Getting second opinions

[Maryeagle12]

Hello Doctors,

Under advice of my current doctor I am seeking second opinions about a surgery I am considering to improve my vision. I had a IOL placement several years ago. During that surgery I experienced a suprachoroidal hemorrhage. Luckily, I still have good vision with some minor issues like waves in my vision. I have traumatic mydriasis and very bad glare issues. I am considering implant of a prosthetic iris to help with these issues. My question is this too much of a risk considering my history? Of course, I know there are risks with all surgeries, but would advise your patient to have the procedure done.
Your response(s) appreciated.

[John C Hagan III, MD, FACS, FAAO]

I don't know, it is not a surgery our group does.
JCH MD

[Maryeagle12]

I understand, but I only asked when did the device get FDA approval? I would not expect you to address the insurance.

[John C Hagan III, MD, FACS, FAAO]

I never offer opinions about insurance,  nor what Medicare will/will not pay for.

Best of luck

JCH MD

[Maryeagle12]

Thank you. My doctor mentioned a specialist in California that does the procedure as well. I know it is a rare surgery. Do you know when the FDA approved the device? I knew that my insurance would not cover with needing to get the permit. At the time my doctor stated that I had to. This could be something to discuss with my insurance now.

Thanks for your opinion.

[John C Hagan III, MD, FACS, FAAO]

It would be much safer to try a special contact lens that has an iris on the contacts. It is a special lens and not all practtioners fit it.  Also if your glare can be controlled with photochromic or tinted glasses inside and outside with a hat with bill and sun shields (block sun on sides and top and fit over your regular glasses) that is safer and cheaper.

I cannot tell you what to do. I would suggest you get at least 3 opinions. Note that this is an unusual operation and the FDA has only recently approved that device (that is the USA FDA  a huge bottleneck of bueaucracy that keeps  the USA behind many countries in innovation).

If you live near Cincinnati the Cincinnati Eye Clinic, Robert Osher MD was among the first to test this prosthesis.

JCH MD