Welcome to the new Cataract and IOLs after RS forum. Because so many of us are now reaching the age where cataracts are becoming an issue, we need to be able to find accurate information and resources. I'm currently working on recruiting experienced docs to help respond to queries.

If you have had successful cataract surgery after LASIK or other refractive surgery, I'd like to hear from you.
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Similarly, if you have had UNSUCCESSFUL cataract surgery following refractive surgery, we would like to hear from you.

Our primary concern is with the accurate or inaccurate calculation of the IOL (intraocular lens) power. IOL power calculation requires two critical measurements: (1) the curvature of the cornea and (2) the axial length of the eye. The latter is the distance between the center of the corneal surface and the macula. These two measurements are BOTH altered by refractive surgery, rendering IOL power computations more complicated and prone to over-correction (usually hyperopia). To our knowledge, a perfect system for calculating the IOL power is not available and we would like to open a discussion on patient knowledge and experiences.

It is acceptable that a surgeon use a patient's history of refractive LASIK or PRK as a disclaimer for failing to provide a result that is close to emmetropia. In fact, it is ethically responsible that surgeons tell patients in advance of cataract surgery about the inaccuracy.

Some cataract surgeons acknowledge this inaccuracy and suggest that any residual refractive error caused by these miscalculations be "touched up" with additional LASIK or PRK - an out-of-pocket expense for the patient and inherently more complicated than cataract surgery alone. This forum hopes to save a number of patients frustration following the implantation of an IOL by allowing them to share this information with their surgeons.
It is really sad to know that they have this wonderful thing in the industry like Lasik, but when you come down with Cataract you are screw big time. Why don't they focus and solve this problem in dealing with this major problem such as with better technology because more and more people will have cataract sooner or later.
And when you develop this post lasik problem, you have to do a lot of research to find the right doctor do the job and it will cost a lot more out of your pocket thing. it is really depressing, it should be like a regular surgery like everyone else that didn't have post lasik. I feel real sad about this.
Unfortunately, LASIK is considered cosmetic, elective surgery, which makes finding help that much more difficult. There are not many doctors who have the skills to treat us, or who even know what they're seeing when they examine us.

This is not going to change, no matter how much we wish it would. All we can do is keep trying to find doctors who are willing and skilled enough to help us.

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