Intraocular Lense instead of lasik

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Intraocular Lense instead of lasik

Postby diver110 » Thu Feb 15, 2007 5:13 pm

I had lasik done on my left eye about 6 years ago with a fair result. I went from -10.5 to around 20/55 with star bursts at night. I have gotten mixed advice on doing lasik on my right eye, but the [well respected] Eye Institute doctor said she would not do it, due to a mix of my myopia, corneal thickness, and curvature of the eye. Too much of the first one, not enough of the other two. I trust her.

The other option, which seems almost better (but a lot more invasive) is to do the equivalent of cataract surgery and replace the natural lense in the eye with an interocular lense (IOL) that is refractory. They apparently have lenses now they claim can give you the full range if vision, distance and close up.

My question is how prudent it would be to do this now. While cataract surgery has been going on for decades, putting in a refractory lense I believe is fairly new, just a few years old I think.


Note: This post was edited to remove the name of a clinic.
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Postby LasikExpert » Tue Feb 20, 2007 6:35 pm

Refractive Lens Exchange (RLE) is exactly the same as cataract surgery. The only difference is the purpose. Cataract surgery is to resolve a natual lens that has become cloudy. RLE is to reduce the need for corrective lenses.

There are some specific risks involved with RLE that need to be addressed by your doctor. One of the important concerns is retina detachment. Myopia is commonly caused by the eye being elongated. Unfortunately the retina membrane is not equally elongated. This can cause stress on the retina to detach from the back of the eye.

Being very highly myopic (even after previous Lasik) can mean that you have an elevated risk of retinal detachment. A high myope (nearsighted, shortsighted) person should probably have an evaluation by a retina specialist before any invasive elective surgery like RLE.

If you are at an elevated risk of retinal detachment, you may want to delay RLE until your vision is compromised by cataracts and then have surgery to resolve the cataracts. At that point surgery is more of a requirement than an option. Also, surgery for cataracts is commonly covered under major medical insurance, wheras RLE would commonly not be a covered procedure.

You may want to ask the doctors at the eye institute about their opinion regarding RLE in your case. They provide the procedure.
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