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Thread: RLE followed by LASIK for astigmatism? Crisp vision??

  1. #1

    Question RLE followed by LASIK for astigmatism? Crisp vision??

    I am low myopic. 62 years old and I read without glasses. I wear glasses for distance and have since I was 9 years old. I now wear bifocals. It appears that my near vision is getting better and distance worse although it is progressing very slowly. I was seriously considering LASIK because I am incredibly weary of glasses. When my husband and I bike they bounce and mess with my vision. The first doctor I saw ran tests and said I was a very good candidate for LASIK but because i would miss my near vision he suggested ReStor multifocal lens so that i would be able to see near and far and the follow it with LASIK for my astigmatism. Then I went to see my regular eye dr. And he thought the protocol mentioned earlier made sense but that I should not expect the crisp vision I enjoy now. Has anyone gone this route? Is your vision crisp even just after RLE? I have not used contacts in years but have been told with the improvements that that may be a better route go. What say ye?

  2. #2

    Default Maybe It's Not Too Late

    Quote Originally Posted by Gekahawk View Post
    I am low myopic. 62 years old and I read without glasses. I wear glasses for distance and have since I was 9 years old. I now wear bifocals. It appears that my near vision is getting better and distance worse although it is progressing very slowly. I was seriously considering LASIK because I am incredibly weary of glasses. When my husband and I bike they bounce and mess with my vision. The first doctor I saw ran tests and said I was a very good candidate for LASIK but because i would miss my near vision he suggested ReStor multifocal lens so that i would be able to see near and far and the follow it with LASIK for my astigmatism. Then I went to see my regular eye dr. And he thought the protocol mentioned earlier made sense but that I should not expect the crisp vision I enjoy now. Has anyone gone this route? Is your vision crisp even just after RLE? I have not used contacts in years but have been told with the improvements that that may be a better route go. What say ye?
    Hi there, Gekahawk. Welcome to Lens 101. Can you tell me what "RLE" is? Maybe you explained it in your post and I missed it.

    Anyway, unfortunately I can't tell you what to expect from LASIK surgery because I haven't had it done. I thought I was too old since I'm in my 40's but after reading your post, I may just look into it a little more.
    I hope you get some useful answers here.

  3. #3

    Default

    Quote Originally Posted by Niner View Post
    Hi there, Gekahawk. Welcome to Lens 101. Can you tell me what "RLE" is? Maybe you explained it in your post and I missed it.

    Anyway, unfortunately I can't tell you what to expect from LASIK surgery because I haven't had it done. I thought I was too old since I'm in my 40's but after reading your post, I may just look into it a little more.
    I hope you get some useful answers here.
    If I may, Gekahawk?

    RLE stands for Refractive Lens Exchange--if I understand the post correctly. It's defined on usaeyes.org as:

    "essentially cataract surgery, but exclusively for refractive purposes. . .

    Exchange The Natural Lens

    In RLE the natural lens of the eye is removed and replaced with a silicone or plastic intraocular lens (IOL). The replacement IOL is of a power to correct most, if not all, of the patient's hyperopia or myopia."

  4. #4
    Join Date
    Nov 2007
    Posts
    425

    Default

    Quote Originally Posted by Nichobec View Post
    If I may, Gekahawk?

    RLE stands for Refractive Lens Exchange--if I understand the post correctly. It's defined on usaeyes.org as:

    "essentially cataract surgery, but exclusively for refractive purposes. . .

    Exchange The Natural Lens

    In RLE the natural lens of the eye is removed and replaced with a silicone or plastic intraocular lens (IOL). The replacement IOL is of a power to correct most, if not all, of the patient's hyperopia or myopia."
    Thanks for the quote, Nichobec.

  5. #5

    Default Update

    To all . RLE has been defined. Thank you. RLE is what is done for cataracts but it can also be an elective procedure.

    My question has not been answered in this post but that is okay. Always good to pass info on.

    You can have LASIK at any age as long as you are a candidate.

    I plan to try toric multifocal contacts before seriously considering surgery. I have heard that contacts are more comfortable than they once were. So shall start there. I am weary of glasses but also leery of so much surgery on my eyes. Also pls keep in mind that when that flap is made for the LASIK the flap never completely adheres. There is always the potential for it to be dislodged altho it would take a lot to do it.

  6. #6
    Join Date
    Dec 2007
    Location
    USA
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    657

    Default

    Quote Originally Posted by Gekahawk View Post
    To all . RLE has been defined. Thank you. RLE is what is done for cataracts but it can also be an elective procedure.

    My question has not been answered in this post but that is okay. Always good to pass info on.

    You can have LASIK at any age as long as you are a candidate.

    I plan to try toric multifocal contacts before seriously considering surgery. I have heard that contacts are more comfortable than they once were. So shall start there. I am weary of glasses but also leery of so much surgery on my eyes. Also pls keep in mind that when that flap is made for the LASIK the flap never completely adheres. There is always the potential for it to be dislodged altho it would take a lot to do it.
    Thank you for clarifying your post and for being patient with those who didn't understand. I don't blame you for wanting to try contact lenses before trying surgery. I hope the multifocal contacts do the trick for you. Please let us know.

