Surgeons insert telescopic lens into Quebec City woman's eye in Canadian first

A Quebec City surgical team has successfully implanted a telescopic lens in the eye of a woman with macular degenerationin what the ophthalmologistwho operated on her says is a Canadian first.

"My biggest dream, and I think about this often, is to see the faces of my grandchildren," said Jacqueline Rioux, who started having vision problems in her 30s and now, 40 years later, has lost about 90 per cent of her sight.

Rioux underwent surgery to have a four-millimetre-thick telescopic lens, called an intraocular telescope animplantable mini-telescope inserted into her left eye.

TheCentraSightimplant, created by the American companyVisionCare, is inserted using a similar technique to that used in cataract surgery. The company teaches ophthalmological surgeonshow to adapt the operation toslip in the telescopic lens.

"This is the first time it's been done in Canada, but all it takes is opening the door and eventually, I hope, the concept will develop, and more people will qualify," Dr. Richard Bazin, the cornea expert who performed the surgery, told CBC'sQuebec AM.

He said the operation has been done hundreds of times in the United States and Europe.

Bazin, who works at HpitalduSaint-Sacrement, part of the UniversitLaval hospital network, said Rioux's surgery went well.

An ideal candidate

Rioux's operation was two years in the planning.

First, the hospital had to approve it, then thestaff and surgeon had tobe trained, andthen they set out to find a patient who was a good candidate for the surgery.

Rioux qualified because she also has Parkinson's disease, which means she has reduced motor skills, but the implant will free herfrom having to handlevision aids like a magnifying glass.

Until now, she's used what her grandchildren call her "big eye" eyeglasses with a thick magnifier in the centre of one of the lenses to help her focus her vision.

She said she can't focus on anything even just a few feet away, and when she tries, it becomes a dark or black blur. She cannot distinguish features or recognize people.

Months of rehab

At $20,000, the implant is expensive, and Bazinsaid he will not know how much visionRioux, who is still in hospital, will gain from the surgery.

"All I can say is her vision will be better off with the telescope, but I can't say how much better off," he said.

The two-hour operation leavesRioux with one eye with only peripheral visionand one eye with a zoom in the centre, thanks to the telescopic lens.

"It's sort of awkward to have a magnified image on one side and a normal image on the other side,"Bazinsaid.

"Unfortunately, even though the telescope seems to be doing marvels, it's not something that could be used for everybody."

Rioux now has to relearn to do perform the most basic functions, like walking.

She faces months of rehabilitation.

"I think it requires someone with a certain determination, which I have," Rioux said. "I feel very privileged."

Rioux said she's looking forward to the possibility of seeing the birds that come to a birdfeeder outside her window at home, and to cross-country skiing a sport she already enjoys with her partner, but with the added bonus that she may now beable to see the trails.