How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Dan B. Your Own Question

Dr. Dan B.
Dr. Dan B., Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 3206
Experience:  Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
36528250
Type Your Eye Question Here...
Dr. Dan B. is online now
A new question is answered every 9 seconds

I recently had cataract surgery with a lens replacement in

Customer Question

I recently had cataract surgery with a lens replacement in my right eye. The lens was targeted to provide good distance vision (a Toric IOL astigmatism-correcting monofocal lens). However two months later I only have good vision at 1-3 feet.

I had a retinal deteachment several years ago, and there is a bit of scar tissue from that surgery. In response to the results my doctor said that apparently the algorithm that calculates the lens Rx didn't provide the correct information because of the retinal detachment.

I also need the same surgery for my left eye. Three are a couple of options here, but the best choice appears to be to choose a lens that corrects my left eye to match my right eye. After I expressed my displeasure with hold the results for the first eye my doctor said he would just take whatever the insurance paid, and only charge $395 for the lens (normally $1,200). A nurse friend said all this sounded "fishy". She asked if they used the correct lens; I believe the doctor mentioned that the correct lens was used in the follow-up exam.

Question 1 - Could there have been an error here?
Question 2 - Should I go ahead with surgery on the second eye, are do some more investigation into whether there was some kind of error made? I would like to do the surgery this year as I have met my insurance deductable.
Submitted: 2 years ago.
Category: Eye
Expert:  Dr. Dan B. replied 2 years ago.

Doctor DanB : Hello and thanks for your question. Are you available to chat?
Customer:

Yes.

Doctor DanB : Unfortunately, errors in calculation of the lens implant power do happen. Most of the time, approximately 90% of the time, the appropriate lens power is calculated such that the desired refractive state is reached. However, for numerous reasons such as an excessively long or excessively short eye, an eye that has had prior surgery or trauma, the measurements that are taken to determine the power of the lens implant sometimes are not as reliable as we would like. This sounds like what happened to you.
Customer:

Could the calculation really be off so much that I wind up with near vision instead of distance vision?

Doctor DanB : For your other eye, presumably it has not had surgery or does not have other abnormalities that would make lens implant calculation difficult, I would not expect a refractive surprise such as one that you had with the first eye. Knowing that, I think it would be okay to get the toric implant in the fellow eye. What your doctor has offered does not sound fishy, but sounds like it was offered with good intentions to show that he or she is trying to have your best interests at heart.
Doctor DanB : Unfortunately, yes, a miscalculation could result in clearer near vision than far vision.
Customer:

Knowing I had a prior retinal detachment, should the physician have used multiple devices or programs to take measurements in order to verify the individual results?

Doctor DanB : It is difficult to say from my end whether your surgeon should've use multiple means of measurements to calculate your lens implant. If, looking at the scans, there were abnormalities visible, that can and usually does prompt the surgeon to seek additional measurements to verify the first, but without looking at the scans and seeing a visible abnormality of the quality of the scans, I cannot say that he was wrong in not using additional measurement means.
Customer:

PS - I don't know that he didn't use multiple measurements. Also I'm not looking for grounds for a lawsuit, but I'm just trying to feel comfortable in making the decision to proceed with the second eye. I think this covers all my questions.Thanks again. XXXXX

Dr. Dan B., Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 3206
Experience: Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
Dr. Dan B. and other Eye Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
< Last | Next >
  • http://ww2.justanswer.com/uploads/DoctorDanB/2010-6-7_6228_just_answer_profile_picture_60_pixels.jpg Dr. Dan B.'s Avatar

    Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
  • http://ww2.justanswer.com/uploads/anupamadesai/2010-04-13_122313_Dr._A.S.Desai_new_photo.jpg Dr. A.S. Desai's Avatar

    Dr. A.S. Desai

    Ophthalmologist

    Satisfied Customers:

    1903
    MS Ophthalmology with 11 years of surgical expereince
  • http://ww2.justanswer.com/uploads/gsokoye/2009-10-28_181751_Dr._Stan.JPG Dr. Stan's Avatar

    Dr. Stan

    Ophthalmologist

    Satisfied Customers:

    895
    Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon
  • http://ww2.justanswer.com/uploads/eyemd/2009-04-07_180315_pic.jpg Dr. Stevens's Avatar

    Dr. Stevens

    Ophthalmologist

    Satisfied Customers:

    629
    Board Certified Ophthalmologist
  • http://ww2.justanswer.com/uploads/CO/CorneaDoc/2012-2-18_0390_photo6.64x64.jpg Dr. Susan's Avatar

    Dr. Susan

    Ophthalmologist

    Satisfied Customers:

    217
    Board Certified & Fellowship trained eye surgeon.
  • http://ww2.justanswer.com/uploads/neuph94/2009-10-11_164729_gif_pic.GIF Dr. JP's Avatar

    Dr. JP

    Ophthalmology, Oculoplastic Surgery

    Satisfied Customers:

    28
    Harvard Medical School, Massachussetts Eye and Ear
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjcufyksv/2012-3-13_44825_crop3.64x64.jpg Dr-Trace's Avatar

    Dr-Trace

    Board Certified Ophthalmologist

    Satisfied Customers:

    26
    Board Certified in General Ophthalmology
 
 
 
Chat Now With An Eye Doctor
Dr. Dan B.
Dr. Dan B.
Comprehensive Ophthalmologist
3197 Satisfied Customers
Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology