Problem with Crystlense HD Implant

[Omp1]

I had cataracts surgery for my right eye on August 10, and Crystlense HD was implanted. I am now myopic; I can see better than before upto 18", but beyond that it is blurry.  My doctor believes that the lense is slightly mislocated in the capsule bag in anterior position.  He recommende that the lense be removed and may be substituted by Restore or Rezoom lense.  Doctor stated that I have PCO.  But YAG is not an option if a new lense has to be implanted.
I have early stages of dry AMD in my right eye.

I consulted another eye doctor.  Her recommendation was not to remove the lense, but go through YAG.  She thought that if properly done, the lense may move slightly in posterior position.  She believed that after YAG, may be laser surgery could be performed to improve my vision.

These are two conflicting approaches, I will greatly appreciate input from those who have gone through this, and/or have expertise in this area.

Regards,

[JodieJ]

Yes,  I think that Dr. O responds on even days on this forum.

[Omp1]

Jodie J.

Thanks very much for your thoughtful advice. To re-post this message for Dr. Oyakawa, should I post on Eye Care Community Forum.  I did not post it yesterday; does he monitor the forum on even days?

Thanks for your help.

[JodieJ]

I have a couple of suggestions for you.  You want a doctor who is both experienced with the Crystalens and board-certified.  You can get referrals to the former from the Crystalens website at www crystalens com.  You can check out board certification at the doctor directory at www aao org.

Dr. Oyakawa is an expert about the Crystalens, and he is responding to questions today.  Re-post your question today as a new thread and mark it to Dr. Oyakawa's attention.  I suspect that Dr. O will agree with your second opinion doctor.  If so, you may want to return to her.

Do NOT return to your original surgeon.  (1) Explanting a Crystalens (which might work well for you with some adjustments) is foolish and carries risk.  (2) Any multifocal IOL (including ReZoom and ReStor) is a very bad idea for someone with early AMD.  (3) Recommending the problem-ridden ReZoom makes NO sense.  Apparently this surgeon doesn't know what's going on in his own field.

Good luck!  

[Omp1]

Dr. Hagan:

Dr. Omar Almallah from New Jersey has published some papers. Would you recommend that he is in the right field to provide third opinion?

Thanks.

[Omp1]

My distance vision can not be measured accurately because of PCO.

[Omp1]

Yes, I am planning for third opinion.  Difficult part is how to select aright doctor in South Jersey.

[Omp1]

Dr.  Hagan:

Thanks for your advice.  Is there any expert in South Jersey area, you can recommend for a third opinin?

Regards,

[John C Hagan III, MD, FACS, FAAO]

Get a third opinion. ReZoom Is OLD TECHNOLOGY. As we speak the Am Acad of Ophthal is meeting in San Francisco    Ophthalmology Times a major industry newspaper is featuring a research article by Dr. Kutrby and me that shows that ReZoom is by far the most problem prone multifocal IOL on the market. Recent study in J Cat and Ref Surgery showed worse optics.

Get another opinion

JCH MD

[mmmmpppp]

Just curious: how does your distance vision test in the doctor's office?

[JodieJ]

Here's a nonprofessional opinion:  Fire your current surgeon!  Any surgeon who recommends a ReZoom (use the search feature to read more about this obsolete, problem-ridden lens) to a patient with early AMD cannot be trusted.  And please don't tell me that this surgeon is experienced and board-certified.

It sounds like you are mildly nearsighted in your Crystalens eye.  Your second opinion surgeon's advice makes sense.  You could also get a third opinion before making a decision.