Equipment for measuring eye for cataract after having lasik

Nice that your surgeon included lasik enhancement. Can I ask what you were charged for such a procedure?  I had restor multifocal toric in one eye and restor multifocal in other eye. $1400 each. Lasik/PRK is being referred to Miami at an additional $1400 per eye ...yag is being suggested inbetween the two procedures as yag May interfer with vision after PRK or lasik according to dr. 

I had the lasik 15 years ago at about $2500 for both eyes.  Now I need cataract surgery but since I don't have my original measurements from before the lasik it is harder to fit the new lense.   There is some sort of special piece or equipment which gives better measurements.  I am trying to find the name of that

Even if I have to wear glasses after the cataract is removed, at least it won't be blurred from the cataract and should give me good vision  Right now the left eye is very blurry because of the cataract.

I paid about $2300 for Symfony Toric with laser enhancement for my right eye.  His current prices for Premium Lens with LASIK enhancement as needed (in addition to the non-toric monofocal lens typically paid by Medicare in USA) are $2199 for toric monofocal lenses and $2499 for non-toric or toric multifocal and Symfony lenses.

Actually, I am a little surprised by his prices because just the LASIK surgery by him is about $1700 and he has to pass on some extra money to the hospital for the premium lens.

Thanks for that info. At least I’m not feeling too ripped off. If I decide to go to referred lasik dr in Miami I was quoted $1400 for lasik enhancement. I may return to original company for lasik as it’s still the same dr doing the work. I’m sure he could use my history as an example 

It's the effect of this throat-cutting business here in the PNW.  For the same surgery offered back East, the cost is more in tune with say what eye-surgeons charge in the US EastCoast.

Halifax Eye Institute of Halifax, Nova Scotia is reportedly charging private patients $5000 [possibly both eyes?] for the surgery alone plus $280 per eye for the soft lens. Some other Ophthalmology clinics in Quebec are charging C$2500 per eye for the surgery alone, sans lenses.

Oops, sorry just realized you were referring to lasik surgery while I was giving examples of cataract surgery. Actually, lasik surgery in Vancouver can demand C$6000 (with a $500 discount for some not sure what is the criteria) using laser excimers not approved by FDA and not available in the US

Jantje32476

I lived in Quebec for many years.  My friend’s mother just had cataract surgery - Quebec of all the provinces covers the most services through Medicare.  Premium lenses are now covered there (just recent).  But it first must be determined if the reason for surgery is cataracts.  Medicare won’t cover this procedure just to off ones glasses etc.  So yes can believe that rate if for CLE

Is the Zeiss Lisa available in Canada?

Looking to verify.  We do have FineVision trifocals by B&L.  I am not seeing if the atLISA is available.  Still looking.

FINEvision (acronym: Far - Intermediate - NEar Vision) is the first trifocal diffractive lens, released by the company B.j. (Belgium) in 2010, ie 8 years ago.  Zeiss launched atLISA in 2012 April, ie 6 years ago.  Acrysoft IQ PanOptix trifocals, launched in 2016-01-26.   I have an inkling that the eye-surgeon ( who operated on us) has the latest one if not all.

Soks there may be some bigger clinics in Canada that have them as janje32476 suggests.  Might be worth calling directly.  These would be Vancouver or possibly Toronto.   US dollar is also high compared to Canada’s so that would give you a 33% discount right there!  

You might want to look into contrast sensitivity for trifocals - everything I have read seems to indicate there is less than Symfony or multifocal (2 focus lens) but right candidates for them consider trade-off of that worth it for them to have the clarity at near intermediate and far.  

And on another forum I'm on several people have had ORA and it didn't work.

Thanks for the info.  I don't think my insurance would pay for it anyway

Also, for the measurements before the actual surgery (ORA is used during surgery), I just had an A-Scan with regular standard equipment. I don't know the name of the equipment my doctor uses, but my entire surgery and all the scans and everything (including the non-toric monofocal IOLs) were paid for by my insurance company (except for any co-pays) and I don't have major medical insurance - I have an HMO. Everything altogether with eye drops, outpatient surgical center fees, IOLs and all cost me $375 an eye and now I pretty much never have to wear any glasses at all.

I would recommend though that you try to find another doctor who is more confident doing your surgery. The very first doctor I contacted who took my insurance told me it was no problem doing my post-Lasik cataract surgery without the records (they have special formulas online for doctors to figure out the IOL power for people who had refractive surgery without having the records), plus he's a 5 minute walk from my house and takes my insurance which doctors who have ORA and other things like that don't.

And I only mentioned how much I paid because I was quoted $5,400 for two Symfony IOLs where I could have ended up with the same outcome I have with monofocals, if not a worse outcome.

And that was $5,400 for the lenses alone. The whole thing would have been around $6,000 instead of $750.