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Guest
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 Posted: Thu May 19, 2005 12:25 am Post subject:
YAG procedure for capsular opacification
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Doctors - is it true that the YAG procedure after cataract surgery runs
the risk of retinal detachment ? I'm approximately 5 mos post-op, and
have signs of a secondary cataract. My eye doc is very conservative and
says not to do the procedure until it is necessary (affecting the
vision). He also says that 30% of cataract surgery patients end up
with this secondary cataract. True? And, it has nothing to do with how
the surgery was done in the first place - sometimes it 'just happens'.
True again? |
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William Stacy
medicine forum Guru
Joined: 01 May 2005
Posts: 1177
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| Posted: Thu May 19, 2005 2:50 am Post subject:
Re: YAG procedure for capsular opacification
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kemccx@gmail.com wrote:
| Quote: | Doctors - is it true that the YAG procedure after cataract surgery runs
the risk of retinal detachment ?
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It does.
I'm approximately 5 mos post-op, and
| Quote: | have signs of a secondary cataract. My eye doc is very conservative and
says not to do the procedure until it is necessary (affecting the
vision).
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That's for sure. Why would you want to?
He also says that 30% of cataract surgery patients end up
| Quote: | with this secondary cataract. True? And, it has nothing to do with how
the surgery was done in the first place - sometimes it 'just happens'.
True again?
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Sort of true. Newer IOL lens designs, esp. those with sharply squared
off edges, seem to prevent or at least retard the problem. Also,
careful polishing of the capsule intra-operatively seems to help. But
some people just get it, and need to be lasered. A one time quick fix
that usually works just fine.
w.stacy, o.d. |
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Robert Kopp
medicine forum addict
Joined: 12 May 2005
Posts: 78
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| Posted: Fri May 20, 2005 12:15 am Post subject:
Re: YAG procedure for capsular opacification
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On Thu, 19 May 2005 04:50:28 +0000, William Stacy wrote:
| Quote: | kemccx@gmail.com wrote:
Doctors - is it true that the YAG procedure after cataract surgery runs
the risk of retinal detachment ?
It does.
Reported incidence seems to vary widely from one study to the next. I've |
never seen anything higher than 4%, usually much less.
--
Robert T. Kopp
http://analytic.tripod.com/ |
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Charles
medicine forum beginner
Joined: 30 Apr 2005
Posts: 49
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| Posted: Fri May 20, 2005 12:22 am Post subject:
Re: YAG procedure for capsular opacification
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In article <pan.2005.05.20.02.15.46.344000@hevanet.com>, Robert Kopp
<koppr@hevanet.com> wrote:
| Quote: | Reported incidence seems to vary widely from one study to the next. I've
never seen anything higher than 4%, usually much less.
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Whatever the percent I am in it. Cataract ---> YAG ----> Detachment. I
did not know there was a risk until afterwords.
--
Charles |
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William Stacy
medicine forum Guru
Joined: 01 May 2005
Posts: 1177
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| Posted: Fri May 20, 2005 10:45 am Post subject:
Re: YAG procedure for capsular opacification
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Sorry to hear that. How did the repair go? Were you myopic before the
cataract? If so, how high?
w.stacy, o.d.
Charles wrote:
| Quote: | In article <pan.2005.05.20.02.15.46.344000@hevanet.com>, Robert Kopp
koppr@hevanet.com> wrote:
Reported incidence seems to vary widely from one study to the next. I've
never seen anything higher than 4%, usually much less.
Whatever the percent I am in it. Cataract ---> YAG ----> Detachment. I
did not know there was a risk until afterwords.
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Charles
medicine forum beginner
Joined: 30 Apr 2005
Posts: 49
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| Posted: Fri May 20, 2005 10:09 pm Post subject:
Re: YAG procedure for capsular opacification
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In article <PZkje.1622$kj7.912@newssvr21.news.prodigy.com>, William
Stacy <wstacy@obase.net> wrote:
| Quote: | Sorry to hear that. How did the repair go? Were you myopic before the
cataract? If so, how high?
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I was myopic---about -9. The repair went very well. I can see 20/20
with correction. (contact lens) The worst part was when it occured and
the several weeks I had to be with my head down after the surgery. I
have a cataract forming in the other eye, it is very small right now,
and will wait as long as possible before having that cataract removed.
--
Charles |
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William Stacy
medicine forum Guru
Joined: 01 May 2005
Posts: 1177
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| Posted: Fri May 20, 2005 10:21 pm Post subject:
Re: YAG procedure for capsular opacification
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Charles wrote:
| Quote: | I was myopic---about -9. The repair went very well. I can see 20/20
with correction. (contact lens) The worst part was when it occured and
the several weeks I had to be with my head down after the surgery.
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Wow. I know that's got to be the worst thing. Glad it worked out.
I
| Quote: | have a cataract forming in the other eye, it is very small right now,
and will wait as long as possible before having that cataract removed.
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Well I'm not so sure I'd wait. I mean I know you're at risk for another
detachment in the unoperated eye, but you're probably MORE at risk in a
couple of years than you are now. Remember, retinas also thin with *age*.
But I understand. One thing I'd recommend is to seek out the best
possible surgeon for the other eye. I know it's not too nice of me to
say this, but I do believe the best surgeons have the lowest
complication rates. I define a cataract specialist as one who limits
their practice to cataract surgery. There aren't many of those around,
but they tend to be very, very good.
w.stacy, o.d. |
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Charles
medicine forum beginner
Joined: 30 Apr 2005
Posts: 49
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| Posted: Fri May 20, 2005 10:40 pm Post subject:
Re: YAG procedure for capsular opacification
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In article <gavje.1780$kj7.747@newssvr21.news.prodigy.com>, William
Stacy <wstacy@obase.net> wrote:
| Quote: | Well I'm not so sure I'd wait. I mean I know you're at risk for another
detachment in the unoperated eye, but you're probably MORE at risk in a
couple of years than you are now. Remember, retinas also thin with *age*.
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I see a retina specialist every year as a followup. He strongly advised
me to wait.
| Quote: | But I understand. One thing I'd recommend is to seek out the best
possible surgeon for the other eye. I know it's not too nice of me to
say this, but I do believe the best surgeons have the lowest
complication rates. I define a cataract specialist as one who limits
their practice to cataract surgery. There aren't many of those around,
but they tend to be very, very good.
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That is what I will be doing. The surgeon who did my first cataract who
has retired, was such. There are actually quite a few around here that
limit their surgery to cataracts. Same with retina surgeons. I had the
detachment repaired by a surgeon who only does retinas.
--
Charles |
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William Stacy
medicine forum Guru
Joined: 01 May 2005
Posts: 1177
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| Posted: Fri May 20, 2005 11:00 pm Post subject:
Re: YAG procedure for capsular opacification
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Charles wrote:
| Quote: | I see a retina specialist every year as a followup. He strongly advised
me to wait.
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OK then I'd follow his advice. When the time comes, a retina specialist
is a good source to aim you toward the best (or away from the worst)
cataract surgeons. At least they know who screws up the most, because
they end up fixing all the broken ones.
I hate to say it, but I also wouldn't chose one who was anything close
to retirement, any more than I'd want one fresh out of residency. I'd
want one in his/her prime. IMO, that means between ages 30 and 60. Your
mileage may vary.
To all you old and young docs, sorry to be blunt, but that's the way it is.
w.stacy, o.d. |
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