Can someone get iol's if intraocular lens sac has been removed?

Discussion in 'Optometry Archives' started by Dolchas, Nov 5, 2003.

  1. Dolchas

    Dolchas Guest

    Greetings all!

    My aunt had cataract surgery years and years ago, and at the time, her
    intraocular lens sacs were removed (I confess I know little about her
    circumstances; I see her briefly about once per decade and this
    particular topic rarely comes up). For whatever reason...perhaps the
    technology was not available then...she didn't get intra-ocular lenses
    implanted at that time, so she has had to wear those glasses with
    'coke bottle lenses'.

    My question is: Is it possible to insert intraocular lenses into eyes
    that do not have a lens sac (or 'capsule'...I apologize for any misuse
    of terms)? I seem to remember hearing (when I had my own cataract
    surgery a few years ago) that something like this was possible, but I
    don't recall the details.

    Any advice at all on this matter is greatly appreciated!

    Dolchas, Nov 5, 2003
  2. Dolchas

    Dr Judy Guest

    She can have an anterior chamber lens inserted; it is a lens that sits in
    front of th iris instead of behind it. This type of intraocular lens was
    the first kind used before the surgery to allow the current posterior lens
    was developed. The complication rate with anterior lenses is higher and it
    would mean a second surgery which also carries risk. Her eye doctor can
    advise her of the possiblity and risks for her particular case.

    If your aunt does not like her thick glasses and doesn't want the risk of
    surgery, she could consider contact lenses. Before IOLs, in the '70s and
    early '80s I had a busy post cataract contact lens practice.

    Dr Judy
    Dr Judy, Nov 5, 2003
  3. Dolchas

    Dan Abel Guest

    I had my first cataract surgery a few years ago. My wife was talking with
    a retired RN at church about it beforehand, and the RN brought in some
    brochures she had in her attic about cataract surgery. It was a kind
    effort, but I thought they were funny. They were pre-IOL but post
    cataract contacts. The brochure talked about how in the olden days
    patients had to wear these really thick glasses, and despite the
    thickness, they only corrected in the middle, so you had to move your head
    to see things clearly. The contacts didn't have these disadvantages, and
    also introduced less size distortion. Now, I had switched to soft
    contacts when I was diagnosed with cataract, since the doctor said that it
    was likely that I would be unable to see with both eyes with glasses,
    after the first surgery, and that the second surgery might not be for
    several years, if ever. The funny part about the brochure (at least to
    me, who was used to inserting and removing contacts) was that it stated
    that you went to the doctor to have the contacts inserted, and that you
    would return yearly to have the lenses removed, cleaned and reinserted!
    In this group we talk about the dangers of leaving contacts in overnight,
    but this brochure had people wearing the contacts continually for a year
    at a time.
    Dan Abel, Nov 5, 2003
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