Doctor insights on:
Cataract Surgery Toric Lens Complications
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.
Back to eye Dr.: Please go back to your eye surgeon to get this examined. He can best help you in deciding what can be done. ...Read more
Occurs whent here is a clouding (or change in protein composition) of the normally clear lens (which is located behind the pupil and iris) inside the eye. Cataracts are most commonly due to aging, but can be congenital (born with it), due to trauma or uveitis (eye inflammation). Can be worsened by long-term topical steroid ...Read more
I had cataract surgery in both eyes a year ago. I am left with a terrible astigmatism in my left eye. The right eye is fine. Can the toric lens he used be removed and a standard lens be put in?
Yes: However, you need to find out why you still have astigmatism. The toric lens should have corrected that. Either your astigmatism is stronger than what the lens could correct, the toric lens is not placed or oriented in the ideal position, or something else besides astigmatism is causing your symptoms. Before removing any lens, the cause of your symptoms needs to be identified. ...Read more
Good option: For those with moderate to significant astigmatism, which is a good portion of the population, choosing a toric lens implant for your cataract surgery will reduce your dependence on glasses post surgery. I advise my patients who have astigmatism to opt for a toric lens if they can afford the premium cost. If they can't, glasses will correct the astigmatism post surgery. ...Read more
Toric IOL: Toric implants correct for astigmatism & distance vision though usually do not correct for reading unless is a Trulign (Crystalens Toric) or Restor Toric (still not available in US). Vision usually much clearer if all astigmatism corrected; rotation of toric can increase the risk of visual distortion more than monofocals. ...Read more
Three days post cateract surgery. Now distance vision is 20/20. Is it normal for eye to itch & feel like a hair is in it 3 days post op toric lens?
Yes: Yes it can be normal for foreign body sensations after cataract surgery. Using cold compresses and cold artificial tears (non preserved is best) for itching can help with allergy issues in addition to the usual warm face washing and gentle warm compress all patients should do to keep face clean morning and night. See your MD if any pain as could also be an eyelash or other foreign body got in eye. ...Read more
Ask your doctor: You can research the lenses and then discuss your desires with your surgeon. Your surgeon should be able to describe the pros/cons of each lens and help you decide which is right for you. ...Read more
Yes: With the right selection of patient to receive this lens and the proper expectations of the type of vision to be expected, this has been a helpful addition to this surgery. It is gradually becoming more commonplace and the available lenses are continuously being improved. Note that it is an extra personal expense not covered by insurance or medicare. Discuss with you eye surgeon. ...Read more
S/p Cataract choices: If you mean which implant to choose for an intraocular lens implant, see Cataract Surgery Options at eyedoc2020.blogspot. Com. If you mean which lens is better after cataract surgery: depends on residual refractive error (is there astigmatism, reading ok? What IOL was placed?). If you need reading, intermediate, distance rx, progressives are best for young pt's if brain can learn. Full answer @blog ...Read more
Based on the amount:
If an Intra-ocular Lens Implant becomes displaced, the approach to repair (+/- surgery) depends on several factors.
1. Anterior Chamber vs. Posterior Chamber
2. Displaced (Subluxed) vs. Dislocated
3. Involvement of any other ocular structures
4. Level of the Intra-ocular Pressure
Bottom line: Please seek evaluation with your Ophthalmic Surgeon. ...Read more
Promising: Exciting new technology......Shows promise but long term results are not yet known. ...Read more
Unlikely: When you have cataract surgery your doctor is removing the cloudy lens (the cataract) and implanting a clear, artificial lens. Our goal as surgeons is to give you the best vision possible. Talk to your doctor about the options of artificial lens implants available to you to meet your needs. Once a cataract is removed it does not return. ...Read more
Yes: Medicare covers monofocal intraocular lenses.Get a more detailed answer ›
Mostly not: Most insurances will cover the cost of the basic intraocular lens for replacement of focusing. Multifocals are, from their standpoint, an expensive add on. And they will not cover the added cost. If you want these, you will have to pay the extra $600-$1000 for the fancy lens. ...Read more
I'm just wondering, if you've had cataract surgery and had new lens put in, can you still use the sunbed or not?
