as a followup on my one crystalens patient (monocular implantation about
a year ago). Still zero to .25 D. accommodation. Now an increase in
her astigmatism from .75 to 1.25. I still think it's a terrible lens.

w.stacy, o.d.

MS wrote:

- quote -

The term presbyopia has no meaning post-cataract surgery, since there is
no accommodation regardless of the age of the patient.

In other words-undercorrecting one eye,
- quote -

Undercorrecting is also meaningless in pseudophakia, just like
presbyopia, unless you mean putting in too weak an iol, which would be
nonsensical as it would leave the person hyperopic. I suppose you might
have meant "overcorrecting" where the iol is stronger than needed for
perfect distance vision, which would indeed leave the eye myopic.


- quote -

It would indeed be a great thing. So far they don't work well at all.

w.stacy, o.d.

<acemanvx[at]yahoo.com> wrote in message
news:1133757380.269429.185450[at]g14g2000cwa.googlegroups.com...
- quote -

Well, if one is only slightly presbyopic, that perhaps would work. For those
of us more presbyopic, I doubt that a slight undercorrection in both eyes
would serve for both distance and near vision.

I suspect that IOLs after cataract surgery are often prescribed monovision,
just like contact lenses often are for presbyopic patients--one eye better
for distance, the other for reading. In other words-undercorrecting one eye,
not both, and perhaps more than "slightly", depending on how bad the
presbyopia is. It is a compromise of course, but one many make in order not
to bother with reading glasses. My brother had Lasik done monovision--one
eye undercorrected, for near work.

Yet, the idea of accommodating IOLs certainly sounds like a better solution,
if they really get it to work well. From what I;'ve read (I think here), it
is still very new, and perhaps not so good yet. But if they keep developing
this, and in the future such IOLs can really work like good young
accommodating eyes, that would indeed be a great development!

I had the Crystalens surgery done in both eyes 6 and 5 months ago.

At this point, I can say that I am very happy with the lenses. Of
course, I don't know how I would be if I had standard IOLs.. Perhaps
just as happy?

In any event, my vision is good and I don't wear glasses (although I am
slightly myopic in the first eye, it is possible to read with either
eye).

The only issue I have is slight lens edge glare at night, but it is not
severe, and I am a young patient (35 y/o) with larger pupils.

In article <1133757380.269429.185450[at]g14g2000cwa.googlegroups.com> ,
acemanvx[at]yahoo.com wrote:

- quote -

I don't think you have a clue. Not one clue. Furthermore, please just
speak for yourself. I made my choice, and I am happy with it. Others
make different choices. That's fine. Anybody who thinks that having
cataract surgery and not having do deal with it as far as glasses,
contacts or whatever is delusional.

--
Dan Abel
dabel[at]sonic.net
Petaluma, California, USA

I have no experience with the accommodative lenses, as I opted (in Jan)
for fixed focus, based on my own bias and the concurrence of the
surgeon, who knew I wanted the sharpest vision I could get.
Interestingly, he's going to implant a Crystalens in one of my
patients. I'm pretty skeptical, but am looking forward to following the
progress of this patient and seeing how much, if any, accommodative
response he gets. I'm still in favor of max acuity and safety over any
promised/hoped for accommodation.

w.stacy, o.d.

WN wrote:

- quote -

My IOL experience was for a cataract, and my trials and tribulations
have been well-documented here. I am at 5 weeks post-op and am still
experiencing very blurred vision on the implant side. I was out in the
freezing air the other night and noticed it improved my vision. I'm
guessing by that that the cold air caused the swelling in the eyeball
to go down. Am still on three medications and awaiting another recheck
tomorrow.
If I learned anything from this experience, it was that things can
always occur that we aren't prepared for. I had heard such glowing
stories about how easy the process was that I only took a week off at
first, but it dragged into a month as time went by and still I could
not see. I finally decided to learn to live with it, because I can't
face any corrective surgery right now. Melinda

On Sun, 04 Dec 2005 18:48:06 GMT, "WN" <u16380[at]uwe> wrote:


- quote -

repair, please see the previous threads
"questions re multifocal lens for cataract repair" &
"some cataract questions"
both within the past couple of months
- quote -

(distance) focus IOLs. Too many potential problems with multifocus,
and some folks are having them taken out. You might ask your eyedoc
if he will for free make the exchange if you can't see well with them.
If you are talking multifocus lenses, then Medicare will not pay for
them, or more properly, will only pay the cost for a single focus
lens.You pay the difference, which can be considerable
(c.f.
http://www.cms.hhs.gov/medlearn/matt...005/MM3927.pdf )
for a ruling similar to the status of the multifocus
- quote -

place in about 3 hours.
You may find more in:
Catact Surgery for Greenhorns (You can read the entire book online, if
you work at it. Please note it is for Greenhorn eyedocs and sometimes
above the average bear)
http://www.medrounds.org/cataract-su...itle-page.html
or a google of: IOL biometry
or in the cataract section of
EyeMDLink http://www.eyemdlink.com/
or this guide to IOLs
http://www.allaboutvision.com/conditions/iols.htm
Also, you might ask your eyedoc early on for a copy of the "Informed
Consent" paper he will ask you to sign before he does surgery.
It should lay out the risks, potential probs, etc for all the various
lens surgeries he does.
Gotta run; gotta do some heavy lifting I won't be able to do for a
couple of weeks once I get home today (and after the other eye next
week).
YMMV
Roy

if you had asked to be undercorrected slightly you wouldnt need reading
glasses much, unless you want to read fine print or see something close
up. A slight undercorrection will also mean youll only need glasses for
driving and maybe some other occasional events. Less annoying than
carrying readers all the time and inserting, removing, inserting,
removing them. some people just wear bifocals instead.

In article <1133738449.570748.70200[at]g14g2000cwa.googlegroups.com> ,
acemanvx[at]yahoo.com wrote:

- quote -

I have had IOLs implanted in both eyes, but just the plain old single
vision ones. Depending on your personal preferences and lifestyles,
many recommend having these set for distance and using reading glasses
for close.

--
Dan Abel
dabel[at]sonic.net
Petaluma, California, USA