Thanks for watching our video! Stay tuned for upcoming episodes such as a Cataract Q&A, where I answer some really great questions that came from viewers like you ❤
@@kalyanasundaramsanganore189 That's a great topic. I made a couple videos with a glaucoma colleage about glaucoma as well as glaucoma and cataract surgery: th-cam.com/video/_pXkDEPonI0/w-d-xo.html th-cam.com/video/Mx9kwfm8x_E/w-d-xo.html
I want to thank you very much for this video. I was diagnosed with cataracts a month ago. I have a new job and have been just waiting on my insurance to kick in so I can get things started. I've not yet been able to see a surgeon yet. Having never had any surgery before I'm very nervous and fearful about this whole process. Is this painful? How long is the recovery time? And does insurance cover multifocal lenses?
@@mangyanngoman3530 If your blood pressure is relatively controlled, then yes you can most likely do eye surgery. I would make sure you discuss this with your eye surgeon and/or primary care doctor to make sure there are no other considerations. Hope that helps!
A pretty famous doctor in Kansas City did my operation about 20 years ago. Dr. Hunkeler, I chose Univision so I have a reading lens in my left eye and a distance lens in my right. The night of the surgery about 5 hours after I was seeing 20/20 I could read signs 2 miles down the freeway. My vision is now 20/15 and I have never worn glasses since the operations. The best thing that ever happened to me, I had lived with 60/250 vision most of my life and had coke bottle lenses in my glasses. That Doctor was the best.... I had a couple friends that had surgeries elsewhere they had some bloodshot or red (blood) in their eyes, and some swelling. Anyway, my surgery was a work of art. I had no redness of any kind, no swelling or pain I took the patch off a couple hours after the surgery and I couldn't even tell I had an operation. My vision was perfect immediately.
I had Lasix at 50. Now 70. I wear bifocal glasses. I'm at + 3.75 readers and device and + .5 distance. I do not have cataracts. I do have some astigmatism introduced with the lasic. I have means. Thank you and nice presentation btw!!
Hi from Louisville Kentucky. I had cataract surgery on both my eyes 1 1/2 years ago. I had severe astigmatism. I wore contacts my whole life and when I had my surgery the doctor used multifocal lenses and I was able to throw away my contacts. I'm 64 and I have had no side effects. If anyone out there is worried about cataract surgery I would say educate yourself, choose a doctor that comes with lots of references and ask him/her lots of questions before your procedure and then do it because it can be life changing. And that's not an exaggeration. 🙂
Thanks for sharing your experience ❤️ I agree that cataract surgery can be a very positive, life-changing experience and I’m glad to hear about your great experience!
@@MicheleLeeMD Yes and thanks for sharing information in this video form. I did a lot of research using TH-cam and speaking with other people who had already had their eyes done and being educated on a topic, any topic, especially when it involves your personal health and well being is very helpful. So thanks for taking time to educate and take some of the fear out of this procedure.
3 weeks ago, I had a toric multi-focal lens installed. I was worse than 20-400 with astigmatism to boot, and now I can see 20-20, can read my cell phone clearly, and see way off in the distance like never before. No dry eye, no distended iris or eyelid. Couldn't have been a better outcome. Yes, the multi-focal lens does give me some halos at night. Very small inconvenience for a guy who was essentially going blind!
Had my first eye done in January. Second eye March 7. In Canada, everything is covered unless you want premium lenses (which I chose). It was such an easy procedure! Worst part was remembering my eye drop schedule afterwards. I went from not being able to read anything on my tv one day to easily reading everything go the next day! Can’t wait to get the second eye done.
I had cataract surgery a week ago. I'm only 41 but sustained blunt force eye trauma when I was 15 in my left eye. The cataract was very dense and was classed as a complex surgery rather than routine. My vision a week later is really clear...... still slightly out of focus due to a torn iris from the original injury...... but I had lost 95 percent of the sight in my eye, and now its better than when I was 15. Hope the lens lasts, and I'm expecting to require YAG at some point. For now, I'm over the moon. My long term concern is how long the lens will last and what my options are at the point.
Thanks for sharing your experience! The lens should last you a lifetime. If your vision/refraction changes, you can discuss options like glasses, contact lenses, or refractive surgery with your eye doctor. Best of luck ❤
Using one standard lens and one multifocal lens brings great results. Basically, one eyes is training for reading the other eye for distance. The brains combines the imagines effortless. There is even a magnifying reading focus. The later may not kick in easy, but it is there.
Refreshing to hear such a frank discussion about the advantages and disadvantages of these options. I'm a great example of someone better suited to a monofocal lens, as I also have Fuchs Corneal Dystrophy - I've even made sure the selected lens wont suffer from glistenings, as after 5 years of eyesight dominated by halos and glare, daytime and night, I never want to see another halo again!!!
@@warrenklein7817 How was the recovery time? I had a DMEK the end of last year, turned out really good and cleared within a week. The IOL is not so great, another story.
I recently had laser assisted surgery of both eyes with good results. Since I had high myopia my thinking was that I wanted to do whatever possible to minimize the phaco energy and hopefully decrease the risk of retinal detachment - I guess we’ll see 😉
Thanks a thousand for this video information. I just had cataract surgery on both eyes. It makes a world of difference. Not just in how you feel , but how you think also. If I had seen your videos before I had the surgery, I would have made different choices. Keep up the good work❤💙💛💜🖤
It always comes down to the patient telling what it was like before, and what it was like after. And then what it is like years after. And then how much it costs. The thought of seeing and reading without glasses is so tempting. But what is it really like?
Thanks as always for your comments & support! The light-adjustable lens is a really great lens, especially for those eyes with tricky lens calculations and for our cornea/refractive patients. It's a lot of work and maintenance on the patient side so it's definitely not for everyone but I suspect as this technology continues to improve, this will be mainstream.
Rather draconian, insurance companies that is, in that those patients who naturally have oval shaped lenses, astigmatism, and medically must have the toric lens but for some off plumb reason insurance is under the impression that a premium toric lens is some sort of an added or unnecessary lens upgrade. It is completely ignorant to suggest that those with astigmatisms should get a down graded lens when the medically correct lens should be the toric. So, this forces those patients to have to pay an additional approximate $800 in the end when the insurance companies are already into the thousands of dollars, they want to downgrade toric patients and call it fair game. Like I said, draconian insurance companies.
@@dodools Healthnet. Most of the insurance companies have this procedure fairly well "cookie cuttered" in how the claims are processed. When the doctors office told me I "had to have" the Toric "premium" lens due to astigmatism but insurance only pays for standard lenses, I looked into it and found thats how medical/eye insurance views it. BTW, the entire surgical procedure is about $8,000 per eye so whoever is quoting their patients $2,500 per eye for just the premium lens likely just has a big mortgage to fund. It's truly a joke that I never once received any billings with the cost and then insurance payment and amount due from me for anything at all. My sense is that most of the costs not coverred by insurance are just an added perk to the process as the surgeons are well paid for their procedures. If you spend an afternoon on the medical websites and read some of the comments here and there, you will find more like I did about the process. Honestly, I believe health insurance, medicare etc. are all in cahoots with the medical fields...it very rare to hear from doctors this is how we do things but your or "insurance" wants us to do it this way, how do you want it done and how will you pay the extra cost? It's like herding sheep or cattle, high volume so it must be difficult for employees to repeat themselves in full with each new patient 20 to 30 times a day. I had read some folks who can afford it and under age 40 will have this procedure just because they don't want glasses or contacts. They pay the cost 100%...how much do they pay? Likely its, not as much as with insurance hounds looking over their shoulder.
