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Eye Care  (Expert Forum)
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Wait to do LRIs until later (after cataract surgery)...?
Answered by
Discover Vision Centers Kansas City - MO
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Wait to do LRIs until later (after cataract surgery)...?

by FredZq, May 10, 2008 11:48PM
Question is:

Would it be better to wait until the cataract surgery has healed and the eye has stabilized, to have limbal relaxing incisions; or would it be likely to be just as successful, if performed at the same time as cataract surgery?
I suppose the total cost would be more for the first option, but excellent outcome is more important to me than $$$

I'm going in for cataract removal from my left (non-dominant) eye end of May. PreOp measurements for IOL to be done next week

My refraction last December at another ophthalmologist was

OD  sphere -0.50  cylinder  +3.00  axis   15  add  +2.50
OS  sphere -3.00  cylinder  +2.00  axis 155   add +2.50

I've  talked to the surgeon  Doc about lenses and procedures. After much study, and Dr. H advice here to another, I think aspheric monofocal lenses and setting the left (non-dominant) eye for reading focus and the right (dominant) eye later, for intermediate focus, (I hope I got that right) will do what I need if they are successfully accomplished. Doc uses Tecnis lens.

Doc also does limbal incisions as extra cost procedure. I read a lot about those, and I hope that they will be helpful at minimal risk. I plan to request the LRIs to lessen my astgmatism.

Thanks!  for your extremely helpful and ininformative answers to our questions.

by John C Hagan III, MD, FACS, May 11, 2008 11:00AM
Your right eye (OD) likely doesn't need an LRI.  
The left eye (OS) would benefit for an LRI and it will be less expensive and is the "standard practice" to have it done at the time of surgery rather than as two different procedures.

JCH II IMD
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