WebMD Blogs
Icon

Eye On Vision

Considering LASIK? Diagnosed with glaucoma or cataracts?
Dr. Bill Lloyd shares advice and information on eye disorders and general eye care to help you see your best.

background

WebMD Health News

Wednesday, August 23, 2006

Use Your New Lens to Read the Fine Print
AddThis Social Bookmark Button

Options abound for those with above average amounts of nearsightedness (myopia) or farsightedness (hyperopia).

First, there are eyeglasses (remember them?)

Contact lenses: daily disposable, weekly disposable, daily care, extended wear, etc.

Refractive surgery: Radial keratotomy, PRK, AK, LASIK, LASEK

Adjustable explants: INTACS

Clear lens extraction with a calculated intraocular lens (IOL) substitution: Take a corrected 20/20 eye and with some luck make it, er, 20/20!

The newest treatment is IOL implantation without removing the natural lens. Think of it as a piggyback lens providing the missing refractive correction. Phakic is an adjective meaning 'the patient still has the natural lens in the eye' so these are called Phakic IOLs. This device can be placed either in front of the colored iris (photo) or between the iris and the natural lens. Careful! Any physical contact between the phakic IOL and the natural lens will lead to cataract formation (and MORE surgery!)


Delicate intraocular surgery is required in order to implant the phakic IOL. That means a trip to the operating room, sterile procedures, microinstrumentation, and a surgical incision. Sutures are required to close the incision. Anytime there is an incision there is always a risk of infection and postoperative astigmatism (excessive corneal curvature).


Phakic IOLs may be a good choice for selected patients. Today's models will not correct near vision so folks over 40 should expect to buy some bifocals afterwards. Hey myopes! Remember, even though your eye's optics may no longer need those minus lenses your eyeball is still myopic. That means the increased risk of developing peripheral retinal holes and (possible) retinal detachments persists. After phakic IOL implantation you will still need periodic exams of your stretched retina.

It's better that you know all of the proposed benefits and potential risks before deciding to have an elective intraocular surgical procedure. Make sure your surgeon answers all of your questions before giving your consent to any surgery.

Related Topics: Update on Contact Lens Eye Infection, WebMD Video: Focus on DSAEK Eye Surgery

Technorati Tags: , ,

Posted by: Dr. Lloyd at 1:48 AM

4 Comments:

Blogger bunnsone4 said...

I would like to know what the systems are if you were to swallow visine or have it put it in your drink. How does it effect your body; and if it does ...how?

2:13 AM  
Blogger bunnsone4 said...

Also it was put in nephews pop; and he says a friend of his did it and it made him sick.

2:16 AM  
Anonymous Anonymous said...

I am 48 years old and 3 of my aunts have (had) problems with
macular degeneration. (one was blind, one is nearly blind, one had some loss)

I have good near vision but 20/400 far vision.

If I have lasik, will it reduce or increase my chances for blindness MD?

1:21 PM  
Anonymous Anonymous said...

I was diagnosed with a hole in my retina and was wondering some options I may have for cureing it

11:01 PM  

Post a Comment

background