8 doctors weighed in:

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? .

8 doctors weighed in
Dr. William Dieck
Ophthalmology
2 doctors agree

In brief: 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.

In brief: 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.
Dr. William Dieck
Dr. William Dieck
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Dr. Brian Boxer Wachler
Ophthalmology
1 doctor agrees

In brief: 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.

In brief: 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.
Dr. Brian Boxer Wachler
Dr. Brian Boxer Wachler
Thank
1 comment
Dr. Douglas Liva
Agree. As long as the patient understands that there is increased risk of retinal detachment in high myopes after lensectomy.
Dr. Paul First
Ophthalmology

In brief: 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.

In brief: 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.
Dr. Paul First
Dr. Paul First
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Dr. Jay Bradley
Ophthalmology - LASIK Surgery

In brief: 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.

In brief: 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.
Dr. Jay Bradley
Dr. Jay Bradley
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