I had a cataract removed from my left eye on August 14, implanted with Alcon AcrySof IQ (SN60WF) 14.5 D, and ended up hyperopic (+1.00 D). Right eye has no cataract and is myopic (-2.25 D). The power difference causes some peripheral double vision when wearing glasses. Also, left eye should not be hyperopic because it is my non-dominant eye. YAG treatment has not been necessary. I am 57 years old. I prefer to avoid piggyback lens and Lasik options, but was considering IOL exchange.
1. Is IOL exchange extraordinarily risky compared to benefits that could be achieved? What serious complications could happen? Is risk of retinal detachment higher than for original surgery?
2. Would it be harder to get proper centration and alignment of the replacement IOL, compared to the original?
3. I have no astigmatism now. Could the IOL exchange operation produce astigmatism?
4. Can my regular eye surgeon do this procedure safely, or do I need to find someone with special expertise?
5. If I have to locate another surgeon, is it critical to act fast? Could I delay IOL exchange up to a year since original implant?
I am very anxious about this, and will be grateful for any information you can provide.
1. Piggy back IOL would be less risky than IOL exchange. Complications include infection, bleeding, tearing the posterior capsule, vitreous loss, retinal detachment and rarely inability to insert a second IOL. RD risks would probably be the same if the IOL can be exchanged without capsular tear and vitreous loss.
4. Ask him. Some have done it a lot, some infrequently, some never. Obivously the latter might not be a good choice.
5. No further delay should not jeoporzide success.
6. other options would include hyperoic LASIK, conductive keratoplasty.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.