I recently had a IOL to move out of location in my right eye and had to be replaced. The old IOL had a power of 19D and they install a replacement IOL with a power of 29D. My vision is very clear and sharp at about 3 inches with no usable vision beyond this distant. My surgeon has confirmed that the new IOL installed was do to error in determining power of IOL. They have offered to replace this IOL or provide contact to compensate for the error and I have been told that Lasik surgery is not an option due to the extreme different in power. This eye has had a total of four surgeries in the pass 5 years macular hole cataract removal scar tissues and replacement of IOL. All surgeries were performed by the same medical organization. I do not want to use and pay for contacts for the rest of my life and the risks of additional surgery without compilations is very high especially considering the previous surgeries. What are your suggestions for dealing with this problem?.
2014-12-26 05:42:03
The power is too far off for LASIK or PRK to be done safely. Because your old IOL dislocated you probably don't have capsular support in that eye so a piggyback IOL might not be an option for you. You have two choices outside of a contact lens- IOL exchange Implantable Collamer Lens Both are invasive. An IOL exchance may produce better vision quality because the ICL requires an iridotomy be done to prevent glaucoma. It depends on how risky and IOL exchange would be in your case. Given the iol dislocation you mentioned im guessing your capsule is compromised or you don't have one. I don't know exactly how they have that new IOL in there and how difficult it would be to get it out and put a new one back in. If its the same risk as a normal IOL exchange done shortly after the operation I would highly recommend that. If its too dangerous because you've already had other lens exchanges your only real option would be an ICL. Your safest option is a normal contact lens. I require contacts (can't wear glasses) after my cataract surgery and I'm contact lens intolerant so I admit its not fun. I'm not a candidate for IOL exchange or a piggyback. I'm high risk for lasik or prk due to alreading having severe dry eye. I've been given the ICL as an option (It has been done its just very rare that they need to) and while I am considering it I am trying to stick it out with contacts as long as a can in the hopes something safer comes along. Given that your eyes are now 10 diopters apart contact lenses would probably be considered medically necessary by your insurance. (Mine are.) Usually insurance pays for them if glasses aren't an option for you. (With your eyes 10 diopters apart they definitely a
2014-12-26 05:42:45
