Sometimes "giant cells" which are immune cells can build up on the IOL and a yag laser can be used to dust them off. In this situation, the yag is using very low power and not really cutting or breaking up anything but rather dusing off the cells that cloud the IOL. Usually chronic use of steroid drops can help to slow the giant cell buildup but I suspect that is already been done. Unfortunately for now, this method using the yag, seems to be the only help in her case and it may need to be done many times, possibl. Oral and sometimes even injection, immune drugs for the RA are usually quite helpful in these cases as well as the proper drops. It's all an imperfect solution to a very difficult problem. In the end she should be seen at the University of Iowa Ophthalmology Department since it is one of the very best in the world.
dr we went to iowa for the first 7 years dr keach is who worked with us regretfuly he passed away with an illness , currently see dr steven sicher at illinois eye intitute in peoria il. imflamation seems to be getting better as the dose of remicade has been increased and is also on methotrexate 20 mg the shots in the eye dont seem to work any suggestions ? also on the predforte eye drops seems this has been difucult for her to control for over a year now.
hello again seems the higher dose of remicade has helped with the imflamation she will be laser again before xmas and we will see how that goes just want to say that your response to my ?s are very reasuring that we have been doing the correct thing and you are 100% correct iowa university is a very wounderful place cant even imagine what we would have done with out them from the begining of this, if you will nightmare her eye pressures seem to be steady around 15 so that a good thing imflamation is way down from past appointments its just a very unpredictable thing and most people dont understand thanks for your time again