The Summer of 2023 - Freedom from Cataracts

The bright light issue often gets better over time.

I wonder why you need glasses since the implant technology should get you very close to 20:20 these days. Yes, reading glasses, but not sure why distance vision unless something else is going on. YMMV of course and I'm no doctor.
Because of the condition of my retina, I was a candidate for mono-focal IOL only. I chose near-correction, and I'm glad I did. For the most of the day I wear no glasses, and distance vision is actually much better than previous.

I'm not in the range of normals is a succinct way of putting it. Also, I understand that most go for distance correction. I drive very little now, and most of what I'm occupied with is close at hand - computer and phone screen, books, etc.

I also take a powerful targeted therapy, and this has effect throughout my body, in different ways. I've been on it for 2-1/2 years. One side-effect is blurred vision, and another is dry-eye.

Everything is relative, right? I'm sitting in my cluttered office, and looking at the leaves changing each day. Beautiful morning!
 
Because of the condition of my retina, I was a candidate for mono-focal IOL only. I chose near-correction, and I'm glad I did. For the most of the day I wear no glasses, and distance vision is actually much better than previous.

I'm not in the range of normals is a succinct way of putting it. Also, I understand that most go for distance correction. I drive very little now, and most of what I'm occupied with is close at hand - computer and phone screen, books, etc.

I also take a powerful targeted therapy, and this has effect throughout my body, in different ways. I've been on it for 2-1/2 years. One side-effect is blurred vision, and another is dry-eye.

Everything is relative, right? I'm sitting in my cluttered office, and looking at the leaves changing each day. Beautiful morning!


Much ore complicated than my situation. I'm glad it's w*rking out for you.:greetings10:
 
My last trip to the eye doctor he said I need to start thinking about cataract surgery and not to wait to long. At this appointment they also reduced my left eye contact prescription from 5.00 to 4.00.

They have have been mentioning cataracts, for 6 years, but always said you're not ready yet. So the latest was a little different.


In a previous post I said what is above. I'm concerned about salesmanship, especially the line, "not to wait to long"
In Googling I find,


“In general, cataract surgery is not an emergency surgery but an elective procedure. This does not devalue the significance of getting it done at the right time. Then question arises, what is the right time? Right time is when patient starts seeing blurred, when patient can’t perform daily routine activities/professional activities effectively because of foggy vision, when there is no improvement in eye sight with a change of spectacles, when color perception changes significantly, when patient can’t identify familiar faces till one comes very near to them. Naturally despite these symptoms one can wait for cataract surgery and get it done at a suitable time in consultation with their cataract surgeon.”


Well, I'm far from Foggy vision, when color perception changes significantly is a little more difficult, because how do you know, you see what you see. I will say, I can see a slight shift in color between my two eyes.



But then I also find this which makes waiting seem more ominous.


“When left untreated, cataracts become denser and further impair vision. If a cataract is left untreated for too long, it becomes what is sometimes called “hyper-mature.” When this occurs, the cataract has become more dense, more difficult to remove, and more likely to cause complications during surgery.”


So, those that had cataract surgery, did you do it because you were ready because you noted worsening sight, or did your doc say you were ready?
 
So, those that had cataract surgery, did you do it because you were ready because you noted worsening sight, or did your doc say you were ready?


Both at the same time. My eye doc kept saying it was too soon, too soon, too soon. Then in one 6-month period, I could see the cataract begin covering my direct vision and night driving was difficult. Next eye exam, the eye doc said "It's time." YMMV
 
So, those that had cataract surgery, did you do it because you were ready because you noted worsening sight, or did your doc say you were ready?

I am an outlier here. I had a Macular hole. The vitrectomy to stop it from getting worse and to help it heal, causes rapid growth of cataracts. The best correction that glasses could correct for in that eye was 20/40. After a few months, I was seeing halos around bright lights. Time for cataract surgery. My ophthalmologist recommended getting the one eye done and wait to see how I adjusted. Not everyone can adapt to what would essentially be monovision. Even though I did qualify for coverage with the other eye he said that the fact of the vitrectomy was done automatically qualified me regardless of the level of cataract on the 2nd eye.

