 |
 | Home | Contact Us | FAQ | Search & Site Map | Link to Us |
 | Sign In | Join | Other 45 Sites in Network |
Medical Forum / General / Vision / July 2006Has Anyone Had IOL Surgery?
Hi, I am looking for peoples experiences Accommodative IOL's ( http://www.accommodativeiol.com ) Does it work, what are the risks, is it covered by medicare etc...?? Thank you in advance!! from what I heard, it usually doesnt work and also the vision isnt as clear and it results in decreased night vision. May be better off just asking to be undercorrected by a diopter and a half and use glasses just for driving or watching movies > from what I heard, it usually doesnt work and also the vision isnt as > clear and it results in decreased night vision. May be better off just > asking to be undercorrected by a diopter and a half and use glasses > just for driving or watching movies I have had IOLs implanted in both eyes, but just the plain old single vision ones. Depending on your personal preferences and lifestyles, many recommend having these set for distance and using reading glasses for close.  SignatureDan Abel dabel@sonic.net Petaluma, California, USA if you had asked to be undercorrected slightly you wouldnt need reading glasses much, unless you want to read fine print or see something close up. A slight undercorrection will also mean youll only need glasses for driving and maybe some other occasional events. Less annoying than carrying readers all the time and inserting, removing, inserting, removing them. some people just wear bifocals instead. > if you had asked to be undercorrected slightly you wouldnt need reading > glasses much, unless you want to read fine print or see something close > up. A slight undercorrection will also mean youll only need glasses for > driving and maybe some other occasional events. Less annoying than > carrying readers all the time and inserting, removing, inserting, > removing them. some people just wear bifocals instead. I don't think you have a clue. Not one clue. Furthermore, please just speak for yourself. I made my choice, and I am happy with it. Others make different choices. That's fine. Anybody who thinks that having cataract surgery and not having do deal with it as far as glasses, contacts or whatever is delusional. SignatureDan Abel dabel@sonic.net Petaluma, California, USA > if you had asked to be undercorrected slightly you wouldnt need reading > glasses much, unless you want to read fine print or see something close > up. A slight undercorrection will also mean youll only need glasses for > driving and maybe some other occasional events. Less annoying than > carrying readers all the time and inserting, removing, inserting, > removing them. some people just wear bifocals instead. Well, if one is only slightly presbyopic, that perhaps would work. For those of us more presbyopic, I doubt that a slight undercorrection in both eyes would serve for both distance and near vision. I suspect that IOLs after cataract surgery are often prescribed monovision, just like contact lenses often are for presbyopic patients--one eye better for distance, the other for reading. In other words-undercorrecting one eye, not both, and perhaps more than "slightly", depending on how bad the presbyopia is. It is a compromise of course, but one many make in order not to bother with reading glasses. My brother had Lasik done monovision--one eye undercorrected, for near work. Yet, the idea of accommodating IOLs certainly sounds like a better solution, if they really get it to work well. From what I;'ve read (I think here), it is still very new, and perhaps not so good yet. But if they keep developing this, and in the future such IOLs can really work like good young accommodating eyes, that would indeed be a great development! > Well, if one is only slightly presbyopic, that perhaps would work. For those > of us more presbyopic, I doubt that a slight undercorrection in both eyes > would serve for both distance and near vision. The term presbyopia has no meaning post-cataract surgery, since there is no accommodation regardless of the age of the patient. In other words-undercorrecting one eye, > not both, and perhaps more than "slightly", depending on how bad the > presbyopia is. Undercorrecting is also meaningless in pseudophakia, just like presbyopia, unless you mean putting in too weak an iol, which would be nonsensical as it would leave the person hyperopic. I suppose you might have meant "overcorrecting" where the iol is stronger than needed for perfect distance vision, which would indeed leave the eye myopic. > Yet, the idea of accommodating IOLs certainly sounds like a better