732.774.5566

info@dseye.com

 

Advanced Technology

Our Services

Thanks to advances in technology, even surgeries that just a few years ago required hospitalization can now be handled safely and with greater comfort and convenience in a surgery center.

Doctors Ralph Del Negro and Carl Senft lead the way in ophthalmology technology innovation with Laser Cataract Surgery with advanced technology lens options. Our doctors perform cataract and glaucoma procedures and sophisticated corneal surgery at Seashore Surgical Institute in Brick.*

They focused on your needs when planning and equipping this accredited, full-service facility that makes it possible for them to deliver better results and increase the comfort and satisfaction of their patients. From registration to discharge, a streamlined administrative process makes your eye surgery a more convenient and less stressful experience.

*Drs. Del Negro and Senft have an ownership interest in Seashore Surgical Institute.

LENSAR® Laser System

LEARN MORE ABOUT LENSAR

Advanced Technology Lens Options

LEARN MORE ABOUT INTRAOCULAR LENSES (IOLS)

IRIDEX MicroPulse® Laser for treatment of Open Angle Glaucoma & Retinal Diseases

LEARN MORE ABOUT MICROPULSE LASER

Del Negro & Senft Eye Associates makes use of the following technology:

Click to learn more.

ARGOS

The ARGOS® swept-source optical coherence tomography (SS-OCT) biometer gathers the required diagnostic measurements for Cataract or Laser Vision Correction surgery by capturing a high-resolution image of each patient’s unique eye. The ARGOS is a non-invasive, non-contact biometer that is used to acquire ocular measurements as well as perform calculations to determine the appropriate intraocular lens (IOL) power and type for implantation during intraocular lens placement. ARGOS measures the following 9 parameters: Axial Length, Corneal Thickness, Anterior Chamber Depth, Lens Thickness, K-values (Radii of flattest and steepest meridians), Astigmatism, White-To-White (corneal diameter) , and Pupil Size.

PENTACAM

A rotating Scheimpflug camera captures multiple, high resolution images providing valuable information on Refractive, Cataract, Glaucoma, and Corneal findings. Within a mere second the Pentacam® supplies our doctors with precise diagnostic data on the entire anterior eye segment. For those diagnosed with a cataract, the degree of cataract is made visible by the light scattering properties of the eye lens. Measurement of the anterior and posterior corneal surfaces supplies the true total refractive power of the cornea. The data on the posterior surface provides information needed for early keratoconus detection, a test Dr. Senft orders to determine if a patient is a candidate for Laser Vision Correction. The rotating scan supplies more data points in the center of the cornea. For added accuracy, a supplementary pupil camera corrects for eye movement during the examination. Pentacam.com

FLUORESCEIN ANGIOGRAPHY

Our practice utilizes fluorescein angiography to aid in the diagnosis and management of various conditions that may occur in the retina. Pictures taken after a dye is injected help pinpoint signs of retinal circulation problems, swelling, leakage, or abnormal blood vessel formation, which helps guide treatment.

View Video

OPTOS-Retinal Photography

Annual eye exams are vital to maintaining your vision and overall health. Our doctors offer the optomap® as an important part of this screening process. The first time a new patient is seen in the office our doctors dilate as normal, establishing a baseline. Following this initial dilated exam, a welcome benefit to our patients is that that a routine exam can be performed without dilation, if there are no additional findings to suggest otherwise. The optomap produces an image that is unique and provides Drs. Del Negro, Senft, Shah, and Carniglia with a high-resolution 200° image in order to ascertain the health of your retina. This is much wider than a traditional 45° image.

Many eye problems can develop without you knowing, in fact, you may not even notice any change in your sight – fortunately, diseases or damage such as macular degeneration, glaucoma, retinal tears or detachments, and other health problems such as diabetes and high blood pressure can be seen with a thorough exam of the retina.

