Proper YAG size for Crystalens HD500?

[Lackosleep]

Dr Oyakawa , Do you have specific maximum safe YAG size for crystalens HD500 that I can share with my doctor to try and help with the severe starbursting? I'd hate to think I'm suffering so much and even contemplating explant just because the doctor may be overly conservative in the YAG opening size!
Thanks very much!

Lackosleep

[NeLso]

I think starbursts are normal.
Ask any kid to look at bright lights at night and they will tell you that they see starbursts and very slight halos.

[John C Hagan III, MD, FACS, FAAO]

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[Lackosleep]

Also had another thought... if only I could find someone capable of doing it!. If the YAG hole lets too much light in, which is causing the starbursting, then why not put in a piggy back lens with a bit of "cloudiness" in to simulate the membrane (with no correction of course). It could just be a flexible, very thin "YAG undoer"

Any doctors / inventors out there want to give it try?

I'll be SECOND in line to try it!

[John C Hagan III, MD, FACS, FAAO]

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[Eye-Kant-C]

Just a quick note to say hi! In response to your e-mail, I saw a Retina Specialist a couple months back and he said the starbursting is caused by the implanted lens. (Crystalens, in my case) and could be caused in some people by almost any type of lens. Probably due to the fact that I have light blue eyes and very myopic so need a fairly thick implant. The only thing helping me was the slight cloudiness of my surrounding sac, which my Eye Surgeon never should have messed with. I didn't need the Crystalenses in the first place, since I didn't have cataracts and was high risk. And then he lied and said that my slight double vision in one eye caused by the Crystalens would be cleared up by the YAG, which didn't help at all. The Retina Specialist said definitely don't get the 2nd eye YAG'd since I didn't even need the 1st one done. The slight cloudiness wasn't interfering with the vision and was helping to diffuse the starbursts, but I didn't know that before I had it done. And I was naive enough to trust this doctor to not only do the original surgery which didn't work very well and then supposedly fix it with another surgery which made it so much worse!

One more note: my mom (69 years old) just had cataract surgery (actually did have cataracts) and also really regrets it. Standard single vision lenses, not Crystalenses. Her eyesight is worse than before surgery. Lots of halos just like before her surgery. She's also very disappointed!! What's up with these doctors???

Just my opinion, lens explanting seemes VERY RISKY and I wouldn't do it. Please be careful!

[John C Hagan III, MD, FACS, FAAO]

post on even day