284078?1282620298
Michael J Kutryb, MD  
Male

Specialties: Ophthalmology, Cataract Surgery, glaucoma

Interests: Ophthalmology

Kutryb Eye Institute - Titusville
321-267-2020
Titusville, FL
All Journal Entries Journals

Laser Cataract Surgery:  Five Things You Should Know

Jun 19, 2011 - 2 comments

1.  The new Lensx and Lensar femtosecond lasers can only perform certain parts of the cataract surgery procedure.  The laser can make the incision into the eye, the opening into the lens capsule (capsulorhexis) and soften the central part of the cataract into smaller pieces.  Unfortunately, the standard ultrasound hand piece is still needed to remove the cataract from the eye and the irrigation/aspiration hand piece will still be needed to remove the lens cortex, as before.

2. It remains unclear if the lasers will actually improve visual outcomes.  Early studies have shown that the lasers can make a statistically more precise capsulorhexis and that this might in turn lead to a slightly more consistent IOL position in the eye.

3.  The laser will make the surgery significantly longer, probably about 10 to 15 minutes extra, but that might come down a little with experience.

4.  Expect to pay a large fee out of pocket for laser cataract surgery, above and beyond what insurance will pay.  This will be considered a custom upgrade.

5.  Other than the laser making the incisions and pre-chopping the cataract, the recovery and postoperative course will be mostly unchanged.

Trust me when I tell you that you are going to be hearing much, much more about this subject.  I just wanted to get the conversation started and try to be as unbiased as possible.  There is already a big controversy among cataract surgeons as to whether the lasers will improve results or just make the surgery longer, more complicated, and much more expensive in a time when soaring healthcare costs are a major concern.  More to come.

Comments
Post a Comment
2006907_tn?1329273839
by ejc721, Jan 28, 2012
I AM WRITING A NOVEL ABOUT A GIRL WHO GETS IN A CAR ACCIDENT WHEN SHES A KID, SO THEN SHE IS BLIND UNTIL SHE IS ABOUT SIXTEEN YEARS OLD.
I WOULD LIKE HER TO BE ABLE TO SEE IN THE END, BUT I WANT A LOGICAL EXPLANATION FOR IT. I WAS THINKING THAT A SURGERY WOULD BE A GOOD IDEA , BUT I WANT TO BE ABLE TO EXPLAIN IT IN A BELIEVABLE WAY.
PLEASE HELP, ANYONE!! I AM REALLY SERIOUS ABOUT THIS NOVEL AND IT IS VERY IMPORTANT TO ME.

Avatar_n_tn
by gaz201, Sep 30, 2013
she could have got dislocated lenses from the trauma (happens when airbags strike passenger in the face) ... these could be repairable with surgery... but takes a very competent surgeon.

Try googling that see what ya think.

G



Post a Comment