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Thread: Cateracts

  1. #1
    Join Date
    Apr 2008
    Location
    Missouri, USA
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    18

    Default Cateracts

    Is the surgery for cateract removal the same as for corrective surgery? I was told recently that when you have cateract surgery it can greatly improve your vision to the point that you may not need glasses or contacts any longer.

  2. #2

    Default

    It's not the same as laser surgery to correct vision. Cataract surgery is specifically for the removal of clouded lens from the eye.

  3. #3
    Join Date
    Apr 2008
    Location
    Missouri, USA
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    18

    Default

    Quote Originally Posted by QuietLunatic View Post
    It's not the same as laser surgery to correct vision. Cataract surgery is specifically for the removal of clouded lens from the eye.
    That's what I thought but the optomotrist said sometimes they can correct your vision when removing contacts so that you would no longer need glasses. I've been wearing glasses since I was six years old so that sounded pretty good to me! Maybe it's wishful thinking.

  4. #4

    Default

    I think it depends partly on your vision before you got cataracts. They don't really affect your vision the same way as being nearsighted does. They're more like having something in the way--l,ike looking through gauze--and when they're removed, you're fine. But they're very uncommon in young people, and you can't remove what isn't there to begin with.

  5. #5

    Default

    What people haven't mentioned is that an implantable lens is put in to replace the cloudy natural lens. Some of these lenses are pretty gee whiz, even enabling excellent near, intermediate, and far vision (Aspheric ReStor Lens Implant.)

    'Cataract surgery has been pushed from a purely medical procedure to one of refractive or "vision correcting" qualities.' -- from one ophthalmologist's website.

  6. #6
    Join Date
    Dec 2007
    Posts
    442

    Default

    Quote Originally Posted by FScott View Post
    What people haven't mentioned is that an implantable lens is put in to replace the cloudy natural lens. Some of these lenses are pretty gee whiz, even enabling excellent near, intermediate, and far vision (Aspheric ReStor Lens Implant.)

    'Cataract surgery has been pushed from a purely medical procedure to one of refractive or "vision correcting" qualities.' -- from one ophthalmologist's website.
    I think that website should pay you to use your line: "Some of These Lenses Are Pretty Gee Whiz."

  7. #7

    Default

    What about using Cristalens? According to my eye doctor they will not only correct cataract but also myopia. The crystalens is attached to the eye muscles which allows the eye to focus at different distances. Is it too good to be true? It's also $6,000 for two eyes. Has anybody gone through that surgery and has had a good experience?

  8. #8

    Default

    Quote Originally Posted by cpare View Post
    What about using Cristalens? According to my eye doctor they will not only correct cataract but also myopia. The crystalens is attached to the eye muscles which allows the eye to focus at different distances. Is it too good to be true? It's also $6,000 for two eyes.
    Wouldn't that high cost raise a patient's expectations way too high??


    From my limited experience, premium lenses are not covered by insurance.

  9. #9

    Default It Should Help

    Quote Originally Posted by ozzie View Post
    Is the surgery for cataract removal the same as for corrective surgery? I was told recently that when you have cataract surgery it can greatly improve your vision to the point that you may not need glasses or contacts any longer.
    You will certainly see better once that clouded lens is removed.

  10. #10

    Default

    One of my eye doctors has suggested an expensive toric lens as a way to see well without glasses or contacts.

    As I have always worn thick glasses, thin toric-only glasses would be a big plus. I don't think it's worth the extra money to take a chance on not needing glasses. (I could wear toric-only contact lenses too.)
    Last edited by FScott; 05-11-2012 at 04:58 PM.

  11. #11

    Default

    Quote Originally Posted by FScott View Post
    One of my eye doctors has suggested an expensive toric lens as a way to see well without glasses or contacts.
    How can a toric lens help you see without contacts? Is that an implanted lens the doctor suggested?

  12. #12

    Default

    Quote Originally Posted by mamcita View Post
    How can a toric lens help you see without contacts? Is that an implanted lens the doctor suggested?
    Yes, a standard cataract procedure, but using a premium implanted lens. A regular lens implant would correct my nearsigtedness, but I would still have an astigmatism issuue.

  13. #13
    Join Date
    May 2012
    Location
    South Florida and Wash DC
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    18

    Default

    Completely different surgery my friend.

  14. #14

    Default

    Its not the same surgery.

