S.Safran

what kind of risks did he say are associated with the exchange?

what kind of lens did he recommend for the exchange?

for dysphotopsia bausch n lomb sofport. but he said use pilocarpine for one year to permanently reduce pupil size instead of exchange. he was also open to exchange to multifocal if i so wished. pan optix had not released then. he thought then that symfony plus would be out first.

it is cautionary. i have not had the procedure myself so cannot really talk about my experience. deb's exchange was fine. but she had retina swelling she was waiting to subside before getting capsulotomy. and the eye that was yagged twice by safran had iol pitting. i am not sure if it was impactful or not - the pitting.

"it is cautionary" - I still don't understand you properly. Does it mean that he performed like a dodger or braggart?

If she had retina swelling and pitting due to xchange how we could consider her procedure successful?

"If she had retina swelling and pitting due to xchange how we could consider her procedure successful?" -- coz pitting is not part of exchange process. it happens during YAG. i don't remember what caused the swelling.

i havent had him perform a procedure. exchange is a high risk procedure. complex cases are sent to him by opthalmologists across the country. he was recommended by top surgeons at University of Iowa. (#6 in US).

if i had to do an exchange i would strongly consider him.

So, what was "cautionary" then?

I think soks has given you good advice. I read it as if you really want to go ahead with an exchange this doctor may be one of the most skilled at doing it. However, you need to still consider that this is a high risk procedure and you need to get advice from others, and at the end of the day make your own decision. To some degree when you choose a doctor you implicitly choose your treatment. If you go to a surgeon they will likely use a knife for the cure. If you go to a GP then they are more likely to prescribe a medication. Kind of the same deal with IOLs. This guy is obviously a specialist in doing lens exchange, and most likely that will be the cure applied. You need to decide ahead of time if that is the cure you want, and are willing to accept the risks.

The same thing happens with MF IOL's . A friend went to a surgeon that was partial to using MF lenses like the PanOptix. The surgeon I went to, said that he could not recommend those lenses as he would not be willing to put them in his own eyes. So, depending on which surgeon you go to, you have kind of predetermined what cure you are going to be prescribed.

you said it better than i could. when it comes to cataract surgery or any surgery for that matter volume is the key. so it would make sense to go with someone who does a lot of volume of that surgery and is skilled. that way he can avoid things that can go wrong and control damage if things indeed do go wrong. effectively optimizing your result.

Still no anwser what was cautionary during your visit.

i am selecting a soccer team. there is this player who says he can easily score 3 to 5 goals ever match. now without much history do i believe him or do i think he cannot back his claims. at that point i am cautionary about his selection.

'reassurance vs callousness' is cautionary.

it appears now that you want to start an argument which i am not interested in. so i will not post in this thread further. good luck on what you decide to do.