R.E.F.O.C.U.S.™ Program
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Cataract Revision Surgery
What Is R.E.F.O.C.U.S.?
Revision of Eye Function & Optical Clarity Using Surgery (R.E.F.O.C.U.S.) is a specialized program for patients dissatisfied with prior cataract surgery results.
Through advanced diagnostics and technology, customized surgical planning, and Dr. Tokuhara’s expertise, we restore optical clarity and comfort when other treatments have failed. We’re not just redoing a surgery, we’re redefining the outcome.
Better Vision
A Second Chance for Your Vision
Many of our patients come to us after being told “nothing more can be done” or “you’ll have to live with it.” But in many cases, the real issue hasn’t been identified or properly corrected.
With the R.E.F.O.C.U.S.™ program, we take a deeper, more precise approach to uncover what others may have missed and determine what’s actually possible.
Restore Your Vision with R.E.F.O.C.U.S.
Our R.E.F.O.C.U.S. program is designed for patients dissatisfied with prior cataract surgery, offering precision revision surgery and renewed visual clarity.
Our Corrective Techniques
Each R.E.F.O.C.U.S. plan is tailored to your eye’s unique anatomy, prior surgical history, and visual goals. Using advanced diagnostics and precision microsurgery, Dr. Tokuhara corrects complex post-cataract issues to restore optical clarity, comfort, and confidence in your vision.
Lens Repositioning or Exchange
When a lens is dislocated, decentered, or not the right optical match, vision can remain distorted or blurry. Through precise microsurgical techniques, Dr. Tokuhara repositions or replaces the intraocular lens (IOL) using advanced optics and intraoperative aberrometry. This allows him to create accurate alignment, improved focus, and lasting visual stability.
Iris Repair and Reconstruction
Trauma or prior surgery can leave the iris uneven or damaged, causing light sensitivity and visual imbalance. Our microsurgical repair techniques restore the iris’s shape and symmetry, improving pupil function, controlling light entry, and enhancing both comfort and aesthetic appearance for a more natural visual experience.
Secondary Lens Implant
Some patients may need a new lens implant after previous eye surgery, trauma, or retinal surgery where the natural lens was removed. In these situations, a secondary lens implant can often be placed to help restore clearer vision and improve focus. Depending on the condition of the eye and the remaining support structures, different types of lens implants may be used safely and effectively.
This procedure can be especially helpful for patients who notice a large difference in vision between the two eyes, which can cause blur, imbalance, difficulty with depth perception, or trouble feeling visually “aligned.” The goal of secondary lens implant surgery is to improve visual clarity, restore better balance between the eyes, and help patients feel more comfortable and confident in their day-to-day vision.
Why Choose Desert Vision Center for R.E.F.O.C.U.S.
At Desert Vision Center, every R.E.F.O.C.U.S. case is guided by experience, precision, and integrity. Patients come to us from across the United States and the world seeking expert correction for complex or unsatisfying cataract outcomes. Here’s what sets our program apart:
Led by Dr. Keith Tokuhara
Dr. Tokuhara is a nationally recognized specialist in complex and revision cataract surgery. His advanced fellowship training and two decades of experience allow him to manage cases most surgeons avoid, restoring clarity, comfort, and confidence for patients told “nothing more can be done.
Concierge-Level Care
You’ll have direct access to Dr. Tokuhara and our dedicated care team throughout your journey. From your first consultation to post-operative follow-up, we provide the personalized attention, transparency, and compassion that large surgical centers often lack.
Advanced Diagnostic and Surgical Technology
Our program integrates cutting-edge tools like the ORA System for real-time intraoperative lens verification, premium IOLs for customized visual outcomes, and precision microsurgical instruments designed for complex revision procedures.
Ethical, Independent, and Patient-First
We operate outside of corporate or high-volume surgical models, ensuring your care decisions are based solely on what’s best for you. At Desert Vision Center, every recommendation is grounded in ethics, evidence, and a commitment to restoring your vision to its fullest potential.
Frequently Asked Questions:
R.E.F.O.C.U.S.
For Patients:
R.E.F.O.C.U.S.™ is a concierge-level surgical program designed for patients who need corrective cataract surgery after a complication, poor outcome, or complex diagnosis. It includes advanced diagnostics, record review, and customized surgical repair using techniques such as lens exchange, scleral fixation, and iris repair.