Hello doctor, earlier i had undergone Lasik for my eyes 16 years back..now i have matured cataract in one eye the other one is fine..can i choose for panoptix trifocal IOL now? many doctors advised that since lasik was done earlier i cannot go for trifocal and the only choice i have now is monofocal..plz help me take the right decision im lot confused , iam 40 years old male i hate to wear glasses.
Thanks. My Google searches made it seem like laser surgery was safer and resulted in fewer complications, as well as a faster recovery. I have an appointment in two days. If the doctor is pushy about laser or monofocal, I will take that as a sign to seek a different doctor.
Thanks for your comment. There are some advantages to laser but I wouldn't promote laser for fewer complications or a faster recovery. Definitely discuss with your eye surgeon (or potential eye surgeon) whether you would benefit from addition of laser or specialty lenses.
I'm one of those unsuccessful operations. In hindsight (no pun), I might have even opted to keep my vision power as I prefer reading without glasses. Long story short, I ended up with the same vision in one eye due to what I believe was an incorrect measurement pre-surgery. I didn't want to end up with -3 in one eye and 20/20 in the other, so we measured my other eye to be -1.5 or .25, I can't recall. I didn't know they could redo the surgery and it's been too long now, so we've discussed the possibility of interoptic implants to correct the vision in the future. If I had the 2nd eye to do over again, I might have put this at -3 as well. There is something to be said for having the same vision in each eye. Even the slight difference drives me a bit nuts when reading now.
June 9th of this year I had cataract surgery. June 30th I had retinal detachment surgery in the same eye. Now I have to have another surgery for epiretinal membrane. At this point I am starting to regret the cataract surgery. Don't get me wrong it was awesome the first 2 weeks.
Is the prescription of a light adjustable lens going to be malleable _forever?_ Does it finalize once it's been properly determined in the surgeon's office, or will the person have to stay out of the sun and/or wear sunglasses during the day for the rest of their life?
I only have VA insurance. My regular eye doctor wouldn't give me a new prescription because he saw that I had a cataract. But the VA just gave me a new prescription for my glasses. One eye is much worse that the other plus I normally wear trifocals and have for years. I HATE glasses. If I had my druthers I would correct my distance vision and wear glasses for near vision. I read a lot and hate having to chose which focal range is needed to read. This was good info. Thx.
Very valuable information - my ophthalmologist has recently confirmed that I have a cataract starting to grow, but it is too early to remove yet - so I am now trying to understand what all will be involved. Thanks for sharing.
Thanks for the informative video. I had cataract surgery on my left eye last September and am enjoying the results. I feel like I need the right eye done now but my doctor is hesitant as I had lasik surgery on it 20+ years ago. I'm not sure why.
I had LASIK 20 years ago and I'm going in 6 days for cataract surgery on my left eye where I have been using a contact to achieve mono-vision (my right eye has super good distance vision) and it is taking a special eye "mapping" test (Pentacam I believe) because of the reshaping of the front of the eye for the LASIK. My new IOL will give me (hopefully) the same mono-vision that I'm doing with the contact.
After my cousin had a cataract surgery he had double visions and still looking For some experienced doctor to help buy some kind of glasses to get rid of the double vision In this case will you pls explain why it happened and what should be done to help the double visions We are looking forward to your next show about this case soon and thanks in advance for your help My cousin is living in Houston, TX
thank you for your video. I never know anything like this kind of lenses. sometimes i am so scared anything about eyes. because I never heard any latest technology. i will be watchin more of your videos
Thank you for your comment. There are so many options and it is normal to feel overwhelemed by it all. If you have a good eye surgeon, they should help you pick out your lens. Best of luck ❤
I had monofocal. I wanted distance but got close up so just make sure u get the lens u want. I wanted distance for driving I don't care if I need reading glasses so just male sure the dr listens to you. I now am going to a different dr and getting a piggyback lens and hoping for better vision.
How do the premium lenses fare against age related far sightedness? Would doing this let you throw away your readers (hopefully forever) and never worry about cataracts? Odds of getting back to 20/20 close vision without messing with perfectly fine distance vision?
Dr. Lee, would appreciate your thought and experience on doing cataract surgery on a 78 year old male with vision in the left eye, only. Retina detached in the right eye 20 years ago.
You should weigh the pros and cons of surgery - there is always a chance for a complication, retinal detachment, infection, etc. Discuss with your surgeon if it makes sense to move forward. Best of luck!
Thank you Dr. Lee for your informative videos! It has really helped me to determine what procedure and lens may be the best choice for my cataract operation. I am prepared to pay the extra charge out of pocket for premium lenses, but the biggest problem I am having is finding a doctor who will accept my Blue Cross Blue Shield Blue Advantage HMO insurance and/or Medishare to cover the basic procedure. I have both, but finding a quality doctor seems to be another problem.
Very good and informative video Doctor gave me choice between Tecnis 1, or Tecnis Eyhance, acrysof single piece or multiple piece or Bosh Lomb monofocal lens. Please let me know are all lens have bluish tint after surgery or any one give normal white tint? Which lens give less bluish tint between above? Why blue tint after catract operation? Any monofocal lens have normal white tint ? Please answer. I have emergency surgery.
Thanks for nice information. Dr I had cataract in my both eyes but when my right was operated at the time of surgery dr was saying capsule is coming out and iol ix not going in any how surgery was done .Was it a complicated surgery where IMSC NS2 eccce P SC is written kindly let me know is it risky in future ? Was if a sulus implantation due to rupture of capsule? I have no sugar, no BP only subclinical hypothyroid taking 25 mcg tab .Normal weight nk glaucoma before surgery but due to heaadache dr prescribed timolol 0.5 percent for glaucoma 2 times 2 drops which developed after surgery .whag is the prognosis?
thanks for the video !How about mentioning the advancement in monofocal lenses specifically j&j eyhance which gives you a slightly more depth of focus .. than standard monofocal lenses and has minimal side effects compared to mulifocal lenses
Thanks for your question! Lenses like Juvene are in the pipeline - it'll be years before we see them on the market but it's exciting that there are lots of new lens technologies arriving soon!
i have had the surgery over 10 years ago with a bi-focal lens implanted. I regret going for this lens. It is nice you can also read up close, but it is too close for a computer screen. And all other work/reading needs a lot of light to see. You lose a lot of contrast up close. I am always looking for a flashlight and reading glasses to see something up close. The glare is no bother. I was already used to that due to the old opaque lens. I should have taken the standard lens because I am still using reading glasses but with worse vision due to the special lens. Don't take the bifocal lenses if you do a lit if reading
Hi Dr Lee, how do I know when I am ready for cataract surgery. I am 69 yrs old and ws advised by my MD to strat taking BP medication to stabilize my BP due to the fact that in my right eye l develop branch retinal vien occlusion. Whenever I find myself focusing I have to keep blinking to see clear. Thks,
I made a video about cataract surgery timing if you are interested: th-cam.com/video/PjLMkaBQoHw/w-d-xo.html If you've had BRVO, you will probably need to get clearance from your doctor prior to proceeding. Best of luck!
