Hi! Thank you for your quick response. I'm in a bit of a crisis here! :-)
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Please tell me what you know about the Crystalens.
Yes, I understand the terms.
Crystalens is slightly different than the other lens on the market. It works on hinges which allows it to flex forward slightly to allow reading vision.
The other lens and concentric rings of different powers -- so called multifocal intraocular lenses.
Those are the ReStor and ReZoom type lenses.
I was not given the option of multifocal lenses... I was told I was not a candidate.
What was the reason given for you not be a candidate?
I actually don't remember. I put it out of my mind and concentrated on the other two options. Have you had patients who had the Crystalens?
I do not. The ReStor lens is more popular in the Texas area.
What were the two options given to you?
Is there a reason you do not offer this choice?
Crystalens or standard lens were my options
Expense for the most part.
The multifocal lens has it drawbacks with decreased contrast sensitivity. The Crystalens does have some limitations. It is gives you better vision up close than the standard lens.
The advantage of crystalens is that it does not have problems with halos since it is not a multifocal design.
If someone "young" like me (39) has a lens implant due to cataract surgery, lets say 20 years from now my vision worsens... is there a possibility of replacing the IOL for a new one? That's one problem I see with the Crystalens... it hasn't been around long enough to know its longevity.
It is very unlikely to have a lens removed in the future. Lenses implanted in the eye has been around for a very long time. Though the crystalens design is slightly different, it is similar enough to know that it should not need removal in the future.
Most often after cataract surgery, your vision may worsen again due to scarring behind the lens implant. This can be cleared up with a simple in office laser procedure. This can happen with any of the intraocular lens options.
By having cataract surgery, am I more likely to have a detached retina? I was told the crytalens may increase the chance of having this problem.
Cataract surgery does increase your risk of retinal detachment. The rates of retinal detachment would be the same as the other lenses.
I have to pay $5400 out of pocket for the Crystalens, but this also includes the laser touch-ups you mentioned and the Astigmatism surgery which I need in order to hopefully be without glasses or contacts after surgery.
Yes, that sounds about right.
If it weren't for the costs... would you recommend the Crystalens to your patients who were candidate? And what would make someone a good candidate?
It is a matter of managing expectations. No lens can mimic the natural lens before you developed a cataract. These lenses give a greater range than the standard monofocal lenses. There may be times you may still need reading glasses, especially for fine print.
If you understand the goal is the reduce your dependence of glasses, but may not take it away completely, then you would be a good candidate.
Does the standard lens offer better acuity with distance than the Crystalens?
They would be about equal.
It sounds like I may have made the correct decision in choosing the Crytalens. I don't like the idea of having reading glasses if I can help it, and thought the Crystalens at least might give me that chance. With standard lenses I would immediately need reading glasses. I have copied that website you have given and will check it out.
Your other option to have both lenses focus up close for reading, but that would require glasses for distance/driving.
Yes. I have never seen far, but have always had my near vision. I hope to improve the far, but don't want to lose the near too. I have also always had very poor night vision. I am hoping to be able to see the stars! (I never have). I just want to do what is best for my eyes, regardless of cost.
Best wishes to you. :)
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