adjustable Lens is inserted. The incisions are so small that they typically self-seal, eliminating the need for sutures.
  • Post-Procedure: After the surgery, you will rest briefly in our recovery area before being ready to head home. Since you won’t be able to drive, please arrange for a friend or family member to assist you.

Get Back To Your Everyday Life

Recovery After Cataract Surgery and RLE

Following your cataract surgery or refractive lens exchange (RLE) at Rudd Vision, you’ll begin a brief recovery period designed to ensure optimal healing. You will be fitted with a protective eye shield, which should be worn while sleeping or lying down during the first few days after your eye surgery. It’s normal to experience some mild discomfort, irritation, or temporary blurry vision initially, but these symptoms typically resolve quickly, allowing you to notice an improvement in your vision shortly after surgery.

Dr. Rudd will prescribe antibiotic and anti-inflammatory eye drops to support your recovery. It’s essential to follow the provided instructions carefully to avoid complications and promote smooth healing. Most patients find the recovery time to be minimal, often feeling ready to return to work and resume normal activities within 24 to 48 hours. However, it’s advised to avoid strenuous activities during the first couple of weeks to ensure proper healing.

Please note that it is imperative that you wear UV-protective glasses every time you go outside following LAL surgery until your lens customization has been completed.

You’ll return to Rudd Vision for a follow-up visit 24 hours after your eye surgery to ensure that your recovery is progressing as expected.

Light Adjustable Lens Customization

After your eyes have healed from the initial lens implantation surgery, you’ll return to Rudd Vision to begin the customization process for your Light Adjustable Lens (LAL). While these treatments are quick, comfortable, and non-invasive, typically lasting less than two minutes, you will spend about one hour with us at each adjustment visit.During each session, your vision will be assessed, your eyes will be dilated, and a specialized Light Delivery Device (LDD) will emit ultraviolet (UV) light to gently adjust the curvature of your LAL, fine-tuning your vision correction. Because we are treating both eyes, you will typically need a driver with you for each adjustment.

senior woman being treated with LAL customization

Most patients require between 2 to 4 light treatments, spaced about three to seven days apart, to achieve optimal visual outcomes. This process allows you to “test drive” your vision, ensuring that the final result meets your specific needs. Once the desired prescription is reached, your eye doctor will perform a final light treatment to “lock in” the prescription, providing you with significantly improved vision without the need for further adjustments.

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Questions?

FAQs About the Light Adjustable Lens

The Light Adjustable Lens (LAL) is an excellent option for patients undergoing cataract surgery or refractive lens exchange (RLE) who are seeking highly accurate vision correction. Ideal candidates are those who desire the flexibility to fine-tune their vision after surgery, potentially reducing or eliminating the need for glasses.

You may be a good candidate for the LAL if:

    • You are scheduled for cataract surgery or RLE.
    • You have not taken medications that cause sensitivity to UV light or retina damage.
    • You do not have a history of eye infections, such as herpes eye infections.
    • You do not have uncontrollable eye movements.

Patients who have previously undergone vision correction procedures like LASIK or PRK are often particularly well-suited for the LAL, as it allows for precise adjustments that can accommodate the unique characteristics of eyes that have undergone previous surgeries.

If you’re interested in the Light Adjustable Lens, Dr. Rudd will assess your eye health and medical history to determine if this advanced lens technology is the right choice for you.

No. customization sessions are only a couple of minutes long, and your eye will be numbed before Dr. Rudd begins. Some patients do report a sensation of pressure, but pain is not reported.

Yes. The Light Adjustable Lens is adjusted with UV light, and unintended exposure to UV light before customization is complete may alter results.

As with any surgical procedure, cataract surgery and refractive lens exchange (RLE) carry some risk of complications. However, these procedures are widely performed and generally have a very low rate of complications. The Light Adjustable Lens (LAL) introduces an additional consideration: the need to protect your eyes from UV light exposure before the lens prescription is permanently locked in.

Contact Us

Ready to experience life with clearer vision? At Rudd Vision, we’re proud to offer advanced options like the Light Adjustable Lens (LAL) to help you achieve your best possible sight. Whether you’re considering cataract surgery, refractive lens exchange, or other vision correction procedures, we’re here to guide you every step of the way. Contact us today to schedule your consultation with Dr. Jay Rudd at our Puyallup office, proudly serving patients from Olympia through Tacoma, and up to Seattle, WA. Your journey to better vision starts here.

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1 US Food and Drug Administration. Summary of Safety and Effectiveness (SSED) of Light Adjustable Lens and Light Delivery Device system. Available: https://www.accessdata.fda.gov/cdrh_docs/pdf16/P160055B.pdf. Accessed August 19, 2024.

2 American Academy of Ophthalmology. Adjustable IOL Could Help Some Ditch Their Glasses After Cataract Surgery. Available: https://www.aao.org/eye-health/news/new-iol-adjustable-after-cataract-surgery?gclid=EAIaIQobChMI8NHr27nw6AIVSx-tBh0pRg6kEAMYASAAEgIzE_D_BwE. Accessed August 19, 2024.

Dr. Jay Rudd has authored or reviewed and approved this content.

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