Advances in cataract surgery, yet the most popular lens still in use today is the AcrySof SN60WF, which is at least 8 years old, and is the culprit of many eye issues discussed in post-cataract forums on the internet.
Late to the show, but have been told I have y-suture cataracts. Just looking for opinions on which type of lens people have used and results - distance and multifocal, or monovision. Concerned about distance then using readers for phone, computer, reading etc. Or multifocal with night vision and halos (and of course the cost of $2200 per eye). Thanks.
Thank you so much for this video, I had caaract surgery on my right eye 12 years ago and my eye was never the same, very blurry so i must depend on my right eye for everything. Where is your practice located?
I don't have experience with PhysIOL lenses but the studies I've looked at comparing these lenses to brands I use more frequently suggest that PhysIOL is a good lens. Definitely talk to your eye surgeon about lens brands and types that would be best for you. Best of luck!
I have had cataract surgery, and due to prior RK surgery, must now wear scleral contacts. Would the light adjustable lens have prevented the need for contacts?
I had implant surgery about 11 years ago. The Toric was not available and I paid out of pocket. I only have one working eye and a scar across the other eye. I had great success with my vision although I need readers. Would it be too much of a risk replacing the current lens with a Toric if I get better eye site? I have bad astigmatism.
Thank you for your question! At this point I would not recommend exchanging your lens. It is actually quite risky to do so at this point! If you want to correct your vision, you can ask your eye doctor if LASIK or PRK may be an option for you. Best of luck!
I have had both lenses replaced. My surgeon made an error with one replacement where he inserted the replacement lens backwards. Can this be corrected?
Had cataract surgery done about 5 years ago with the Bosch & Loam (sp?) replacements that have some accommodation. One eye is better than the other in that dim light causes what seems like a little fog and glare at night (dusk) is certainly an issue. To narrow it down, night driving with one eye is problematic for headlight / taillight glare and reading those LED road signs is almost a blur of speckles because every point pf light is its own starburst. If I go to a club or stage show the lights (in one eye) just glare like crazy. (high contrast glare) Same for seeing a Xmas tree with all the lights. I can watch TV without too much issue, but something like TH-cam videos (black boarders with white around the edges) causes glare. What am I missing? What should I do? Daytime seems fairly good, and I seldom wear glasses if the lighting is good. Doc says it's not a refractory issue so maybe I need the procedure that clears a hole in the lens sac? (forgot the name)
It sounds like your doctor is referring to a Yag Capsulotomy, a laser procedure that can remove scar tissue that can accumulate behind the lens. I hope your quality of vision improves!
@@MicheleLeeMD ... Yes, you jogged my memory. The term I was looking for was capsular opacification. OTOH, I would hate to make a permanent change if it's not going to help. I figure I have another 20 years to go at my age. (69 next month) The drawback is that change might make it difficult for any future procedures, so I am told.
@@rupe53 If your doctor may want to exchange the lens (risky and usually not a great option unless you really hate your lens), it will make the surgery riskier but the procedure can help with your quality of vision. Definitely talk to your eye doctor about whether it makes sense for you to get the laser or wait. Best of luck ♥
@@MicheleLeeMD ... will be seeking a second opinion from another doctor at my next checkup. The original doc was a technical genius but his bed side attitude has put me off.
I have been wearing gas permeable contact lenses since 1963. I have a very strong correction for nearsidedness. I have been told I must wear glasses for 3 weeks before cataract surgery, maybe 2 weeks if a switch to soft lenses. Because of the strong correction, switching to glasses is difficult and requires a period of adaptation. Is this still the case?
Yes, this is still the case if you want to get the best possible measurements for your eye. Hard contact lenses change the shape of your contact lenses and the longer you have been wearing these lenses, the more distortion there has been. Hope that answers your question!
I had to check on how the eyeball looked when you said eye can be cloudy . Now I've no insurance and was wondering what can I expect to pay for a monofocal lens ? Monofocal because I've a lot of stigmatism and I'm used to wearing eyeglasses , Just a ball park figure please , Or where can I find insurance ..
What happens if they do a light adjustable lens and they don't cure it enough and it reverts to some amorphous shape afterwards? Can it be removed and replaced with something else, or is it risky to try to remove it?
You didn't mention DROPLESS cataract surgery! After decades of practicing pharmacy and having dispensed antibiotic and ant-inflammatory ophthalmic drops with complicated and sometimes confusing instructions, I had cataract surgery in June 2022. I was prescribed dilating eye drops to be used 3 times BEFORE surgery. A combination of antibiotic and anti-inflammatory drugs were injected into the vitreous cavity during the procedure. I used NO DROPS following surgery. IMNSHO, that's the most significant advance in cataract surgery in decades!
I had cataract surgery 1 1/2 years ago. I hate wearing reading glasses. I had the standard lenses put in. Can I have one or both lense removed so I don’t have to wear any glasses at all?
Thank you for your question. While technically you could get the lenses removed and replaced, it would be incredibly risky to do so a year and a half after you've had cataract surgery and definitely not what I would recommend. If you want to try monovision, which is one eye distance and one eye reading, you can see if contact lenses can work for you and if you adapt to this well, you could consider LASIK or PRK to replicate that. That would get you glasses-free for most situations. I would recommend discussing this with your eye doctor and trialing it first though. Hope that answers your question!
When are you guys going to do a cataract capsule neatly open, carefully liquify and remove the original lens,. Keep the capsule and lens muscles intact. Then place a silicone pico-quartz suspension into he lens capsule and close the lens capsule? I am talking of a transparent gelatinous lens made of currently existing materials. I am a Pathologist with a background in electronics.
Thanks a lot for the very informative video. I have had Panoptix for my first eye. I still have all the cons of a multifocal iol, especially halos at night and low contrast at low light. Moreover it did not help my astigmatism at all. Which iol would be your recommendation for my second eye ie monofocal, panoptix, vivity, synergy etc? Thanks.
Thank you for sharing and I'm so sorry to hear you have not had good vision since your surgery. There are other options besides having the lens replaced (which can be pretty risky at this point). I highly recommend you talk to your eye doctor about potential options for you. Best of luck ❤
Hi Guys, great video. I am 66 yrs old, have had lenses fitted about 10 yrs ago. My main problem is now floaters. My local eye specialist tried to zap them with his laser ?. Not effective. Do you have any solutions .
I'm so sorry to hear about your floaters. Besides laser, there is a surgery to remove floaters but it is quite risky and I would highly advise against it unless the floaters are extremely debilitating. They are really annoying but sometimes the cure can be worse than the problem. Hope that answers your question and best of luck ❤
Hi. I had RK surgery in the mid 80s and have since developed astigmatism in both eyes, and starting a cataract in my left eye. Just beginning to explore options. Do u have an opinion on better choices? I suspect multi focal are not for me as I’m pretty fussy about my vision. Thanks
Thanks for your comment and sharing. I definitely would not recommend a multifocal after RK. Your lens choices depend on other factors, but one lens I really like offering after RK is a light-adjustable lens. After RK, your lens power is very unpredictable so having a lens you can adjust after surgery is very helpful. I would ask your surgeon about possible options, including this lens.
