Post R.K. and Lasik Cataract surgery

I'm 56 an live in Orlando Fl. I had RK on both eyes in the 80's and Lasik on my left eye in the 90's. I had cataract surgery on my right eye in 2009 and a piggy back lens and PRK were required. Vision in the right eye is about 20/60 uncorrected and close to 20/30 corrected, but my vision in the right eye is foggy with flares and goes down hill at night.

I've put off having the left eye done for as long as I can. I have 16 RK incisions and I also had Lasik in the left eye.

I'm writing for help locating the best surgeon in Florida or the U.S. for calculating the correct lens power the first time so my eye isn't subjected to multiple surgeries. From everything that I've read, the cataract surgery on Post R.K. patients isn't that different than normal cataract surgery, but calculating the proper lens power is very difficult.

Thank you for your help.
Original Post
Hello Barbara,

I had my appointment with Dr. William Trattler in Miami on the 31st of July. I was very impressed with the state of the art equipment that Dr. Trattler's team had available for mapping my cornea etc., and I was also impressed with Dr. Trattler. He has recommended a lens called Symfony that is supposed to give me some range of vision from near to far. I expressed my concern re the discussion you and I had re. that I should stay away from multi focal lenses, but Dr Trattler stated that this is not a multi focal lens. I'm confused, but he assures me that he has had good success with this lens in post RK and Lasik patients. I'm still doing research, but I'm leaning towards scheduling the surgery in late October and having Dr. Trattler perform the procedure. Your help in all of this has been very beneficial to me. Thank you for your guidance. I have made a financial donation to your site.

I'll let you know how things go.

Thanks again for all your help.

Sincerely,

Patrick Burgess
Hello Barbara,

I had cataract surgery on my left eye on the 10th of October. I ended up going with Dr. Brock Magruder Jr. in Orlando. Dr Trattler spoke highly of him and it was more convenient for me to use a local surgeon.

Dr. Magruder didn't think the Symfony lens would be a good choice for me and we decided that the best option was a mono focal lens, so I had a TECNIS toric lens implanted. So far, I'm very pleased with the result. Two days postop, my vision was clear and I'm typing this on my computer now without glasses and can see the screen with my left eye. My right eye can see up close without glasses so it's working out well. There is some slight fluctuation in vision as it gates later in the day, but most of the time I'm getting by without glasses. I have a follow up appointment this Thursday and hope to get a prescription that will bring me to 20/20 in my left eye later in the day. I think I'm seeing about 20/25 in my left eye in the morning and dropping to 20/30 or so as the day goes on.

The new technology has come a long way since my right eye cataract surgery ten years ago and the lens calculation done by Dr. Magruder Jr. was very close to perfect and may turn out to be perfect once everything settles down from the surgery.

Another pleasant improvement from my right eye surgery is that only one drop per day is required post op.. I remember from my earlier surgery that there were about three drops that had go be put in at different times of the day and it was difficult to keep up with everything. The new drop is called BROMSITE. It doesn't sting or cause any issues for me at all.

I believe that during the surgery, Dr. Magruder may have used an antibiotic and steroid anti-inflammatory called TRI-MOXI which may be why only one drop is required post op.. It is a deposit that is placed under the upper lid and is absorbed by the eye within a few weeks.

Thank you again for your time and advice. I felt much more confident that I was making an informed decision after talking to you and seeing Dr. Trattler.

All the best,

Patrick
Patrick, I'm delighted to hear that your surgery went so well! I'm sure your new vision is a welcome relief. I'm not surprised that Dr. Magruder felt a monofocal lens would be most appropriate for you. Unfortunately, for those whose vision does fluctuate (and for lots of other patients)the multifocal lenses just do not perform well.

Thanks for the update. Please let us know if there is anything else with which we can help.
patrickburgess posted:
Hello Barbara,

I had cataract surgery on my left eye on the 10th of October. I ended up going with Dr. Brock Magruder Jr. in Orlando. Dr Trattler spoke highly of him and it was more convenient for me to use a local surgeon.

Dr. Magruder didn't think the Symfony lens would be a good choice for me and we decided that the best option was a mono focal lens, so I had a TECNIS toric lens implanted. So far, I'm very pleased with the result. Two days postop, my vision was clear and I'm typing this on my computer now without glasses and can see the screen with my left eye. My right eye can see up close without glasses so it's working out well. There is some slight fluctuation in vision as it gates later in the day, but most of the time I'm getting by without glasses. I have a follow up appointment this Thursday and hope to get a prescription that will bring me to 20/20 in my left eye later in the day. I think I'm seeing about 20/25 in my left eye in the morning and dropping to 20/30 or so as the day goes on.

The new technology has come a long way since my right eye cataract surgery ten years ago and the lens calculation done by Dr. Magruder Jr. was very close to perfect and may turn out to be perfect once everything settles down from the surgery.

Another pleasant improvement from my right eye surgery is that only one drop per day is required post op.. I remember from my earlier surgery that there were about three drops that had go be put in at different times of the day and it was difficult to keep up with everything. The new drop is called BROMSITE. It doesn't sting or cause any issues for me at all.

I believe that during the surgery, Dr. Magruder may have used an antibiotic and steroid anti-inflammatory called TRI-MOXI which may be why only one drop is required post op.. It is a deposit that is placed under the upper lid and is absorbed by the eye within a few weeks.

Thank you again for your time and advice. I felt much more confident that I was making an informed decision after talking to you and seeing Dr. Trattler.

All the best,

Patrick

Are you still happy with your results? I am overseas and coming to visit family in Orlando and my history is similar to you RK 1986 (PERK study) 16 incisions but no additional surgeries. Reading glasses now but my right eye is 20/50 and would like to get this addressed by a Orlando Surgeon. Have heard many things about Dr. Arun Gulani in Jacksonville.  He is supposed to be a leader and innovator in the field but he strikes my as quite commercial but he may be the best MD.   My experience is the top MD's tend to be low-key and accomplished.  Any feedback is welcome.  

The surgeons mentioned above, both Drs Trattler and Magruder, have excellent reputations (by word of mouth). I know Dr. Trattler personally and have great respect for his skills, and as a human. I trust his recommendations when I need help finding resources. Patrick had an excellent outcome with Dr Magruder, and I hope you will enjoy the same.

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