• cataract surgery

    From Mark J cleary@21:1/5 to All on Thu Feb 20 11:43:36 2025
    I go in next Friday for my left eye cataract surgery. I cannot wait my
    vision uncorrected in 20/200 legally blind and maybe 20/100 corrected. I
    can wait because riding outside it a challenge. I can drive ok my right
    eye is 20/30 but hard to judge distances and depth. On a bike that is
    critical. I then go in 2 weeks later for the right eye it is not nearly
    as bad but it did not have the detached retina. The retina surgery
    speeds up the cataract formation exponentially. The retina has healed
    and done well.

    They seem to want to push the more costly laser assisted surgery but
    fact is traditional cataract surgery has the same outcome long term and
    only small out of pocket as cover by my health insurance mostly. The
    only real benefit to laser is possibly quicker recovery but that is not
    much.

    I do challenge the lens implant formula because I had LASIK 24 years ago
    and high myopia. They have a formula for folks like me but a bit more of
    a fudge factor. I am going for full distance vision and will require
    reading glasses. My right eye they are going to slightly under correct
    just to possibly make up close not as challenging. The detach retina eye present a bit more but hopefully not any trouble. The doctors are clear
    they make no provisions and tell you that you will need glass full time
    no matter what. They cover there asses completely.

    WOuld be curious what other here have done if they have had cataracts.


    --
    Deacon Mark

    --- SoupGate-Win32 v1.05
    * Origin: fsxNet Usenet Gateway (21:1/5)
  • From AMuzi@21:1/5 to Mark J cleary on Thu Feb 20 11:52:14 2025
    On 2/20/2025 11:43 AM, Mark J cleary wrote:
    I go in next Friday for my left eye cataract surgery. I
    cannot wait my vision uncorrected in 20/200 legally blind
    and maybe 20/100 corrected. I can wait because riding
    outside it a challenge. I can drive ok my right eye is 20/30
    but hard to judge distances and depth. On a bike that is
    critical. I then go in 2 weeks later for the right eye it is
    not nearly as bad but it did not have the detached retina.
    The retina surgery speeds up the cataract formation
    exponentially. The retina has healed and done well.

    They seem to want to push the more costly laser assisted
    surgery but fact is traditional cataract surgery has the
    same outcome long term and only small out of pocket as cover
    by my health insurance mostly. The only real benefit to
    laser is possibly quicker recovery but that is not much.

    I do challenge the lens implant formula because I had LASIK
    24 years ago and high myopia. They have a formula for folks
    like me but a bit more of a fudge factor. I am going for
    full distance vision and will require reading glasses. My
    right eye they are going to slightly under correct just to
    possibly make up close not as challenging. The detach retina
    eye present a bit more but hopefully not any trouble. The
    doctors are clear they make no provisions and tell you that
    you will need glass full time no matter what. They cover
    there asses completely.

    WOuld be curious what other here have done if they have had
    cataracts.



    No direct experience but you may find Dr Ridley's story, or
    actually stories, as fascinating as I did:

    https://jamanetwork.com/journals/jamaophthalmology/fullarticle/271999


    --
    Andrew Muzi
    am@yellowjersey.org
    Open every day since 1 April, 1971

    --- SoupGate-Win32 v1.05
    * Origin: fsxNet Usenet Gateway (21:1/5)
  • From Catrike Ryder@21:1/5 to mcleary08@comcast.net on Thu Feb 20 13:00:37 2025
    On Thu, 20 Feb 2025 11:43:36 -0600, Mark J cleary
    <mcleary08@comcast.net> wrote:

    I go in next Friday for my left eye cataract surgery. I cannot wait my
    vision uncorrected in 20/200 legally blind and maybe 20/100 corrected. I
    can wait because riding outside it a challenge. I can drive ok my right
    eye is 20/30 but hard to judge distances and depth. On a bike that is >critical. I then go in 2 weeks later for the right eye it is not nearly
    as bad but it did not have the detached retina. The retina surgery
    speeds up the cataract formation exponentially. The retina has healed
    and done well.

    They seem to want to push the more costly laser assisted surgery but
    fact is traditional cataract surgery has the same outcome long term and
    only small out of pocket as cover by my health insurance mostly. The
    only real benefit to laser is possibly quicker recovery but that is not
    much.

    I do challenge the lens implant formula because I had LASIK 24 years ago
    and high myopia. They have a formula for folks like me but a bit more of
    a fudge factor. I am going for full distance vision and will require
    reading glasses. My right eye they are going to slightly under correct
    just to possibly make up close not as challenging. The detach retina eye >present a bit more but hopefully not any trouble. The doctors are clear
    they make no provisions and tell you that you will need glass full time
    no matter what. They cover there asses completely.

    WOuld be curious what other here have done if they have had cataracts.

    My Cataract surgery did not return me to my previous farsighted
    capability, but I no longer need readers. My wife went from extreme nearsightedness to seeing much better distances, but now needs
    readers. She also had an optional stigmatism correction on one eye.

    --
    C'est bon
    Soloman

    --- SoupGate-Win32 v1.05
    * Origin: fsxNet Usenet Gateway (21:1/5)
  • From =?UTF-8?B?Y3ljbGludG9t?=@21:1/5 to All on Thu Feb 20 18:23:11 2025
    On Thu Feb 20 11:43:36 2025 Mark J cleary wrote:
    I go in next Friday for my left eye cataract surgery. I cannot wait my
    vision uncorrected in 20/200 legally blind and maybe 20/100 corrected. I
    can wait because riding outside it a challenge. I can drive ok my right
    eye is 20/30 but hard to judge distances and depth. On a bike that is critical. I then go in 2 weeks later for the right eye it is not nearly
    as bad but it did not have the detached retina. The retina surgery
    speeds up the cataract formation exponentially. The retina has healed
    and done well.

    They seem to want to push the more costly laser assisted surgery but
    fact is traditional cataract surgery has the same outcome long term and
    only small out of pocket as cover by my health insurance mostly. The
    only real benefit to laser is possibly quicker recovery but that is not
    much.

    I do challenge the lens implant formula because I had LASIK 24 years ago
    and high myopia. They have a formula for folks like me but a bit more of
    a fudge factor. I am going for full distance vision and will require
    reading glasses. My right eye they are going to slightly under correct
    just to possibly make up close not as challenging. The detach retina eye present a bit more but hopefully not any trouble. The doctors are clear
    they make no provisions and tell you that you will need glass full time
    no matter what. They cover there asses completely.

    WOuld be curious what other here have done if they have had cataracts.




    Mark, before surgery they give you something that feels like eyedrops but is a pain killer. Sometimes they forget this and when they cut into the eye to remove the lens it is extremely painfuol so before the opthemologist actually operates make him state
    that you have been anesthetised.

    --- SoupGate-Win32 v1.05
    * Origin: fsxNet Usenet Gateway (21:1/5)
  • From Jeff Liebermann@21:1/5 to mcleary08@comcast.net on Thu Feb 20 14:08:29 2025
    On Thu, 20 Feb 2025 11:43:36 -0600, Mark J cleary
    <mcleary08@comcast.net> wrote:

    WOuld be curious what other here have done if they have had cataracts.

    I had my left eye done on Jan 3, 2024 and the right on Jan 17, 2024.
    In general, it went well but not perfectly. There were some problems,
    but few that you are likely to encounter.

    The surgery was done using a laser which I was told was more precise.
    Other than preparation, setup and post op recovery, the laser portion
    took about 10 minutes, most of which was strapping me down so I
    wouldn't move. I don't know about your costs or insurance, but I
    wasn't given a choice. The hospital bought the laser equipment and
    was therefore inclined to use it. With Medicare, I don't believe that
    there was a cost difference or that a surgical option was available.

