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Cataract surgery for a profound myope with ROP?

 
 
douglas
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      12-15-2009, 11:45 PM
Just wondering: Can a profoundly myopic (-12.5) patient with grade 2
ROP have cataract surgery safely, or is the risk of retinal
detachment
too high. My eye surgeon told me in emails that replacing the natural
lens with an IOL would cause the vitreous to swell and put undue
traction on the retina, on top of the traction due to increased
length
of the eyeball, plus the traction from the ROP.
 
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Dr Judy
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      12-19-2009, 07:48 PM
On Dec 15, 7:45*pm, douglas <protoman2...@gmail.com> wrote:
> Just wondering: Can a profoundly myopic (-12.5) patient with grade 2
> ROP have cataract surgery safely, or is the risk of retinal
> detachment
> too high. My eye surgeon told me in emails that replacing the natural
> lens with an IOL would cause the vitreous to swell and put undue
> traction on the retina, on top of the traction due to increased
> length
> of the eyeball, plus the traction from the ROP.


Who are you going to believe, the retinal specialist who has
personally examined your eyes or strangers on the internet who are not
surgeons and are totally unfamilar with the condition of your eyes?

Dr Judy
 
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douglas
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      12-19-2009, 08:16 PM
On Dec 19, 12:48*pm, Dr Judy <mpac...@rogers.com> wrote:
> On Dec 15, 7:45*pm, douglas <protoman2...@gmail.com> wrote:
>
> > Just wondering: Can a profoundly myopic (-12.5) patient with grade 2
> > ROP have cataract surgery safely, or is the risk of retinal
> > detachment
> > too high. My eye surgeon told me in emails that replacing the natural
> > lens with an IOL would cause the vitreous to swell and put undue
> > traction on the retina, on top of the traction due to increased
> > length
> > of the eyeball, plus the traction from the ROP.

>
> Who are you going to believe, the retinal specialist who has
> personally examined your eyes or strangers on the internet who are not
> surgeons and are totally unfamilar with the condition of your eyes?
>
> Dr Judy


The eye surgeon who I'll be posing the question, but what's wrong with
simply asking what could happen?
 
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douglas
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      12-20-2009, 02:43 AM
On Dec 19, 4:18*pm, "Mike Tyner" <mty...@mindspring.com> wrote:
> Seems to me too that your surgeon covered it pretty well.
>
> Severe myopia and ROP both create traction, trying to peel the retina off
> the inner surface of the eye.
>
> I'm sure most surgeons would want to wait until cataracts progress to the
> point where you can say surgery is the only choice. Anything sooner entails
> too much liability.
>
> Even if you sign a waiver accepting all the risks, it's still Russian
> roulette for the surgeon.
>
> -MT
>
> "douglas" <protoman2...@gmail.com> wrote in message
>
> news:e1ee75d5-b59c-43f6-b588-(E-Mail Removed)...
> On Dec 19, 12:48 pm, Dr Judy <mpac...@rogers.com> wrote:
>
>
>
>
>
> > On Dec 15, 7:45 pm, douglas <protoman2...@gmail.com> wrote:

>
> > > Just wondering: Can a profoundly myopic (-12.5) patient with grade 2
> > > ROP have cataract surgery safely, or is the risk of retinal
> > > detachment
> > > too high. My eye surgeon told me in emails that replacing the natural
> > > lens with an IOL would cause the vitreous to swell and put undue
> > > traction on the retina, on top of the traction due to increased
> > > length
> > > of the eyeball, plus the traction from the ROP.

>
> > Who are you going to believe, the retinal specialist who has
> > personally examined your eyes or strangers on the internet who are not
> > surgeons and are totally unfamilar with the condition of your eyes?

>
> > Dr Judy

>
> The eye surgeon who I'll be posing the question, but what's wrong with
> simply asking what could happen?- Hide quoted text -
>
> - Show quoted text -


I don't have cataracts yet, but my surgeon will be evaluating me for a
Visian ICL, which I've read can accelerate cataract formation. So I'm
wondering whether cataract surgery would be safe.

I see the surgeon on 01/07.
 
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