Aa
CLE/Cataract Surgery for the Highly Myopic
Dr. Hagan wrote."The surgery is done using several special techniques that lower the risk of surgery in the highly myopic."
What are these techniques? Is there any specialist literature about it? How does it lower the risk of RD? And what about PCO? The Yag laser treatment increases the rick of RD.
Which IOLs would you recommend? Which IOLs would you rule out?
After all a pseudophakic lens constricts the visibility of the fundus. Which methods of diagnosis of the Fundus myopicus are there besides visual control?
The Crystalens HD also has an additive of +1.5D, so it's also a bifocal lens? So pseudo-acommodation was too low (1D)?
Data: age 51; Myopia, L -10,5; -0,75; R -13,75; -2,25; Add. +2,00; VA 0,6; Fundus myopicus: peripheral Retinal Degeneration; nuclear sclerosis
What are these techniques? Is there any specialist literature about it? How does it lower the risk of RD? And what about PCO? The Yag laser treatment increases the rick of RD.
Which IOLs would you recommend? Which IOLs would you rule out?
After all a pseudophakic lens constricts the visibility of the fundus. Which methods of diagnosis of the Fundus myopicus are there besides visual control?
The Crystalens HD also has an additive of +1.5D, so it's also a bifocal lens? So pseudo-acommodation was too low (1D)?
Data: age 51; Myopia, L -10,5; -0,75; R -13,75; -2,25; Add. +2,00; VA 0,6; Fundus myopicus: peripheral Retinal Degeneration; nuclear sclerosis
MEDICAL PROFESSIONAL
Regarding yag-Crystalens IOLs require yags more frequently than acrylic IOLs. I saw a lot of retinal detachments from one referring doctor when the yag first came out over 20 years ago. They all had very large yag openings.
The main factor for RD after cataract surgery in high myopes sees to be being male and not having a posterior vitreous detachment. This risk seems to decrease after the mid 50s.
Not all doctors agree. Many of the cases in the literature involve older techniques with larger wounds.
Dr. O.
The main factor for RD after cataract surgery in high myopes sees to be being male and not having a posterior vitreous detachment. This risk seems to decrease after the mid 50s.
Not all doctors agree. Many of the cases in the literature involve older techniques with larger wounds.
Dr. O.
MEDICAL PROFESSIONAL
As you probably know lOL preferences by doctors depend on many factors. The factors for lowering an RD rates by surgical techniques are all anecdotal. They include measures to decrease fluctuations in anterior chamber depth and lower bottle height. The most important factor is to avoid a capsular rupture.
I do not find it more difficult to view the retina with the Crystalens.
Use the search function. My preference for a presbyopia correcting IOL is the Crystalens. I have done a number of moderately myopic patients and they do get good near vision, most get J1 to J2.
The controversy regarding IOLs for a potential RD patient is the material silicone. These IOLs do not do well if silicone oil is needed. However, my feeling is that eyes that need silicone oil usually do not recover good vision.
After my retinal detachment and ERM peel I choose the Crystalens AO and I am very happy with the quality of vision with this IOL.
Dr. O.
I do not find it more difficult to view the retina with the Crystalens.
Use the search function. My preference for a presbyopia correcting IOL is the Crystalens. I have done a number of moderately myopic patients and they do get good near vision, most get J1 to J2.
The controversy regarding IOLs for a potential RD patient is the material silicone. These IOLs do not do well if silicone oil is needed. However, my feeling is that eyes that need silicone oil usually do not recover good vision.
After my retinal detachment and ERM peel I choose the Crystalens AO and I am very happy with the quality of vision with this IOL.
Dr. O.
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