The inclusion of optomap as part of a comprehensive eye exam provides:

  • A scan to show a healthy eye or detect disease.
  • A view of the retina, giving your doctor a more comprehensive view than they can get by other means.
  • The opportunity for you to view and discuss the optomap image of your eye with your doctor at the time of your exam.
  • A permanent record for your file, which allows our doctors to view your images with you each year to look for changes.

The optomap is fast, easy, and comfortable for anyone. The entire image process is simple–you just look into the device one eye at a time.

Spectralis/OCT

Del Negro & Senft Eye Associates is making a difference in the community fight against sight-stealing eye diseases such as glaucoma and macular degeneration (AMD). It is well known that the key to preventing vision loss is early detection. With the new addition of this 3-D imaging technology, our doctors are now better able to detect and manage glaucoma and retinal disease such as macular degeneration and diabetic retinopathy.

This new system, known as SPECTRALIS, uses an advanced eye tracking system that produces 3-D images of the eye, allowing our doctors to more easily identify change over time. This helps reveal eye disease which may not yet be noticeable by the patient or detectable with a traditional visual exam. The SPECTRALIS not only aids in the detection of such diseases as glaucoma and macular degeneration, it also provides essential information for monitoring them in follow-up examinations.

The SPECTRALIS exam is fast, safe and usually does not require dilating the eye. While a patient comfortably sits in a stationary position, the eye is scanned in a few seconds.

Visual Field

The visual field test is the standard of care in glaucoma diagnosis and management. It provides proven diagnostic performance in detecting early visual field loss. It is also helpful in neurologic diagnosis, retinal diagnosis, as well as diagnosing other visual problems.

Humphrey® Field Analyzer 3, Image courtesy of ZEISS

OPD Scan (Optical Coherence Tomography)

At Del Negro & Senft Eye Associates, our team uses the innovative OPD III Wavefront system. This remarkable instrument offers the most advanced digital technology available to help us better evaluate your unique needs and provide you with the best possible vision. Far more than just a refractive examination, this instrument provides a comprehensive understanding of your complete visual system and optical pathway. Using information from the OPD III Wavefront system, our team can make better recommendations to help you see better in all types of settings.

How Is Your Current Vision?

  • Trouble with excessive glare and less than optimal vision when driving at night?
  • Feel like you just aren’t seeing your best with your latest pair of glasses?
  • Think cataracts are impacting your vision?

OPD testing can provide insights that contribute to developing a proper treatment plan. Our team is thrilled to offer the best technology and care for our patients. Our job is to provide you with your best possible vision.

The OPD-Scan III performs at least five important clinical functions:

  • Automated refraction
  • Automated keratometry
  • Corneal topography
  • Pupillometry
  • Wavefront aberrometry

Refraction-Marco COS Unit

This state-of-the-art system has the capability of allowing our doctors to make a comparison between your current refractive error, your old prescription, and your new prescription. Vision diagnostic results are faster, yet more accurate than ever. The system combines smart features such as an electronic refractor, auto refractor/keratometer, chart projector, and auto lensmeter. The ergonomic design ensures that patients are comfortable while the technician is performing a thorough work-up. The end result is a precise diagnosis of vision exceeding expectations for consistency and accuracy.

Photo-Slit Lamp

The slit lamp camera is used to document disease states of the front of the eye, patient education, and monitoring.

Light Delivery Device (LDD)

LDD Treatment

Lens Technology & LDD Treatment

Request an Appointment

Our goal is to contact you by phone within 24 hours of submission. If you find yourself in an EMERGENCY situation, please CALL 732-774-5566 instead.

Skip to content

What are the benefits of Robotic Laser Cataract Surgery?

Results

The use of robotic intelligence and precision guides gentle lens removal, optimal placement of your replacement lens (IOL), and accurate astigmatism correction, so you can experience your best possible vision after cataract surgery.
Today with robotic laser cataract surgery, automation and robotic intelligence can also help save patients 51 minutes compared to basic laser cataract surgery.1

Precision

Robotic Laser Cataract Surgery uses robotic laser precision instead of handheld blades and instruments. Robotic precision is critical for making accurate incisions and softening the cataract. This is because the tissues of the eye are very thin and delicate. Some are only half as thick as a sheet of cellophane! Robotic laser cataract surgery is the only blade-free cataract procedure.

