Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Eye Care (Expert Forum)
Explant IOL after YAG treatment
Answered by
Michael J Kutryb, MD - Ophthalmology, Cataract Surgery, glaucoma, Laser Vision Correct
Kutryb Eye Institute - Titusville
Our Ask A Doctor Ophthalmology Forum is where you can post your question and receive a personal answer from physicians affiliated with the American Academy of Ophthalmology.
Doctor's Answer
by Michael J Kutryb, MD, Jun 30, 2008 04:18PM
, Jun 30, 2008 04:18PM
If the posterior capsule is intact (before yag capsulotomy) then it is a more routine surgery with removal of old IOL and placement of new IOL sometimes with one or two sutures. If posterior capsule has a laser opening in it, then there will likely be prolapse of viitreous into the anterior chamber which can lead to glaucoma, macular edema and retinal detachment. Therefore a vitrectomy may need to be performed and then, the support for the new implant can sometimes be compromised which could require the IOL to be sutured in or placed in the anterior chamber (usually an less effective position.) You may want to seriously try using Alphagan or Pilocarpine first to see if it helps. In not, you would need to be really serioiusly bothered by the rezoom IOL to go forward with an exchange now. It, of course, have been much easier to do it very early on. Make sure you have an excellent and experienced surgeon.
Michael Kutryb, MD
Kutryb Eye Institute
Titusville, FL
Edgewater, FL
Michael Kutryb, MD
Kutryb Eye Institute
Titusville, FL
Edgewater, FL
