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Doctor insights on: Cataract Surgery Toric Lens Complications

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Dr. Richard Bensinger
833 Doctors shared insights

Cataracts (Definition)

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


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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?

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

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Can you tell me about cataract surgery with toric lens implant?

Can you tell me about cataract surgery with toric lens implant?

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

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Can you tell me about what it's like to have cataract surgery with toric lens implant?

Can you tell me about what it's like to have cataract surgery with toric lens implant?

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

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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?

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

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How do I know which lens I want them to use in cataract surgery?

How do I know which lens I want them to use in cataract surgery?

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

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Has anybody done cataract surgery and replaced the lens with accommodative iol?

Has anybody done cataract surgery and replaced the lens with accommodative iol?

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

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If cataract surgery and replace the lens with accommodative iol, how do you feel?

If cataract surgery and replace the lens with accommodative iol, how do you feel?

Feeling: After surgery with accommodative lens, you should feel no difference but vision should be excellent at distance and good at intermediate and near. ...Read more

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Which lens is better after cataract surgery?

Which lens is better after cataract surgery?

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

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What happens if you have cataract surgery with the lens implant before?

What happens if you have cataract surgery with the lens implant before?

Nothing: You only need cataract surgery with a lens implant one time. If you are experiencing vision issues, you should see an eye doctor. ...Read more

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Lens in cataract surgery displaced. How easy to rectify?

Lens in cataract surgery displaced. How easy to rectify?

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

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How effective is the new light adjustable lens for cataract surgery?

Promising: Exciting new technology......Shows promise but long term results are not yet known. ...Read more

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What happens if I need cataract surgery at 60? Will I need new lens a decade or so later?

What happens if I need cataract surgery at 60? Will I need new lens a decade or so later?

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

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Am I allergic to lens from cataract surgery, what should I do?

Extremely unlikely: It is extremely rare to be allergic to the lens material of modern intraocular lenses. Inflammatory precipitates which deposit on the lenses are usually secondary to other causes of inflammation and not the material itself. ...Read more

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What is the cost of multifocal lens in a cataract surgery that is covered by insurance?

What is the cost of multifocal lens in a cataract surgery that is covered by insurance?

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

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I'm just wondering, if you've had cataract surgery and had new lens put in, can you still use the sunbed or not?

I'm just wondering, if you've had cataract surgery and had new lens put in, can you still use the sunbed or not?

Yes: You will still need to wear eye protection, though. Life before and after cataract surgery does not really change. Only difference is that should see better. ...Read more

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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?

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

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What happens if the wrong lens was implanted after cataract surgery?

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

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