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Medical Forum / General / Vision / April 2007capsular bag size
Why do the package inserts say the IOL is to be used in people over age 60? Does the bage size increase with age? cdavis@directflatscreen.tv schreef: > Why do the package inserts say the IOL is to be used in people over > age 60? Does the bage size increase with age? Dear sir, why all these questions? If it concerns yourselfs then it might be an idea to provide the people here your story off what happened or what decisions you have to make in the near future about your eyes. Now it seems you are trying to get information and meanwhile you don't know how to place it in context.(even for most of the the specialists here the context of your problem is not fully clear) Again what is the purpose of your questions? Jan (normally Dutch spoken) > Why do the package inserts say the IOL is to be used in people over > age 60? Does the bage size increase with age? It does, but not that much. I suppose that means that the brand you are talking about would be "off label" for those under 60; that doesn't mean it isn't fine for those, just that the original FDA studies for the lens only had people over 60. Just like using baby aspirin as a heart attack preventative, it's off label use, but works great. w.stacy, o.d. > cda...@directflatscreen.tv wrote: > > Why do the package inserts say the IOL is to be used in people over [quoted text clipped - 7 lines] > > w.stacy, o.d. Thank you. I don't have anything against off label use, I was just curious. I'll risk another question. If a person has progressive myopia does the eye continue to lengthen after the natural lens is replaced? I haven't been able to find much information about this condition so far. On Apr 3, 10:50 pm, cda...@directflatscreen.tv wrote: > > cda...@directflatscreen.tv wrote: > > > Why do the package inserts say the IOL is to be used in people over [quoted text clipped - 13 lines] > replaced? I haven't been able to find much information about this > condition so far. The reason you can't find literature on the lenghtening of the eye with progressive myopia after cataract surgery is because few, if any, studies have been performed. There are more studies in the prevention of myopia, and how emmetropization, the body's natural process of making the eye the correct length for the power of the refracting surfaces and not requiring the use of glasses or contacts, actually works. If you are interested you can run a PubMed search. > On Apr 3, 10:50 pm, cda...@directflatscreen.tv wrote: > [quoted text clipped - 23 lines] > surfaces and not requiring the use of glasses or contacts, actually > works. If you are interested you can run a PubMed search. I have already had the cataract surgery. Maybe now there is no lens in there and that is why I am now so farsighted in that eye. Maybe what they are burning away with the YAG lasers are the left-overs of lens and bag. Maybe that is why I have to look through the very bottom of Progressive lenses to see someone across the desk. cdavis@directflatscreen.tv schreef: > I have already had the cataract surgery. Maybe now there is no lens in > there and that is why I am now so farsighted in that eye. Maybe what > they are burning away with the YAG lasers are the left-overs of lens > and bag. Maybe that is why I have to look through the very bottom of > Progressive lenses to see someone across the desk. You give, each time you post a here, a tiny bit of (mis)information what TMHO is not the way you should point out what your problem is. Kind of unpleasant to respond at such questions especially when you use phrases like .......... > 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! Remember, most of the people with knowledge in this newsgroup are licensed eyecare professionals. It seems you are trying to get some sort of second opinion here. This, however, is not possible by using internet and certainly not with the kind of information you provided so far. Eyecare professionals have to see you face to face and talk your problems(?) over. Jan (normally Dutch spoken) > cda...@directflatscreen.tv schreef: > [quoted text clipped - 26 lines] > > Jan (normally Dutch spoken) I don't mean any disrespect to the professionals posting here. I think my town has a group of people who do what they can to make money even if it means taking advantage of patients. I have tried to only ask specific questions about things I am not sure of because at another time and place I gave my history and was told that I was making things up and speculations as to the causes of problems could not be addressed. I was hoping to find out where I might go for a second, third, maybe fourth opinion. Here in town they say I need more YAG surgery and yet more glasses. I wouldn't want to just go out and get the glasses and contact lenses I think I need. It would be nice to actually have a prescription. As I have been trying to figure this out I have been looking at my records and I am wondering why they did surgery on my left eye when, by their own hand, they wrote that I was 20/25 BCVA in the left before surgery a month later. And I say "excellant" for distance because I can stand 10 feet away from my 17" LCD monitor with 1280x1024 and read all the text except for the disclaimer text at the bottom with a lens that is +1.25 -2.00 x169. All of this has progressed from my original question of why, after cataract surgery in both eyes, and supposedly I am -.50 and +.50 I would be given reading glasses of +1.75 and +3.00. When I went back to say that I just couldn't read with them, that one image was quite a bit bigger and displaced vertically, they gave me +2.00 and +3.50. Now it is totally unacceptable but they say they will not redo them and I will have pay for another visit and refraction because it has been 6 months and they cannot send them back for another redo. These explanations have cost me tens of thousands of dollars in the last 5 years. How would you see it? > I don't mean any disrespect to the professionals posting here. I think > my town has a group of people who do what they can to make money even [quoted text clipped - 23 lines] > explanations have cost me tens of thousands of dollars in the last 5 > years. How would you see it? I'm not being disrespectful or anything like that, but you don't seem to get the point. You've posted several rather unusal questions. But, when asking a question, you just gave us a tiny bit of isolated (mis)information. When asking another question, you gave us another tiny bit of different (mis)information. When asking another question, the (mis)information you gave us was totally different. I doubt anyone here can help you if you don't give us the **whole picture** in a clear manner. I tried to digest your previous post quoted above, but I couldn't. With the way you wrote about your vision history, I couldn't understand what's been going on. It's unfortunate that you were told that you were making things up. However, you have keep in mind that eye care professionals can't read your mind. They can't even decipher your situation, either. It is **you** that is responsible for clearly & logically explaining what's been going on with your vision. On Apr 4, 1:48 pm, cda...@directflatscreen.tv wrote: > I don't mean any disrespect to the professionals posting here. I think > my town has a group of people who do what they can to make money even > if it means taking advantage of patients. I don't know where you live, the size of your town and the availability of competant eye care providers there, but it seems that you have a serious problem and a distrust in a certain "group of people" in your town. Why don't you go elsewhere for a fresh evaluation of your situation, even if it's involved a trip out of town? Vision is too important, and if you believe you have been mistreated or abused -- find competant professionals elsewhere. If indeed you are right, you may even have a cause for a malpractice lawsuit, but you need a professional to evaluate YOU and YOUR EYES, which cannot be done on the Internet. My best wishes to you. cda, here is a link to a new article that might be of interest to you: http://www.osnsupersite.com/view.asp?rID=21369 |
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