If you have blurry or distorted vision after cataract surgery—or if you’ve been told your case is “too complex” or “not fixable”—you may benefit from RE.F.O.C.U.S.™. We also see patients with dislocated IOLs, visual distortion, iris damage, or other post-surgical concerns.
No referral is required. While many patients are referred by other doctors, you can contact us directly to schedule a consultation.
Depending on your unique needs, Dr. Tokuhara may use:
- Yamane Scleral Fixation (sutureless IOL fixation)
- Canabrava Double-Flanged Technique
- Iris repair or pupilloplasty
- Anterior vitrectomy or IOL repositioning
- Lens exchange or power correction
Each plan is highly individualized.
If available, bring:
- Prior surgical records (operative report, lens info)
- Your current medications and eye drops
- Glasses or contact prescription
- Any outside scans or imaging
- A list of your symptoms and concerns
Absolutely. We regularly treat patients from across California and beyond. Our concierge scheduling team will help coordinate a streamlined visit—often including surgery and follow-up in the same trip when appropriate. We can also communicate with your local eye doctor for long-term care coordination.
Diagnostic evaluations and surgery are often covered by Medicare and most insurance plans, but coverage can vary. Our team will help you understand your benefits and out-of-pocket costs in advance.
We’re not just a cataract center—we’re a surgical correction destination. We don’t accept or give referral kickbacks, and we operate independently to ensure your care is based on need, not influence. Dr. Tokuhara personally sees each patient and performs all surgeries himself.
For Referring Providers:
RE.F.O.C.U.S.™ is a structured, concierge-level program at Desert Vision Center for patients who require cataract revision surgery, lens repositioning, or post-surgical complication repair. It includes comprehensive diagnostics, a forensic surgical review (when prior records are available), and a tailored surgical plan performed by Dr. Keith Tokuhara.
We welcome referrals for:
- Dislocated or subluxated IOLs
- Incorrect lens power or selection
- Post-surgical visual disturbances or glare
- Iris damage, pupil abnormalities, or traumatic cataracts
- After-LASIK or post-RK cataracts requiring special planning
- Advanced or high-risk cataracts with zonular instability, pseudoexfoliation, Fuchs’, etc.
We also provide second opinions for patients previously told their case is “unfixable” or “too complex.”
Techniques are selected based on individual anatomy and prior surgical history. They include:
- Yamane technique for sutureless scleral fixation
- Canabrava double-flanged technique for IOL stabilization
- Iris repair/pupilloplasty for functional and cosmetic restoration
- Anterior vitrectomy, IOL exchange, and lens realignment
Yes. Desert Vision Center is a Medicare participating provider and accepts most major insurance plans. We are a non-kickback, ethics-forward practice—we do not engage in financial incentives for referrals.
Yes. We reserve dedicated RE.F.O.C.U.S.™ appointments for urgent and complex consults and offer expedited scheduling for patients in distress. Out-of-town patients receive concierge coordination and lodging guidance if needed.
- Fellowship-trained, board-certified cataract surgeon with deep expertise in complex and revision cases.
- Personal, one-on-one consults with Dr. Tokuhara personally.
- Commitment to kickback-free, ethical decision-making.
- Concierge-style coordination and exceptional patient communication
- Fax records to: (760) 340-4701. Call: (760) 340-4700. Or use our secure referral form at https://desertvisioncenter.com/referring-providers/
Attention Patients
Dear Valued Patients of Desert Vision Center,
Dr. Tokuhara is a highly skilled cataract surgeon, specializing in advanced anterior segment surgeries, including complex glaucoma and cataract procedures. He focuses on patients who need surgical intervention or are at risk of severe vision loss.
While Dr. Tokuhara offers comprehensive eye care for his own surgical patients, he does not provide general eye care or post-operative care for patients of other surgeons. When you choose Dr. Tokuhara, he becomes your trusted eye doctor for life.
A Note About Ethical Care
In our community, some providers engage in illegal financial kickbacks accepting payments for cataract surgery referrals. Desert Vision Center firmly rejects this unethical practice. We follow the highest ethical standards, complying with the Anti-Kickback Statute and Stark Law, ensuring that your care in never influenced by financial incentives.
We believe referrals should always be based on what’s best for the patient—not financial gain. If you’re being evaluated for cataract surgery, we encourage you to ask questions and be mindful of these referral arrangements.
Choose the surgeon who prioritizes your vision and your well-being—not one chosen for someone else’s profit.
Sincerely,
Desert Vision Center