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Medical Forum / General / Vision / April 2007

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Prescription after cataract surgery

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cdavis@directflatscreen.tv - 30 Mar 2007 16:19 GMT
How often does it occur that a person is given cataract surgery and
they end up with the same eyeglass prescription and visual acuity as
they had before the surgery?
William Stacy - 30 Mar 2007 18:08 GMT
Around zero.  Probably the only way this can happen is if they missed
the cataract all together and operated on the nose instead...

>How often does it occur that a person is given cataract surgery and
>they end up with the same eyeglass prescription and visual acuity as
>they had before the surgery?
>  
michael toulch - 31 Mar 2007 16:47 GMT
On Mar 30, 11:19 am, cda...@directflatscreen.tv wrote:
> How often does it occur that a person is given cataract surgery and
> they end up with the same eyeglass prescription and visual acuity as
> they had before the surgery?

is there a cataract to be removed in the other eye?
how strong is the prescription?
contrast sensitivity function can be improved with only slight changes
in measured acuity (snellen),
cdavis@directflatscreen.tv - 01 Apr 2007 02:37 GMT
On Mar 31, 8:47 am, "michael toulch" <michaeltou...@hotmail.com>
wrote:
> On Mar 30, 11:19 am, cda...@directflatscreen.tv wrote:
>
[quoted text clipped - 6 lines]
> contrast sensitivity function can be improved with only slight changes
> in measured acuity (snellen),

I'm not sure what the other eye has to do with it nor the strength of
the prescription. I had good color, contrast, and brightness both
before and after.
Dan Abel - 04 Apr 2007 16:44 GMT
> How often does it occur that a person is given cataract surgery and
> they end up with the same eyeglass prescription and visual acuity as
> they had before the surgery?

The amount of correction after surgery can be negotiated between the
patient and the surgeon.  I've had two cataract surgeries, and as my
doctor said, he's putting in an IOL, and he can put in whatever I want.  
Some patients have no clue, and so the doctor decides.  As far as visual
acuity goes, that's the whole point of doing this.  If it isn't going to
improve visual acuity, why do it?  Of course, surgery has risks, and
it's possible that it just fails.  Some people end up going blind.
cdavis@directflatscreen.tv - 04 Apr 2007 17:38 GMT
> In article <1175267970.907525.235...@y80g2000hsf.googlegroups.com>,
>
[quoted text clipped - 10 lines]
> improve visual acuity, why do it?  Of course, surgery has risks, and
> it's possible that it just fails.  Some people end up going blind.

Well, I would have negotiated with the surgeon but he never asked me
and I didn't know I could ask him. I have been going over my records
and my best corrected visual acuity before surgery was 20/25 in that
eye! There was not a reason in the world to have cataract surgery, the
doctors said I needed it. Was that because I had very good medical
insurance or my willingness to pay out of pocket any "extras"? Now I
see that I have been made a fool of. I don't think I had a cataract in
that eye. I don't think I actually have an implant in there. Bye and
bye, over a few years time, they just kept giving me less and less of
a prescription in there so that they could tell me my eye was getting
"bad". If I go back to an old pair of glasses, I have excellent
distance vision with +1.25 but they had been bringing me down to +.5
and even to -.50 and I, being the fool that I was, believed these
licensed "professionals". What a scam to acquire repeat business and
then to throw surgery in on top of that!
Dr Judy - 04 Apr 2007 18:12 GMT
On Apr 4, 12:38 pm, cda...@directflatscreen.tv wrote:

> > In article <1175267970.907525.235...@y80g2000hsf.googlegroups.com>,
>
[quoted text clipped - 26 lines]
> licensed "professionals". What a scam to acquire repeat business and
> then to throw surgery in on top of that!

If you really think you have been "scammed", you can launch a
complaint against the doctor with his licensing body.  They will
review the records and provide an answer.  The doctor's office is
obliged to tell you how to contact the licensing body or you can ask
your family doctor.