solution, > if they really get it to work well. From what I;'ve read (I think here), it > is still very new, and perhaps not so good yet. But if they keep developing > this, and in the future such IOLs can really work like good young > accommodating eyes, that would indeed be a great development! It would indeed be a great thing. So far they don't work well at all. w.stacy, o.d. as a followup on my one crystalens patient (monocular implantation about a year ago). Still zero to .25 D. accommodation. Now an increase in her astigmatism from .75 to 1.25. I still think it's a terrible lens. w.stacy, o.d. >I am looking for peoples experiences Accommodative IOL's >( http://www.accommodativeiol.com ) To a degree, if you are talking about multifocal lenses for cataract repair, please see the previous threads "questions re multifocal lens for cataract repair" & "some cataract questions" both within the past couple of months >Does it work, what are the risks, is it covered by medicare etc...?? From what I got as responses I changed my mind and selected single (distance) focus IOLs. Too many potential problems with multifocus, and some folks are having them taken out. You might ask your eyedoc if he will for free make the exchange if you can't see well with them. If you are talking multifocus lenses, then Medicare will not pay for them, or more properly, will only pay the cost for a single focus lens.You pay the difference, which can be considerable (c.f. http://www.cms.hhs.gov/medlearn/matters/mmarticles/2005/MM3927.pdf ) for a ruling similar to the status of the multifocus >Thank you in advance!! My comments are sort of in advance, too, My first surgery will take place in about 3 hours. You may find more in: Catact Surgery for Greenhorns (You can read the entire book online, if you work at it. Please note it is for Greenhorn eyedocs and sometimes above the average bear) http://www.medrounds.org/cataract-surgery-greenhorns/2005/09/title-page.html or a google of: IOL biometry or in the cataract section of EyeMDLink http://www.eyemdlink.com/ or this guide to IOLs http://www.allaboutvision.com/conditions/iols.htm Also, you might ask your eyedoc early on for a copy of the "Informed Consent" paper he will ask you to sign before he does surgery. It should lay out the risks, potential probs, etc for all the various lens surgeries he does. Gotta run; gotta do some heavy lifting I won't be able to do for a couple of weeks once I get home today (and after the other eye next week). YMMV Roy My IOL experience was for a cataract, and my trials and tribulations have been well-documented here. I am at 5 weeks post-op and am still experiencing very blurred vision on the implant side. I was out in the freezing air the other night and noticed it improved my vision. I'm guessing by that that the cold air caused the swelling in the eyeball to go down. Am still on three medications and awaiting another recheck tomorrow. If I learned anything from this experience, it was that things can always occur that we aren't prepared for. I had heard such glowing stories about how easy the process was that I only took a week off at first, but it dragged into a month as time went by and still I could not see. I finally decided to learn to live with it, because I can't face any corrective surgery right now. Melinda I have no experience with the accommodative lenses, as I opted (in Jan) for fixed focus, based on my own bias and the concurrence of the surgeon, who knew I wanted the sharpest vision I could get. Interestingly, he's going to implant a Crystalens in one of my patients. I'm pretty skeptical, but am looking forward to following the progress of this patient and seeing how much, if any, accommodative response he gets. I'm still in favor of max acuity and safety over any promised/hoped for accommodation. w.stacy, o.d. >Hi, > [quoted text clipped - 5 lines] >Thank you in advance!! > I had the Crystalens surgery done in both eyes 6 and 5 months ago. At this point, I can say that I am very happy with the lenses. Of course, I don't know how I would be if I had standard IOLs.. Perhaps just as happy? In any event, my vision is good and I don't wear glasses (although I am slightly myopic in the first eye, it is possible to read with either eye). The only issue I have is slight lens edge glare at night, but it is not severe, and I am a young patient (35 y/o) with larger pupils. |
Reply to this Message |
 Sign In
 Join
 My Latest Posts My Monitored Threads My Blog My Photo Gallery My Profile My Homepage Start New Thread Enable EMail Alerts Rate this Thread
|
©2008 Advenet LLC Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.