Sunday, December 30, 2012

In lieu of bifocal lenses my surgeon suggests one of each in cataract surgery will this work?

Q. I am 74 years old and have worn bifocal glasses for 36 years, I have cataracts in both eyes and am having surgery. I do not wish to spend $6000 for the bifocal lenses so the surgeon strongly recommends putting a distance lens in one eye and a reading lens in the other. I worry it won't work and once it is done, it is done. Has anyone had this done and how did it work?

A. I've met many who have had that done, and every one of them I have met, regret it. Either with implants after cataract surgery or with Lasik surgery which many laser clinics also push as a solution.

Not everyone can get used to that to begin with , and even those who can , still find that night driving is a nightmare after because they have lost depth perception.

Using just one eye for reading is also tiring much faster than when both are used.

There is much more pleasure in having good distance vision in both , and using reading glasses for near.

That is the same process we often try on people in their 40's called Monovision , with contacts lenses. Only about 40% are successful with it, during daylight hours but the vast majority of that 40% also find they can't wear the lenses like that ( one for near, one for distance) comfortably at night.

It must work for some people, but being irrreversable, personally, I wouldn't take the chance. With monovision in contacts, they just stop wearing them like that if it doesn't work.

Good luck with your choice. I have given you my experience with probably 50 or 60 patients over the last couple of years.


is it possible to recover your eye vision instead of wearing contacts and glasses?
Q. is it possible to recover your eye vision through eye exercise?

A. I just had lasik eye surgery on both of my eyes, and it's the best thing I ever did. I am 60+ years of age and had worn glasses for over 50 years. It is not that expensive, and many lasik eye centers will let you pay over a period of time. Best thing I ever did for myself!!


Are you put to sleep during lasik eye surgery?
Q. I don't see how because how would they do the surgery if your eyes are closed but I don't think I could just sit there and watch them cut my eye... I don't know.
I'm really nervous.

A. During Surgery. The surgery should take less than 30 minutes. You will lie on your back on an incline bed in an operating theatre containing the laser system. The laser system includes a large machine with a microscope attached to it and a computer screen.

A numbing drop will be placed in your eye, the area around your eye will be cleaned, and an instrument called a lid speculum will be used to hold your eyelids open. A ring will be placed on your eye and very high pressures will be applied to create suction to the cornea. Your vision will dim while the suction ring is on and you may feel the pressure and experience some discomfort during this part of the procedure. The microkeratome, a cutting instrument, is attached to the suction ring. Your doctor will use the blade of the microkeratome to cut a flap in your cornea.

The microkeratome and the suction ring are then removed. You will be able to see, but you will experience fluctuating degrees of blurred vision during the rest of the procedure. The doctor will then lift the flap and fold it back on its hinge, and dry the exposed tissue.

The laser will be positioned over your eye and you will be asked to stare at a light. This is not the laser used to remove tissue from the cornea. This light is to help you keep your eye fixed on one spot once the laser comes on. NOTE: If you cannot stare at a fixed object for at least 60 seconds, you may not be a good candidate for this surgery.

When your eye is in the correct position, your doctor will start the laser. At this point in the surgery, you may become aware of new sounds and smells. The pulse of the laser makes a ticking sound. As the laser removes corneal tissue, some people have reported a smell similar to burning hair. A computer controls the amount of laser energy delivered to your eye. Before the start of surgery, your doctor will have programmed the computer to vaporize a particular amount of tissue based on the measurements taken at your initial evaluation. After the pulses of laser energy vaporize the corneal tissue, the flap is put back into position.

A shield will be placed over your eye at the end of the procedure as protection because no stitches are used to hold the flap in place. It is important for you to wear this shield to prevent you from rubbing your eyes and putting pressure on your eyes while you sleep, and to protect your eye from accidentally being hit or poked until the flap has healed.


What causes these spots and floaters in my eyes?
Q. I have for a long time now had floaters all of a sudden now I have started to get like a streak or flash/black dots in front of my left eye. I have great eye sight and don't suffer from any illness. I am a 60 year old male.

A. Floaters in the eye are due to the natural aging process of the eye.

If floaters persist and symptoms are worrying, it is advisable to have a thorough eye examination. Generally, if the number of floaters in the eye have increased or worsened, you should have it diagnosed and treated as quickly as possible. In most cases, floaters do not require treatment because eventually they do disappear.

When floaters appear in your line of vision, you should try to move your eye around or try looking up or down to move the floaters. There are no medications available to treat floaters. However, if floaters occur as a result of inflammatory eye disease, certain medications may be prescribed to treat the inflammation.

In more severe cases, surgery may be needed to remove floaters and prevent blindness. Surgical options include procedures such as vitrectomy and laser eye treatments like conventional LASIK are performed. Vitrectomy helps to remove scar tissue, clear blood and debris from the eye while LASIK corrects visual impairment.

Natural and holistic treatments for eye floaters that use herbal and homeopathic remedies are gentle without the harmful effects of conventional medicine.

Many treatments for eye floaters feature herbs such Vaccinium myrtillus (bilberry) which improve the circulation in the blood vessels of the eye and also help to facilitate delivery of essential oxygen and nutrients. Aspalathus linearis (Rooibos) can be used as an effective all round tonic and restorative, with additional benefits of maintaining digestive health and liver functioning. Sutherlandia frutescens has excellent adaptogenic properties as well anti-oxidant effects.

Remember to always ensure your natural remedies are sourced from reputable companies for maximum safety, therapeutic dosage and effectiveness.

You may get detailed info on the above here http://www.healthherbsandnutrition.com/products/vizuallplus.htm and http://www.botanical.com/botanical/mgmh/b/bilber37.htm





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