Re: Which IOL Is Best For Me?



We have a detailed article about Refractive Lens Exchange (RLE, aka
CLE) at http://www.usaeyes.org/lasik/faq/lasik-cle-iol-rle.htm that
you may find helpful. I'll add a few observations.

Myopia (nearsighted, shortsighted) vision is a risk factor for retinal
detachment because the eye is elongated and this will stretch the
retina. If your eye is more than 12.00 diopters myopic, then you are
undoubtedly at an elevated risk for retinal detachment. RLE is
relatively traumatic to the retina, even with today's advancements.
You absolutely should be evaluated by a retina specialist before
having elective surgery and discuss with that specialist retina issues
regarding RLE.

Before opting for a multifocal intraocular lens (IOL) implant, try a
multifocal contact lens. This will give you a simulation of the
effect.

Before opting for monovision, try it with contact lenses (although it
sounds like that is what you are doing now). Be sure to comprehend the
reality of monovision rather than the concept. We have a detailed
article about monovision surgery at
http://www.usaeyes.org/lasik/faq/lasik-monovision.htm

If considering a multifocal lens, understand your vision needs well.
The ReSTOR IOL puts more emphasis on near and distance vision at the
expense of mid-distance vision. The ReZoom more evenly distributes its
multifocal properties, but this can provide a general reduction in
vision quality. I recently made a detailed posting about this issue
that you can read at http://tinyurl.com/oenlr

Choose carefully based upon your needs, and be sure your surgeon has
extensive practical knowledge with both types of multifocal IOLs.

It sounds like you are wearing your contacts 24/7. Even if the
contacts are rated for this, giving your eyes a rest at night and even
wearing glasses on occasion may be enough of a respite that the
irritation you are suffering may be resolved. I'm sure the
optometrists who frequent this newsgroup will have ideas on that
issue.

Glenn Hagele
Executive Director
USAEyes.org
Patient Advocacy Surgeon Certification

"Consider and Choose With Confidence"

Email to glenn dot hagele at usaeyes dot org

http://www.USAEyes.org
http://www.ComplicatedEyes.org

I am not a doctor.
.



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