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Any presbyopia Lasik treatment?

 
 
Georgeous Gertrude
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      09-20-2005, 05:02 PM
Is there any surgery that helps presbyopia? I heard a
few years ago they were working on something.
 
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p.clarkii@gmail.com
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      09-20-2005, 05:45 PM
try fasting, taking Bilberry plus Vitamin A, and use plus lens reader
24/7

 
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otisbrown@pa.net
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      09-20-2005, 05:50 PM
Dear Georgeous,

Subject: It is an ill wind that does
not blow SOME good.

I don't know how old your are, but
the range of travel (stop-to-stop)
just becomes less and less with
age.

For those who have had 20/20 up
to 45 will find some slight blur
at near -- thus the "plus" reader.

If you are SLIGHTLY nearsighed,
say pass the DMV with
20/40, you will keep
you near vision perhaps
to age 55.

But that is the "price" of
age.

Best,

Otis

 
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Neil Brooks
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      09-20-2005, 06:02 PM
"(E-Mail Removed)" <(E-Mail Removed)> wrote:

>Dear Georgeous,


>Subject: It is an ill wind that does
>not blow SOME good.


I don't know what that means, but then: I never know what Otis means.

Meanwhile, there are some new procedures, known as SRP (Surgical
Reversal of Presbyopia) that may hold some promise:

http://www.emedicine.com/oph/topic735.htm

(You can use the terms "SRP" and "Surgical Reversal of Presbyopia" to
do further online research).

Others use a contact lens-based monovision arrangement (setting one
eye for near work, the other for distance) with success.

Still others use reading glasses. Not a lot of downside there ;-)
 
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William Stacy
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      09-20-2005, 06:46 PM
Clear lens exchange aka refractive lens exchange, works well for
hyperopic presbyopia; for myopic presbyopia, monovision lasik is
available, in which case I target plano for one eye and -1.00 for the
other. Astigmatic corrections are available with either procedure. If
you are already -1.00 in one eye, a monocular procedure is advised.

w.stacy, o.d.

Georgeous Gertrude wrote:

> Is there any surgery that helps presbyopia? I heard a
> few years ago they were working on something.

 
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Glenn - USAEyes.org
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      09-20-2005, 07:15 PM
The short answer is no. There is no surgery that can correct
presbyopia. At best, there are techniques that can work around the
problem, but they are limited.

Of course reading glasses and bifocals are the most popular technique
of dealing with presbyopia. Monovision is tolerated well by about
2/3rds of patients who try it and can be accomplished with contacts or
refractive surgery.

Removing the natural lens inside the eye and replacing it with a
multifocal intraocular lens (IOL) is gaining popularity, but in the
FDA trials about 20% of patients had halo and glare problems.

The new Crystalens IOL is designed to change focus and restore
accommodation, but the range is very limited and it does not work for
everyone.

Although there are still a few doctors who will do Surgical Reversal
of Presbyopia with scleral implants or relaxation incisions, the
science behind this is iffy at best, and results are just as iffy.

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.
 
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Georgeous Gertrude
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      09-21-2005, 12:35 AM
> try fasting, taking Bilberry plus Vitamin A, and use plus lens reader
> 24/7


Good one! Didn't anyone else read about this? Some sort of
presbyopia lasik/surgery or something. Can you imagine what older people
(with most of the world's money) would pay for something like that?

 
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Howard D.
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      09-21-2005, 12:46 AM
Great answer. Thanks.

> The short answer is no. There is no surgery that can correct
> presbyopia. At best, there are techniques that can work around the
> problem, but they are limited.
>
> Of course reading glasses and bifocals are the most popular technique
> of dealing with presbyopia. Monovision is tolerated well by about
> 2/3rds of patients who try it and can be accomplished with contacts or
> refractive surgery.
>
> Removing the natural lens inside the eye and replacing it with a
> multifocal intraocular lens (IOL) is gaining popularity, but in the
> FDA trials about 20% of patients had halo and glare problems.
>
> The new Crystalens IOL is designed to change focus and restore
> accommodation, but the range is very limited and it does not work for
> everyone.
>
> Although there are still a few doctors who will do Surgical Reversal
> of Presbyopia with scleral implants or relaxation incisions, the
> science behind this is iffy at best, and results are just as iffy.
>
> 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.


 
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Glenn - USAEyes.org
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      09-21-2005, 12:56 AM
I'm glad to be of service. Sorry I didn't have the answer you were
looking for, but it is better to know now than after 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.
 
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William Stacy
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      09-21-2005, 02:35 PM
Except when the presbyope also has significant hyperopia and/or
astigmatism, both of which can be "taken care of" early, and eliminating
the need for cataract surgery later in life. I'm not a fan of
cristalens, rather prolate technis iols with slight mono result for
those folks.

w.stacy, o.d.

Robert Kopp wrote:

> I've heard of people having, or at least considering, a Crystalens implant
> even though they did not have cataracts. But that hardly seems worth the
> risk and expense when a $10 pair of reading glasses will take care of the
> problem.
>
>

 
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