    Four days prior to the first surgery, I was given a vinyl bag with 3
    types of eye drops along with charts for when to use each eye dropper
    and how often per day.
    <https://photos.app.goo.gl/pWLvv31GFGtBRdYRA>
    It was somewhat of a challenge organizing what to take and when. I
    wasn't accustomed to using eye drops and often missed the target. I
    had to try again until my aim improved. Near the end, I ran out of
    one of the eye drops and had to buy a replacement bottle. This was
    not my idea of fun.

    After mid March, 2024, my vision started to resemble normal vision. It
    was a major improvement over everything I had seen previously. I was
    elated, but it didn't last. One of the eye drop is an
    anti-inflammatory. After I stopped taking it, the eyeball began
    returning to its normal shape, plus a little astigmatism. Immediately
    after the surgeries, I could focus clearly from about 2ft to infinity.
    Now, I can only focus clearly from about 4 ft to infinity. I was
    hoping that it would remain at 2ft to infinity, but that didn't
    happen.

    I also have difficulties with "dry eyes" and some eye fatigue. These
    were minor, not debilitating, but also disappointing. Today, about a
    year after the surgeries, the dry eye is gone thanks to warm and wet
    eye compresses: <https://www.amazon.com/Bruder-Activated-Recommended-Professional/dp/B01N303YPU>
    Everyone I met (about 20 people) that had cataract surgery also had
    some form of "dry eye" problem.

    Currently, I use dollar store +2.00 diopter reading glasses for
    reading and computer work. For driving, I ordered cheap bifocals with
    distance vision set only to correct for astigmatism, and +1.50 diopter
    and astigmatism correction for viewing the automobile dashboard. <https://www.zennioptical.com/b/wishlist/NDI0MTYy>

    The various documents I was given to read included a warning not to do
    anything that involved shock, bouncing, or getting hit on my head,
    which might dislodge the new lens. There is nothing really supporting
    the lens in the eye and banging the head around could cause problems.
    There was also a warning about placing my head below the level of my
    waist, which raises the fluid pressure inside the eye. I never did
    get a clear answer for how long after surgery should I wait before
    resuming these exercises. I ended up totally abstaining from chainsaw
    repair and preparing firewood for about 4 months. Giving up bicycle
    riding was easy because I have some back problems and riding was
    painful. I resumed going on flat walks and hikes after about 3
    months.

    I hope this helps. Good luck on the surgery. If you have any
    questions, feel free to ask, send email, or call.


    --
    Jeff Liebermann jeffl@cruzio.com
    PO Box 272 http://www.LearnByDestroying.com
    Ben Lomond CA 95005-0272
    Skype: JeffLiebermann AE6KS 831-336-2558

    --- SoupGate-Win32 v1.05
    * Origin: fsxNet Usenet Gateway (21:1/5)
  • From Mark J cleary@21:1/5 to Jeff Liebermann on Thu Feb 20 17:48:08 2025
    XPost: jeffl@cruzio.com

    On 2/20/2025 4:08 PM, Jeff Liebermann wrote:
    jeffl@cruzio.com

    Jeff,
    Thanks for the information. I am inclined almost to call your situation
    seems very different than most I have talked to. Mt first question is
    how old are you? THE copay is $300 for me but any laser option would be
    $3900 for both eyes. No real better guarantee. Medicare will not pay for
    laser but I don't have medicare.

    How is your uncorrected distance vision? Could you pass a driver test
    without needing any glasses? My history is I am highly myopic -12 and
    -13 in each eye. That put me in the top 1 percent of all nearsighted
    people. I had LASIK 24 years ago and correct me to no need for glasses
    for anything for 18 years> I was about 20.25 but regressed a bit in my
    right eye now to 20/30. I have a macular pucker in that eye but not a
    real issue but cannot get 20/20 with it.

