Dr Cronin provides these videos as an educational resource for training ophthalmologists, other ophthalmologists and patients. Dr Cronin specialises in corneal and anterior segment diseases including LASIK, laser eye surgery, cataracts, keratoconus, Fuchs endothelial dystrophy and pterygium surgery.
For mild recurrent erosion, what is the impact in terms of side effects between the 2 types of procedures, diamond burr or laser procedure? I’m 34 years old and I’m worried doing the procedure to fix RCE and then i have to do other eye op in future due to aging.
There is a high risk of damaging the lens zonules and breaching the posterior capsule with this technique. Referral to a Vitreo-Retinal Surgeon who can place ports, perform vitrectomy and protect the Retina is advised.
Certainly if the patient has had a YAG then yes - they should be considered for a pars plan vitrectomy by a retinal specialist. I certainly respect your opinion here but the aim of the video is to show that when performed correctly the risks of damage to either the capsule or cornea are VERY small. The risk of corneal damage is equal to it not greater than the risk of capsular damage so there is an equal argument that they should be sent to corneal specialist. More sensibly, any surgeon who puts lenses in should be comfortable taking lenses out. They just need a safe and effective technique.
Completely agree that a good Sx plan is paramount. I have found most of these lens optics are very difficult to Visco-dissect out of the capsule bag. I have successfully removed about 60 by dislocating the superior pole into the AC and sliding the lens out through a 7mm shelving corneo-scleral incision after first performing partial removal of the anterior vitreous and injecting dispersive visco-elastic to protect the endothelium. Having control of intraocular pressure with a posterior infusion helps a lot and it allows for a careful EUA with scleral depression to treat occult anterior retinal pathology. I prefer to go on with a complete vitrectomy using IVTA which I then leave in the eye. In most cases, I have implanted AC IOLs with very good refractive outcomes, very few cases of mild CME and no corneal complications. You are right about good technique as demonstrated in this excellent video however I personally think the anterior only approach is more vulnerable to post op complications. I just wanted to contribute this point of view to the discussion for the benefit of surgeons looking for options.
It's a long shot, but it's about midnight, and my medical anxiety is full-blown! I had an eyelash stuck in my eye and I couldn't take it out, and my husband suggested I use tissue paper to get the eyelash out, which I did, but the tissue kind of pulled on my eye the white part ; it looked like the membrane was stuck to the tissue and lifted .Now I'm freaking out that I did some damage to my eyeball.
Hey I suffer from RCE since I had my laser eye surgery I have been suffering from RCE. If I do PTK would it increase my prescription and decrease my vision over 6 months after doing this surgery?
