Question:
Could the elite give their views about the prons and cons on a cataract
surgery to the left eye? Also please let me know about the laser assisted
sutureless foldable IOL implants for the right eye. How is it better than a
conventional IOL implant?
Answer:
I must say, I have never heard of a
"laser assisted sutureless foldable IOL implant". There is no "laser assist"
in cataract surgery.
Most surgeries are done with foldable lenses, placed through sutureless
clear corneal incisions, using topical anesthesia, these days. (I just did 6
today.) However many doctors still do scleral tunnel incisions with 1 or
more sutures. Either they don't want to change, or they believe in some
studies that have shown a higher incidence of endophthalmitis (devastating
infection) in sutureless incision surgery.
If the retina is really damaged, the cataract surgery will have little, if
any, impact on the vision, unless it is a totally white cataract, and this
were the only eye.
My own view (non-elite) is that is a conservative approach
is best with cataract surgery when dealing with basically a
monocular situation (one eye with reduced,low, or no vision).
The left eye would likely benefit very little unless the cataract was
fully mature and even then , the outcome wouldn't help much.
For the right (sighted) eye, there's always a chance of post-operative
complications that can be unforseen so surgery ,IMO, should
be delayed until necessary . Cataract surgery is usually very
successful but I have seen bad and poor outcomes- cataract
surgery cannot be guaranteed 100%.
