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PCO as a remedy for PD vs. IOL exchange

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Hi,

is there any chance that a PCO can obscure the edge of an IOL so that it'll stop causing edge-glare Positive Dyshpotopsia? I have a massive PCO after 3 years. Since surgery I've been suffering very very much from PD (Tecnis monofocal).

I am very frustrated because I still consider IOL exchange, however, the PCO is so huge that I can barely see (used to be 25/20, now almoast nothing). Positive Dyshpotopsia is still present, but reduced a little bit. My eye is crying out for a YAG, but I keep postponing it due to PD.

So, I'm just wondering if there is a point where it's gonna be so much obscured, that everything will be covered. In that case creating a smaller hole in the visual axis seems theoretically possible.

Anyway, is there anyone here who has had his IOL exchanged in the presence of massive PCO / fibrosis?

Regards.

0 likes, 7 replies

7 Replies

  • soks
    soks ad12345

    Edited

    at 3 years. massive PCO like you describe. has not done anything to reduce edge glare. if at all anything the edge glare is present for longer duration with increase in PCO. i think this is because as PCO increases pupil expands to pass more light. i an also worried that after YAG the capsule fragments floating in the eye would be more opaque causing more issues. may i ask how old r u?

    i am going to exchange. i have asked the question repeatedly and i have been told that its not a big deal. just use more viscos....

    • ad12345
      ad12345 soks

      Edited

      I'm29.

      First of all, who told you exachange is not a big deal? Safran or someone else? I live in Europe and have been to a few ophthalmologists, some of them quite famous. All of them said it is extremly dengerous. Actually, I haven't met anyone here who said something else. Honestly, I'd go ahead if someone told me - let's do it. But couldn't find anyone. My PCO reduced PD a little bit. Keep in mind that regardless of an exchange, we gonna need YAG anyway...

    • soks
      soks ad12345

      Posted

      safran. and wong says risk profile is same as cataract surgery.

    • ad12345
      ad12345 soks

      Posted

      When are you going to have your IOL exchanged? Do you have the ZCB00 or Symphony?

    • ad12345
      ad12345 soks

      Posted

      I also found Brandon Ayres from Pennsylvania. I tried to reach him out by email, without success, but his YouTube video on exchanges looks very professional.

    • ad12345
      ad12345

      Posted

      soks, is it possible to get your email address?

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