  7. #7

    Default

    Quote Originally Posted by Gekahawk View Post
    Has anyone gone this route? Is your vision crisp even just after RLE? I have not used contacts in years but have been told with the improvements that that may be a better route go. What say ye?
    I guess you would have to get your answer from someone who has actually undergone the RLE procedure, and that would not be me.
    I tried to find out how many of these surgeries have been done in 2010, but I couldn't find the numbers. I don't imagine it's very many in the overall population. I don't know anyone who has had that procedure done. So your odds of getting a response from someone who has actually undergone RLE are pretty small, but not zero, so we may hear from an RLE patient here yet.

  8. #8
    Join Date
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    Default Take in the Sights the Next Day

    Quote Originally Posted by Niner View Post
    I guess you would have to get your answer from someone who has actually undergone the RLE procedure, and that would not be me.
    I tried to find out how many of these surgeries have been done in 2010, but I couldn't find the numbers. I don't imagine it's very many in the overall population. I don't know anyone who has had that procedure done. So your odds of getting a response from someone who has actually undergone RLE are pretty small, but not zero, so we may hear from an RLE patient here yet.
    I couldn't find any statistics on Refractive Lens Exchange procedures in 2010, but I did find this on a website for a clinic in Tijuana:

    DAY 1:
    Arrival at the Clinic from the Airport
    Clinic Tour
    Complete Pre-Op Examination
    Departure to Hotel

    DAY 2:
    Breakfast at Hotel
    Departure to Clinic for Surgery
    Departure to Hotel

    DAY 3:
    Early Breakfast
    Post-Op Visit at the Clinic
    Departure for Scenic Drive along the Coast to Wine Country
    Return late afternoon to Tijuana/ Hotel

    DAY 4:
    Early Breakfast
    Departure for Scenic Drive along the “Rumorosa” towards the Cave Painting Archeological Site, Desert and Mexicali.
    Return late afternoon to Tijuana/ Hotel.

    DAY 5:
    Early Breakfast
    Post-Op Visit at the Clinic
    Departure to Airport


    The thing that caught my attention is that they take you out for a scenic drive the day after your surgery, so recovery must be pretty quick.

  9. #9

    Default

    Quote Originally Posted by Railfan View Post
    I couldn't find any statistics on Refractive Lens Exchange procedures in 2010, but I did find this on a website for a clinic in Tijuana:

    DAY 1:
    Arrival at the Clinic from the Airport
    Clinic Tour
    Complete Pre-Op Examination
    Departure to Hotel

    DAY 2:
    Breakfast at Hotel
    Departure to Clinic for Surgery
    Departure to Hotel

    DAY 3:
    Early Breakfast
    Post-Op Visit at the Clinic
    Departure for Scenic Drive along the Coast to Wine Country
    Return late afternoon to Tijuana/ Hotel

    DAY 4:
    Early Breakfast
    Departure for Scenic Drive along the “Rumorosa” towards the Cave Painting Archeological Site, Desert and Mexicali.
    Return late afternoon to Tijuana/ Hotel.

    DAY 5:
    Early Breakfast
    Post-Op Visit at the Clinic
    Departure to Airport


    The thing that caught my attention is that they take you out for a scenic drive the day after your surgery, so recovery must be pretty quick.
    Hey, thanks for the day-by-day schedule. I'm not planning on any RLE surgery any time soon but if I were, I might look at this thread and consider Tijuana.

  10. #10

    Default

    I actually opted for a trial period with the ProClear Toric Multifocal contact lenses and am experiencing great success with them!

  11. #11

    Default

    Quote Originally Posted by Gekahawk View Post
    I actually opted for a trial period with the ProClear Toric Multifocal contact lenses and am experiencing great success with them!
    You opted for contact leses rather than surgery? Can you do that? If so, why doesn't everyone wear ProClear Toric lenses instead of having RLE surgery?

  12. #12

    Default

    My RLE was elective. I wanted to get LASIK until the dr told me I would loose the ability to read without glasses. Right now I dont needs glasses to read. His suggestion then was to give me multifocal RLE and the LASIK for the astigmatism. Seemed too much. Have not had great success with contacts but thought I would give it another try with the multifocal lenses. Glad I did!

  13. #13

    Default

    Quote Originally Posted by Gekahawk View Post
    My RLE was elective. I wanted to get LASIK until the Dr. told me I would loose the ability to read without glasses. Right now I don't need glasses to read. His suggestion then was to give me multifocal RLE and the LASIK for the astigmatism. Seemed too much. Have not had great success with contacts but thought I would give it another try with the multifocal lenses. Glad I did!
    I'm glad you gave those multifocal contacts another try, too. What about the LASIK? Is that off the table now?

  14. #14

    Default

    Yes LASIK is off the table for now. If my near vision gets bad then I will look at LASIK again.

  15. #15

    Default

    Quote Originally Posted by Gekahawk View Post
    Yes LASIK is off the table for now. If my near vision gets bad then I will look at LASIK again.
    Well, let's hope you won't have to go there.

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