Customization

Not all cataracts are the same. Robotic intelligence identifies how hard or soft your cataract is and recommends the best treatment for softening it. Your skilled surgeon will accept or make changes to the recommended treatment plan to ensure optimal treatment.
Robotic intelligence is also used to create a precise plan for treating astigmatism, if needed. Everyone's astigmatism is different, so customizing treatment is critical for achieving your desired visual outcome.

Peace of Mind

Only Robotic Laser Cataract Surgery is guided by detailed imaging and real-time monitoring during your procedure. The level of imaging detail that robotic intelligence provides helps your surgeon treat your cataract confidently. You can rest assured knowing that you are choosing the latest procedure available to treat your valuable sense of sight.

Accuracy

Robotic Laser Cataract Surgery uses laser marks in place of manual ink marks to guide accurate astigmatism treatment. Before the procedure, your eye’s measurements are also automatically transferred into the robotic system to reduce errors that can happen when data is entered by hand.

Comfort

The robotic laser reduces eye redness compared to the laser used in basic laser cataract surgery. Robotic laser cataract surgery may also help the eye heal faster. This is because robotic intelligence tells your surgeon how to best soften your cataract for easy and gentle removal. You are also able to remain on the same bed for the entire robotic laser cataract procedure, which is not the case for all types of cataract surgery.

Learn More

Advanced Technology Lens Options

 

If I'm a candidate, what lens options will my surgeon recommend?

 

Introducing the RxSight® Light Adjustable Lens

Treats: Presbyopia, astigmatism, excellent visibility in all lighting conditions.

RxSight® Light Adjustable Lens

The RxSight® Light Adjustable Lens is the first and only intraocular lens (IOL) that can be customized after cataract surgery. The Light Adjustable Lens is made of a special photosensitive material that can be adjusted in response to ultraviolet (UV) light. This optimization is completed by Dr. Del Negro in the weeks following lens implantation through a series of non-invasive light treatments that take only a few minutes each.

You will have the unique ability to adjust and preview your vision until it meets your personal desires and lifestyle requirements. The Light Adjustable Lens delivers superior vision outcomes that non-adjustable IOLs cannot match.

You may need 3 to 5 total light treatments over a period of 4 to 5 weeks to reach your vision goals.

UV-Blocking Glasses

During the period immediately following surgery until 24 hours after your last light treatment is completed you will be required to wear special UV-blocking glasses during all waking hours. Wearing ONLY the glasses we supply will prevent exposure to both INDOOR and OUTDOOR sources of UV light that can cause uncontrolled changes to the Light Adjustable Lens.

Detailed instructions will be provided.

Presbyopia Correction at the time of Cataract Surgery

If you are interested in pursuing functional vision for normal, everyday activities a presbyopia correcting IOL may be the right choice for you such as Alcon’s AcrySof® IQ PanOptix®, or Johnson & Johnson’s TECNIS®. A presbyopia correcting intraocular lens (IOL) allows for correction of vision at near, intermediate, and distance and provides a full range of high-quality vision at functional distances. It supplies uninterrupted vision and less dependence on glasses when driving, using your computer, or using your mobile device.

Two Options:

#1

  • Corrects for presbyopia
  • Excellent visibility in all lighting conditions

#2

  • Corrects for presbyopia AND astigmatism
  • Excellent visibility in all lighting conditions

 

CLEAR, COMPLETE VISION


UP CLOSE

Crafting, reading a book or magazine


ARM’S LENGTH

Read a menu, see yourself in the mirror


FAR AWAY

Recognize a familiar face, drive, watch TV, see a show

Your surgeon will carefully evaluate the visual demands of your individual lifestyle before recommending a particular lens. If you have astigmatism, your surgeon may recommend a Toric or presbyopic-correcting lens designed to correct that condition. There are circumstances where another lens option may be more beneficial for a particular patient. All options would be discussed during your exam.

