Considering my options

If you are thinking about having Lasik, IntraLasik, PRK, LASEK, Epi-Lasik, RLE, or P-IOL eye surgery, this is the forum to research your concerns or ask your questions.

Considering my options

Postby josie » Wed Sep 05, 2007 12:28 pm

I'm 39 years old with a -10 contact prescription (higher glasses Rx) in both eyes. Thank goodness, it's been stable the last 4 or 5 years. I've worn glasses since 2nd grade and contacts since 5th grade. I'm trying to figure out the procedure that can give me at least the sight I have with my contacts (it's not perfect). My husband had LASIK and I felt comfortable with his doctor to ask some questions about my prescription while my husband had his evaluation. The doctor said that he wouldn't do LASIK on me with the high myopia, but suggested lens replacement. The brochure I walked out with was for Crystalens. I haven't had my own evaluation, but my husband asked a further question on one of his follow-up visits. And the doctor then recommended waiting until after I needed reading glasses because I would need them at some point anyway. I had hoped that I wouldn't need reading glasses anytime soon, my parents didn't need them until their early 50s, and that I could get vision correction sooner than that.

Is the doctor's recommendation that I wait the result of the type of lens he uses? Would the recommendation be the same if I went with another type of lens, like the P-IOL? I'm just trying to get more information so that I can ask good questions when I have my own evaluation.

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Postby LasikExpert » Wed Sep 12, 2007 4:30 pm

The doctor's recommendation to wait seems wise, but is not your only option.

The moment you have Refractive Lens Exchange (RLE) you will lose your ability to change focus to see objects near. You will require reading glasses or monovision.

Someone who is highly myopic (nearsighted, shortsighted) has an elevated risk of retinal detachment problems. You should be evaluated by a retinal specialist before any elective eye surgery.

A phakic intraocular lens (P-IOL) may be the most appropriate option for you. A P-IOL has the advantage that you would continue to be able to accommodate (change focus) and reduce your need for contacts and glasses. A P-IOL is a temporary fix. It will need to be removed when you have cataracts, but it may be the best option overall. Your surgeon may not currently perform P-IOL surgery, so you may need to seek another expert.
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