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Medical Forum / General / Vision / May 2006

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Astigmatism removal question

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Jack Strickland - 26 May 2006 14:37 GMT
A few years ago I developed cataracts at a relatively young age. I had IOLs
and it turned out fine. However, the left eye came out with
-050, -1.5 x 170. The sphere is what I wanted, but I would like to get rid
of the astigmatism.

What's the best method and what's the approximate cost?

thanks
Neil Brooks - 26 May 2006 16:55 GMT
>A few years ago I developed cataracts at a relatively young age. I had IOLs
>and it turned out fine. However, the left eye came out with
>-050, -1.5 x 170. The sphere is what I wanted, but I would like to get rid
>of the astigmatism.

Can't blame you.

>What's the best method and what's the approximate cost?

I'm not a doc.  I didn't even stay in a Holiday Inn Express last
night.

That said ...

http://www.emedicine.com/oph/topic656.htm

http://www.stlukeseye.com/professionals/lri_nomogram.htm

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
0504084&dopt=Abstract


http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9
584246&dopt=Abstract


Cost?  Dunno.

Good luck!

Neil
otisbrown@pa.net - 26 May 2006 17:29 GMT
Dear Jack,

I have heard claims that Lasik can
remove that amount of astigmatism.

Cost for Lasik -- about $4,000

Or just wear glasses "cut" for
astigmatism for about $300.

Good luck,

Otis
A Lieberman - 26 May 2006 19:01 GMT
> Dear Jack,

Jack,

Please disregard Otis's postings.  He is not in the medical profession and
not in any position to give medical advice.

Thanks!

Allen
retinula@hotmail.com - 26 May 2006 19:26 GMT
glasses and contact lenses are the cheapest and most obvious answer.

LASIK is certainly possible (the cost would be about $1500-2000 per
eye).

Limbal-relaxing incisions could possibly relieve some of the
astigmatism.  It is much simpler and less invasive than LASIK but is
harder to control the outcome accurately.
acemanvx@yahoo.com - 26 May 2006 19:44 GMT
no point in spending money and taking risks on lasik for such a low
pescription. Even if you got lasik youd still need glasses! Just get an
inexpensive pair of bifocal glasses that will give you clear vision
from near and distance.
acemanvx@yahoo.com - 26 May 2006 19:44 GMT
no point in spending money and taking risks on lasik for such a low
pescription. Even if you got lasik youd still need glasses! Just get an
inexpensive pair of bifocal glasses that will give you clear vision
from near and distance.
otisbrown@pa.net - 26 May 2006 20:29 GMT
Hey Ace,

I have answered your questions about plus-prevention
on the second-opinion YaBB site, under "Chill Out".

Otis
Neil Brooks - 26 May 2006 20:53 GMT
>Hey Ace,
>
>I have answered your questions about plus-prevention
>on the second-opinion YaBB site, under "Chill Out".
>
>Otis

Thanks for sharing, Uncle Otie.
p.clarkii@gmail.com - 27 May 2006 04:10 GMT
who cares what you posted on some other site.  just e-mail him off-line
and don't waste bandwidth here with your worthless comments.
p.clarkii@gmail.com - 27 May 2006 04:08 GMT
this is strictly YOUR unlearned opinion.  you do not know the personal
needs of this patient so your comments are made only based upon YOUR
personal opinion.  all your comments are based only upon YOUR PERSONAL
OPINION and are not based upon technical understanding of the eye or
clinical experience.  in short, you value your opinion more than anyone
else does.  some people don't want to wear full-time bifocal glasses.
and you are assuming that this person needs bifocals to begin with.
maybe he had monovision LASIK.

apparently you don't embarrass very easily.  you have been
intellectually undressed so many times with your stupid simple-minded
postings that a normal person would just shut up and lurk and learn.
you, apparently, think you are quite intelligent and keep blurting out
your advise even though you look foolish time after time.