    SInce the lasik it throws the normal math calculations off on lens
    power. They have to use a different formula so more room for errors.
    Seems like yours took a long time to get better.
    Mark
    --
    Deacon Mark

    --- SoupGate-Win32 v1.05
    * Origin: fsxNet Usenet Gateway (21:1/5)
  • From Jeff Liebermann@21:1/5 to mcleary08@comcast.net on Thu Feb 20 17:02:52 2025
    XPost: jeffl@cruzio.com

    On Thu, 20 Feb 2025 17:48:08 -0600, Mark J cleary
    <mcleary08@comcast.net> wrote:

    On 2/20/2025 4:08 PM, Jeff Liebermann wrote:
    jeffl@cruzio.com

    Jeff,
    Thanks for the information. I am inclined almost to call your situation
    seems very different than most I have talked to.

    That's not surprising. I talked with about 20 people who have had
    cataract surgery. Basically, everyone I know over the age of 65 has
    had the surgery. Half had experiences similar to mine. The remaining
    10 were all very different. Most had existing conditions that made
    any kind of surgery somewhat risky.

    Mt first question is how old are you?

    77 years old.

    THE copay is $300 for me but any laser option would be
    $3900 for both eyes. No real better guarantee. Medicare will not pay for >laser but I don't have medicare.

    I only have Medicare classic, which pays 80%. Medicare will only pay
    if my visual acuity is worse than 20/50: <https://www.mmplusinc.com/kb-articles/medicare-requirements-for-cataract-surgery>

    I found several articles that indicate that Medicare will NOT pay for
    laser cataract surgery. Although I was told that I would be getting
    laser surgery, I was not billed for anything extra. Therefore, it's
    quite possible that I misunderstood the instructions and did not get
    laser surgery. I'll double check.

    How is your uncorrected distance vision?

    Quite good. It's currently usable from about 4ft to infinity.

    Could you pass a driver test without needing any glasses?

    Yes. I renewed my drivers license in Nov 2024. I passed with one
    slight difficulty. I was nervous and was seeing double. The double
    vision went away about 30 min later, after eating a late lunch and
    sleeping for about 30 mins in my car. I get to do it again in Jan
    2030.

    Minimum vision requirements are 20/40 in both eyes: <https://www.dmv.ca.gov/portal/driver-education-and-safety/medical-conditions-and-driving/vision-conditions/>
    I can't find the paperwork but as I recall, my vision was 20/25 in one
    eye and 20/20 in the other during the follow up visit after the 2nd
    surgery. Since then, I'm sure the numbers have changed. I have a
    Snellen eye chart on the kitchen wall and just re-tested myself. 20/20
    in both eyes.
    <https://www.google.com/search?q=snellen%20eye%20chart&udm=2>

    My history is I am highly myopic -12 and
    -13 in each eye. That put me in the top 1 percent of all nearsighted
    people. I had LASIK 24 years ago and correct me to no need for glasses
    for anything for 18 years> I was about 20.25 but regressed a bit in my
    right eye now to 20/30. I have a macular pucker in that eye but not a
    real issue but cannot get 20/20 with it.

    Wow. That's quite a history.

    SInce the lasik it throws the normal math calculations off on lens
    power. They have to use a different formula so more room for errors.

    Yes. I read a little about that, but since I didn't need Lasik
    surgery, I just skimmed over that part.

    Seems like yours took a long time to get better.

    Yes. That was partly my fault by waiting about 11 months to do
    something about the dry eye problem. If I done something earlier, I
    would not be disappointed or complaining about the long recovery.

