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Medical Forum / General / Vision / September 2006Secondary Cataract
Anyone have this? Please describe symptoms. I had IOL replacement in left eye 3 years ago and now am noticing gradual general cloudiness over entire field of vision in that eye. I also have a large white floater which they say is due to viteous detachment. If you have had treatment for secondary cataract please tell me how it went. Thanks, George >Anyone have this? Please describe symptoms. > [quoted text clipped - 9 lines] > >George George, It's very important that your doctor is aware of your symptoms. Call them now if you have not already done so. Here's more info regarding Posterior Capsular Opacification. http://www.webmd.com/hw/vision/hw36757.asp Robert Martellaro ~~~~~~~~~~~~~~~~~~ Optician/Owner Roberts Optical ~~~~~~~~~~~~~~~~~~ "If a million people believe a foolish thing, it is still a foolish thing." - Anatole France Hi Robert, Thanks for the link. They explain it pretty well except for the part about how well it works, to which they devote only one sentence. They do say one thing interesting, that the type of IOL used may reduce this problem. Mine was obviously the wrong brand. Anyway, I'm going to the Eye Institute in Milwaukee Friday morning to let the guy who did original surgery see the eye and get his opinion. Would still like to hear from anyone who had the Nd:YAG posterior capsulotomy to correct this problem. How well has your vision improved? George > George, > [quoted text clipped - 12 lines] > "If a million people believe a foolish thing, it is still a foolish thing." > - Anatole France >Hi Robert, > >Thanks for the link. They explain it pretty well except for the part about how well >it works, to which they devote only one sentence. It works very well. >They do say one thing interesting, >that the type of IOL used may reduce this problem. Mine was obviously the wrong >brand. Anyway, I'm going to the Eye Institute in Milwaukee I'm two miles away at 92nd (Swan Blvd) and Center in Wauwatosa. Call me if you have additional questions. Regards, Robert Martellaro ~~~~~~~~~~~~~~~~~~ Optician/Owner Roberts Optical ~~~~~~~~~~~~~~~~~~ "If a million people believe a foolish thing, it is still a foolish thing." - Anatole France > Hi Robert, > [quoted text clipped - 8 lines] > > George Yags works very well- the vast majority of my patients are very happy with their vision after their yags. frank Hi Dr. Frank, Is there a chance that IOL can be damaged by YAG procedure? Are there alternatives to this procedure? Also wondering what causes this problem. Does regular steam room or sauna visits accellerate problem? I take both regularly. I also exercise and play trumpet putting pressure on the eye. Is it best to have the same surgeon do the YAG procedure or should a speciasit in this area be consulted? (I learned the hard way with a root canal.. use a specialist!). Thanks George > Yags works very well- the vast majority of my patients > are very happy with their vision after their yags. > > frank >Would still like to hear from anyone who had the Nd:YAG posterior capsulotomy to >correct this problem. How well has your vision improved? I had a secondary in one eye which began to develop almost immediately after the original cataract surgery. I was told that it happens occasionally this way, or over a few years, or sometimes not at all. Because an adjunct to my cataract surgery caused other problems, my secondary was caught by a retinal specialist, who said go back and have him fix it, it's simple. I did and it was. The YAG is quick, and recovery time measured in hours. I could barely tell that I was having a problem, so I can only say that it was hard for me to to tell how it helped. However, vision in that eye is better than the other. I see the doctor now following the eyes next week for a 9 month review since the original cataract surgery, (6 months since the YAG, and 3 months since the Supralase to correct the astigmatism induced at the time of the first surgery). I'm going to ask him to have a good look at the other eye so see if a secondary is developing there. I would not hesitate to have a YAG done if that is the case: http://www.avclinic.com/yag_capsulotomy.htm On 9/6/06 1:47 PM, in article 44FF33DF.F121D04F@execpc.com, "George" <steber@execpc.com> wrote: > Hi Robert, > [quoted text clipped - 5 lines] > wrong > brand. Obviously??? Square posterior-edge implants REDUCE but do not eliminate posterior capsule opacification. However, square-edges tend to INCREASE the issue of dysphotopsias, which are irritating lights and reflections in the lens that you generally see at the periphery. There seem to be less dysphotopsias with rounder-edged lenses, but the opacification rate MAY be higher (at least in published studies, but not in my own experience). Also, the younger you are, the higher the rate of opacification, because the younger, healthier remaining lens cells grow more easily under the implant. In average age cat pts, I tell them the usual rish is about 1 out of 6 cases in the firt 2 years or so. Very elderly may reduce to perhaps 1 in 8-10, and young (under age 45) may be 1 in 3-4. Teenagers virtually always opacify later. There is no "best" IOL. David Robins, MD Board certified Ophthalmologist Pediatric ophthalmology and adult strabismus subspecialty Anyway, I'm going to the Eye Institute in Milwaukee Friday morning to > let the > guy who did original surgery see the eye and get his opinion. [quoted text clipped - 22 lines] >> "If a million people believe a foolish thing, it is still a foolish thing." >> - Anatole France >There is no "best" IOL. > Probably true, but what's your "favorite" IOL at this time and what is your opinion of multifocal and focusing IOLs? w.stacy, o.d. As you know, I'm no cataract cowboy. I fit cataracts in when I have time and not doing strab surgery. Kaiser has been cautious about movinginto the mutlifocal IOL arena, since it it not mature and still in a state of considerable flux. It is not known what the "best" technology is, and we can't role it out to all our centers when it still has considerable problems and lack of a consensus on which technology is best. We often then as an extra-cost option in some areas, in the same manner as refractive surgery. We are still primarily use monofocal lenses. We are primarily AMO SI40 and Clariflex; some users prefer the acrylic AMO AR40e or the Alcon Acrysof- each argues over why their's is the best. I've been happy with the SI40 - the rounded edge may have less dysphotosias that the Clariflex, and I haven't found that the SI40 leads to posterior capsule opacification to a significant degree. However, I believe the SI40 lens is going away, to be replaced by the Clariflex only. On 9/8/06 9:23 AM, in article PNgMg.7701$tU.1694@newssvr21.news.prodigy.com, >> There is no "best" IOL. >> [quoted text clipped - 3 lines] > > w.stacy, o.d. Thanks. Does Kaiser allow you to use prolate optics IOLs? That's what I have and of course cannot compare it myself with oblate IOLs, but I certainly am thrilled with the crispness of vision. w.stacy, o.d. >As you know, I'm no cataract cowboy. I fit cataracts in when I have time and >not doing strab surgery. [quoted text clipped - 32 lines] > > Hello, Just to followup the original thread, I'll mention that during my visit to cataract surgeon he found what he termed "membrane" growth in the eye with cloudy vision. He said he could take care of it with the laser. I asked about potenetial problems and he mentioned all of them noted in the webMD site, but said he never heard of anyone having detached retina from procedure. I asked about "nicking" the IOL with laser and he said that it sometimes happens and he has done it a few times but that it is hardly noticeable. Anyway, to shorten the story, I had the procedure done in one of his offices near by. It took only about 5 minutes. Strange feeling having that laser "zap" into your eye and hear the audio echoes. Took about 12 zaps to do the job. Results were immediate and good. Contrast was restored to the eye and vision is back to where it used to be. Had to wait 1/2 hour for eye pressure check to see if eye regained normalcy... it did. Stangely they did not repeat the refraction test. Anyhow, I'm pleased with results. George |
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