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Restor lens and map-dot-fingerprint-dystrophy
Our Ask A Doctor Ophthalmology Forum is where you can post your question and receive a personal answer from physicians affiliated with the American Academy of Ophthalmology.

Restor lens and map-dot-fingerprint-dystrophy

by restor-map-dot, Aug 09, 2006 12:00AM
I am an 81 year old male daibetic. I had a restor lens put in my left eye 5-0-06. after a month I could read a newspaper with difficuity only after putting in eye lubicating drops. Took 5 applications in half an hour. Cou;d drive a car in day time and watch TV with the closed captions. Dr said I had map-dot-fingerprint-dystrophy on the surface of eye causing the light to be refracted wrong. 8-4-06 he did a scraping procedure on the eye and covered it with a contact lens. 8-8-06 he removed the lens and said continue using eye drops. Now I can not read the closed capitions on the TV or read a newspaper by using eye drops. When I went for a walk this morning I notice a film like you see on a dirty window with the left eye. Not on the right. He told me a laser could have remove the map-dot but may change the presscription. I am not in aby pain. Just poor vision. I have map-dot in my right eye also but not as bad. Dr had told me I had this map-dot the last 3 exams but I could see well with bifocals. Question is he on the right track? I have a catract in right eye but it is not a problem and I am not going to have it out until my left eye is good.

by Forum-OD-MP, Aug 10, 2006 12:00AM
i have no idea if he's on the right track or not.  dystrophies always occur in both eyes, and frequently "get worse" after cataract surgery (or any surgery).

get a second opinion...
Member Comments (3)

by restor-map-dot, Aug 09, 2006 12:00AM
date of surgery was 5-9-06.  Doing the best I can with this vision.

by restor-map-dot, Aug 10, 2006 12:00AM
We did get a second opinion before the scraping job, from a Dr. who said he had done 40 plus Restor lens. My Dr. said he had done 12. Is there something about map-dot that interfers with the Restor lens? I do have map-dot in the other eye but Dr. says it is not as bad as the left was. No inprovement in the left eye yet.

by Ag-i-doc, Aug 10, 2006 12:00AM
no, there is not something specific about restor that affects any dystrophy.  its the surgical *process* that affects it.  not even the technique of the doctor.  all people with corneal dystrophies respond *poorly* to most eye surgeires (LASIK, cataracts, etc).  what you are experiencing would have likely happened no matter how "good" your doc was, and no matter what type of implant you had.  you had a pre-existing condition (dystrophy) that has caused your poor healing after the surgery.  it was not the implant's fault and not the surgeon's fault, except that i guess maybe it would have been better to identify this sort of thing before surgery.  that being said...before you go out and file a lawsuit...detecting dystrophies is VERY DIFFICULT...sometimes impossible.  it'll be really hard to find your surgeon "liable".

but you had a pre-exisiting condition.  the dystrophy was not "caused" by the surgery.  you had the dystrophy before the surgery.

you need a second opinion from a corneal specialist, not another cataract/implant guy.
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