    --
    Jeff Liebermann jeffl@cruzio.com
    PO Box 272 http://www.LearnByDestroying.com
    Ben Lomond CA 95005-0272
    Skype: JeffLiebermann AE6KS 831-336-2558

    --- SoupGate-Win32 v1.05
    * Origin: fsxNet Usenet Gateway (21:1/5)
  • From Rolf Mantel@21:1/5 to All on Fri Feb 21 11:39:10 2025
    XPost: jeffl@cruzio.com

    Am 21.02.2025 um 00:48 schrieb Mark J cleary:
    On 2/20/2025 4:08 PM, Jeff Liebermann wrote:
        jeffl@cruzio.com

    Jeff,
    Thanks for the information. I am inclined almost to call your situation
    seems very different than most I have talked to. Mt first question is
    how old are you? THE copay is $300 for me but any laser option would be
    $3900 for both eyes. No real better guarantee. Medicare will not pay for laser but I don't have medicare.

    How is your uncorrected distance vision? Could you pass a driver test
    without needing any glasses? My history is I am highly myopic -12 and
    -13 in each eye. That put me in the top 1 percent of all nearsighted
    people.

    Similar to my wife. She had on the order of -10 on the right eye and
    -15 on the left eye; as LASIK in the past claimed not to be able to
    repair -15, she did not bother with it and relied on contact lenses.

    This also greatly increased the probability of a retina detachment,
    which she had around the age of 45. The SF6 treatment of the detached
    retina had the known side effect of "needing a cataract surgery with 30% probability", so she had cartatact treatments (on both eyes) before the
    age of 50. Continuing the old eye imbalance, she chose to have the
    right eye set to -0.5 and the left eye for more near vision. She then
    needed glasses (right eye blank) for the car and (left eye blank) for
    intense reading but not for everyday use, including bicycling (one eye
    good enough for far vision) and shopping (one eye good enough to read
    the detalis on the package).

    However, a few years later she got "cloudy vison" on the distance eye,
    which means she now needs to use the distance glasses a lot more than
    expected originally.

    --- SoupGate-Win32 v1.05
    * Origin: fsxNet Usenet Gateway (21:1/5)
  • From Catrike Ryder@21:1/5 to news@hartig-mantel.de on Fri Feb 21 06:18:01 2025
    XPost: jeffl@cruzio.com

    On Fri, 21 Feb 2025 11:39:10 +0100, Rolf Mantel
    <news@hartig-mantel.de> wrote:

    Am 21.02.2025 um 00:48 schrieb Mark J cleary:
    On 2/20/2025 4:08 PM, Jeff Liebermann wrote:
        jeffl@cruzio.com

    Jeff,
    Thanks for the information. I am inclined almost to call your situation
    seems very different than most I have talked to. Mt first question is
    how old are you? THE copay is $300 for me but any laser option would be
    $3900 for both eyes. No real better guarantee. Medicare will not pay for
    laser but I don't have medicare.

    How is your uncorrected distance vision? Could you pass a driver test
    without needing any glasses? My history is I am highly myopic -12 and
    -13 in each eye. That put me in the top 1 percent of all nearsighted
    people.

    Similar to my wife. She had on the order of -10 on the right eye and
    -15 on the left eye; as LASIK in the past claimed not to be able to
    repair -15, she did not bother with it and relied on contact lenses.

    This also greatly increased the probability of a retina detachment,
    which she had around the age of 45. The SF6 treatment of the detached
    retina had the known side effect of "needing a cataract surgery with 30% >probability", so she had cartatact treatments (on both eyes) before the
    age of 50. Continuing the old eye imbalance, she chose to have the
    right eye set to -0.5 and the left eye for more near vision. She then
    needed glasses (right eye blank) for the car and (left eye blank) for
    intense reading but not for everyday use, including bicycling (one eye
    good enough for far vision) and shopping (one eye good enough to read
    the detalis on the package).

    However, a few years later she got "cloudy vison" on the distance eye,
    which means she now needs to use the distance glasses a lot more than >expected originally.

    I was told that a few years after the cataract surgery my vision would
    get cloudy and that it could be corrected by a one-time minor laser
    process. Indeed, my vision has gotten cloudy and will soon go through
    that process.

    --
    C'est bon
    Soloman

    --- SoupGate-Win32 v1.05
    * Origin: fsxNet Usenet Gateway (21:1/5)