help crystalens problems

[toni messer]

at first my dr. said it was the astigmatism is why my distance is off. yesterday he finally came out and said that what had moved in my eye was a floater.it was in the middle of the eye after i did my face exceise, it moved to the side of the eye. now for the right eye is what i have for reading , it is cloudy behind the len and he wonts to zap it.said the other would get this way in time.need to know the problems with being zap ,is this zap called laser . he said after he done this that the coudy would not come back. please help me to under stand

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

Members of our ophthalmology group just returned from one of the most important meetings on results of "Premium IOLs". By far the best results were with Crystalens, then ReStor and last place ReZoom.

JCH III MD Eye Physician and Surgeon

[toni messer]

my dr. talked about adding a piggy back to the left eye for more distance before or laski, but now the zap has to be done to the right eye and he is waiting until the 31st this will also let him know if the left eye need to be zap  i fill . also i for got to tell him of the fluid that drains out of the left eye sometimes when i lay on my side watching tv.it hasn't done it in a while. thank you i can understand more their just isn't enought time in the dr. office to fully understand what is going on. ihave crystalens in both eyes left one AT-50SE DIOPTER 25.00  OPTIC 5.0mm   OVERALL 11.5 the right  eye is DIOPTER 23.50 OPTIC DIA. 5.0mm  OVERALL11.5mm. are their anyone out there that doesn't have any problems with crystalens. will i get to a stage in time where their wont be any problems with my eyes

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

As I read your problem you have a crystalens in your eye. That is NOT a piggyback IOL which means that there are two IOLs in the eye.

The risks of yag capsulotomy are very small. There can be a temporary increase of pressure but drops are  now used to prevent this and it is a rare problem.

With the capsule open the risk of a retinal detachment in very long previously myopic eyes and/or relatively young individuals increases by .5 to 1.0%.

With a crystalens IOL the risks of yag causulotomy increase as it might move the position of the IOL or make it less effecient in focusing. Also once the posterior capsule is open the difficulty and risk of a IOL exchange goes up.

If you have confidence in your Eye MD surgeon stick with him/her as working through complications is where the skill and expertise of a surgeon is most important. If you have any doubt then obtain a qualified second opinion.

John C. Hagan III MD

[toni messer]

thank you ,are there problems that will come from being zaped.  distance is off what do you for see that will help this problem also i read some where that a piggie back lens could get cloudy and that the problem couldn't be corrected. i don't go back until oct.31 please anyone out there help me. i think i got a good dr. he has this thing wait.i know if i wait too long the lens has a chance to shink wrap around the eye tightly. i did call and asked if the crystalens can be taken out and be replaced with standard one. haven't heard back today sure don't wont to make things worse. theie are so many out there with worser problems

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

When cataract surgery is done the back wall of the lens (posterior capsule) is left in the eye to stabalize and hold the implant in postion. In the months and years after surgery that membrane can turn cloudy (like a window getting dirty). The symptoms of the cataract often return such as blurred vision, glare, poor night vision and difficulty reading and driving. This is called a secondary cataract or posterior capsular opacification.

When it becomes a problem a yag laser is used in a relatively simple procedure to cut a hole in the membrane to see through. The recovery is within 24 hrs. and usually no drops or restriction of activity is necessary. At present the percentage of cataract surgery patients that need a yag laser is about 30%, higher in younger people and in older types of implants.

JCH III MD