PACIFIC CATARACT AND LASER INSTITUTE

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Reading Vision Correction W I T H K A M R A I N L A Y T R E A T M E N T

In our 40s and 50s, the inconvenience of reading glasses can become frustrating. But a tiny, doughnut-shaped inlay can dramatically reduce reliance on corrective lenses.

Known as the KAMRA corneal inlay, this small device restores everyday vision. It can help you see text messages, your tablet or computer screen, recipes or menus, and the time on your wrist watch—without reading glasses.

PACIFIC CATARACT AND LASER INSTITUTEPCLI.COM/KAMRA

Scan this with your phone to watch our KAMRA videos, or visit the Reading Vision Correction section of our website at PCLI.COM/KAMRA

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The KAMRA inlay is about one-third

the size of a contact lens. It is only

placed in one eye.

PACIFIC CATARACT AND LASER INSTITUTE PCLI.COM/KAMRA

L O S S O F N E A R V I S I O N Sometime after age 40, we begin to experience the frustrating effects of blurry near vision and turn to reading glasses for help. This loss of ability to focus up close is called presbyopia (prez-bee-‘O-pee-uh).

When we are young, our eye’s lens is flexible. Like the zoom lens of a camera, it can adjust focus from near to far. But as we get older, the lens begins to stiffen, which makes it more difficult to change shape and bring near objects into focus. So, we depend more and more on reading glasses. .

A T I N Y S O L U T I O NThe KAMRA inlay is a miniature film-like ring with an opening in the center. It is positioned within the cornea, the clear front part of the eye. Only one-tenth the thickness of a human hair and weighing the same as a grain of salt, the inlay is placed in the non-dominant eye, directly in front of the pupil. The other eye is left untouched. The treated eye is used for reading and near focus, but also retains good distance vision.

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PCLI.COM/KAMRA PACIFIC CATARACT AND LASER INSTITUTE

H O W I T W O R K SIn older eyes, central light rays entering the eye are more focused than peripheral light rays. The KAMRA inlay simply blocks unfocused peripheral light that blurs vision, while allowing focused light to enter the eye. Just as a small lens aperture setting increases a camera’s depth of focus, the inlay allows you to see near and far.

Test the concept by making a small opening with your hand. With one eye closed, look through the “pinhole” that magically provides clearer near vision. Unlike this test, the inlay does not restrict peripheral vision. This pinhole effect was first noted in China more than 2400 years ago.

Iris

Cornea

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A L M O S T I N V I S I B L EThe tiny inlay is positioned in front

of the non-dominant eye’s pupil, where it is almost invisible.

T H E P R O C E D U R EAlthough implanting the inlay is a sophisticated microsurgical procedure, it is relatively simple for those undergoing treatment and typically takes just a few minutes. Numbing drops are placed in the eye to ensure comfort. While patients relax in a reclining chair, the surgeon uses a sophisticated femtosecond laser to create a small pocket in the cornea. Then the surgeon inserts the inlay and centers it over the pupil. With the inlay in place, the corneal pocket self-seals and heals with no need for stitches.

A F T E R S U R G E R YAlthough some patients enjoy excellent near vision soon after the procedure, optimal results usually take several months. The adjustment happens more quickly when use of reading glasses is avoided. After complete and successful adaptation, there may be times when additional magnification is needed to read small print in dim light or perform near tasks for an extended period of time.

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W O R L D W I D E S A T I S F A C T I O NTens of thousands of KAMRA inlays have been implanted worldwide. Correction remains effective throughout presbyopia’s progression and an international study found that 95% of patients are satisfied with their new vision. If you are not satisfied with your new vision, the inlay can be removed. The global removal rate is less than 2%.

PACIFIC CATARACT AND LASER INSTITUTE PCLI.COM/KAMRA

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KAMRA OFFERS LIFE-CHANGING BENEFITS FOR THOSE WHO ARE DEPENDENT ON READING GLASSES.

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Before KAMRA treatment After KAMRA treatment

KAMRA OFFERS LIFE-CHANGING BENEFITS FOR THOSE WHO ARE DEPENDENT ON READING GLASSES.

R E S U L T S Treatment provides long-lasting, clear vision—near and far.

B E N E F I T S• Restores everyday vision and reduces the need for

reading glasses

• Smaller than a contact lens and weighs less than a grain of salt

• Treatment takes less than 15 minutes

• Works continuously for constant, long-term near vision rejuvenation

• Proven with a decade of clinical research and development

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C O M M O N Q U E S T I O N SWHAT 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.

PresbyopiaWHAT 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.

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FOCUS ON LIFE, NOT YOUR GLASSES

PACIFIC CATARACT AND LASER INSTITUTE PCLI.COM/KAMRA

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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 InformationWHAT 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%.

C O M M O N Q U E S T I O N S / C O N T I N U E D

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The ProcedureWHAT 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.

RecoveryWHAT 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.

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C O M M O N Q U E S T I O N S / C O N T I N U E D

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 QuestionsWHAT 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.

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C A N D I D A T E SThe KAMRA inlay is ideal for active, healthy individuals over the age of 45 who dislike reading glasses. Good candidates:

Have healthy eyes without dryness or cataracts

Do not need glasses or contact lenses for clear distance vision

Are unable to focus clearly on near objects or small print

Need reading glasses with +1.00 to +2.50 diopters of power

PACIFIC CATARACT AND LASER INSTITUTE PCLI.COM/KAMRA

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When you entrust Pacific Cataract and Laser Institute with the care of your vision, our team of experts concentrates their skills on giving you the best possible outcome. Having performed over 500,000 micro eye surgeries, we have earned a reputation for world class care.

WORLD CLASS CARECorporate office in Chehalis, Washington

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If you have questions about the KAMRA inlay, or would like to proceed with treatment, talk with your optometric physician or our refractive surgery counselors.

To reach our office nearest you, call 800-224-7254. In Alaska call 800-557-7254

www.pcli.com/kamra

SERVING ALASKA, IDAHO, OREGON, MONTANA, NEW MEXICO AND WASHINGTON