@@MicheleLeeMD one more complication. The eye with the cataract also developed a horseshoe retinal tear, since repaired via laser. Will that have any impact on choices? Tear not in my field of vision. Thanks
I live in Australia and am struggling to even find a doctor that will do my cataract surgery. Had RK back in the 80's and was amongst the first to have it here. Being a -8 in one eye and -9 in the other it was tricky in those days but I had a good outcome and never regretted having it done. After two years I went back into glasses but as I had worn them from the age of 4, I didn't have a problem with that. Having had 16 cuts in each eye poses a problem for the incision to remove and insert the new lens, not to mention what lens will be used although it won't be a multifocal. My girlfriend just had her cataracts done and I sent her doctor an email outlining my history. His comment was "she is too difficult a case for me to even consider an appointment with him. Enjoyed the video, thanks
My sight is going. I know about the crystalization of the lens of the eye, but I have fear of finding myself totally blind after surgery. What can you tell me about this that addresses my fears? Everything is getting more white in one eye and I don't see full images out of it. I've had an aunt, years ago, that found herself totally blind after surgery. Tell me something. I have it all;: glaucoma, astigmatism and cataracts. A lot of close work (electronic part numbers).🎉
Thanks for this video. I live in a small country where I believe routine technology. My doctor put akreos hydrophilic aspheric lens by bosch and lomb. What do you think of that?
I’m so sorry to hear about your vision changes. I’m not sure what’s going on without looking at your eyes. One common issue of fluctuating vision is dry eye. I would advise you see your eye doctor to make sure there are no other issues. Best of luck!
Eye doctor my name is Carl Von I had put in cataract surgery about maybe 18 19 years ago and I'm a diabetic is there any possibilities that I can get new lenses inside my eyes and recalculated my vision because I don't know if we have any options to do this I like that new life version that you were talking about but how do I go about discussing this with a doctor or a doctor that is so is there any possibilities for me to get new lenses in my eyes what I'm asking
It really depends how long the lens has been there and why you would want to replace the lens. If the lens has been there for more than a few months, it may be risky to do a lens exchange. If you aren't happy with your vision, talk to your eye doctor and see what options are available to you - glasses, contacts, LASIK/PRK, etc. Best of luck, and I hope you are able to get better vision!
Hi there , I have a cloudy right eye , haven’t been able to see in 11 years now , I have a Almed valve in there. They say I have glaucoma. I have pain and irritation on that eye 👁️. Every time I go to urgent care all they give me is eye drops. Will Cataract surgery be an Option for me. I even thought of removal of the eye. Doctors don’t seem to confirm to me what I have and don’t even offered any options.
I dont understand why people can't have their natural lenses removed prematurely before they end up as cataracts (which is inevitable). The lens replacement after cataract removal usually corrects peoples prescriptions as well. So two birds one stone.
Thank you for your comment! I appreciate your perpsective on this. As surgeons, we try to consider the risk profile of removing cataracts too early since there are side effects and potential complications. I agree with you that there are benefits of earlier cataract surgery for some patients!
Thank you for your question. That is a tough one. First of all, I'd be concerned about a 20 year old with a cataract - is this from trauma? Was he born with this? If a 20 year old has a cataract that requires removal, I would probably recommend a lens to optimize for distance vision - this would help optimize vision for athletic performance. The problem is that he will need glasses for reading if that is the case, which most 20 year olds may not like. I highly recommend discussing this with the surgeon. Hope that helps!
Thanks for watching our video! Stay tuned for upcoming episodes such as a Cataract Q&A, where I answer some really great questions that came from viewers like you ❤
How to correct pressure problems in the Eye
@@kalyanasundaramsanganore189 That's a great topic. I made a couple videos with a glaucoma colleage about glaucoma as well as glaucoma and cataract surgery:
th-cam.com/video/_pXkDEPonI0/w-d-xo.html
th-cam.com/video/Mx9kwfm8x_E/w-d-xo.html
I want to thank you very much for this video. I was diagnosed with cataracts a month ago. I have a new job and have been just waiting on my insurance to kick in so I can get things started. I've not yet been able to see a surgeon yet. Having never had any surgery before I'm very nervous and fearful about this whole process. Is this painful? How long is the recovery time? And does insurance cover multifocal lenses?
I just want to ask about the highblood person,can do cataract surgery?
@@mangyanngoman3530 If your blood pressure is relatively controlled, then yes you can most likely do eye surgery. I would make sure you discuss this with your eye surgeon and/or primary care doctor to make sure there are no other considerations. Hope that helps!
A pretty famous doctor in Kansas City did my operation about 20 years ago. Dr. Hunkeler, I chose Univision so I have a reading lens in my left eye and a distance lens in my right. The night of the surgery about 5 hours after I was seeing 20/20 I could read signs 2 miles down the freeway. My vision is now 20/15 and I have never worn glasses since the operations. The best thing that ever happened to me, I had lived with 60/250 vision most of my life and had coke bottle lenses in my glasses. That Doctor was the best.... I had a couple friends that had surgeries elsewhere they had some bloodshot or red (blood) in their eyes, and some swelling. Anyway, my surgery was a work of art. I had no redness of any kind, no swelling or pain I took the patch off a couple hours after the surgery and I couldn't even tell I had an operation. My vision was perfect immediately.
Thanks for sharing your experience!
@@MicheleLeeMD He was some doc, now retired. I had no money or insurance, he did the operations for free
I had Lasix at 50. Now 70. I wear bifocal glasses. I'm at + 3.75 readers and device and + .5 distance. I do not have cataracts. I do have some astigmatism introduced with the lasic. I have means. Thank you and nice presentation btw!!
O
The surgery in Ontario Canada are now done in a private office.
Hi from Louisville Kentucky.
I had cataract surgery on both my eyes 1 1/2 years ago.
I had severe astigmatism. I wore contacts my whole life and when I had my surgery the doctor used multifocal lenses and I was able to throw away my contacts.
I'm 64 and I have had no side effects.
If anyone out there is worried about cataract surgery I would say educate yourself, choose a doctor that comes with lots of references and ask him/her lots of questions before your procedure and then do it because it can be life changing.
And that's not an exaggeration.
🙂
Thanks for sharing your experience ❤️ I agree that cataract surgery can be a very positive, life-changing experience and I’m glad to hear about your great experience!
@@MicheleLeeMD Yes and thanks for sharing information in this video form.
I did a lot of research using TH-cam and speaking with other people who had already had their eyes done and being educated on a topic, any topic, especially when it involves your personal health and well being is very helpful.
So thanks for taking time to educate and take some of the fear out of this procedure.
Which number multifocl Lens used?
3 weeks ago, I had a toric multi-focal lens installed. I was worse than 20-400 with astigmatism to boot, and now I can see 20-20, can read my cell phone clearly, and see way off in the distance like never before. No dry eye, no distended iris or eyelid. Couldn't have been a better outcome. Yes, the multi-focal lens does give me some halos at night. Very small inconvenience for a guy who was essentially going blind!
Thank you for sharing and congratulations on your successful surgery and perfect vision 🎉
Dr Lee, I edited the spelling of "inconvenience", and your "heart" like disappeared!
