Yag laser did not remove cloudy vision after IOL implants

Thanks for your input Steve, I intend going back to my GP next week to discuss this with him. The thing is I got the op done 7 years ago and I was so happy with the benefit of great vision without glasses or contact lenses until a few months ago.  I'm kind of worried that the cloudy vision is being caused by some undiagnosed health issue.

Hi Sue, thank you for going to the trouble of engaging with me. Unfortunately, I don't know what type of IOL was used as I got it done 7 years ago and have moved house since so it's unlikely I will find the card with description anytime soon.  I was really happy with it until a few months ago when this cloudy vision came on. Also, my vision is really good in both eyes but it's just the "milky" intrusion that's annoying. I will go to my GP again next week and discuss this with him. I will keep this post informed, thanks again.

That is too bad you don’t know the type of lens - wonder if whoever did your surgeries 7 years ago would have it.

It is due to the fact bit was some time ago I am suggesting it could be the lens gradually turned opaque.  It needs to be examined under a slit lamp by opthamologist to determine that.  But it is one explanation of why your vision could turned hazy after 7 years.   The material in some lenses years ago did have that issue - more so the B&L lenses.   Google lens opacification for more info if interested.  I can’t include links here on the forum.  An opaque lens can be misdiagnosed as PCO.

Really hope you find someone that is able to help.

The Specialist I saw 2 days ago said exactly as you just mentioned about the older lenses they used. He was baffled to see this issue with the type of lens I have now. My problem is that he nodded no when I asked him about replacing the lens. The operation was carried out by a surgeon through optical express, I will find out from then what type of lens they used but I get the impression that the Specialist I saw 2 days ago knew exactly the lens that was used

Is there another specialist you could see for independent opinion vs where you had the cataract surgeries?  Maybe even national health could take a look.  Sometimes seeking 2nd opinion from same clinic is hard as one doc won’t want to undermine another doc in practice.

Really hoping you find your answers.  Must be so frustrating.  If you did have PCO the YAG would have cleared it up so there must be another explanation - it’s finding someone to property diagnose.  

Oh dear, didn't hear of lawsuits. The problem has been exasperated I feel by the specialist doing yag on it. I read that re implantation is more risky after yag was used. I think that's the part that freaks me out the most - my options being narrowed further. The specialists I saw are totally independent from optical express. Have you any info on the difficulty of re implantation after yag? Thank you so much for your advice. By the way, I'm in the Republic of Ireland.

I have heard lens exchange is more difficult after YAG however first step is to find out why your vision isn’t clear.   It may or may not be the lens.

I am early months after my cataract surgeries - although PCO can happen even within a matter of weeks.  

I wonder if your regular optometrist would be of any help.  

I agree....I'd love to go to Canada also, lol.

Just googled the lawsuit business and it seems there is trouble with the MPLUS lenses and that name is very familiar to me. I'm pretty sure they are the ones they used.

As you say it's important to find out that it's the lenses are causing the issue.

I will go to my GP next week and pursue....thanks for your opinions and advice, communication is the key for sure. I will let you know how I get on.

Thanks a million!!

Yes that’s the name of the lenses involved in lawsuit.  Might be reason no doc wants to mention it.  May not be the lenses in your eyes but I would think you have a right to see your file and find out which lenses were used.

Do wish you all the best - let’s know how things progress.

Just a tip if ever you do come to Canada - unless you like to ski or snowboard come in the summer.  It is a huge country and very different from province to province.

Wishing you the very best also!!

Good morning Brinuk,

Thank you for connecting with me!! I am so sorry to hear that both of your eyes are affected.

I got my lenses implanted via Optical Express at the Clane Hospital in Co. Kildare in October 2011 and up to last September I recommended the procedure to everyone who enquired about it as everything was great up to then. I was in my sister's kitchen and said to her that there was something smoking, she insisted there wasn't. I was puzzled, when I closed one eye there was smoke and when I closed the other there wasn't any.

Not for one second did I suspect the lens and thought it must be an infection of some sort. I monitored it for about two weeks in different situations and decided to go to my GP and since then I'm being referred from one Specialist to the other. My last visit was to Optical Express and to make a long story short they don't have any interest in me, they tried to tell me that I have a neuro problem. During  my last phone call I was told by one of the employees to go back to the Specialist who did the yag. I thought, "how about that for lifetime aftercare", one of their big selling points that encouraged me to proceed.  I continued to call OE for some time and that same employee said to me in the last phone call that she would contact Clinical Services and of course I've heard nothing since.

My GP has now referred me to who he considers the best in the country and I'm awaiting for this appointment in the hope that he can explant the lens. By the way, I've got this cloudy vision in one eye, did the two of yours act up at the same time or was there a time lapse? In truth, I worry a lot that this will happen to the second eye. 