I had no idea the eye had progressed that far. The 1st surgery was done a few weeks ago. The colors improved and I had forgotten how wide the field of focus was compared to decades of wearing progressive lenses. What a game changer for someone who has limited neck motion. The distance eyesight in that 1st eye is now excellent, except for a small distortion where the macular hole healed. Now I am scheduled for the other eye.

I have a basic lens. I did upgrade to laser-corrected astigmatism that was paid ot-of-pocket. It was odd that that laser procedure had to be prepaid before they would do the surgery.
 
I had my right eye done in Nov 2021. At the time the doctor said he was positive that the left eye would need it in less than one year. In Nov 2022, my left eye was still correctable to better than 20/40. I have my next appointment in two weeks and my vision out of my left eye still seems fine (although I will find out more when they test it).


The doctor was a great surgeon, but not a very good prognosticator.
 
My 3-month followup was yesterday. I've had to make different accomodation, primarily to read, and use desltop computer.

Early in the process I could read books. Over time it became more difficult to read, especially where the type is extremely small, and printed with a very weak ink. I just had to buy a kindle version of a book, so that I could read on my tablet, with inverted screen.

The desktop monitor (a few years old) became problematic. So I purchased one with more resolution, and a larger area (25 instead of 23").

I also went to an eye clinic and spent time with a technician. I ended up with stronger glasses, this time bi-focal instead of variable. $100 at Zanni with blue-block, coating, magnetic shades, and so on.

Because I was away for the month of September, the original lab in my town would not redo the glasses (more than 30 days). So I am out $240, and so is Medicare.

Doc saw right away that I have significant scarring, and will need two more procedures.

The saga continues...
 
M appointment is in May. May I ask what kind of scarring and about the procedures to remedy it? Was scarring discussed as a possible complication before the procedure?
 
I booked an appointment today for when I am wintering in Palm Springs. The appointment is for February 8th. I have astigmatism and need glasses for both distance and reading. I am hoping the multifocal Toric lens will work for me. I do not want to have to use readers to read a menu or use my tablet. If I have to use readers often I would rather wear glasses full time. I will have to talk to the doctor about that.
 
target--sorry you are having complications, hopefully the procedures to correct it work well.
Take care.
 
This link describes the scarring that can occur after surgery. https://www.aao.org/eye-health/treatments/what-is-posterior-capsulotomy

This was discussed before my surgery, and also the procedure to fix the problem.


It's been 20 years for me, so maybe this was discussed but I don't recall it. In any case, I haven't had any issues of scarring. I do have a very strange difference between the two eyes. They were done by 2 different doctors 2 years apart. One eye has very poor recovery from bright to dark light situations. After normal room light, I'm practically blind in one eye upon entering a low-light area. Current eye doc shrugs.
 
It's been 20 years for me, so maybe this was discussed but I don't recall it. In any case, I haven't had any issues of scarring. I do have a very strange difference between the two eyes. They were done by 2 different doctors 2 years apart. One eye has very poor recovery from bright to dark light situations. After normal room light, I'm practically blind in one eye upon entering a low-light area. Current eye doc shrugs.
I'm no specialist, but I imagine the lens type used could be different. After 20 years, the material used in the lenses might have changed?

The shrugging eye doc worries me.

After my procedures I received two cards that specify exactly what is in my eyes.
 
I'm no specialist, but I imagine the lens type used could be different. After 20 years, the material used in the lenses might have changed?

The shrugging eye doc worries me.

After my procedures I received two cards that specify exactly what is in my eyes.


Yeah, I noticed the difference right away (between the new lens eye and the other eye - and especially after the other eye lens was replaced.) Doc did what so many docs do. He shrugged.
 
It's been 20 years for me, so maybe this was discussed but I don't recall it. In any case, I haven't had any issues of scarring. I do have a very strange difference between the two eyes. They were done by 2 different doctors 2 years apart. One eye has very poor recovery from bright to dark light situations. After normal room light, I'm practically blind in one eye upon entering a low-light area. Current eye doc shrugs.