Who did your procedure?
Yes and you get use to the halos.
@@martinmaddox5315 Dr Grace Wu, Tustin, California
Had my first eye done in January. Second eye March 7. In Canada, everything is covered unless you want premium lenses (which I chose). It was such an easy procedure! Worst part was remembering my eye drop schedule afterwards. I went from not being able to read anything on my tv one day to easily reading everything go the next day! Can’t wait to get the second eye done.
Hi dear friend...I would like to talk about the serious matter of my eye cataract surgery..please let me help. I'm living in Toronto
Just do not compare sight of one eye with the other.
Which premium lenses did you get?
I had cataract surgery a week ago. I'm only 41 but sustained blunt force eye trauma when I was 15 in my left eye. The cataract was very dense and was classed as a complex surgery rather than routine. My vision a week later is really clear...... still slightly out of focus due to a torn iris from the original injury...... but I had lost 95 percent of the sight in my eye, and now its better than when I was 15. Hope the lens lasts, and I'm expecting to require YAG at some point. For now, I'm over the moon. My long term concern is how long the lens will last and what my options are at the point.
Thanks for sharing your experience! The lens should last you a lifetime. If your vision/refraction changes, you can discuss options like glasses, contact lenses, or refractive surgery with your eye doctor. Best of luck ❤
Wish you all the best, for the future!
Why'd you wait so long?
With younger patients, the risk of zonular failure over time may be an issue.
Using one standard lens and one multifocal lens brings great results. Basically, one eyes is training for reading the other eye for distance. The brains combines the imagines effortless. There is even a magnifying reading focus. The later may not kick in easy, but it is there.
Thanks for sharing :)
This is a further step to basic knowledge on cataract. The more one understands it, the better decision one can make. Thanks!
Thank you for your comment & support ❤
@@MicheleLeeMD Is it possible to numb the eye for surgery with drops and not have to use two needle injections behind the eyeball?
Refreshing to hear such a frank discussion about the advantages and disadvantages of these options. I'm a great example of someone better suited to a monofocal lens, as I also have Fuchs Corneal Dystrophy - I've even made sure the selected lens wont suffer from glistenings, as after 5 years of eyesight dominated by halos and glare, daytime and night, I never want to see another halo again!!!
Thank you for sharing your experience! Yes, I agree with you that when you have Fuchs you are probably not the best candidate for a multifocal lens.
Have had DWEK / DSO procedure for Fuchs. Worked for me, both eyes.
@@warrenklein7817 How was the recovery time? I had a DMEK the end of last year, turned out really good and cleared within a week. The IOL is not so great, another story.
Thanks! I found a local doctor who performance adjustable lens so I'll give it a shot!
Great video! It’s amazing how far cataract surgery has advanced! Not to mention the span of advanced lenses that patient can be a candidate for.
Thanks Nestor! I agree :)
I recently had laser assisted surgery of both eyes with good results. Since I had high myopia my thinking was that I wanted to do whatever possible to minimize the phaco energy and hopefully decrease the risk of retinal detachment - I guess we’ll see 😉
Thanks for sharing! Best of luck with your recovery :)
Thanks a thousand for this video information. I just had cataract surgery on both eyes. It makes a world of difference. Not just in how you feel , but how you think also. If I had seen your videos before I had the surgery, I would have made different choices. Keep up the good work❤💙💛💜🖤
It always comes down to the patient telling what it was like before, and what it was like after. And then what it is like years after. And then how much it costs. The thought of seeing and reading without glasses is so tempting. But what is it really like?
Great video! I never knew there is a light-adjusting lens on the market for patients!
Thanks as always for your comments & support! The light-adjustable lens is a really great lens, especially for those eyes with tricky lens calculations and for our cornea/refractive patients. It's a lot of work and maintenance on the patient side so it's definitely not for everyone but I suspect as this technology continues to improve, this will be mainstream.
I chose the light adjustable lenses, and just left a comment on my experience.
@@lauralampe1664 Thanks for sharing :)
My eyes were done before convid came, I'am so glad I didn't have to worry about gettiing them done now.
Thanks for sharinng!
i just had the laser cataract fantastic
i can see better than anytime in my life i read all the lines on the eye chart
Awesome! Thanks for sharing :)
As a retired surgical technician, I remember removing lenses with a cryo probe! You have come a long way in your surgical care!
Wow, I had no idea that there are so many options to correct vision. Thanks for the video, very educational
Thanks for this very informative video. I'm facing this procedure in a few years so knowledge is power!
Glad it was helpful!
Rather draconian, insurance companies that is, in that those patients who naturally have oval shaped lenses, astigmatism, and medically must have the toric lens but for some off plumb reason insurance is under the impression that a premium toric lens is some sort of an added or unnecessary lens upgrade. It is completely ignorant to suggest that those with astigmatisms should get a down graded lens when the medically correct lens should be the toric. So, this forces those patients to have to pay an additional approximate $800 in the end when the insurance companies are already into the thousands of dollars, they want to downgrade toric patients and call it fair game. Like I said, draconian insurance companies.
Sorry, but I was just told $2,500 for each toric lens
@@joycegilkey3677 Better find another doctor/surgeon. Insurance paid for my standard lenses 2 years ago...my part for toric was $400 ea
@@Garth2011 which insurance did you have may I ask?
@@dodools Healthnet. Most of the insurance companies have this procedure fairly well "cookie cuttered" in how the claims are processed. When the doctors office told me I "had to have" the Toric "premium" lens due to astigmatism but insurance only pays for standard lenses, I looked into it and found thats how medical/eye insurance views it. BTW, the entire surgical procedure is about $8,000 per eye so whoever is quoting their patients $2,500 per eye for just the premium lens likely just has a big mortgage to fund. It's truly a joke that I never once received any billings with the cost and then insurance payment and amount due from me for anything at all. My sense is that most of the costs not coverred by insurance are just an added perk to the process as the surgeons are well paid for their procedures. If you spend an afternoon on the medical websites and read some of the comments here and there, you will find more like I did about the process. Honestly, I believe health insurance, medicare etc. are all in cahoots with the medical fields...it very rare to hear from doctors this is how we do things but your or "insurance" wants us to do it this way, how do you want it done and how will you pay the extra cost? It's like herding sheep or cattle, high volume so it must be difficult for employees to repeat themselves in full with each new patient 20 to 30 times a day.
I had read some folks who can afford it and under age 40 will have this procedure just because they don't want glasses or contacts. They pay the cost 100%...how much do they pay? Likely its, not as much as with insurance hounds looking over their shoulder.
I paid $14000 three years ago.
Thanks for the information on lenses with stigmatisms. As well as the adjustable light lense.
Thank you for your kind words ❤️
Wow! Thanks for the video and all the great information.
Thank you for your feedback & kind words :)
Hello doctor, earlier i had undergone Lasik for my eyes 16 years back..now i have matured cataract in one eye the other one is fine..can i choose for panoptix trifocal IOL now? many doctors advised that since lasik was done earlier i cannot go for trifocal and the only choice i have now is monofocal..plz help me take the right decision im lot confused , iam 40 years old male i hate to wear glasses.
Thank you this has been very good information. Keep up the good work. Shalom.