I have the Oculentis Mplus mf30 in both eyes. What baffles me is that my research shows that this late opacification is generally within two years of implantation and mine occurred within six years of the procedure. I work in a Library so have access to all this stuff. May I ask how long after did yours appear?

I also have the problem of not being able to locate the lens identity cards as I read in the 2014 Oculentis Field Safety notice that there were problems with just specific serial numbers.

Apologies for all the questions but have you found someone who will risk changing them for you? Again, I have learned that this is risky and one could be worse off. 

Please don't hesitate to ask me anything.

I obtain my lens serial numbers from the surgeon that did the implants. I unfortunately had YAG laser treatment on my left eye as the cloudiness was initially diagnosed as posterior capsule opacification, a common problem after cateract surgery.

I returned to the surgeon and he found that the Mplus lenses were becoming cloudy. He offered an explant but recommend that I consider this very carefully because following YAG laser the posterior capsule of the eye is no longer intact and the operation is fraught with difficulties. With a high chance of going from 60% vision to 10% was how he put it.

As you are aware Oculentis have a history of Mplus IOLs becoming cloudy and have issued withdrawal instructions in the past.

I wrote to Oculentis and after an initial request from them for the serial numbers, which I supplied, I have heard nothing further inspire of sending them letters and emails.

I am now looking for a solicitor to take up the case for compensation for me.

I have seen a few post here on the forums about successful lens replacement do you might want to start a new thread in the forum asking for feedback from those who’ve had it done.

Hoping you haven’t had a YAG done as that makes lens replacement riskier.  

Again so sorry - this must be a very stressful time for you and one I hope had a happy ending to it.

Wish you all the best.

I remember you and thank you so much for your concern. Yes, it's stressful as I suppose I worry a lot about the other eye. I regret to say Yag was carried out which increases the risk further. It was only when the Eye specialist finished the yag, he said "that didn't work, that's strange". As I said in a previous post I'm waiting for an appointment with a top Specialist in the Mater Private in Dublin, my GP seems to think if he can't help me, nobody else will. Fingers crossed but the prospect of losing my sight is beyond scary. I will keep you posted and it's really kind of you to communicate with me. 

So sorry to hear this story.  

Oh I'm so sorry for your trouble, how awful.....what period of time lapsed before the second eye start to opacify? I have to say I get palpitations in fear of losing my sight. Can you read small print? I can which is surprising. 

Oculentis are only PR focussed so because their field safety notices suggest that they are genuinely interested in the patient,obviously not so if that's how they treated you. Do you mind me asking was it the mf30 you got implanted?

Yes, I have read that Oculentis have released a few field safety notices, one as late as December 2017. Isn't it strange that we both got such late opacification?

Unfortunately, yag was carried out on my left eye and I am aware that this certainly doesn't make things easier. As I said on another post my GP has referred me to who he believes is the best Eye specialist in the country, I am  waiting for that appointment. I will keep you posted on any developments on my side. 

Also, I have sought legal advice, there is no way I'm going to let Optical Express get away with not caring about me particularly when they promised the sun, moon and stars to pull me in first day. 

As I said Sue, I'll wait to see this top guy in Dublin and see then. I have contacted a solicitor who is looking into this for me as I am disgusted with OE, they ran for the hills, they didn't want to know only told me to go back to my Eye Specialist.

No doubt I'll keep you posted, communication is the key and thanks again for your support.

Makes one think the surgeon should be aware of the lensrs that are affected and should check to see which lens you have before proceeding with a YAG.  

I will pray for a positive outcome to this.  

With YAG such a common procedure you’d hope someone will come up with a lens that can be used whether or not a YAG has been done.  

Best wishes to you - keep us all updated as I am sure this information will be invaluable to others.

http://michaellewin.co.uk/serious-concerns-raised-safety-mplus-x-lenses

you might find this helpful, let me know if you get the link

they treated me like an assembly line.

doctor did NOT discuss option of a choice of lens.

i would have paid more for a choice.

they did not tell me type of lens.

i truly will pray for God to guide you.

hi, hope you are well?

did you get the lenses explanted?

if so are you happy with outcome?

Hi

I have Similar Problem, Had Multifocal IOL fitted 4 months ago but within days of the operation my sight was Blurred , my vision did not improve.

I had two 2nd opinions from Eye Surgeons that said it was PCO.

I had PCO Yag Laser Treatment on left eye only, to be told afterwards

it was not PCO. I have now had many more opinions and none of them know what the problem is with the IOL'S

Some £2000 now out of pocket still no Explanation for my problem

That's very unfortunate. With implications of YAG making it far more difficult to have a lens exchange you'd think there were be more examination of the issue to ensure there is pco.

Just a thought perhaps there is a haptic outside the bag or IOL at an angle? Is your vision blurry at all distances? Do lines also appear curvy?