No cataract surgery here, but I have one eye, (my good eye) the is slow to recover from bright light. Early in the morning before daylight, I'll be looking at my computer, when I get up to go into the nearly dark bathroom, I am just about blind in my good eye. I can look off target an get a little vision of an object. My not so good eye can see well in the low light. The low light vision will get better, I never timed it, but I'm sure it is over 3 minutes, maybe 5.
 
Anyone follow STAAR https://www.staar.com? I own stock here, and know CHina has been hot on the procedures, but others, especially USA is slow. But it seems to make good sense. I am 63 and 20/20 except for 1.5x readers now, so no personal experience. (Good news but keeps me a step away from some discussions).
 
Yeah, I noticed the difference right away (between the new lens eye and the other eye - and especially after the other eye lens was replaced.) Doc did what so many docs do. He shrugged.
I consulted with the experienced one around here.

Accomodation to light changes is the job of the iris.

In humans and most mammals and birds, the iris (pl.: irides or irises) is a thin, annular structure in the eye, responsible for controlling the diameter and size of the pupil, and thus the amount of light reaching the retina. Eye color is defined by the iris. In optical terms, the pupil is the eye's aperture, while the iris is the diaphragm. https://en.wikipedia.org/wiki/Iris_(anatomy)

The IOL sits in the capsular bag with the aid of haptics. So there's an opportunity for the lens (and haptics) to become dislodged. This could interfere with the iris trying to do it's job.

IOLs have a central optic portion and (usually) two haptics that hold the IOL in place in the capsular bag. https://iolreference.com/basics/

If something doesn't bother you, but leaves you wondering, you can get an opinion elsewhere. The shrugging doc is a new meme for me.
 
Anyone follow STAAR https://www.staar.com? I own stock here, and know CHina has been hot on the procedures, but others, especially USA is slow. But it seems to make good sense. I am 63 and 20/20 except for 1.5x readers now, so no personal experience. (Good news but keeps me a step away from some discussions).
Perform due dilligence. https://finance.yahoo.com/quote/STAA/

It's FDA-approved now. Maybe that will result in stronger competition in the U.S. for Alcon, a Swiss company that made my IOL's.
 
Dr. Uday Devgan is a top ophthalmologist with an impressive background and provides interesting and educational videos on eye surgery. The first video is three years old but shows what vision looks like with different lens types:


This second video discusses the limitations of the Vivity IOL, he claims most ophthalmologist use the standard lens for their own eyes:


Here is his website:

https://devganeye.com/dr-uday-devgan/
 
My cataracts are developing, but aren't significantly limiting my vision yet. Still have 20/20 distance vision, but have had 20/15 in the recent past, so I notice some decline.

My close vision is +2.50, though at the short distance they recommend in the store, +3.00 is better. Though I have always read with the paper or screen far away from my eyes.

I may be aging out of being able to use nonprescription readers--as my parents eventually did. In my father's case, it was cataracts.
 
Wasn't tracking the procedures I'll need to take care of scarring. One is actually this Wednesday, the day before Thanksgiving?
 
Perform due dilligence. https://finance.yahoo.com/quote/STAA/

It's FDA-approved now. Maybe that will result in stronger competition in the U.S. for Alcon, a Swiss company that made my IOL's.

Yeah, I did more research after reading the comments here, and feel even better: no scarring and re-doable/removable, plus likely better correction. So it is "different". Also helps younger folks more. but still do not understand the slow USA demand and a few other things. Medical is crazy hard to forecast. But if I needed IOL or similar I really would look at STARR for EVO. Seems much better than the older methods - especially the easy insertion and future removal possibilities. Interesting stuff.
 
Yeah, I did more research after reading the comments here, and feel even better: no scarring and re-doable/removable, plus likely better correction. So it is "different". Also helps younger folks more. but still do not understand the slow USA demand and a few other things. Medical is crazy hard to forecast. But if I needed IOL or similar I really would look at STARR for EVO. Seems much better than the older methods - especially the easy insertion and future removal possibilities. Interesting stuff.
My advice for procedures comes from persons in the medical industry.

Slow demand for one product while others retain market share may be temporary, or not.

Good luck with your investments.
 
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