strabismus/ambliopia problem

Hello everyone,
I have a few questions regarding some eye problems.I am 23 and suffer from amblyopia in my left eye(very poor vision - only see shapes ,colors etc -vision 20/200) and strabismus in the same eye.The stabismus is caused by my right eye beeing farsighted( +3,5D) thus causing accommodative esotropia.
I've been to quite a few doctors the past few years , most of them recommended strabismus surgery.I have been- and still am- against this approach (been consulted by a doctor from the us who expressly told me NOT to have strabismus surgery because of the optical nature of my strabismus).I am currently wearing glasses (3,5D -both eyes).My vision in the good eye is 20/20.
I've been reading about ICLs and clear lens exchange(the latter has been recommended to me by a doctor to solve the refractive problem and thus the strabismus).Due to the delicate nature of the situation(only one functional eye) I am very reluctant to have an ICL or to abandon my natural adaptation(CLE).
I would appreciate your answers (esp. the MD's on the board) and anyone with a similar problem or any useful advice.

thank you for your time.

[Ray T Oyakawa, MD]

Strabismus surgery would only be for cosmetics.  I would not risk your only good eye.  

Are you eyes straight with the glasses??  


Dr. O.

[dark19]

yes,my eyes are straight with glasses.

[Ray T Oyakawa, MD]

The only thing I would remotely consider is LASIK or PRK.  You are at the limits for good results and hypeopic lasik/prk is not as successful compared to myopes.

Dr. O.

[dark19]

I know that - all doctors who consulted me advised against Lasik/prk for the exact same reason.
Thank you for your reps Doctor , any other opinions are welcomed

[dark19]

What is your opinion in the case of ICLs/CLE in my situation ?

thank you

[Ray T Oyakawa, MD]

You are very young and the lens in your eye will grow.  There is also less anterior chamber space in a hyperope compared to a myope.  I do not believe hyperopic ICLs are approved in the U.S.

The main complication of an ICL is a cataract.  Also, some patients have glare from the  PIs (small hole put in the iris).

CLE is a more invasive procedure than ICLs or LASIK/PRK.  Also, at your age you not get enough accommodation with currently available lens.

Dr. O.



Dr. O.

[dark19]

thank you for your time and reps Dr.Oyakawa.Any other opinions are welcomed