Laser surgery after cataract surgery
Common Questions and Answers about Laser surgery after cataract surgery
laser
My question is, as I am so shortsighted, is it OK to have the Laser Cataract Surgery? I ask this because the Laser Cataract Surgery is said to be less traumatic to the eye.
I wonder if Dr John C Hagan III could answer this question, as I know his son also works in his practice and he is a retinal expert?
Also do you fit the New nanoflex IOL?
I have had the Yag laser capsulotomy in both eyes after cataract surgery in each on separate times. My first cataract surgery was on my right eye and my eye doctor went ahead and did the procedure a year later. I have no idea why she ordered that done. She said that its to "cleanse the eye". Then a few years later, I had to have my left eye done and a few months later, I noticed no improvement in my vision but haziness and glare galore to where I could no longer drive.
I am looking at cataract surgery in both eyes, one week apart after havingRD in both eyes in 2013. There were two choices presented to me regarding cataract surgery and am not sure which to choose. Either traditional or laser. It seems laser is more precise and less cutting but the surgeon felt that with my strong nearsighted eyes, traditional would be better. Any thoughts on this? What else should I be asking the surgeon, and what else do I need to know or ask?
http://www.about-eyes.com/laser-assisted-cataract-surgery-and-risk-of-macular-swelling/
"Laser Assisted Cataract Surgery and Risk of Macular Swelling"
His skepticism matches the reports I've seen of large scale studies over the last year or so indicating that laser cataract surgery so far merely has been shown to have different complications than non-laser surgery overall (which are rare in both types), and hasn't proven its benefits overall yet for most patients.
Time will tell if this is superior to current standard cataract surgery. The femtosecond laser is being used to make the cataract incision into the eye, the capsule opening in the lens (capsulorhexis), and to soften the cataract. Then the phaco/aspiration portion of the lens removal is the same as standard cataract surgery.
Furthermore, there is no more precise way to surgically correct the vision than laser vision enhancement after cataract surgery. You can safely have LASIK or PRK after cataract surgery to 'fine tune' your vision. I think overall there's a lot of wrong information about laser assisted cataract surgery. It's great, but to imply it's better is wrong. I hope this helps.
Best wishes,
Timothy D.
I was high myopic - minus 13 both the eyes and had undergone LASIK when I was aged 39+ Then after a year had retinal detachment in my left eye. During the surgery they also found cataract. 2 surgeries were done and now I am able to read with my left eye but witht he help of +5 reading glasses. If I have to read news paper print I also need -2.5 near vision glasses. If I wear these 2 glasses one above the other I can read smallest print also clearly.
After my cataract surgery in both eyes in Feb. it was decided by my dr. that because of my somewhat blurry vision and after some more testing that I need the YAG surgery. My question is that many years ago I had a torn retina in the right eye which was repaired by laser by a retina specialist. Should I visit him again before having the YAG surgery?
I suspect you may be talking about posterior capsule opacification (PCO) which occurs naturally after cataract surgery. It is treated with an Yag Laser and has about a 99.5% success rate and extremely low rate of complications. Usually the doctor will wait until the vision is blurred significantly before performing the Yag Laser Capsulotomy. Perhaps your vision is not affected enough at present to warrent the laser procedure. Ask your doctor if you have PCO.
Not sure where you are located in Canada, but I did a quick search online and found there are at least 4 facilities in Canada (Toronto, Kingston and two others) who offer the femtosecond laser-based cataract procedure. This method of cataract surgery was first performed in Canada in mid-2012. Just Google it and you can see where it is offered, in case any facilities are near you.
One place highly rated would have cost nearly double since they only have a premium package that costs almost $3000 that includes laser-assisted and any LASIK touchups after the cataract surgery. But I didn't want extra cornea surgery beyond the cataract surgery, so to me that extra cost wasn't worth it. The other 2 surgeons, one offered laser-assisted as an option but didn't push it and the other only did standard, so their prices were more similar and more reasonable.
I understand your frustration and often this situation can be eased by proper counseling BEFORE cataract surgery. Cataract surgery is definitely not guaranteed to make you free of glasses for distance. That is what you wanted but it doesn't always turn out that way due to the slight margins of error in many of the measurements and the margin of error in the mathematical calculations.
On day 1 after my April 7 right eye cataract surgery and continuing unchanged to date, I have had blurred vision. The blur does not meet the "usual" definition. For lack of a better word, the blurriness is crescent shaped going from the bottom through the center to the top of my field of vision. The vision is not blank, but blurred, so that I can no longer make out images/letters.
Retina detachment, macular degeneation, optic issues all seem to have been ruled out.
I would wait a minimum of 3 months after the cataract surgery- then it's fair game for a yag laser IF you have significant posterior capsule opacification that is decreasing your vision. It only takes about 2 -3 months for the lens to seat fairly well in the capsule. I suspect your capsule may not be that cloudy and that it why yag laser is not being considered now.
In the type of cataract surgery done preferencially world wide "extra-capsular" surgery the back wall of the human lens is left in place to hold the posterior chamber IOL in place. In about 10% of people, as some point in their life, the posterior capsule turns cloudy, called a secondary cataract or posterior capsular opacification. Almost never does the IOL turn cloudy. When this happens a simple 5 minute laser procedure takes care of the probem.
There is one private clinic that does femtosecond laser-assisted cataract surgery using the LenSX femtosecond laser. The other one does not, but it is much more convenient. When I asked my RS about the femtosecond laser-assisted cataract surgery, he basically said that it is the skill of the surgeon that counts in either way of doing cataract surgery. He admitted that it probably is the wave of the future.
There is one private clinic that does femtosecond laser-assisted cataract surgery. The other one does not, but it is much more convenient. When I asked my RS about the femtosecond laser-assisted cataract surgery, he basically said that it is the skill of the surgeon that counts in either way of doing cataract surgery. He admitted that it probably is the wave of the future.
That is, there are certain things to do after surgery. Like, few weeks after the surgery, you will need to take medication in the form of eyedrops inorder to aid healing or prevent infection. So obey what your physician says. Of all the things, the most important thing is that, make sure you hire some experts for performing the surgery.
'Toronto Eye Surgery Centre' , Ontario is the one which I prefer.
My name is Andres, im 23 years old. I have keratoconous. And had a cataract removed on my left eye only due to an injury(traumatic cataract). I also have some type of traumatic mydriasis left after the injury. My doctor decided not to perform both the cataract and pupil repair at the same time. Saying it is more risky when they are done simultaneously. Unfortunately, my left eye feels a little off balanced. since the difference between two eyes is about 3.25 diopeters.
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