lens extraction for a high myope

Discussion in 'Optometry Archives' started by Guest, Nov 6, 2007.

  1. Guest

    Guest Guest

    A question for the professionals in the group, as well as those who have
    experienced the following.

    Here at age 56, my Rx (in contact lenses) is -13.00 sp in each eye, with 1.75 cy in each
    (I can't remember the axis). My local shop has said I'm outside their range
    for Lasix/PRK, which seems reasonable from the way things are going.

    I: know lens extraction would put me pretty close to not needing distance
    correction. So far no sign of cataract. Am I past having any near focus
    ability that I would be giving up? What other downsides would there be?

    Guest, Nov 6, 2007
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  2. Guest

    Dan Abel Guest

    There's statistics, and there's real life. If you have it tested, you
    will know.
    Dan Abel, Nov 6, 2007
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  3. Guest

    Dr Judy Guest

    May not correct the astigmatism so may still need glasses or contacts.

    The main downsides are the surgery risks that are present whether the
    surgery is for cataract or for refractive correction. Although
    cataract surgery is described as 95% successful, that does mean that
    5% of people had a compliction. With high myopia, you run a risk of
    retinal detachment during or just following surgery and high myopes
    seem to have higher complication rates. Complications are mostly
    treatable but do include blindness and loss of the eye. Any surgeon
    who is doing clear lens extraction will discuss complications with
    you; you might want to also discuss possible complications with a
    surgeon who does cataract surgery but not clear lens extraction for a
    more frank discussion of risk.



    for a discussion of risk.

    Dr Judy
    Dr Judy, Nov 6, 2007
  4. Great question. The best choice might be implanting a new lens over your
    old one (versieye or visian). Lens replacement is a bit dicey in your
    case because of the probability of retinal detachment, but in the hands
    of a truly great surgeon, probably not a big problem. OTOH, the average
    surgeon won't even consider doing it, and the great one will have to
    think twice...

    Re the near focus question, you will need reading glasses after the
    procedure, and don't even think about having a multifocal IOL or a
    "focussing" IOL implanted. They are garbage.
    William Stacy, O.D., Nov 10, 2007
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