Inquiry on the multi-focal IOL for traumatized eye

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nitinvpatil@gmail.com - 06 Feb 2008 19:03 GMT

Hi,

My 9yr old son suffered an eye injury and was operated 3months back
for corneal tear repair + anterior vitrectomy + belt buckle +
vitrectomy + fluid gas exchange + C3F8.

His other eye is completely normal with VA of 6/6. Right now he has a
corneal scar in the eye that had injury. The retina is on. On the next
steps, the local doctor has advised contact lens.

I would appreciate if experts in this forum could guide me on the
following
- Which type of contact lens are best suitable for kids of this age
(RGP/soft/extended-wear,...)?
- Since he doesn't have a capsular bag, is IOL implant advised? If
yes, what's a typical timeframe to wait & which IOLs are generally
advised in such cases (monfocal/multifocal)?
- What are some best places and doctors in US who specialize in such
cases? Also, if there are similar references in India that would be
helpful.

Any phone/email references would be greatly appreciated.

Thanks,
- AH

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Dr Judy - 07 Feb 2008 17:18 GMT

On Feb 6, 2:03 pm, nitinvpa...@gmail.com wrote:

> Hi,
>
[quoted text clipped - 13 lines]
> yes, what's a typical timeframe to wait & which IOLs are generally
> advised in such cases (monfocal/multifocal)?

On line forums are a really bad place to get reliable information
about a specific case like this. It is impossible for eye doctors to
make credible recommendations without examing your son and you have no
idea which of us are really doctors.

If he has had so much specialized surgery, he must be in the hands of
some very good pediatric ophthalmologists. If it were my son, I would
follow the advice of the doctors who have treated him to date and who
know the particulars of his case very well.

Which kind of contact lens is best for him will very much depend on
his refractive error and the state of his cornea. Secondary IOL carry
significant surgical risk and, again, whether one is indicated for him
depends upon the state of his eye.

Dr Judy

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