Aa
redo cataract surgery
My right eye had cataract surgery done on begining of this Nov, 2009, the doctor put too strong power on near sight, but far sight is only 20/200 now, ( the original doctor's plan is intermidate focus the far sight target is 20/40). I'm terriably dizzy after surgery and still dizzy now after 2 and half week surgery. I have to use reading glass +2 to look near objects and that will make 2 eye about balance on near sight, and feel the all object focus are not on same level. The implanted len power is 16, the other doctor measured I should use implant len power is 14. I want to redo cataract surgery, is there anyone know how many risks to get implanted len out and replace with new one? it means how many risks for cataract redo surgery? What's the main questions should I ask doctor and make sure he pick up the right implanted len for me?
A related discussion, Redo Catact Surgery was started.
Sorry, I forgot one more question:
8. If I have to do IOL explant, I know sooner better. Is there any time limitation to have IOL explant done? For example after 2 months, I can't do surgery to replace implant Len?
I really appreciate your precious time any generous help!
Ziyou
8. If I have to do IOL explant, I know sooner better. Is there any time limitation to have IOL explant done? For example after 2 months, I can't do surgery to replace implant Len?
I really appreciate your precious time any generous help!
Ziyou
Thank you very much for your kindness and help! I know you take your precious time to answer my question and help me.
I'm 42 year old female. My left eye is -6.5 with contact lens I can see 20/20. My right eye before surgery was -7.5 with contact lens and I can saw 20/20 . Whenever doctors measured my eye should wear -7.5 left eye, -8.5 right eye contact lens and I tried them, I felt very dizzy and can't handle them. So I stay on -6.5 Left, -7.5 right contact lens for more than 15 years.
Now, 3 weeks after right cataract surgery, my brain dizziness is getting better, but still light dizziness, the first whole week after surgery I had to be on bed all time, whenever I opened my eye, I felt very dizzy. I called doctor, he told me I would be better. Now if I only use right eye to read anything I can see, after right eye focus several seconds, I feel light dizziness and I don't want to focus to read any more. I feel implanted len is too strong power and also only for reading distance, that makes me feel I'm not one person but a split person, my two eyes always fighting, the world in my eyes are not real world. I can't have normal daily life now.
When my one week after surgery doctor visit, I asked him I'm very dizzy and I feel power is too strong for me, can I have replace implant len done. He said he don't know how to pickup right power if redo surgery. (He told me he did 20,000 cataract surgeries.) He let me to try on -2.0 contact len, I tried on -2.0 contact len and it makes me more dizzier, right eye clearer, sharper and dominant than left eye if look distance sight, if I looked at 3 feet away computer, I can't read computer and it's blurry since right eye dominant, my brain won't switch to left eye even my left eye can read computer clearly. So I had to use my hand to cover right eye to let left eye to read computer.
My corneal is very thin and other doctor said is risky to do LASIK many years ago.
1. Is laser vision correction not LASIK? Can laser vision correction lower the implanted len's power? If yes, I don't need to do implanted len exchange.
2. From you judgment and my symptom, do you think is right decision for me to do implant exchange?
3. Implanted len power is 16, and prior procedure contact lens was -7.5, can you tell what's should be right implanted len power for distance vision or intermediate vision?
4. What should I ask doctor to let to try which power will make me comfortable?( I will have surgery doctor appointment 3:30 EST today: Nov 23, Monday)
5. If I still pickup monofocal for redo surgery: which should be better for eye and body's balance, help me feel I'm one person and I see one world: intermediate vision or distance vision?
6. Do you have any explant len eye doctor recommendation in Michigan? Or other state?
7. Seems from other articles, intermediate vision=distance vision+1, is that right?
I really appreciate your precious time any generous help!
Ziyou
I'm 42 year old female. My left eye is -6.5 with contact lens I can see 20/20. My right eye before surgery was -7.5 with contact lens and I can saw 20/20 . Whenever doctors measured my eye should wear -7.5 left eye, -8.5 right eye contact lens and I tried them, I felt very dizzy and can't handle them. So I stay on -6.5 Left, -7.5 right contact lens for more than 15 years.
Now, 3 weeks after right cataract surgery, my brain dizziness is getting better, but still light dizziness, the first whole week after surgery I had to be on bed all time, whenever I opened my eye, I felt very dizzy. I called doctor, he told me I would be better. Now if I only use right eye to read anything I can see, after right eye focus several seconds, I feel light dizziness and I don't want to focus to read any more. I feel implanted len is too strong power and also only for reading distance, that makes me feel I'm not one person but a split person, my two eyes always fighting, the world in my eyes are not real world. I can't have normal daily life now.
When my one week after surgery doctor visit, I asked him I'm very dizzy and I feel power is too strong for me, can I have replace implant len done. He said he don't know how to pickup right power if redo surgery. (He told me he did 20,000 cataract surgeries.) He let me to try on -2.0 contact len, I tried on -2.0 contact len and it makes me more dizzier, right eye clearer, sharper and dominant than left eye if look distance sight, if I looked at 3 feet away computer, I can't read computer and it's blurry since right eye dominant, my brain won't switch to left eye even my left eye can read computer clearly. So I had to use my hand to cover right eye to let left eye to read computer.
My corneal is very thin and other doctor said is risky to do LASIK many years ago.
1. Is laser vision correction not LASIK? Can laser vision correction lower the implanted len's power? If yes, I don't need to do implanted len exchange.
2. From you judgment and my symptom, do you think is right decision for me to do implant exchange?
3. Implanted len power is 16, and prior procedure contact lens was -7.5, can you tell what's should be right implanted len power for distance vision or intermediate vision?
4. What should I ask doctor to let to try which power will make me comfortable?( I will have surgery doctor appointment 3:30 EST today: Nov 23, Monday)
5. If I still pickup monofocal for redo surgery: which should be better for eye and body's balance, help me feel I'm one person and I see one world: intermediate vision or distance vision?
6. Do you have any explant len eye doctor recommendation in Michigan? Or other state?
7. Seems from other articles, intermediate vision=distance vision+1, is that right?
I really appreciate your precious time any generous help!
Ziyou
MEDICAL PROFESSIONAL
Dear ziyou,
I would speak with your eyeMD about the benefits and risks of IOL exchange. Since the procedure was done recently, the removal is usually less complicated than later postoperatively. There are risks to any procedures and the risk should be similar to the original surgery. Since the doctor knows the refraction of your eye, measurements obtained before surgery with the implant picked, it should be possible to determine a more accurate power. There is also an alternative to IOL exchange, and this is LASIK or laser vision correction.
Dr. Feldman
Sandy T. Feldman, M.D., M.S.
ClearView Eye and Laser Medical Center
San Diego, California
I would speak with your eyeMD about the benefits and risks of IOL exchange. Since the procedure was done recently, the removal is usually less complicated than later postoperatively. There are risks to any procedures and the risk should be similar to the original surgery. Since the doctor knows the refraction of your eye, measurements obtained before surgery with the implant picked, it should be possible to determine a more accurate power. There is also an alternative to IOL exchange, and this is LASIK or laser vision correction.
Dr. Feldman
Sandy T. Feldman, M.D., M.S.
ClearView Eye and Laser Medical Center
San Diego, California
MEDICAL PROFESSIONAL
Replacing the implant with a different power has tha same risk as the first surgery. Finding the proper power to use now should not be that difficult and is simply a matter of using any of the easily reference software programs. I would make sure your surgeon is adept at this type of procedure and explains to you how it will affect your amount of astigmatism. In proper hands this is a very successful procedure. THe main thing is to have a very qualified surgeon do the surgery.
MJK MD
MJK MD
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