It is normal for hyperopia to decrease and myopia to increase while
cataract is developing.  Indication for surgery varies, but many
surgeons will operate at 20/25 if significant glare is present or the
patient is complaining.  If your glasses before surgery were +1.25,
then, unless your prescription in the operated eye is now about
+16.00,  you have an implant.

Dr Judy
cdavis@directflatscreen.tv - 04 Apr 2007 22:51 GMT
> On Apr 4, 12:38 pm, cda...@directflatscreen.tv wrote:
>
[quoted text clipped - 43 lines]
>
> Dr Judy

The cataracts were only discovered 6 months before surgery. My right
eye had been getting more nearsighted since childhood while my left
eye didn't change much, just stayed farsighted. I didn't go in
complaining about my left eye, I've never really had a problem with
it. I was just in to get a new reading prescription after surgery on
the right. My glasses were +.50 but when he turned his optics to where
I could see the 20/25 I asked him what he had done. He had set the
optics to +1.25 but wouldn't give me that prescription because I was
going to have surgery. I didn't know it was 20/25 until just recently.
For my right eye, I had not been able to understand why I could see so
well when sitting in the chair but not be able to read street signs
when I got my glasses. The doctors and records say I was correctied to
20/20 in that eye but yet as I look back over the prescriptions they
were cutting down on the sphere, adding cyl. and axis and a high add.
It is not that I think there is nothing in my left eye. I think my
natural lens is still there. The correction, image color, contrast,
and brightness are the same as before surgery. Don't get me wrong. I
am very  happy to not be so nearsighted in the right eye. Since I have
maybe 40 years left I would like to forget about this vision stuff for
awhile. I just can't get someone here to give me a simple reading
prescription without talking about hundreds of dollars and more YAG.
William Stacy, O.D. - 05 Apr 2007 05:01 GMT
 If your glasses before surgery were +1.25,
> then, unless your prescription in the operated eye is now about
> +16.00,  you have an implant.

Assuming they actually removed the lens. Nobody here can say for sure.
He should drop in on a neutral O.D. and have him/her take a quick look
at what's in or not in the posterior chamber...

w.stacy, o.d.
otisbrown@pa.net - 05 Apr 2007 19:09 GMT
Dear CDA,

A true professional ALWAYS has the obligation to
DISCUSS alternatives for you -- and the reasons for
them.

If he is too "busy", then he should provide "informational"
sites that will discuss your alterantives.

It should NEVER be his decision to operate.  But
rather, your decision AFTER reviewing the
information that you can obtain.

I think that is the reason you believe you have been
"scammed".

This is a "failure to communicate".

Otis

On Apr 4, 12:38 pm, cda...@directflatscreen.tv wrote:

> > In article <1175267970.907525.235...@y80g2000hsf.googlegroups.com>,
>
[quoted text clipped - 26 lines]
> licensed "professionals". What a scam to acquire repeat business and
> then to throw surgery in on top of that!
Neil Brooks - 05 Apr 2007 21:39 GMT
On Apr 5, 11:09 am, "otisbr...@pa.net" <otisbr...@pa.net> wrote:

> A true professional ALWAYS has the obligation to
> DISCUSS alternatives for you -- and the reasons for
> them.

Alternatives that have been PROVEN to be both SAFE AND EFFECTIVE.

No others.
Dan Abel - 08 Apr 2007 06:14 GMT
> > In article <1175267970.907525.235...@y80g2000hsf.googlegroups.com>,

> > The amount of correction after surgery can be negotiated between the
> > patient and the surgeon.  I've had two cataract surgeries, and as my
[quoted text clipped - 19 lines]
> licensed "professionals". What a scam to acquire repeat business and
> then to throw surgery in on top of that!


There have been many discussions on this group.  I belong to an HMO and
the doctors are on salary.  They get paid the same whether they do
surgery or not.  They do it when they think it is required.
 
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