Laser Eye Surgery/cataracts

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Question
Hi,
   I had lasik 10 years ago and did excellent.  Lately things have been cloudy.  I went for an enhancement and they said my vision is still excellent but I have cataracts probably caused from being on steroids a while back.  I can see clearly except at certain angles and it drives me crazy, like looking out a dirty window.
   Why can't I get them taken out right now instead of waiting.  They said come back next year and we will check to see if you need the surgery.  Why not now?

Answer
Dear Don,

Not sure why they said that, but my guess is that the cataracts are not mature.
However, yes, today the approach has changed from waiting to let it mature, to treat it when it starts bothering you in your day to day tasks.
Also, knowing that you had done LASIK with the intention of being free from glasses, you can look into multifocal lenses from Zeiss, as they achieve very good vision for all focusses, esp the Trifocal lenses. This of course, when you consider undergoing the procedure.
Cataract surgery is never an emergency, hence they may have asked you to wait as there is no immediate risk it is imposing in your eye.
However, a refractive surgeon (one who does LASIK) and also does cataract, would be an ideal surgeon for you.

The formula applied to insertion of lens post cataract is slightly different when you have undergone LASIK.

hence, an experienced LASIK + cataract surgeon is your ideal one.

Hope this helps,

If you were in India (Mumbai), would have been glad to help.

Best,
Anand Shroff
www.shroffeye.org
www.lasikindia.in

Laser Eye Surgery

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Dr Anand Shroff, MD, FICS

Expertise

I am happy to answer any questions on eye care. My expertise is in Laser Eye surgery (LASIK, Epi LASIK), Multifocal Implants, Cataract, Glaucoma and procedures for Corneal abnormalities like Keratoconus - Corneal Collagen Crosslinking C3R

Experience

OF LASIK, We are one of the first centres to use the wavefront guided LASIK or custom LASIK procedures and the only center in India using the most safest,accurate and fastest excimer laser in the world- 'The Wavelight Concerto, 500 Hz laser'. Doctors from various parts of the world train with me and few other experts in Germany each year on our wavefront procedures. Our centre is the first eye hospital to be awarded the highest certfication in healthcare- the Joint Commission International (JCI from USA) and is also the referral centre for our Wavelight Laser Technologies, Germany in India. We have treated patients from 89 countries and this list keeps growing as more and more patients are getting increasingly aware of the benefits of treatment with advanced technology in laser eye surgery.

Organizations
ASCRS [American Society of Cataract and Refractive Surgery]certified by USA- Joint Commission International

Publications
http://www.shroffeye.org

Education/Credentials
MD Ophthalmology and FICS [Fellow of the International College of Surgeons]

Awards and Honors
please see http://www.shroffeye.org and www.lasikindia.in

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