Thanks. My Google searches made it seem like laser surgery was safer and resulted in fewer complications, as well as a faster recovery. I have an appointment in two days. If the doctor is pushy about laser or monofocal, I will take that as a sign to seek a different doctor.
Thanks for your comment. There are some advantages to laser but I wouldn't promote laser for fewer complications or a faster recovery. Definitely discuss with your eye surgeon (or potential eye surgeon) whether you would benefit from addition of laser or specialty lenses.
I'm one of those unsuccessful operations. In hindsight (no pun), I might have even opted to keep my vision power as I prefer reading without glasses. Long story short, I ended up with the same vision in one eye due to what I believe was an incorrect measurement pre-surgery. I didn't want to end up with -3 in one eye and 20/20 in the other, so we measured my other eye to be -1.5 or .25, I can't recall. I didn't know they could redo the surgery and it's been too long now, so we've discussed the possibility of interoptic implants to correct the vision in the future. If I had the 2nd eye to do over again, I might have put this at -3 as well. There is something to be said for having the same vision in each eye. Even the slight difference drives me a bit nuts when reading now.
appreciate the update
June 9th of this year I had cataract surgery. June 30th I had retinal detachment surgery in the same eye. Now I have to have another surgery for epiretinal membrane. At this point I am starting to regret the cataract surgery. Don't get me wrong it was awesome the first 2 weeks.
I'm so sorry to hear about your retinal detachment and ERM. I sincerely hope things improve for you ❤
It's all good. At this point I am just glad I can see. That was pretty scary when my retina detached.
Is the prescription of a light adjustable lens going to be malleable _forever?_ Does it finalize once it's been properly determined in the surgeon's office, or will the person have to stay out of the sun and/or wear sunglasses during the day for the rest of their life?
I only have VA insurance. My regular eye doctor wouldn't give me a new prescription because he saw that I had a cataract. But the VA just gave me a new prescription for my glasses. One eye is much worse that the other plus I normally wear trifocals and have for years. I HATE glasses. If I had my druthers I would correct my distance vision and wear glasses for near vision. I read a lot and hate having to chose which focal range is needed to read. This was good info. Thx.
Very valuable information - my ophthalmologist has recently confirmed that I have a cataract starting to grow, but it is too early to remove yet - so I am now trying to understand what all will be involved. Thanks for sharing.
As always great information. Thank you 😊
Thanks as always for your supportive comments :)
Thanks for the informative video. I had cataract surgery on my left eye last September and am enjoying the results. I feel like I need the right eye done now but my doctor is hesitant as I had lasik surgery on it 20+ years ago. I'm not sure why.
Not a doctor, but my understanding is that, healing scars of previous ops (though not easily visible) complicate things...
@@SahinKupusoglu ... prior Lasic can also throw a monkey wrench in the works when it comes to making the proper measurements for the new lens.
I had LASIK 20 years ago and I'm going in 6 days for cataract surgery on my left eye where I have been using a contact to achieve mono-vision (my right eye has super good distance vision) and it is taking a special eye "mapping" test (Pentacam I believe) because of the reshaping of the front of the eye for the LASIK. My new IOL will give me (hopefully) the same mono-vision that I'm doing with the contact.
Dr. Lee could exam my eyes ALL day
After my cousin had a cataract surgery he had double visions and still looking
For some experienced doctor to help buy some kind of glasses to get rid of the double vision
In this case will you pls explain why it happened and what should be done to help the double visions
We are looking forward to your next show about this case soon and thanks in advance for your help
My cousin is living in Houston, TX
thank you for your video. I never know anything like this kind of lenses. sometimes i am so scared anything about eyes. because I never heard any latest technology. i will be watchin more of your videos
Thank you for your comment. There are so many options and it is normal to feel overwhelemed by it all. If you have a good eye surgeon, they should help you pick out your lens.
Best of luck ❤
How about the holographic, multi-focal, achromatic, intraocular with HUD channels?
I’m approaching cataract surgery, and have heard many reports of dissatisfaction with multifocals. Yet everyone seems happy with single vision
I had monofocal. I wanted distance but got close up so just make sure u get the lens u want. I wanted distance for driving I don't care if I need reading glasses so just male sure the dr listens to you.
I now am going to a different dr and getting a piggyback lens and hoping for better vision.
How do the premium lenses fare against age related far sightedness? Would doing this let you throw away your readers (hopefully forever) and never worry about cataracts?
Odds of getting back to 20/20 close vision without messing with perfectly fine distance vision?
Dr. Lee, would appreciate your thought and experience on doing cataract surgery on a 78 year old male with vision in the left eye, only. Retina detached in the right eye 20 years ago.
You should weigh the pros and cons of surgery - there is always a chance for a complication, retinal detachment, infection, etc. Discuss with your surgeon if it makes sense to move forward. Best of luck!
Thank you Dr. Lee for your informative videos! It has really helped me to determine what procedure and lens may be the best choice for my cataract operation. I am prepared to pay the extra charge out of pocket for premium lenses, but the biggest problem I am having is finding a doctor who will accept my Blue Cross Blue Shield Blue Advantage HMO insurance and/or Medishare to cover the basic procedure. I have both, but finding a quality doctor seems to be another problem.
I’m sorry to hear about your difficulties. I hope you can find someone to help you soon!
What are the pros and cons with regards to cataract surgery involving diabetic patients. Thank you
This is a big topic. I can cover this in a future video!
Very good and informative video
Doctor gave me choice between Tecnis 1, or Tecnis Eyhance, acrysof single piece or multiple piece or Bosh Lomb monofocal lens.
Please let me know are all lens have bluish tint after surgery or any one give normal white tint?
Which lens give less bluish tint between above?
Why blue tint after catract operation?
Any monofocal lens have normal white tint ?
Please answer.
I have emergency surgery.
Thanks for nice information. Dr I had cataract in my both eyes but when my right was operated at the time of surgery dr was saying capsule is coming out and iol ix not going in any how surgery was done .Was it a complicated surgery where IMSC NS2 eccce P SC is written kindly let me know is it risky in future ? Was if a sulus implantation due to rupture of capsule? I have no sugar, no BP only subclinical hypothyroid taking 25 mcg tab .Normal weight nk glaucoma before surgery but due to heaadache dr prescribed timolol 0.5 percent for glaucoma 2 times 2 drops which developed after surgery .whag is the prognosis?
thanks for the video !How about mentioning the advancement in monofocal lenses specifically j&j eyhance which gives you a slightly more depth of focus .. than standard monofocal lenses and has minimal side effects compared to mulifocal lenses
Thanks for your feedback! Yes the Eyehance has great depth of focus and I love offering that lens as my standard monofocal for most of my patients :)
What about fluid vision, jellies, or juvene? WHEN will they be arriving for patients?
Thanks for your question! Lenses like Juvene are in the pipeline - it'll be years before we see them on the market but it's exciting that there are lots of new lens technologies arriving soon!
i have had the surgery over 10 years ago with a bi-focal lens implanted. I regret going for this lens. It is nice you can also read up close, but it is too close for a computer screen. And all other work/reading needs a lot of light to see. You lose a lot of contrast up close. I am always looking for a flashlight and reading glasses to see something up close. The glare is no bother. I was already used to that due to the old opaque lens. I should have taken the standard lens because I am still using reading glasses but with worse vision due to the special lens.
