Common Questions

  • The KAMRA Inlay

    • What is the KAMRA inlay?

      It is a film-like, mini ring with an opening in the center. The inlay is positioned within the first few layers of the eye known as the cornea. Smaller and thinner than a contact lens, it has proven to be a safe and lasting solution to restore everyday near vision. The inlay is generally placed in the non-dominant eye. The other eye is left untouched.

    • What are the benefits of a KAMRA inlay?

      • It restores everyday vision so you can see text messages, a computer screen and the time on your wrist watch without reading glasses.
      • The inlay provides a natural range of vision, from near to far.
      • It offers long-lasting performance to help you enjoy clear near vision over time.
    • Will my distance vision change?

      No. The inlay restores near and intermediate vision while maintaining distance vision.

    • Am I a good candidate?

      The KAMRA inlay is ideal for active people over the age of 45 who have good uncorrected distance vision, but are unable to focus clearly on near objects or small print and dislike using reading glasses. They have healthy eyes without dryness or cataracts, and need reading glasses with +1.00 to +2.50 diopters of power. Good candidates consider their loss of near vision a disability, are cosmetic or lifestyle motivated, easy going and adaptable, and willing to participate in the recovery process. They also understand that there may be times when additional magnification is needed for small print, to see in dim light, or to perform near tasks for an extended period of time.

    • Can LASIK be done first to obtain good distance vision?

      Yes. If your distance vision needs to be improved, LASIK can be done to correct it. Then, after an appropriate healing time, the KAMRA inlay treatment can be done. The fee for KAMRA inlay is reduced when treatment is done within 6 months of LASIK laser vision correction.

  • Presbyopia

    • What is presbyopia?

      When you are young, the lens in your eye is stretchy and flexible. But with age it stiffens and becomes less elastic. As a result your lens cannot adjust focus from far to near so close objects become increasingly blurry. To compensate, you move objects further away to see them more clearly. This is why you start holding reading materials at arm’s length. The clinical term for this condition is presbyopia (prez-bee-‘O-pee-uh) and it eventually happens to everyone.

    • Will I need to replace the inlay if my presbyopia worsens?

      No. The KAMRA inlay is a lasting solution to presbyopia. However, the eventual development of cataracts may require cataract surgery. The KAMRA inlay does not accelerate the natural development of cataracts. But if undergoing cataract surgery results in a change of your prescription, laser vision correction could be needed to maintain optimal vision.

    • Are other treatments available for presbyopia?

      Yes. The most common treatment is corrective eyewear—reading glasses or contact lenses. Monovision with contact lenses or laser vision correction is another option. Monovision corrects one eye for distance and one eye for near. However, as the impact of presbyopia increases, monovision must be enhanced. Although some people easily adapt to monovision, many do not.

  • Product Information

    • What material is used to make the inlay?

      The KAMRA inlay is comprised of a proven biocompatible material called polyvinylidene fluoride (PVDF) that is frequently used in a wide variety of eye and other medical implants. Only 6 microns thick, it has 8400 tiny holes that allow the normal flow and passage of corneal nutrition. The inlay has been carefully tested and implanted safely in many thousands of eyes.

    • How big is the inlay?

      The KAMRA inlay is one-third the size of a contact lens and much thinner.  It measures 3.8 mm in diameter with a 1.6 mm opening in the center. The inlay is one-tenth the thickness of a sheet of paper—as thin as a red blood cell.

    • Will I feel the inlay in my eye?

      No. Unlike a contact lens, the inlay is placed within the first few layers of the cornea (the clear part of the eye) so you will not feel it.

    • Will people be able to see the inlay in my eye?

      Most patients report that the inlay is not visible. However, in bright light, it may be visible from the side—especially in people with light colored eyes.

    • Will the KAMRA inlay darken my vision?

      The inlay is designed to help your eye focus light so near images and text look clear again. Right after the inlay is implanted you may experience some dimness in the implant eye. However, using both eyes, little to no dimness should be noticed.

    • Will the inlay decrease my peripheral vision?

      No, the inlay will not affect your side or peripheral vision.

    • Does the inlay move in my eye?

      No. It is implanted within the first few layers of the eye and does not move.

    • Is the KAMRA inlay new?

      The company’s earliest inlay was implanted in 2002 and many improvements have been made over the years. KAMRA is now the number one prescribed corneal inlay in the world.

    • Can the inlay be removed?

      Yes. If you are not satisfied with you new vision, the inlay can be removed. The global removal rate is less than 2%.

  • The Procedure

    • What can I expect during the procedure?

      The procedure takes less than 15 minutes. Numbing drops are placed on the eye to make sure you are comfortable throughout the treatment. You will feel some pressure while the surgeon uses a laser to create a small pocket within the first few layers of your eye, but this only lasts a few seconds. Once the inlay is positioned within the pocket, the procedure is complete.

    • What laser is used to create the corneal pocket?

      Our surgeons use the Ziemer femtosecond laser. This laser has highly advanced technology and numerous benefits over other femtosecond lasers in the marketplace.

    • What will I feel after surgery?

      When the numbing drops wear off, your eye may feel irritated or scratchy. You may also experience excessive tearing and light sensitivity. We will provide medications to help you manage these symptoms and we encourage you to go home and sleep for a few hours to rest your eyes.

  • Recovery

    • What are side effects of the procedure?

      We will thoroughly review potential side effects with you before surgery, but the most common include dry eye, glare, halos and night vision disturbances. These are the same conditions that patients can experience with LASIK laser vision correction. If they are noticed, they are expected to resolve or lessen over time.