  15. #15

    Default

    this is very different

  16. #16

    Default Some information on cataract surgery

    No, it is not the same as surgery to correct your vision. During cataract surgery, the lens of your eye is removed and replaced with a a piece of plastic. The reason why they tell you that you will no longer need glasses is because your current glasses prescription can be added into the sythetic lens they are giving you. Unfortunately, what they neglect to mention is all the drawbacks of having a synthetic lens as opposed to a natural one.
    The actual vision loss you will experience depends on your age. Someone who is in their 70's or 80's and has always worn glasses will be very happy with the outcome. (This is also the age when most people develop cataracts.) Someone who is in their 20's and has never needed glasses or contacts would be devastated. (Speaking from personal experience.)
    After cataract surgery you have a few options for what your vision will be like. You can have perfect distance vision without glasses. However, you will need glasses for intermediate distance, and you will also need glasses (possibly a second stronger pair) to see close up. You can have perfect intermediate vision, but need glasses for distance and a second pair for reading, or you can have perfect near vision with glasses for intermediate and distance. If you'd like, you have have your two eyes set for difference distances, such as one eye for distance and the other for intermediate, so you'll lose some depth perception, but you'll only need one pair of glasses for some activities as opposed to two. These options are covered by insurance. (Unless you have a astigmatism. Then you can have the same thing, but you'll need to pay for the lens because toric lenses are not covered.) Now, by the time you're in you sixties, the above options are very likely to be an improvement over your current vision. If you've needed glasses for distance your whole life, you can choose to no longer need them. However, you will still need reading glasses, bifocals trifocals progressives or multifocal contacts. Things that 20 year olds don't need until after their operation.
    On to the options not covered by insurance. You can get a multifocal lens, such as restore which was mentioned above. You will be able to see at near, intermediate, and distance. Under certain lighting conditions. You will have reduced contrast sensitivity and poor night vision. You will also see glare and halo's coming off of lights. Such as headlights, which means you may not be able to drive at night.
    Crystalens is supposed to accomodate for different distances. Of course, it is a matter of debate as to whether or not it actually does. It appears that what it actually does is give you greater depth of field, which means you have a larger range of vision, in exchange for a slight loss of quality of vision. Most people (not all) should at least be able to see distance and intermediate. They will still need glasses for close up. It has more issues with glare then the lens that is covered by insurance, as well as a slightly higher complication rate.
    The practice of having cataract surgery when you do not have cataracts is called RLE, or refractive lens exchange. It is also sometimes referred to as CLE, or clear lens exchange. It is never covered by insurance. People will sometimes do it to reduce their dependence on glasses. Few surgeons would be willing to do it on someone under 40. Most surgeons will discourage even those who are older as their expectations tend to be higher than the current technology can deliver. On the other hand, if you are 8 diopters farsighted and you can't see anything at all without your trifocal glasses, not to mention that your eyes look huge behind them and everything is distorted because theyre so thick, perfect distance vision with a pair of reading glasses would be a miracle from heaven. It really depends on the person and their current vision.

  17. #17

    Default

    Refractivesurgery incl some of the following things
    Laser -- > Cornea (lasik or lasek)
    Lens --> they can add a lens into the eye for correction ( you be abble to accommodate)
    Lens -- > like cataract surgery they replace the lens of the eye (you wont be abble to accommodate)

  18. #18

    Angry I have an additional question

    I went to an Optometrist recently (less than a month ago) and got fitted for new contacts, with my insurance covering all but $30 dollars for the exam and a years supply (United Health Care vision insurance). That doctor said NOTHING about cataracts. I went to an Opthalmologist two weeks later, for a "straight line exam" as covered by my Medicare since I've been on medication for Lupus which can cause eye damage. This doctor showed me, while I was very blurry eyed from the eye drops, that I have cataracts (did not see a thing) and explained that they needed to come out. I told him I have to be able to see immediately after as I work on computers for my job. No problem! I think I can probably reduce your need for glasses/contacts..rush, rush, let's get this done. Well, he spoke like a used car salesman, giving me the spiel that he is part owner of a surgery center which shall save me 40 percent over a hospital procedure (nobody does hospital procedures for cataracts any more, do they?) and yadaydayada. He had me scheduled for one eye the next week, after having my contacts out all weekend (I currently do NOT have reading glasses, either) and having my eyes measured on Monday..surgery Tuesday. I put off the surgery for at least a month but his "assistant" rushed me into scheduling for March. I asked HIM about my need for glasses or contacts right after surgery (informing him that I need to work and cannot be poor sighted right after surgery and he mumbled something about having only one eye done at a time and my sight would thus be compensated. So..why did the optometrist not see the cataracts two weeks earlier and WHY am I being rushed for cataracts that are obviously not bad at all, but perhaps cause a bit of vision distortion? I feel railroaded!

  19. #19

    Default

    Hi,
    My Grandma did this surgery two year back. She was not able to see an image clearly. But it was not just a cataract surgery Blade less cataract surgery is entirely different from all these.Its really advanced & have more features. She did the surgery in "Evergreen Eye Center" Toronto.

  20. #20

    Default

    It's completely different surgery Ozzie. This surgery is specifically for the removal of clouded lens from the eye.

  21. #21
    Join Date
    Sep 2018
    Location
    toronto
    Posts
    4

    Default

    The surgeries are different. But since, they remove the cloudy lens from your eye, if the only problem you have with vision is related to the lenses, then by doing cataract surgery, you will get back your vision.
    Otherwise, I don't think a cataract surgery can solve all the issues related to your vision.

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