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Medical Forum / General / Vision / January 2009

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My Crystalens Update.

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jim d - 17 Jan 2009 06:23 GMT
I posted some here back in feb of 08 when I was working up the nerve to
have my cataracts done. Got some nice advice, and so I'm reporting back
how things turned out.

First off, the surgery was a breeze. Nothing to it at all, just as I'd
been told. I think getting up really early ( for me ) was the worst
part. Quick and painless procedure. I had my left eye done in september
as I recall. Right one done a month later, must have been october. I'm
trying to work back from memory, I know I have a 4 month from second eye
exam coming early february.

I'm looking forward to that, as I do have a few odd visual things going
on they tell me are related to the remaining posterior capsule. If
zapping that eliminates the issues, I'll be absolutely satisfied. If it
doesn't, I'll still be quite happy with the outcome.

My vision was slightly nearsighted, left eye -1.75 ( 0.5 astigmatism ),
right was -2.0 ( no astigmatism ). I've seen small flares around lights
since my teen years, I'm 54 now, but other than that the cataracts were
no big deal, until about 3 or 4 years ago, when things started getting
gradually worse. I had the usual issues, uncorrectable blur, ghost
images, flares around lights. Eventually my left eye was a blurry mess
and had a BAD double ( ghost ) image. The right went thru a ghost image
stage then that cleared up but vision in that eye was " waxy ", best I
can do to describe it.

I opted for the Crystalens IOL's.  

The left one was an AT50SE, iirc, and my vision was amazing right off.
As soon as I woke up from the procedure I could see great at distance.
And the colors.... oh yeah, I could tell the difference between blue and
green ...whoooohooo. Oh, and since my pupil stayed dilated for about 10
days, looking at any lights was like the 4th of July on steroids. Kinda
fun once I realized that was normal. Within a week or so or two I could
focus on closer stuff. The things actually worked.

Second eye. That one is an HD500 lens, and wasn't nearly as nice vision
right off. Same power IOL as the fist eye, the plan was to get me a few
inches better close up vision. The glitch was that it just looked odd,
indescribably odd. After a few weeks, that gradually cleared ( mostly )
and that eye is good too.

And yes, the HD500 lens has much better close up focus, but there is
still an oddness about it. I suspect there is a wrinkle in the posterior
capsule causing this. Pair of ghosts in that eye, one above and one
below a light source, opposite each other and slightly rotated off
vertical. A wrinkle tipped about 30 degrees ???

I'm concerned but not panicked about this. The reason being that my
first eye developed an amazing bright banding thru lights about 14 days
post op, and I freaked out on that. Called, went in, had them look at
it. Total panic on my part. Got the wrinkle story, and so compared to
that the right eye subtle ghosts are nothing. Oh, and the light banding
gradually went nearly away. It's still barely there, but I don't notice
it anymore. What I do notice it a return of the flares .... so ....
hopefully they'll laser the things next month and all this minor stuff
will go, if in fact, they are caused by the posterior capsule wrinkling
or secondary cataract-ing up.

I focused on the minor problems, and left out how amazingly better my
vision is. Let me fix that now. I'm glasses free, as far as normal day
to day stuff. Yes, if I need to take a watch apart, I'd wear some mild
power readers. For a while I used some +1.00 for working with my
computer, but I've abandoned those. I don't need glasses to drive, both
eyes checked 20/15 for distance in november. I don't know the J system
used for close eye evaluation and so don't recall how that was. In any
case, it's turned out quite usable. I can read labels and use my laptop
comfortably. So, all in all it's turned out great. I have fine distance
vision and fine mid vision and usable up close. For really close stuff
I'd use some readers, and I knew that was a possibility going in.

Would I do it again ?

In a heartbeat.

Like I said, I'm going back in feb and I'll be whining about the small
flares and the right eye double image. I'll post more about that then.

Any questions ?

jim d
Dan Abel - 17 Jan 2009 16:57 GMT
> I posted some here back in feb of 08 when I was working up the nerve to
> have my cataracts done. Got some nice advice, and so I'm reporting back
> how things turned out.

Thanks for the update.  Too often in here, we just hear about problems,
and people get a little leery about having things done.

> The left one was an AT50SE, iirc, and my vision was amazing right off.
> As soon as I woke up from the procedure I could see great at distance.

I don't remember that at all.  I think my doctors bandaged up the eye
before I thought to try it out.  My HMO seldom puts people under, so I
was awake for both of them.

> Like I said, I'm going back in feb and I'll be whining about the small
> flares and the right eye double image. I'll post more about that then.

Hope it goes great, and looking forward to your post.  I waited way too
long to get zapped, and so it made a *huge* difference.

Signature

Dan Abel
Petaluma, California USA
dabel@sonic.net

Jim - 17 Jan 2009 20:24 GMT
> Dan Abel <dabel@sonic.net> wrote:

> >  jim d <Spunky@theCat.com> wrote:
>
[quoted text clipped - 4 lines]
> Thanks for the update.  Too often in here, we just hear about problems,
> and people get a little leery about having things done.

Must be human nature thing that, just move on ... return to life. I'm
doing that in a big way. After years of gradually worsening vision, I'm
really trying to make up the lost time. The big thing for me now it bike
riding. I live in a rural area and worked myself up to about 18 miles a
day. It's great fun, great exercise. My cholesterol's dropped a bunch,
my BP is way better ... and all made possible because I can SEE now.

> > The left one was an AT50SE, iirc, and my vision was amazing right off.
> > As soon as I woke up from the procedure I could see great at distance.
>
> I don't remember that at all.  I think my doctors bandaged up the eye
> before I thought to try it out.  My HMO seldom puts people under, so I
> was awake for both of them.

I wasn't really " out ", but rather just have no memory of the
operation. That is an effect of the drugs. Awake, but not forming any
short term memories, I guess. When I spoke of my first " seeing "
moment, I was really referring to earliest after moment I can now
remember. When I got my senses back, I guess. Funny thing there, the
doctor later asked me if I remember him talking to me post op, and I
said yeah.... you were leaning on the bed saying something bla bla I
can't remember. He chuckled and said that's why he prefers talking to
the family, the patient doesn't remember the chat. I really like my
surgeon. And that was a big thing moving me forward on this. I had come
close twice before but backed out. This guy I trusted.

> > Like I said, I'm going back in feb and I'll be whining about the small
> > flares and the right eye double image. I'll post more about that then.
>
> Hope it goes great, and looking forward to your post.  I waited way too
> long to get zapped, and so it made a *huge* difference.

I'm scheduled to go back in early feb, and am looking forward to
clearing up the last little issues. In daylight during normal activities
my vision is amazing, better than I ever remember having. The little
flares and ghosting only show up in very low light. And like I said, if
the laser gets those, this has been nothing less than a miracle.  

On that, I'm in Ohio, and we're getting pummeled with cold and snow. So
a few nights ago I had to take the dog out around midnight. It was
really cold and the snow on the ground was reflecting the most beautiful
sparkles. I could see the individual flecks of blue or white as sharply
focused pinpoints of light. That struck me because I realized I hadn't
seen anything like that since my childhood.

I have a thought now for people trying to decide about this, whether to
do it, which lens is best, all that. It's simple this..... any properly
done IOL would be better than a cataract. Am I right ?  I think so.

jim d
 
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