Laser vs. traditional surgery
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My Mom has extremely bad cataracts. The laser costs 1400- per eye(not covered by Medicare). The doctor said on a scale of 1-5(5 being the worst) my Mom's are almost a 5. We were leaning toward traditional but since they are so bad he really thinks the laser is the best way to remove them for a good result. I had taken her to a different doctor several months ago but he was just too pushy and seemed all about only making the extra money for the laser so I took her to someone else who I was told would not push the laser which he did not but strongly recommended it for a good result. I only care about doing the best thing for my Mom(she is 81). I would love some input and opinions on this topic. He also was going to do the second eye 12 days later. Is this ok?
0 likes, 11 replies
Sue.An Shae280
Posted
Hi sorry to hear your troubles in finding sound reasonable advice from a surgeon.
If you do a google search you'll see there is plenty of controversy whether laser assisted surgery adds anything more than additional expense vs traditional surgery. I just had traditional surgery with one eye done in July and the other eye last month. Outcome is fine and I am pleased with results.
When you say on a scale of 1 to 5 what exactly makes your mom's a 5?
I don't see many cases where laser would be any more beneficial unless perhaps the patient is getting a premium lens of some kind—toric, multifocal or accommodating. Although I got a premium lens and still had traditional cataract surgery (in Canada since it is covered by healthcare the majority of these are done using traditional method. Most surgeons don’t use femtosecond laser for a standard procedure which is likely what your mom would be needing unless there is a specific issue with her eyes.
Are there any surgeons you can take her to that would stick with what is covered by insurance?
In regards to surgery 12 days apart that would be fine as long as there are no complications with first eye. A lot of places here in Canada do the surgeries a month a part that way they can adjustments if needed.
Shae280 Sue.An
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Sue.An Shae280
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Hoping a few others will offer some opinions.
Is your mom an active 81 year old or now living with you or in assisted living?
I have tried searching on the internet but really can't find evidence that laser assisted cataract surgery would result in a better outcome.
Shae280 Sue.An
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Sue.An Shae280
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Wish you all the best. Yes likely not good to delay surgery any further. I am guessing it had been put off too long and reason for dense cataracts?
I am sure she'll be pleased with the outcome whether laser or traditional. My only piece of advice is to ensure the surgeon has done lots of these surgeries. You can have the best IOL or equipment but if the surgeon hasn't the expertise then neither will be of much help.
Good luck and again hoping others will weigh in with their opinions.
rose39842 Shae280
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i chosed lazer because my thick cataract need to be broken down quickly, and it may be easy on my eye. May be in conventional method the doctor need to spend more time to scarp and clean the hardend cataract and it could be hard on the eye. I have booked the 2end eye also for lazer surgery. My eyes are the most presious thing for me to live rest of my life, though I am not young. Though cost is biting my hand I chosed it.
Shae280 rose39842
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rose39842 Shae280
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Shae280 rose39842
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at201 Shae280
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At least in our area (Seattle), some cataract surgeons (including my surgeon) use a Laser System for cataract surgery because they feel that "it provides a safer, gentler, and highly customizable procedure," and do not charge ANY ADDITIONAL COST beyond that of a traditional cataract surgery. That is true for all lenses, whether these are premium or not. It is strictly a preference of the surgeon. Medicare does not pay for any additional cost for laser surgery because there should not be any charge for that. Your surgeon is just trying to make extra money for something which should be part of the basic cataract surgery.
Shae280 at201
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