Doctor insights on:
Lens Implant Problems
Had lens implant done a year ago and still having trouble seeing shadows. Want a 2nd. Opinion as to problem. What kind of dr. Do I want to see?
If being aphakic from congenital cataract puts me at risk of eye problems, why not just implant lenses now? I'm 41, have been aphakic since 1 year old
Aphakic: Discuss with your Dr over there. Need much more detail to be able to help. ...Read more
Multifocal IOL MIOL: Multifocal Intraocular Lenses have many advantages: they improve the reading, distance, & intermediate vision in the vast majority of patients (assuming macula, optic nerve, brain are functioning normally). Halos & glare can be biggest issue after MIOLs & these usually improve with time. Vision can improve also after surgery as eye/cornea heals. ...Read more
Lens implant life: They are made of plastics (acrylic, silicone, and pmma) that will last longer than us. The lens capsule behind the lens often opacifies a year or two after surgery. This is treatable with a yag laser in the office or asc. The lenses rarely migrate or develop any changes that would require replacement. ...Read more
Yes but: Lens implants are not designed to be removed. Under certain circumstances, it may be necessary to exchange an implant. This can be done but the ease of doing this varies greatly; and depends on several factors including how long the implant has been in place. A very careful discussion of the risks needs to be had with your eye surgeon before considering this. ...Read more
Several types: There are several types of fda approved lens implants. These include standard single vision implants covered by insurance; plus other types of more advanced implants that are not. These advanced implants can be used to correct astigmatism, to function as a bifocal lens implants to correct distance and near vision (multifocal or accommodating technology implants). ...Read more
Monovision IOLs: Monovision (one eye distance focus, one eye near) is a common method to correct presbyopia (loss of reading vision over age 40). The + is an increased independence from glasses. The - is a loss of depth perception and potential imbalance. A trial of monovision with contact lenses is recommended before surgical correction (cataract lens implants or laser vision correction). ...Read more
Multifocal IOL risks: MIOLs have many advantages: improve the reading, distance, & intermediate vision in the vast majority of patients (assuming macula, optic nerve, brain are functioning normally). Halos, glare (usually improves with time), need for reading glasses/distance Rx from residual astigmatism biggest risk after MIOLs aside from general surgery risks. ...Read more
Only cure is surgery: Not all cataracts require surgery. If best VA is worse than 20/40 or glare is affecting VA, most surgeons prefer to do surgery sooner but depends on pt's sx, pt's risk factors, pt's preferences; also, though no guarantees with any surgery, many patients are less dependent on glasses & even glasses free after surgery which helps many in decision process: eyedoc2020.blogspot. Com ...Read more
No category: There are implants catered to fix astigmatism, up to a certain amount. However, there are no hypo-allergenic implants, because there is no such thing as allergies to intraocular implants. So if being hypoallergenic is your worry, you technically can get any type of lens. Just ask your eye doc about the astigmatism. ...Read more
I am getting intraocular cataract lens implants wednesday! Bifocal or monofocal, what's the difference?
Bifocal Implants: Patients who have monofocal implants with their cataract surgery usually require at least part time glasses: for either distance or near tasks. A bifocal implant has both distance and near powers in it to allow focus at both distances. Many patients with bifocal implants ill not need glasses after surgery. ...Read more
Can iris implant along with inraocular lens implant be done prior to implanting the contact lens in sn without iris n natural lens.
Will implanting a contact lens correct my vision? I have a condition that my cornea is getting thin and long. If I get the icl done will this correct my vision and will it eventually come out and my vision will be good again or is this something that I w
Minimally: The increase in risk is typically just the increase in risk of having a second procedure/cataract surgery which is minimal. If there is any significant cataract it usually makes more sense to take care of it while you are there rather than having to do it at a later time where it can compromise your transplant. There is a greater chance of a higher post-operative glasses rx with combined surgeries. ...Read more
I've had multifocal lens implants but my distance in one eye is distorted what coukd be the cause?
Distorted vision: Is often a sign of a retinal problem. Call your ophthalmologist for appointment. ...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
Is vision correction possible with implanted lenses that can reshape my corneas? I've read that there's now a vision correction surgery that can fix my extreme myopia by implanting a lens. How would this new lense compensate for my nearsightedness? What a
ICL: Icl surgery is superb for correcting nearsightedness without resorting to lasik surgery. There is no reshaping of the cornea as with laser surgery and the lens can be removed if there are significant changes in your vision in the future allowing for another type of treatment. It is a great treatment particularly for those who are too nearsightedness for lasik treatment. ...Read more
Usually: Myopia is usually caused by the eye being longer than average, the cornea being steeper than average, or both. Cataracts develop in everyone eventually. During surgery, the doctor replaces the catarac with an intraocular lens implant. This lens has the capacity to permanently correct myopia (much like a contact lens does), and definitely cures cataracts. ...Read more
Do you know are intraocular lens implants to restore good vision a permanent cure for cataracts and myopia?
Cataract Surgery: Cataract surgery has advanced tremendously in the last few decades. Risks still remain but the majority of patients have their cataracts & myopia cured with cataract (or clear lens) extraction & premium intraocular lenses. See for more info: eyedoc2020.blogspot. Com: Cataract Surgery Options. ...Read more
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