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Monroe Township, NJ
A 64-year-old male asked:

I had cataract surgery 2 years ago and a toric lens placed in my left eye. it was never right. can it be redone? i had lasik surgery in the same eye.

3 doctor answers7 doctors weighed in
Dr. Douglas Liva
Ophthalmology 42 years experience
Probably not: Repositioning a toric iol is easily done in the early postoperative period. However 2 years later entails significant risk due to adhesions that have formed between the iol and the lens capsule. An examination to determine if the axis of your corneal astigmatism aligns with the astigmatic axis of the iol needs to be performed first to diagnose the reason for your poor result before any treatment.
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Dr. Brian Sucheski
Ophthalmology 28 years experience
Although repositioning of the lens would be very difficult this late after surgery, perhaps a PRK to address an residual prescription may be possible. I'd get a reason that the vision is not great for you and then address possible treatment options with your surgeon.
Apr 6, 2014
Dr. Marvin Greenbaum
44 years experience
Yes, but no: In fact, the toric intraocular lens could be removed, but after two years, the potential complications of removing it may outweigh the potential gain. It is unlikely that you would be free of glasses with a new lens. If you can see well with glasses correcting your astigmatism that may be your best result.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Sandra Lora Cremers
Ophthalmology 27 years experience
Cataract after LASIK: Outcomes from cataract surgery after LASIK can be difficult to predict (ie, refractive surprise). Residual astigmatism, refractive error can be very frustrating. Depending on outcome, the lens can be exchanged, a piggyback IOL placed, or re-LASIK. New technology like ORA intraoperative aberrometer helps decrease Refractive Surprises: more info: eyedoc2020.blogspot.com
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Jan 25, 2020


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