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Home > Archive > Lasik Eyes Surgery > April 2005 > Pre-op data for later IOL
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Pre-op data for later IOL
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| Graeme Hewson 2005-04-11, 6:14 pm |
| I'm considering RS, and I'm wondering what data I need to keep in case I
should need an IOL in later life. What procedures are used to gather
this data? I'm myopic, astigmatic and 50.
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| CatmanX 2005-04-11, 6:14 pm |
| At 50, you are probably better looking at clear lens extraction. It
will give better optics and correct your vision at the same time. It
will also double at stopping you from having to pay for cataract
surgery down the track.
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| Just about everybody who lives long enough needs cataract surgery at some
point. The problem with cataract surgery on post RS patients is that it is
very difficult to calculate the power of the inraocular lens that will be
needed. You may end up with an inappropriate prescription. If you are over
50, perhaps you may consider going for the IOL and skipping refractive
surgery altogether.
An overcorrection in your RS could leave you very farsighted and miserable.
Younger people are much better at compensating for a little bit of
overcorrection.
There are so many aspects of LASIK in particular that are unhealthy for the
eye perhaps it's best to choose an IOL or be happy with your glasses.
"Graeme Hewson" <ghewson@cix.co.REVERSE:ku> wrote in message
news:memo.20050409215551.2639A@cix.compulink.co.uk...
> I'm considering RS, and I'm wondering what data I need to keep in case I
> should need an IOL in later life. What procedures are used to gather
> this data? I'm myopic, astigmatic and 50.
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| doctor_my_eye@msn.com 2005-04-11, 6:14 pm |
| A copy of your pre-operative topography map and your pre-operative
refraction would be all you need. But, I agree with the idea that
LASIK on a 50-yr-old is like selling a little European roadster to a 50
year old. There are many other cars that your butt fits into better.
;)
ghewson@cix.co.REVERSE wrote:
> I'm considering RS, and I'm wondering what data I need to keep in
case I
> should need an IOL in later life. What procedures are used to gather
> this data? I'm myopic, astigmatic and 50.
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| Hi Doc. I hear that armed with your pre-op materials you still may have a
rough go with your IOL prescription. Perhaps after sime time passes your
pre-op refraction may not be so useful? Not sure why, but have heard the
lore and reports from actual patients with bad results. Sad.
LASIK surgeons know of this potential downstream problem and don't tell
patients about it, which of course is CRIME.
<doctor_my_eye@msn.com> wrote in message
news:1113097721.969080.74290@g14g2000cwa.googlegroups.com...
>A copy of your pre-operative topography map and your pre-operative
> refraction would be all you need. But, I agree with the idea that
> LASIK on a 50-yr-old is like selling a little European roadster to a 50
> year old. There are many other cars that your butt fits into better.
> ;)
> ghewson@cix.co.REVERSE wrote:
> case I
>
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| Ragnar 2005-04-11, 6:14 pm |
| There are people who would recommend LASIK for you.. and it's not a
bad idea... but at 50, you are a bit old for LASIK. Ask your surgeon
about IOLs, especially the accomodative type.
I'd like to know why the implantable lenses aren't more widely used.
On 09 Apr 2005 20:55:50 GMT, ghewson@cix.co.REVERSE:ku (Graeme Hewson)
wrote:
>I'm considering RS, and I'm wondering what data I need to keep in case I
>should need an IOL in later life. What procedures are used to gather
>this data? I'm myopic, astigmatic and 50.
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| Ragnar 2005-04-11, 6:14 pm |
| Grant almost got something right. Scary.
Let me correct him. You need to consider losing all accomodation in
your vision with standard CLE. If you go that route, you will need to
wear reading glasses.
As for paying for cataract surgery.. that is covered by medicare in
the U.S. (the accomodative type IOLs are not however)
On 9 Apr 2005 15:02:05 -0700, "CatmanX" <grantm@connexus.net.au>
wrote:
>At 50, you are probably better looking at clear lens extraction. It
>will give better optics and correct your vision at the same time. It
>will also double at stopping you from having to pay for cataract
>surgery down the track.
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| Glenn - USAEyes.org 2005-04-11, 6:14 pm |
| The doctor can actually take all measurements necessary for cataract
surgery now, then subtract the refractive change later. Mention this
concern to your doctor and be sure the measurements are taken AND that
you keep a copy for your own records.
As others have stated, at age 50 Refractive Lens Exchange (RLE) is
something to seriously investigate. If you are predisposed to retinal
detachment RLE may not be the best choice, but a visit to a good
retinal specialist can provide insight into that situation.
For more on RLE, visit http://www.usaeyes.org/faq/subjects/rle.htm
Glenn Hagele
Executive Director
Council for Refractive Surgery Quality Assurance
Email to glenn dot hagele at usaeyes dot org
http://www.USAEyes.org
http://www.ComplicatedEyes.org
I am not a doctor.
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