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What is the point getting lasik if you have cateracts? Get IOLs!

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Ace

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Nov 27, 2005, 10:49:13 PM11/27/05
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I have seen some doctors give the "ok" for lasik despite cateracts
detected. This is a complete waste of lasik because those cateracts
need to be removed and the IOLs can also correct your refractive error
too! Plus IOL calculation post lasik will be much trickier and you may
end with an unpleasent error. Most doctors will advise against lasik if
you have any cateracts but some incompentant doctors just want your
money and dont care. Feel free to agree or disagree with me. Rant over.

2. If a patient has cataracts, can LASIK surgery be performed?
Remember that the goal of LASIK is to reduce or eliminate a patient's
dependency on glasses and contacts. Cataract surgery can also
accomplish this goal with an implantable contact lens (which has a
specific power that has been selected prior to the time of surgery) so
LASIK surgery would therefore not be necessary. If LASIK surgery is
performed on an eye that has a cataract, the cataract would still have
to be removed and the patient would be subjected to a second operation.

3. What about patients who have early cataracts and want LASIK surgery?
This question should be discussed in detail with Dr. Pamel. For those
older patients who are very farsighted, Verisyse™ phakic lens implant
surgery may be a better choice. The success rate is very high and may
be a better alternative to LASIK. In addition, by having vision
corrected with cataract surgery instead of LASIK, the patient avoids a
second operation in the future.

Glenn - USAEyes.org

unread,
Nov 28, 2005, 12:50:18 AM11/28/05
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Cataract means that the natural lens of the eye has become cloudy,
however this does not automatically mean that vision is disrupted. The
cloudy area of the lens may be periphery, may not cause vision quality
disruption, or may be very faint.

I personally have a small cataractous opacification at the periphery
of my natural lens and have had this for at least 30 years. It has not
progressed, does not interfere with the quality of my vision, and has
no influence on whether or not I should have (or have had) refractive
surgery.

Glenn Hagele
Executive Director
USAEyes.org

"Consider and Choose With Confidence"

Email to glenn dot hagele at usaeyes dot org

http://www.USAEyes.org
http://www.ComplicatedEyes.org

I am not a doctor.

CatmanX

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Nov 28, 2005, 4:53:05 AM11/28/05
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Sorry, but wtf is this tosser on about??

Maybe Ragnar can enlighten us, he is usually this rational. No, he is
somewhat comprehensible. Wtf is ace wanking on about?

A lobotomy will also remove your perception of blur. Give it some
serious consideration.

dr grant

Ace

unread,
Nov 28, 2005, 12:26:23 PM11/28/05
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Sorry to hear your in a bad mood Dr. Grant.

Glenn has a good point, but however and usually, a cateract is much
less bengin. If any cateracts are spotted, they usually progress till
vision is obstructed to the point where they need to be removed. Of
course if you had one so faint it didnt bother you for many years then
this is different. If you just had one last year and its gotten worse,
youd want IOLs. If you get lasik youd still be subjected to a 2nd
surgury in short time and the lasik was totally unneccessary.

Ragnar

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Nov 28, 2005, 2:56:00 PM11/28/05
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You are completely right there...
Send me the names of those doctors and I will take care of them.

CatmanX

unread,
Nov 28, 2005, 3:55:53 PM11/28/05
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Glenn may have a point, but you don't.

go get your eyes tested and stop wanking on about things you don't know
about. It is easy to pick whether cataract is present and you don't
have it.

serebel

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Nov 28, 2005, 10:22:19 PM11/28/05
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That's the answer! Cataracts cause lasik! Damn those natural lenses!

Ace

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Dec 1, 2005, 3:02:09 AM12/1/05
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http://www.usaeyes.org/faq/subjects/cataracts.htm

More info. Cateracts dont contridict lasik, however they do make lasik
pointless. Your still going to need IOLs soon anyway so why undergo a
2nd surgury in the first place? I know a few people who got lasik when
they had mild cateracts. Their vision was still a little blurry which
just got worse and soon they got IOLs. Now they are back in glasses due
to IOL miscalculation and they cant achieve very good visual accuracy
and quality either. If they just had gotten IOLs in the first place,
results would have been far better and their vision nice and crisp.

I think the problem is some people dont understand that cateract
surgury also is capable of correcting your refractive error! It was
true in the past you needed thick plus bifocal glasses after cateract
surgury because IOLs werent invented. Now you can achieve vision closer
to plano. If you still insist on lasik, do it after you get your IOLs
to correct any residual refractive errors, especially astigmastim. If
your residual refractive error is small, you may not want to take the
risk of corneal surgury and just wear bifocals whenever you feel like
it.

Ace

unread,
Dec 10, 2005, 10:34:21 PM12/10/05
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I am telling this 49 year old high myope to definately get IOLs instead
of lasik. The doctor also replied saying both IOL and surface ablation
are options. I replied again saying that IOLs will give him the peace
of mind never having to worry about cateracts plus laser surgury is
riskier for high myopes like him. Many people regret getting laser
surgury when a few years down the road they need a 2nd surgury to
remove their cateracts. Why not get IOLs in the first place? I dont
believe in anything but IOLs for those aged 50+ and I still reccomend
IOLs for 40+ as well.

CatmanX

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Dec 11, 2005, 7:02:13 AM12/11/05
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get a life stupid. you know nothing and talk total crap.

get an eye test and get a life.

dr grant

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