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Medical Forum / General / Vision / September 2005

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cristalens

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Gabriel Olivares - 20 Sep 2005 18:59 GMT
what are the problems ?
William Stacy - 20 Sep 2005 20:00 GMT
minimal accommodative result, larger incisions, and the ususal

w.stacy, o.d.

>what are the problems ?
>
>  
Robert Kopp - 20 Sep 2005 20:25 GMT
> minimal accommodative result, larger incisions, and the ususal

Monovision might be better for those who can adapt to it. But by the time
cataracts develop, the patient probably cannot perform an experiment that
will determine whether this will be the case.
Robert Martellaro - 21 Sep 2005 18:06 GMT
>> minimal accommodative result, larger incisions, and the ususal
>>
>Monovision might be better for those who can adapt to it. But by the time
>cataracts develop, the patient probably cannot perform an experiment that
>will determine whether this will be the case.

IMHP monovision should be an option for emerging presbyopes, and should be
discouraged for pseudophakes, unless the disparity in powers from eye to eye is
less than a diopter or so.

Robert Martellaro
~~~~~~~~~~~~~~~~~~
Optician/Owner
Roberts Optical
robopt@execpc.com
~~~~~~~~~~~~~~~~~~
"An expert is a person who has made all the mistakes that can be made in a very narrow field."
 - Niels Bohr
William Stacy - 21 Sep 2005 18:09 GMT
Not sure exactly what you're saying here.  Do you mean "soon to be"
pseuodophakes?  I mean once you're a pseudophake, monovision either is
or isn't there, by design or by accident.  But I agree with the 1 D.
limit for most people.  Anything more than that really robs a person of
their stereovision.

w.stacy, o.d.
(a pseudophake with about 1D. mono)

>IMHP monovision should be an option for emerging presbyopes, and should be
>discouraged for pseudophakes, unless the disparity in powers from eye to eye is
>less than a diopter or so.
>
>  
Robert Martellaro - 21 Sep 2005 21:54 GMT
>Not sure exactly what you're saying here.  Do you mean "soon to be"
>pseuodophakes?

Right. Pseudoaphakics scheduled for IOLs.

Regards,

Robert
William Stacy - 21 Sep 2005 22:20 GMT
I think you mean cataract or refractive patients scheduled for IOLs
(they won't be pseudophakes until after the IOLs are implanted).

w.stacy, o.d.

>  
>
[quoted text clipped - 8 lines]
>Robert
>  
Robert Martellaro - 22 Sep 2005 00:09 GMT
>I think you mean cataract or refractive patients scheduled for IOLs
>(they won't be pseudophakes until after the IOLs are implanted).
[quoted text clipped - 13 lines]
>>Robert
>>  

Pseudoaphakic= cataract/opacity?

Pseudophakic= IOL?

Or do I have it backwards again!

And of course aphakic= w/o crystalline lens.

Regards,

Robert
Robert Kopp - 22 Sep 2005 00:49 GMT
"Robert Martellaro" <robopt@nospam.com> wrote in message

> Pseudoaphakic= cataract/opacity?
>
> Pseudophakic= IOL?

You're pseudophakic if you have IOL's. Example: me.

If you have cataract/opacity, you are an appropriate candidate to become
pseudophakic, though others occasionally do solely to obtain a change in
refraction. On this list we occasionally discuss whether it is appropriate
for an individual of the latter type to become pseudophakic, given the risks
and benefits.
William Stacy - 22 Sep 2005 02:11 GMT
>You're pseudophakic if you have IOL's. Example: me.
>
>  

Right, a lesson in word construction:

a- means without or none (e.g. amoral, asymmentric)
pseudo- means fake or artificial (e.g. pseudonym, pseudoscientific)
phakia means intraocular lens (aphakia, pseudophakia)

so an aphakic eye has had its crystalline lens removed with no
replacement (condition is aphakia)
a pseudophakic eye has had an artificial IOL implanted (condition is
pseudophakia)
and a phakic eye has the "original equipment" lens intact, which may or
may not have cataracts

w.stacy, o.d.
Glenn - USAEyes.org - 20 Sep 2005 20:09 GMT
We have a detailed article on Crystalens at
http://www.usaeyes.org/faq/subjects/crystalens.htm

Glenn Hagele
Executive Director
USAEyes.org

"Consider and Choose With Confidence"

Email to glenn dot hagele at usaeyes dot org

http://www.USAEyes.org
http://www.ComplicatedEyes.org

I am not a doctor.
Eddie - 26 Sep 2005 15:36 GMT
I have no problems.  Had both eyes done over the past 3 months or so.

1.5D or so of accomodation, but that is a hell of a lot better than
nothing.  Left eye is slightly myopic, right eye is plano.

The biggest problem with the procedure, I'd say, is the cost.
William Stacy - 26 Sep 2005 16:43 GMT
Is it 1.5 D. in EACH eye, or binocularly?  If you got that much in each
eye, I'd be (pleasantly) surprised. How's your night vision?  Any halos
or star bursts?

w.stacy, o.d.

> I have no problems.  Had both eyes done over the past 3 months or so.
>
> 1.5D or so of accomodation, but that is a hell of a lot better than
> nothing.  Left eye is slightly myopic, right eye is plano.
>
> The biggest problem with the procedure, I'd say, is the cost.

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