Consultation for Complex Cataract Surgery & Lens Implants-Vision Deterioration after Radial Keratotomy RK at Alabama Eye & Cataract Center in Birmingham, AL.
Complex Cataract Surgery Consultation
At Alabama Eye & Cataract Center, P.C., our eye surgeons provide examinations and consultations to patients who have undergone previous cataract and lens implant surgery elsewhere and suffer from complications of the surgery resulting in vision dissatisfaction. Our physicians offer surgical solutions for even the most complex cataract surgery as well as complications arising from lens implants in patients who had had previous cataract surgery. Intraocular lens exchanges may successfully restore high quality visual performance in patients with poor visual outcomes with multifocal lens implants. Although cataract surgery and lens implants are extremely common and successful, there are a growing number of patients who have eye problems and conditions that can make cataract surgery more complicated and complex than normal. These situations include patients with other diseases of the cornea, patients who have ever been on Flomax or patients who may have had an eye injury or serious infection. For these patients cataract surgery can be more complicated. In addition, we specialize in managing patients who suffer from vision deterioration following previous refractive surgery such as LASIK and even those who suffer from the vision deterioration who have previous radial keratotomy (RK).
Consultation for Patients Experiencing Progressive Deteriorating Vision Decades after Radial Keratotomy (RK)
Radial Keratotomy (RK) was popularized in the United States in the 1980’s and 1990’s as a surgical treatment for nearsightedness prior to the introduction of the excimer laser. Unfortunately, progressive deterioration of vision decades following RK has becoming increasingly more prevalent. The corneal incisions initially created to treat nearsightedness and astigmatism, in many cases become unstable leading to severe astigmatism and or progressive farsightedness as patients’ eyes age. Decades following RK, these incisions produce abnormal curvatures on the cornea called irregular astigmatism resulting in loss of vision that can not be improved with glasses.
Vision restoration is now possible in patients who have suffered vision loss after Radial Keratotomy (RK). Lens replacement surgery with implantation of advanced technology lens implants may restore near normal vision to many patients who have not seen well for years following RK. Surgical removal of cataracts and Refractive Lens Exchange (RLE) which is the removal of the clear lens with implantation of an Aspheric Toric Lens Implants may be used to successfully treat patients with severe irregular astigmatism following RK (Radial Keratotomy) and return vision to a useful and functional level. Marc Michelson, M.D. and Tyler Hall, M.D. of Alabama Eye & Cataract Center, P.C have successfully utilized advanced technology lens implants to restore near normal vision in many patients who have had progressive loss of vision due to progressive corneal changes from RK (Radial Keratotomy).
As more patients elect to have their vision corrected after cataract surgery with near vision presbyopia correcting lens implants, there are instances where the visual performance is not optimum following implantation of a multifocal lens implant. Additional measurements including a corneal wavefront analysis can help determine if the patient’s eye can successfully tolerate a presbyopic correcting multifocal intraocular lens implant. If it is determined that a multifocal lens that has previously been implanted in the eye is producing poor vision and not tolerated, exchanging the lens implant (IOL) with an alternative lens design can be performed to achieve the desired visual results. An IOL exchange can be successful even if a YAG laser has been performed to open the posterior capsule that may have clouded the vision after the original surgery
Marc Michelson, M.D. and Tyler Hall, M.D. of Alabama Eye & Cataract Center, P.C. are Cornea, Refractive and Cataract Surgeons who have a unique combination of skills in all three areas necessary to help patients in need of complex cataract and lens implant surgery. They have extensive experience in Diseases and Surgery of the Cornea, Refractive Surgery and Cataract Surgery-all of which support their clinical expertise in handling complex cataract surgery, complications of cataract surgery and vision problems with advanced technology lens implants that can occur in certain situations.