Equipment for measuring eye for cataract after having lasik

Posted , 7 users are following.

I saw a doctor for cataract surgery.  He said because I have had lasik about 15 years ago and have no records, there was a special piece of equipment that gave better measurements of the eye and recommended someone 1 hour 45 min away.  I am trying to find the name of the equipment so I can find someone closer.  Any ideas?  He is out of town for 3 weeks and I really don't want to wait that long.

0 likes, 41 replies

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  • Posted

    saraannmk

    I have had my eye measured by the following 7 equipments. 

    Barrett 

    HH/RBF

    Haiggis

    Holladay

    SRK/T 

    Hoffer Q

    and

    IOL Master

    I have not had lasik and I do plan to use ORA. 

  • Posted

    Hi saraannmk,  I would print out at201's reply to you. Read and highlight it; in fact all the points he mentioned are important to you and knowledge to many of us here.

    If your doctor (for cataract surgery) is recommending you another cataract surgeon, who is experienced and qualified, how sure you are that the one nearer to your home is a better choice?

    An equipment may be useful, but when it fails or gives contradicting signal during an operation, a skilled and experienced surgeon has to rely on his good judgement. To draw an analogy, when SFO shut down their ILS glide slope indicator, a pilot crashed a Boeing 777.  In this 3 weeks you can better prepare yourself .. rather than rushing in to it.  All the best.

  • Posted

    Andi77 I’m curious what was your prescription before surgery. Did you need reading glasses before monofocal iol, do you have one eye set for distance, and the other set for near vision? 

    I ask because there are people who just can not adjust to monovision 

    • Posted

      Yes after I had Lasik at around age 42 I needed reading glasses. Now I need reading glasses less than after I had Lasik done (right now I don't really need them at all basically). I was pretty nearsighted before Lasik (since 9 years old) and possibly would never have needing reading glasses if I hadn't gotten Lasik.

      I have both eyes set for distance with no monovision, not even mini-monovision. As a matter of fact I can see slightly better at all distances out of the first eye I had cataract surgery on with the second eye closed, but the reading difference is the most noticeable (I have slight irregular astigmatism in the second eye, caused by Lasik, another reason I think people shouldn't have Lasik or any other refractive surgery and I went to a very well known doctor and paid a lot of money). 

    • Posted

      And I did a lot of research and found out the result I got is not at all unusual, without having any monovision.
    • Posted

      And irregular astigmatism can't be corrected with glasses or contact lenses. At least mine is very minor unlike some other people who have it worse.

    • Posted

      And my distance vision is 20/20 in the first eye and 20/25 in the second eye (the one with the irregular astigmatism).
    • Posted

      And when I said I found research that showed my results are not unusual, I meant in people who never had Lasik or other refractive surgery, not in people who did have Lasik or other refractive surgery.
    • Posted

      And you can get irregular astigmatism after PRK also, whether it's done before or after cataract surgery.

    • Posted

      Thank you andi77 for sharing. Sorry to hear that your second eye has slight irregular astigmatism after Lasik. I have heard of Lasik patient who later developed Keratoconus due to weakened cornea, but was receiving treatment because his Lasik surgery comes with a life time warranty.

      I am seeing the trend today that Lasik surgeons are doing more PRK procedure.

    • Posted

      What that is is post-Lasik ectasia, not keratoconus and the only way to treat post-Lasik ectasia is with scleral lenses, unless it's progressing and then possibly crosslinking can stop it from progressing, but it can't cure it and it has major risks. I know plenty of people with serious complications who didn't have Lasik, but who had LASEK, PRK, SMILE and all the other fancy names they use for refractive surgery today, so having those surgeries isn't any less risky.

    • Posted

      And anyway the main point I was trying to make is even with my mild irregular astigmatism and having had Lasik, I still hardly ever need glasses with non-toric monofocals for distance (and I had no ORA), so many people without what I have should have at least the same outcome as I had if not better.
    • Posted

      And also people that get all the other surgeries like PRK, SMILE, LASEK, etc. are also at risk for developing ectasia.
    • Posted

      And ectasia can happen many years after the procedure, it doesn't always happen right away (for those who don't know, ectasia is loss of vision that can happen after refractive surgery and it can't be corrected with glasses or regular contact lenses, only scleral lenses if the person can be successfully fitted with them and they're usually extremely expensive), .

    • Posted

      Also I didn't even know I had irregular astigmatism until I got cataracts (also probably caused by the Lasik or at least brought on way earlier than it should have been because of it) and 2 eye doctors told me, because I had no symptoms. I still wouldn't do Lasik or other refractive surgery again though.

    • Posted

      Take care. At least make sure we keep fit, eat foods (including yolks and yams) healthy for our eyes. smile
    • Posted

      What was your prescription before lasik?  
    • Posted

      I don't remember, my vision was around 20/160 I think.

    • Posted

      I was at least moderately nearsighted. Why do you ask?
    • Posted

      And my first eye that was operated on that I can see slightly better at all distances (without glasses) has no astigmatism at all. Some people think it's astigmatism that makes me be able to see well at all distances, but I have no astigmatism in that eye.

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