    • Will I notice an immediate improvement?

      Your recovery will depend on your personal healing patterns. While some patients see an improvement within the first week to a month, most may require additional time.

    • Do I really need ongoing eye check-ups?

      As with any surgery, follow-up appointments are very important. Your doctor needs to follow your progress. While we do not anticipate any post-operative issues, some can only be detected by special assessments and may otherwise go unnoticed.

    • Is it normal to experience blurry or fluctuating vision?

      Yes, it is common to experience these symptoms on and off during the first 3 to 6 months. This is often a sign of dry eye or your brain adapting to the new vision. Use your eye drops as prescribed and give your eyes frequent breaks. If the condition persists, contact your eye doctor for a consultation.

    • How much of an improvement can I expect?

      The amount of near vision improvement varies by individual. However, most patients can expect their near vision to improve an average of three lines or more on an eye chart. This enables them to do everyday activities such as read a menu or send a text message.

    • How soon after surgery can I resume normal activities?

      Most patients are able to resume normal activities and return to work within 24 hours.

    • Will I still need to wear reading glasses?

      The goal of the KAMRA inlay is to reduce your dependency on reading glasses. However, you may still need magnification if you are working in dim light, performing a near task for prolonged periods of time, or reading tiny print.

    • How can I achieve the best results?

      You can aid your healing process by using post-operative medications and artificial tear drops as prescribed. You can accelerate your visual recovery by not using reading glasses when performing near tasks.

  • Additional Treatment Questions

    • What if I have had previous eye surgery?

      If you have undergone another kind of eye surgery, you may still be a candidate for KAMRA. A full assessment is needed to determine if you qualify for treatment.

    • Can treatment be done after LASIK or cataract surgery?

      Yes. If you have had either of these surgeries, but are frustrated with the need for reading glasses, the KAMRA inlay may be an option.

    • What will happen if I develop a cataract?

      If you develop a cataract, our surgeons can remove your clouded natural lens and replace it with an artificial lens implant. Unless your prescription changes, your inlay will continue to provide excellent near vision. It’s important to note that the inlay should not increase any risks associated with having cataract surgery.

    • What are the risks and potential side effects?

      Several conditions can arise after treatment including infection, dry eye, glare or halos, reduced or fluctuating vision and night vision problems. But if these occur, they are usually temporary and resolve with time.

    • I wear bifocals. Can I still have the surgery?

      Yes, depending upon the results of your clinical evaluation.

    • What if better and newer treatments become available?

      One benefit of the KAMRA inlay is that it leaves future enhancements and treatment options available to you because it can be surgically removed.

    • Am I a suitable candidate if I have allergies or dry eye?

      You may still be an excellent candidate for KAMRA inlay. To determine if you are eligible, your eyes will need to be assessed by your eye doctor. If you do get the inlay, it is important to follow your doctor’s recommendations when managing your symptoms.

  • Cost & Payment Options

    • What is the cost?

      Our fee for KAMRA inlay treatment is $3750 and includes an in-depth consultation and comprehensive eye exam, pre-surgery testing, and 1-day post-operative exam. This is in addition to the important before and after-surgery care provided by your referring doctor.

    • IS THERE A COST FOR MY FAMILY EYE DOCTOR?

      Yes. Your family optometric physician will charge a fee for the important care they provide. Your doctor will:

      • Evaluate your vision to determine if you are a good candidate
      • Perform numerous eye tests and share the results with the surgeon
      • Perform several follow-up exams
      • Monitor key aspects of your vision during your recovery to ensure that you achieve the best possible outcome
    • WHAT ARE MY PAYMENT OPTIONS?

      We accept cash, checks and all major credit cards including Visa, MasterCard, Discover, American Express and CareCredit.

    • WHAT IS CARECREDIT?

      CareCredit is one of the nation's top medical financing providers. Payments can be less than $93 per month and it takes only minutes to apply. You can select the terms that best suit your budget. Click here to apply or call CareCredit at 800-365-8295 at least a week before surgery. When asked for the business name or doctor's last name, enter or say Pacific Cataract and Laser Institute.

    • Can I use my FLEX SPENDING ACCOUNT?

      Yes. If your employer offers a Flex Spending Account (FSA) that allows you to have some pre-tax dollars set aside each month from your paycheck to pay for medical expenses not covered by insurance, this is a good time to use it. By not paying taxes on this money, you can substantially increase your spending power. Ask your employer for more details.

  • The Next Step

    • I’M INTERESTED. WHAT’S THE NEXT STEP?

      To get started, talk with your family optometrist or call 800-884-7254 and speak with one of our knowledgeable surgery counselors. Our counselors can answer your questions, review treatment details and send you a package of information. You can also click on "Get Started" in the top right corner of this window to contact a counselor by email.

    • CAN I COME DIRECTLY TO YOU FOR Treatment?

      No. Pacific Cataract and Laser Institute is a highly respected referral center and patients are accepted for treatment on the recommendation and referral of family eye doctors. We work closely with over 1700 optometric physicians from Alaska to New Mexico. If you do not have a family optometrist, we can help you find one.

    • WHAT SERVICES WILL MY FAMILY OPTOMETRIST PROVIDE?

      Your family eye doctor will:

      • Evaluate your vision to determine if you are a good candidate
      • Perform numerous before-treatment tests and share the results with the surgeon
      • Perform important follow-up exams at prescribed intervals to ensure proper healing
      • Monitor key aspects of your vision during your recovery to ensure that you achieve the best possible outcome
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Inside edition

Fire Captain No Longer Needs Reading Glasses

Available exclusively in our
Bellevue, WA office.