Don't take the bifocal lenses if you do a lit if reading
I'm sorry to hear that you are struggling with your lens. Thanks for sharing your experience ❤
Hi Dr Lee, how do I know when I am ready for cataract surgery. I am 69 yrs old and ws advised by my MD to strat taking BP medication to stabilize my BP due to the fact that in my right eye l develop branch retinal vien occlusion. Whenever I find myself focusing I have to keep blinking to see clear. Thks,
I made a video about cataract surgery timing if you are interested: th-cam.com/video/PjLMkaBQoHw/w-d-xo.html
If you've had BRVO, you will probably need to get clearance from your doctor prior to proceeding. Best of luck!
❤❤❤ GREAT VIDEOS PODCAST! MUCHO ALOHA'S
Advances in cataract surgery, yet the most popular lens still in use today is the AcrySof SN60WF, which is at least 8 years old, and is the culprit of many eye issues discussed in post-cataract forums on the internet.
Late to the show, but have been told I have y-suture cataracts. Just looking for opinions on which type of lens people have used and results - distance and multifocal, or monovision. Concerned about distance then using readers for phone, computer, reading etc. Or multifocal with night vision and halos (and of course the cost of $2200 per eye). Thanks.
Very helpful video.
Thank you for your kind words :)
Thank you so much for this video, I had caaract surgery on my right eye 12 years ago and my eye was never the same, very blurry so i must depend on my right eye for everything. Where is your practice located?
I love these doctors.
Thanks for your kind words ❤
@@MicheleLeeMD Dr , you take the fear out of surgery. Texas is a nice drive to your office.
@@Espina907 I appreciate your kind words :)
Have you had any patients that had post-op glaucoma? If so, what are the risk factors?
Thanks.
hi dr have you any experience with physiol lens if yes how u see it thanks
I don't have experience with PhysIOL lenses but the studies I've looked at comparing these lenses to brands I use more frequently suggest that PhysIOL is a good lens. Definitely talk to your eye surgeon about lens brands and types that would be best for you. Best of luck!
@@MicheleLeeMD thanks very much indeed
thanks for the info. I do have a question, would using polarized glasses help with the halo effect?
Unfortunately polarized lenses will not help with halos. There is anti-reflective coating which may help. Hope that answers your question!
Does the emulsion stage leave floaters? Or will the emulsion stage remove existing floaters?
Is it possible to have cataract surgery without any sedation or numbing needles? Maybe just numbing drops?
It is possible and some patients will elect to do the surgery without anesthesia. Hope that answers your question!
I have had cataract surgery, and due to prior RK surgery, must now wear scleral contacts. Would the light adjustable lens have prevented the need for contacts?
I had implant surgery about 11 years ago. The Toric was not available and I paid out of pocket. I only have one working eye and a scar across the other eye. I had great success with my vision although I need readers. Would it be too much of a risk replacing the current lens with a Toric if I get better eye site? I have bad astigmatism.
Thank you for your question! At this point I would not recommend exchanging your lens. It is actually quite risky to do so at this point! If you want to correct your vision, you can ask your eye doctor if LASIK or PRK may be an option for you. Best of luck!
I have had both lenses replaced. My surgeon made an error with one replacement where he inserted the replacement lens backwards. Can this be corrected?
Had cataract surgery done about 5 years ago with the Bosch & Loam (sp?) replacements that have some accommodation. One eye is better than the other in that dim light causes what seems like a little fog and glare at night (dusk) is certainly an issue. To narrow it down, night driving with one eye is problematic for headlight / taillight glare and reading those LED road signs is almost a blur of speckles because every point pf light is its own starburst. If I go to a club or stage show the lights (in one eye) just glare like crazy. (high contrast glare) Same for seeing a Xmas tree with all the lights. I can watch TV without too much issue, but something like TH-cam videos (black boarders with white around the edges) causes glare. What am I missing? What should I do? Daytime seems fairly good, and I seldom wear glasses if the lighting is good. Doc says it's not a refractory issue so maybe I need the procedure that clears a hole in the lens sac? (forgot the name)
It sounds like your doctor is referring to a Yag Capsulotomy, a laser procedure that can remove scar tissue that can accumulate behind the lens. I hope your quality of vision improves!
@@MicheleLeeMD ... Yes, you jogged my memory. The term I was looking for was capsular opacification. OTOH, I would hate to make a permanent change if it's not going to help. I figure I have another 20 years to go at my age. (69 next month) The drawback is that change might make it difficult for any future procedures, so I am told.
@@rupe53 If your doctor may want to exchange the lens (risky and usually not a great option unless you really hate your lens), it will make the surgery riskier but the procedure can help with your quality of vision. Definitely talk to your eye doctor about whether it makes sense for you to get the laser or wait. Best of luck ♥
@@MicheleLeeMD ... will be seeking a second opinion from another doctor at my next checkup. The original doc was a technical genius but his bed side attitude has put me off.
I have been wearing gas permeable contact lenses since 1963. I have a very strong correction for nearsidedness. I have been told I must wear glasses for 3 weeks before cataract surgery, maybe 2 weeks if a switch to soft lenses. Because of the strong correction, switching to glasses is difficult and requires a period of adaptation.
Is this still the case?
Yes, this is still the case if you want to get the best possible measurements for your eye. Hard contact lenses change the shape of your contact lenses and the longer you have been wearing these lenses, the more distortion there has been. Hope that answers your question!
I had to check on how the eyeball looked when you said eye can be cloudy . Now I've no insurance and was wondering what can I expect to pay for a monofocal lens ? Monofocal because I've a lot of stigmatism and I'm used to wearing eyeglasses , Just a ball park figure please , Or where can I find insurance ..
Is the LAL lens a monofocus lens or a multifocal lens?
Hi there, the LAL lens is meant to focus light at one focal point. Hope that answers your question!
What happens if they do a light adjustable lens and they don't cure it enough and it reverts to some amorphous shape afterwards? Can it be removed and replaced with something else, or is it risky to try to remove it?
But don't you just Femtosecond laser capsulotomy versus manual capsulotomy or capsulorhexis ? Well done and informative.
Can you talk about “glistening”?
When can I go back to work and how long before I take patch off
You didn't mention DROPLESS cataract surgery! After decades of practicing pharmacy and having dispensed antibiotic and ant-inflammatory ophthalmic drops with complicated and sometimes confusing instructions, I had cataract surgery in June 2022. I was prescribed dilating eye drops to be used 3 times BEFORE surgery. A combination of antibiotic and anti-inflammatory drugs were injected into the vitreous cavity during the procedure. I used NO DROPS following surgery. IMNSHO, that's the most significant advance in cataract surgery in decades!
I had cataract surgery 1 1/2 years ago. I hate wearing reading glasses. I had the standard lenses put in. Can I have one or both lense removed so I don’t have to wear any glasses at all?
Thank you for your question. While technically you could get the lenses removed and replaced, it would be incredibly risky to do so a year and a half after you've had cataract surgery and definitely not what I would recommend.
If you want to try monovision, which is one eye distance and one eye reading, you can see if contact lenses can work for you and if you adapt to this well, you could consider LASIK or PRK to replicate that. That would get you glasses-free for most situations. I would recommend discussing this with your eye doctor and trialing it first though.
