Can a lensectomy help with both astigmatism and nearsightedness? i have astigmatism and i am very nearsighted; i've worn glasses for years. what kind of results could i expect from a lensectomy, and is it as safe as cataract surgery?

A : A lensectomy is essentially a premature cataract surgery, meaning your natural lens has not fully developed a cataract (clounding of natural lens). This can be an excellent option for patients in their late 50's early 60's who want to correct astigmatism and nearsightedness and avoid developing cataracts later. If you are younger, you could consider lasik or prk. Everyone who lives long enough will develop cataracts, most during the 60's or 70's. Thus if you are closer to this age range, you might consider lensectomy, it is like one stop shopping. Correct vision and avoid cataract surgery. The lenses today are advanced and can correct both astigmatism and nearsightedness. There are even lenses that provide both distance and near vision, discuss with your surgeon the best option.

Clear lens removal: Clear lens extraction or lensectomy can correct both myopia and astigmatism if a toric lens implant is used. It is same procedure as cataract surgery and is very safe. If you are young, there is a long term risk of retinal pathology after surgery so you may want to see a retinal specialist prior to clear lens extraction surgery.

Yes: New intraocular lens designs can correct both astigmatism and nearsightedness, allowing for the possibility of excellent uncorrected distance vision. Your ophthalmologist can determine if you are a candidate for this type of premium lens implant.

Yes: Lensectomy is essentially cataract surgery only the lens is removed not for opacity but to alter a refractive error. Depending on your age this may not be the best option.