its just immaturity i'm sure.  just get a real life, leave daddy's
house and get a job where you have to work alongside normal people and
you'll learn real quick.
Roy Starrin - 27 May 2006 14:31 GMT
>Limbal-relaxing incisions could possibly relieve some of the
>astigmatism.  It is much simpler and less invasive than LASIK but is
>harder to control the outcome accurately.
Make certain the surgeon knows what he is doing.  My LRI incident to
cataract surgery/IOL implant was misplaced.  My OD astigmatism went
from-1.25 to -3.00
YMMV
Roy Starrin - 27 May 2006 15:22 GMT
>A few years ago I developed cataracts at a relatively young age. I had IOLs
>and it turned out fine. However, the left eye came out with
>-050, -1.5 x 170. The sphere is what I wanted, but I would like to get rid
>of the astigmatism.
>
>What's the best method and what's the approximate cost?
I wish I had a good answer for that myself.  As I have reported,
perhaps ad nauseum, to this group, due a misplaced LRI during cataract
surgery/IOL implant, MY OD is now +0.75/-3.00/099.
I have seen 4 different surgeons re: this issue, including a corneal
specialist plus an independent consulting OD
I have found that much of the "best way" is determined by the "if my
only tool is a hammer, every problem looks like a nail" approach.
Hence, every specialist would use his specialty as "best way"
So, based on all the research I have done, and my gut feelings about
what I want or don't want done to my eye, I have pretty much ruled out
lasik no matter how it's guided and what trade name you apply to it.
I currently suffer from dry eye (existed before the surgery) and gray
gauzie floaters which appeared after I had to have a YAG lazer
capsulotomy in the right eye due an almost immediate emergent
"secondary cataract" after the initial surgery.  I would like that not
to get worse. and it is getting slowly better
I am looking at some form of PRK.  Dr #2, 3 and the OD tend to favor
this.  (Of interesty, the OD said that if he had to have Lasik, he
would go to Dr #1 [the culprit], but that he felt it was not the
answer) I wound up with Dr #4 about whom I have previously posted, and
a no-flap sort of PRK-like surface ablation proceedure he calls
Supralase:(  www.firstcolonialeyecenter.com/content.htm ) scroll down
below the picture.  He says he is going to go after the astigmatism
only, and not try and give me an eye requiring no correction, since I
have worn glasses all my adult life and I don't mind continuing, with
my current trifocals.  Cost:  $1800
Now, I will say that the OD, who worked with me over two days,
including  a walk around the shopping center with him while wearing a
pair of trial frames with his prescription, has generated me a pair of
excellent glasses.  The best yet and far better than those from the
Refraction Factory run by Dr #1.  Yet, the ground is still not quite
flat and the reference circle still a bit oval.  I can't give you the
cost as I had Dr #1 pay for making the ODs glasses.  And,  I am
extremely sensitive to the quality of my vision, apart from whether it
is 20/20 (which it is).  It is my hope that by getting the astigmatism
into a more manageable range, that I can get a prescription that will
both permit me to rejoin the flat earth society and to see circles
where there are circles.
YMMV - In fact, so, probably will mine.
Please email me if you think I can help further.
And, for the guys/gals in the group. last chance for comments/opinions
on what I propose for me.  I relish every one.
Roy
 Living proof that statistics are for populations, not for
individuals
acemanvx@yahoo.com - 27 May 2006 17:48 GMT
I just hope your PRK goes well or you could trade your astigmastim
problem for other problems like overcorrection, loss of BCVA, loss of
contrast, quirks at night and in dim light. Its up to you which is more
annoying. I totally understand the disortion thing with glasses, I was
getting them, much more so in my non dormant right eye. I went back and
got glasses that give a spherical equivalent instead(no cylindral
correction) The dormant left eye has so little astigmastim the
spherical equivalent works just great. The non dormant right eye is a
little blurry but the quality of vision is much better. Suprizingly it
sees much better from near but I guess thats because cylindar is like
being myopic on one axis.
Dan Abel - 31 May 2006 17:19 GMT
> A few years ago I developed cataracts at a relatively young age. I had IOLs
> and it turned out fine. However, the left eye came out with
> -050, -1.5 x 170. The sphere is what I wanted, but I would like to get rid
> of the astigmatism.
>
> What's the best method and what's the approximate cost?

Glasses, about US$200.

Contacts, US$80 for a sixpack.

Surgery, I don't know the cost.

I have IOLs in both eyes, but astigmatism of 1.75D in the right eye.  I
have other issues, so I just don't correct it.

Signature

Dan Abel
dabel@sonic.net
Petaluma, California, USA


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