Hope that answers your question!
When are you guys going to do a cataract capsule neatly open, carefully liquify and remove the original lens,. Keep the capsule and lens muscles intact. Then place a silicone pico-quartz suspension into he lens capsule and close the lens capsule? I am talking of a transparent gelatinous lens made of currently existing materials. I am a Pathologist with a background in electronics.
Why does it take up to 30 minutes to remove the cataracts with all the technology?
Nice
Thank you for your feedback :)
Is there any other way to clear off heart arterial plaques other than bypass stunt surgery 🤔🤔🙂🙂🙏🙏
are there any fix s for night blindness ?????
Thanks a lot for the very informative video. I have had Panoptix for my first eye. I still have all the cons of a multifocal iol, especially halos at night and low contrast at low light. Moreover it did not help my astigmatism at all. Which iol would be your recommendation for my second eye ie monofocal, panoptix, vivity, synergy etc? Thanks.
I’ve had cataract surgery approximately 12 yrs ago. My distance vision isn’t as good, can the lens be replaced ?
Thank you for sharing and I'm so sorry to hear you have not had good vision since your surgery. There are other options besides having the lens replaced (which can be pretty risky at this point). I highly recommend you talk to your eye doctor about potential options for you. Best of luck ❤
i HAD A LENS PUT IN MY LEFT EYE & IT IS TOO WEAK, SHOULD I GET IT REPLACED ?
Hi Guys, great video. I am 66 yrs old, have had lenses fitted about 10 yrs ago. My main problem is now floaters. My local eye specialist tried to zap them with his laser ?. Not effective. Do you have any solutions .
I'm so sorry to hear about your floaters. Besides laser, there is a surgery to remove floaters but it is quite risky and I would highly advise against it unless the floaters are extremely debilitating. They are really annoying but sometimes the cure can be worse than the problem. Hope that answers your question and best of luck ❤
I am getting femto cause I have astigmatism with cataracts, not covered by insurance - multifocal - they said I will not need glasses.
i'm really enjoying your videos. In this video, you both refer to lens "power". What does that mean and how do you calculate it?
Hi. I had RK surgery in the mid 80s and have since developed astigmatism in both eyes, and starting a cataract in my left eye. Just beginning to explore options. Do u have an opinion on better choices? I suspect multi focal are not for me as I’m pretty fussy about my vision. Thanks
Thanks for your comment and sharing. I definitely would not recommend a multifocal after RK. Your lens choices depend on other factors, but one lens I really like offering after RK is a light-adjustable lens. After RK, your lens power is very unpredictable so having a lens you can adjust after surgery is very helpful. I would ask your surgeon about possible options, including this lens.
@@MicheleLeeMD one more complication. The eye with the cataract also developed a horseshoe retinal tear, since repaired via laser. Will that have any impact on choices? Tear not in my field of vision. Thanks
I live in Australia and am struggling to even find a doctor that will do my cataract surgery. Had RK back in the 80's and was amongst the first to have it here. Being a -8 in one eye and -9 in the other it was tricky in those days but I had a good outcome and never regretted having it done. After two years I went back into glasses but as I had worn them from the age of 4, I didn't have a problem with that. Having had 16 cuts in each eye poses a problem for the incision to remove and insert the new lens, not to mention what lens will be used although it won't be a multifocal. My girlfriend just had her cataracts done and I sent her doctor an email outlining my history. His comment was "she is too difficult a case for me to even consider an appointment with him. Enjoyed the video, thanks
Wasn’t there for a while an accommodating lens ie flexible so the eye muscles could focus or near or far ?
My sight is going. I know about the crystalization of the lens of the eye, but I have fear of finding myself totally blind after surgery. What can you tell me about this that addresses my fears?
Everything is getting more white in one eye and I don't see full images out of it.
I've had an aunt, years ago, that found herself totally blind after surgery. Tell me something. I have it all;: glaucoma, astigmatism and cataracts. A lot of close work (electronic part numbers).🎉
Thanks for this video. I live in a small country where I believe routine technology. My doctor put akreos hydrophilic aspheric lens by bosch and lomb. What do you think of that?
Thank you for sharing! Akreos is a great lens :) All these new lenses are cool and offer new refractive advantages but sometimes simple is best ❤️
@@MicheleLeeMD thanks for the reply
Will artificial lenses ever be able to be adjusted by muscles in the eyes or will they always be fixed?
I am 85 and had cataract surgery over 10 years ago. I now see two objects in each Eye. My Eyes seem to be changing dailey. Can this be corrected?
I’m so sorry to hear about your vision changes. I’m not sure what’s going on without looking at your eyes. One common issue of fluctuating vision is dry eye. I would advise you see your eye doctor to make sure there are no other issues. Best of luck!
So I’m confused. is the LAL a multi-focal correction for both near and far vision?
where do you practice ? Are you in Orlando for an appointment
We both practice in Scottsdale, AZ 🌵
Eye doctor my name is Carl Von I had put in cataract surgery about maybe 18 19 years ago and I'm a diabetic is there any possibilities that I can get new lenses inside my eyes and recalculated my vision because I don't know if we have any options to do this I like that new life version that you were talking about but how do I go about discussing this with a doctor or a doctor that is so is there any possibilities for me to get new lenses in my eyes what I'm asking
Can u replace the cataract lense that’s already in the eye for better vision
It really depends how long the lens has been there and why you would want to replace the lens. If the lens has been there for more than a few months, it may be risky to do a lens exchange.
If you aren't happy with your vision, talk to your eye doctor and see what options are available to you - glasses, contacts, LASIK/PRK, etc. Best of luck, and I hope you are able to get better vision!
Hi ..my daughter has a Congenital Cataract ..her left eye and the right side started ..
I’m so sorry to hear about your daughter’s cataract. I wish her the best of luck ❤️
Hi there , I have a cloudy right eye , haven’t been able to see in 11 years now , I have a Almed valve in there. They say I have glaucoma. I have pain and irritation on that eye 👁️. Every time I go to urgent care all they give me is eye drops. Will Cataract surgery be an Option for me. I even thought of removal of the eye. Doctors don’t seem to confirm to me what I have and don’t even offered any options.
I dont understand why people can't have their natural lenses removed prematurely before they end up as cataracts (which is inevitable). The lens replacement after cataract removal usually corrects peoples prescriptions as well. So two birds one stone.
Thank you for your comment! I appreciate your perpsective on this. As surgeons, we try to consider the risk profile of removing cataracts too early since there are side effects and potential complications.
I agree with you that there are benefits of earlier cataract surgery for some patients!
Which lense are best for the 20 year old boy who is a football player
Thank you for your question. That is a tough one. First of all, I'd be concerned about a 20 year old with a cataract - is this from trauma? Was he born with this?
If a 20 year old has a cataract that requires removal, I would probably recommend a lens to optimize for distance vision - this would help optimize vision for athletic performance. The problem is that he will need glasses for reading if that is the case, which most 20 year olds may not like.
I highly recommend discussing this with the surgeon. Hope that helps!
Is there a video for Newest lcl len to be intro
I'll be making a video introducing that lens soon!
Thanks you so much for sharing where is your office location at?
Thank you for your question. Our practice is in Scottsdale, Arizona 🌵