Astigmatism Correction at the time of cataract surgery?

A person who has both a cataract and corneal astigmatism will not regain quality distance vision after cataract surgery unless the astigmatism is also corrected. Alcon’s AcrySof® IQ TORIC or Johnson & Johnson Vision’s TORIC Tecnis® II lens makes it possible to correct astigmatism and cataracts at the same time and provides quality distance vision. Its unique design makes it possible to reduce, or eliminate, corneal astigmatism and significantly improve uncorrected distance vision.

Who should consider having an advanced technology replacement lens implanted?

Candidates for these advanced-technology lenses include patients age 45 or older who desire a full range of vision in each eye with less dependence on reading glasses, bifocals, or progressive lenses as well as individuals with cataracts that impair vision. Patients with health problems, such as diabetes or a chronic infection, should wait until those conditions are under control before scheduling the procedure.

Drs. Del Negro or Senft will perform a careful examination before making any recommendation.

Learn More About Cataract Surgery

 

IRIDEX MicroPulse® Laser for treatment of Open Angle Glaucoma & Retinal Diseases

 

Indications- The MicroPulse Laser Trabeculoplasty (MLT) surgeries are used for patients with open angle glaucoma. The laser is utilizes to treat the drainage system of the eye known as the trabecular meshwork. Treating this area of the natural internal draining system is designed to improve the outflow of fluid from the eye.

This type of laser surgery will be effective in some patients, but not others. Your response is determined by the type of glaucoma you have and the specific structures found in your drainage system. Your doctor cannot predict how well the laser will work before the laser surgery.

Procedure- The laser machine is similar to the examination microscope that the Ophthalmologist uses at each visit to look into your eyes. The laser itself makes little noise and flashes a light about as bright as the flash on a camera. Nearly all patients find the procedure comfortable and pain free. The procedure generally takes 10 – 20 minutes.

Medications- You may need to use drops both before and after the laser treatment. As the pressure in the eye may temporarily go up after laser treatment, you will likely need to have your pressure measured after the laser surgery. If the pressure does elevate, you may need additional medicines to lower the pressure, which will be administered in the office. Rarely, the pressure in the eye could elevate to a level that may require surgery in the operating room to relieve the glaucoma. You need to use drops after the laser to help the eye heal correctly. In most cases you will be asked to continue your other glaucoma medications after the laser surgery. The doctor will notify you if there are exceptions to continuing your medications.

Risks and complications- Glaucoma laser surgery may be followed by complications. Most patients notice some blurring of their vision after laser surgery. This generally clears within a few hours. The chance of your vision being permanently affected by this laser is very, very small. Although rare and unusual, there may be bleeding within the eye, inflammation, cataract and increase in the pressure in the eye requiring different and more extensive treatment. It will take several weeks to determine how much of your eye pressure will be lowered with this treatment. You may require additional laser surgery to lower the pressure.

Learn More About Glaucoma

 

The IRIDEX MicroPulse® Laser is also indicated for the treatment of Retinal Diseases.

 

FOCAL LASER

Focal Laser is used by our practice to treat Diabetic Macular Edema. During the treatment, a laser beam is used to seal the leaking blood vessels near the macula.

View Video

 

PANRETINAL LASER

Panretinal Laser is used by our practice to treat Proliferative Diabetic Retinopathy. During the treatment, a laser beam is used to treat the peripheral retina leading to cessation of growth of abnormal blood vessels. More than one treatment may be needed depending on the severity of your diagnosis. Your individualized treatment plan would be discussed during your evaluation.

View Video

 

RETINAL RETINOPLEXY

Our practice uses laser pulses to seal the retina around a retinal tear or hole, which then forms scar tissue within two weeks. The benefit of this in-office laser treatment is to decrease the chance of developing a retinal detachment due to a retinal tear.

View Video