Can you tell me if you've seen anyone who undergone cataract surgery and replaced the lens with accommodative iol. How do you feel the result?
Accommodative IOL: Crystalens & Trulign Toric (by Bausch + Lomb) are only FDA-approved intraocular lenses (IOLs) that use a method called accommodation (IOL tried to mimic back & forth movement of natural lens in capsular bag). These pts should see better at near & intermediate without glasses compared to those who had a monofocal IOL: more info: eyedoc2020 blogspot com ...Read more
Likely lens exchange: Choosing the correct refractive power in the lens implanted in the eye during cataract surgery is vitally important to restoring clear vision. If the incorrect lens is mistakenly implanted, typically a second surgery to replace the lens is required. On occasion the incorrect lens is similar enough to the correct lens that minor glasses or even laser surgery can be done to correct the error. ...Read more
Wrong lens: Yes, but it depends how wrong it is... It is a difficult surgery, and more things can go wrong. If you just need a little glasses to correct the differenece that might be all you need. Alternatively, if your surgeon has little experience with this, you may want to seek out another surgeon that has more experience removing or exchanging lenses. ...Read more
Rarely: The implant has "arms" called haptics which hold it in place inside the lens capsule. If it was not inserted properly or if the eye sustains trauma then it can get misaligned or dislocated. This is fairly rare, but if it does occur it can often be repositioned with additional surgery. ...Read more
I have significant astigmatism, is doing cataract surgery with a lens. Surgeon said the lens can only correct 10 to 25% astigmatism. Is it worthy?
High Astigmatism: I'd get a second opinion regarding this. If your astigmatism is so high that a toric IOL is only able to correct 10-25%, of you astigmatism, I'm wondering whether you have an underlying corneal degenerative condition, like keratoconus. An acrysof toric will correct a max of about 4 diopters. If what has been measured is 75% more or about 7 diopters oF astigmatism, it's not worth it in my opinion. ...Read more
How do we choose the right intraocular cataract lenses for my mother's cataract surgery? My mother is in her 70's and will need cataract surgery in the near future. There are so many types of intraocular cataract lenses. How do we know which one is the be
Speak to the doctor: The good news is the bad news in cataract surgery: there are so lens many choices, it can be mind-boggling! The key to making the right decision is to sit with the surgeon and spend as much time as is needed to be sure that you understand each choice, and to be sure that the doctor understands your mother's vision and lifestyle needs. After that, the decision should become a lot easier. ...Read more
There are 3 key options for cataract surgery: monofocal (give you ability to see 1 distance); multifocal (see multiple distances but risk of glare/halos); accommodative lenses (allow multiple distances; less risk of glare; but may not work as well for reading vision especially over time). More info: eyedoc2020@blogspot. Com
Visionary Ophthalmology, Rockville, MD ...Read more
Cataract surgery 6 yrs ago. Feel same like before surgery, cloudy, mocusios. Is it clog up back of my lens? Can optamist able to find out?
Posterior capsule op: Posterior capsule opacification occurs commonly after cataract surgery. Cells from the natural lens left behind during the surgery grow across the posterior lens capsule and sometimes across the posterior surface of the lens implant. They are easily removed in the office with a yag laser. Once removed, they do not return. ...Read more
Yes: Usually, no problem as long as eye is healthy. ...Read more
Should both eyes be fitted with lens for distance or only one for up close work for cataract surgery?
Worth a discussion: Using a different power in each eye, termed monovision, is a popular way to avoid the use of eyeglasses. If you get the distance power in each eye then you would need reading glasses. Consider also multifocal lenses which cost extra but can give you reasonable far and near vision after the surgery. This should be discussed with the surgeon doing the work for you. ...Read more
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