Vision correction with intraocular lens implants

It feels just like any other standard treatment. There isn't much of a difference, but this hypersensitivity is finally starting to fade away... I'm really quite happy with the results.

Angela Foster43 said:Generally speaking, provided there aren't any complications, an intraocular lens is placed in the posterior chamber.

It is also possible to place an intraocular lens in the posterior chamber alongside the natural lens—I believe companies like Alcon perform this—but one has to be careful that the lens and the implant don't touch, otherwise you risk developing cataracts.
They have specialized equipment to measure that specific gap between the lenses.

Ultimately, contact lenses remain a perfectly fine solution, so once cataracts eventually show up, that myopia can simply be corrected by adjusting the lens strength.

Please, let's try not to spread half-truths here. None of us on this forum are doctors, and clearly, neither are you. Mirko already gave a perfectly good answer regarding cataracts. They are operated on as soon as they are detected. For everyone else considering surgery, please... talk to your surgeon first. They decide the methodology and how the procedure is performed; your role is simply to weigh in on the minor details. He’s the doctor, not me. No offense intended...

@Steven Stewart5:

How's the vision holding up on your other eye—is the remaining prescription feeling alright?

And honestly, how’s your quality of life treating you now that you've got this "new" way of seeing things?

Benjamin Rivera4 said:@Steven Stewart5:

How's the vision holding up on your other eye—is the remaining prescription feeling alright?

And honestly, how’s your quality of life treating you now that you've got this "new" way of seeing things?

I’m not entirely sure about the exact prescription, maybe around 0.75... and as for the quality of life, I’d say I have a whole new perspective on things. Everything just looks different now. It’s actually pretty great so far. I have a follow-up appointment scheduled in a few days—haven't locked in the date yet—so then I'll know exactly where I stand with the positive correction. Right now, reading is a bit of a struggle. I picked up some cheap readers from CVS just to get by for the moment, but they’re just a temporary fix. Once I get my official prescription, I'll go get a proper pair made. Anyway, sorry for the long rambling... How are things going on your end?

Not much to report yet...

So, here’s the update: my operated eye is sitting at -1.5, and my near vision is actually fantastic. As for the other eye, I’m sticking with my contact lens like usual, and my distance vision is looking solid. Honestly, now that things are clearing up, I finally realize just how much that cataract was messing with my life. It’s like someone finally cleaned a dirty window—I had no idea it was that bad until it was gone.

For now, I’m functioning perfectly fine this way, and I’ll just play it by ear regarding what steps I might take down the road.

Anyway, take care, man—we'll talk soon. Definitely hit me up after your final check-up to let me know how everything went!

@Benjamin Rivera4
@Steven Stewart5

I suppose I should ask what exactly about my previous post bothered you, or rather, where you find yourself disagreeing?
In my experience, contact lenses serve as a perfectly fine way to correct myopia—which, if we are being precise, is an issue of optical error rather than a direct result of cataracts.

One doesn't simply rush into cataract surgery the moment they notice a change.
Since cataracts involve clouding the lens, there are instances where that clouding isn't even located on the visual axis.😉
Furthermore, every surgical procedure carries its own inherent risks. I mean, why undergo surgery for a cataract if your vision is still at 70 or 80 percent?

A private clinic will likely push you toward cataract surgery at that level of vision, mostly because they want to line their pockets.

Angela Foster43 said:@Benjamin Rivera4
@Steven Stewart5

I suppose I should ask what exactly about my previous post bothered you, or rather, where you find yourself disagreeing?
In my experience, contact lenses serve as a perfectly fine way to correct myopia—which, if we are being precise, is an issue of optical error rather than a direct result of cataracts.

One doesn't simply rush into cataract surgery the moment they notice a change.
Since cataracts involve clouding the lens, there are instances where that clouding isn't even located on the visual axis.😉
Furthermore, every surgical procedure carries its own inherent risks. I mean, why undergo surgery for a cataract if your vision is still at 70 or 80 percent?

A private clinic will likely push you toward cataract surgery at that level of vision, mostly because they want to line their pockets.

?
Nothing rubbed me the wrong way, really—I was just pointing out what I felt was inaccurate and offering my own perspective. Honestly, I thought the tone of my post was perfectly fine; I wasn't trying to be aggressive at all.

My point was simply that once cataracts start progressing, contact lenses can't fix them. And yeah, once those cataracts get moving, they aren't exactly known for stopping—they just keep getting "stronger," which usually leads to needing surgical intervention pretty quickly after a diagnosis.

There is absolutely no reason for anyone to feel like I was "attacking" them.

I can’t quite recall where I claimed that contact lenses could actually solve a problem with vision issues like myopia.

Sent from my iPhone 13 using Reddit

Angela Foster43 said:I can’t quite recall where I claimed that contact lenses could actually solve a problem with vision issues like myopia.

Sent from my iPhone 13 using Reddit

Right here...

Angela Foster43 said:Generally speaking, provided there aren't any complications, an intraocular lens is placed in the posterior chamber.

It is also possible to place an intraocular lens in the posterior chamber alongside the natural lens—I believe companies like Alcon perform this—but one has to be careful that the lens and the implant don't touch, otherwise you risk developing cataracts.
They have specialized equipment to measure that specific gap between the lenses.

Ultimately, contact lenses remain a perfectly fine solution, so once cataracts eventually show up, that myopia can simply be corrected by adjusting the lens strength.

And my response to that was...

Once cataracts begin to develop, it shows up as an increase in your prescription, and for a little while, you might find relief just by using stronger lenses or glasses. But once those cataracts really progress, they distort the way Light bends so much that simply cranking up the prescription in your optical aids won't help anymore.

