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Hi. My name is***** and I have two decades of ophthalmology experience. I'm online and happy to answer your question today.
I would go with the "plain" (monofocal) IOL. It has been around for decades and worked trouble free for millions of patients......
The mulitfocal IOLs also work well, but if you don't mind wearing a thin pair of glasses, why tempt the fates and mess with the fancy lens?
I concur, and my other eye has correction of -300 without a cataract so I would need glasses anyway. Due to the fact that I have a buckle and have had a whole bunch of srgon laser treatments in the past, am I at higher risk for a RD, or higher risk than the general population of any complication, or jsut regular risk??
At this point,so far out from you SB and retina surgery, I would say you are at the same risk as the general population....maybe even a bit less since your retina should be pretty well "welded" down in place :)
PS: I'm glad I've been of help before :)
Nice. My other eye had macula retinal bleeding (before the injections) so I had laser centrally which destroyed central vision to that eye. But this 'cataract eye' never had such. Would an injection of avastin or lucentis prophylactically still be worth the reward over risk, in your opinion?
You have been of MUCH help. My own virtual doc !!
So, do you recommend prophylactic injection ?
Are you talking antibiotics at the end of the surgery?
I have not yet met with catract surgeon, but I assume (bad word?) that antibiotics will be prescrivbed. I am referring to the antyi-VEGF injection
No. There are no oral antibiotic given after cataract surgery.
As far as the VEGF injection.....that is a very controversial issue in the ophthalmology world right now......
OK- I'll leave it to my trusted retina doc
That was exactly what I was in the middle of typing :)
We're old buddies by now
Since he knows you the best he is in the best position to advise you on this sticky issue.
Ah ! A Minnesota politician . I love it !!
I, personally, have nothing against using avastin, etc, in very selected cases....so, as you say, go with his recommendations.
Again (and maybe not the last time) I greatly thank you !!
Let me know how things go after your surgery
My pleasure. Have a good weekend.
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You too, my friend.
Follow Up. I saw retina doc today, who said that no VEGF injection is needed. He did say, however, that because of previous SB and CSR hx, that there is a greater chance of another RD for me than general pop and also inc chance of macula edema. He guessed that to be another 4 or 5 %. I have an appt with cataract surgeon in 3 weeks. And, of course, he left decision to me, but at 20/400 now and 20/200 before cataract 5 years ago, seems right way to go as cataract is progressing. Any thoughts on the inc risk of RD? Thanks for everything! [Reminder - other eye has no central vision but 20/200 distance due to laser post macula bleed in 2000]. .