So, what's the actual issue here?

I would kindly ask you to re-examine my previous statement.

The idea is that contact lenses serve as an excellent solution; once a cataract develops, one simply calculates the necessary lens parameters—based on the current state—to adjust the new implant accordingly
so that the myopia is effectively neutralized.

So, I had surgery to fix my detached retina about two months ago, and ever since then, I’ve been dealing with this constant inflammation in my eye. Because of that, I’m pretty much holding off on getting the second eye done for now. I was wondering if Mirko could weigh in on how he handled the massive difference in prescription after his own procedure? Right now, one eye is sitting at -6 while the operated one is at -1.

I’m looking for someone with some actual experience to help me out with a few questions. My husband has been dealing with this specific issue with a yellow spot in his eye—he tried getting it sorted out at Light without any luck, and even after seeing Dr. Vativuk, he was eventually referred over to Indianapolis to see Dr. Balog, who apparently has the only laser in the US capable of treating this particular condition.
My mom is in a similar boat—she's 80—and she actually ended up seeing that same doctor for a cataract consultation, even though she already had an appointment scheduled at Vineyard Hospital. She ended up skipping the whole four-day hospital stay thing.
So, basically, she has a much more pronounced cataract in one eye, and her prescription is sitting at -6 and +3 in both eyes. The plan is to just operate on the one eye.
My big question is about how things work with such different prescriptions once the surgery is done. If the minus correction in one eye disappears, how is her distance vision going to behave when she's wearing standard corrective lenses? And what happens with that +6 diopter situation—will that reduction happen too?!
I’ve spent way too much time scrolling through endless pages of info about the iPhone 13—well, I mean, the IOLs—and I know there are tons of different types and manufacturers out there. The doctor recommended acrylate IOLs for my mom.
I'm honestly feeling pretty overwhelmed and confused by all this. Any help would be hugely appreciated. Thanks in advance, everyone.

Thanks in advance to everyone for jumping in to help—I think I mentioned the prescription numbers in my last post, but just to be clear,
my mom’s actual numbers are -3 for distance and +6 for reading/near vision.
One eye has a more significant cataract, while the other one is a bit milder.
She’s scheduled to have surgery on December 22nd for the eye with the heavier cataract.
Sorry if I’m not using all the right medical terms or sounding super professional here; I’m honestly pretty lost when it comes to all this stuff.

Benjamin Rivera4 said:Not much to report yet...

So, here’s the update: my operated eye is sitting at -1.5, and my near vision is actually fantastic. As for the other eye, I’m sticking with my contact lens like usual, and my distance vision is looking solid. Honestly, now that things are clearing up, I finally realize just how much that cataract was messing with my life. It’s like someone finally cleaned a dirty window—I had no idea it was that bad until it was gone.

For now, I’m functioning perfectly fine this way, and I’ll just play it by ear regarding what steps I might take down the road.

Anyway, take care, man—we'll talk soon. Definitely hit me up after your final check-up to let me know how everything went!

Hey friend, just wanted to give you an update. Had my follow-up today, 40 days post-op. Everything has healed up beautifully—no signs of infection at all. I noticed this young lady over there is having some issues with it, so I really hope she gets it sorted out soon. Dr. Kaluz did a flawless job, and I'm incredibly grateful to him and the entire team at Madison Square Garden. My prescription is sitting at -0.025. Can you even believe how precisely he hit the mark? ABSOLUTE perfection.

shadowpilot59 said:Thanks in advance to everyone for jumping in to help—I think I mentioned the prescription numbers in my last post, but just to be clear,
my mom’s actual numbers are -3 for distance and +6 for reading/near vision.
One eye has a more significant cataract, while the other one is a bit milder.
She’s scheduled to have surgery on December 22nd for the eye with the heavier cataract.
Sorry if I’m not using all the right medical terms or sounding super professional here; I’m honestly pretty lost when it comes to all this stuff.

Just a quick disclaimer because I'm definitely not a doctor and might be getting this wrong. My guess is that the surgeon will address both the cataracts and the nearsightedness at once. If that's the case, she should see clearly at most distances, though she’ll likely still need reading glasses for that age-related presbyopia... We had our procedure done in about three hours and headed straight home. Since she's older, maybe they're just being cautious regarding potential complications. That's just my two cents, though—again, I'm no expert...

This applies to monofocal lenses, though I'm not particularly familiar with acrylate ones. There are different rules for those...

I’m still dealing with some real headaches regarding my eye surgery. The inflammation finally settled down, but then these flashes and floaters started popping up out of nowhere, clouding everything. It got to the point where they actually had to go in and clear the lens with a YAG laser. Sadly, I'm still seeing those wandering spots and that Weiss ring—it's incredibly distracting. So far, it doesn't look like the retina is detaching, thank God. I think I'll have to head to a private clinic, though; if you try to wait for a procedure at a public hospital, you might actually die in the waiting room.
Hey, Mike, did you ever end up using a soft contact lens on your non-operated eye since glasses weren't quite an option? They gave me some temporary glasses, but the prescription for the non-operated eye is way lower.

I’m really not sure what kind of treatment Mike is looking into... He’ll probably reach out soon. I was wondering, though—what kind of therapy did you all go through, and which hospital handled your surgery?

I had my surgery done over at the Mayo Clinic, and they used the MA60AC model from Albuquerque.

Those kinds of glare issues usually crop up with people who went with multifocal lenses, but looking at your chart, yours are monofocal... I'm honestly not sure where the complication is coming from...