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TOPIC: Refractive Lens Exchange (RLE)

Refractive Lens Exchange (RLE) 30 Oct 2013 10:47 #311

  • Ken R
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Hi Everyone

I am 57 and I had successful laser surgery at OE Birmingham 5 years ago, and, as expected, I had to wear reading glasses following the procedure. Over the last 6 months or so I found it more difficult to see my computer screen and ended up having two different prescriptions of glasses; one for reading and one for the computer. I work in an office environment and having to repeatedly swap glasses was extremely frustrating. My distance vision also seemed to be improving.

I returned to OE Birmingham and after several scans and tests I was told I had actually become long sighted (I was short sighted before my previous laser surgery). I explained the reading/computer problem and it was suggested I went for IOL surgery. I was told I would no longer require glasses for reading or computer work but my distance vision may suffer slightly. I was Ok with that, so I decided to go ahead.

My right lens was replaced at Bridgewater Hospital, Manchester on 19th October and my left on 26th October. Following each procedure I had to return to hospital the next day for a checkup. On each occasion I was handed the standard reading card and I told the optometrist, after much toing and froing of the card, that I could just read it, but it was extremely blurred. I was told that would settle down in a few weeks. I was also told that I now had no distance prescription.

When I returned home and switched on my computer, I couldn't see a thing. Everything was just one big blur. I tried changing screen resolution, using high contrast text - no joy. So now in order to read clearly or use the computer, I am back to wearing 2 sets of glasses.

I also have very bad ghosting and nighttime glare. When I look at a streetlamp over 20 feet away, I see 4 images of the lamp. Again, I am told this will pass with time, but I am not confident. With these additional problems my sight is now worse than before.

I have a 1 week follow-up appointment in Birmingham on Saturday, so I'll let you know what happens. I think they have implanted the wrong strength of lenses but we'll see what they say.

Anyone know a good lawyer in the Midlands??


Dr Alex George & RLE 13 Oct 2013 18:22 #312

  • HazelJ
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Hi Robin
I was 55 when having surgery my eyes have always been good except for needing glasses to read, I have regular eye checks ever 2 yrs. Yes floaters can be caused by age but when I was in the new clinic in Cork yesterday to see if they could be lasered to break them up the surgeon said "That trauma to the eye as you get older can cause them " think having lenses replaced would be pretty traumatic ! Also cataract surgery is one of the biggest causes of floaters. I have seen people in Dublin in both clinics in Cork all I'm told is you'll get used to it so far I've had them since July and are no better. I also suffer with halo's still which mean I can't drive at night as I can't judge where on coming cars are and have to stop till they pass, I was also told yesterday that I have dry eyes which are causing the pain in them one side is only 11 the other is just 5 normal is 15 and they could still get worse ! Now if some one had sat me down and told me this could happen I would have run screaming from the clinic never to reappear but they sell it as a safe procedure. What they need is a pair of glasses you can look through and say, if you can live with vision like this take a chance. Would I have or recommend RLE - NO.

Dr Alex George & RLE 13 Oct 2013 15:40 #313

  • Robin
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I think that the optoms and surgeons sometimes forget how disturbing floaters can be and can be a bit lacking in empathy?
You do not say how old you are or if you have required a yag laser? Yag laser can cause floaters in your vision but should settle in time/your brain learns to not see them, so try to be patient. They forget that us Joe Public are not eye experts and probably also don't want to put us off having our lenses exchanged.......however in my opinion insufficient information is given for informed consent. I think that if patients are better informed of the various side effects or natural processes that can occur after surgery, plus given better support when they do occur, then they will cope a lot better and experience less worry and stress and also anger...
There is also the process of posterior vitreous detachment that I think they would do well to explain to patients at the consent process. This happens naturally as part of the ageing process and can bring about retinal detachment if you are very unlucky. It is known to occur within a few years of lens replacement surgery and I think that this information should be given to patients. Just because it may happen anyway is no reason to not mention it and it may happen earlier in your life through lens replacement? It can be a disturbing and upsetting experience if you don't understand what is happening to you. It should also settle down given time. Go back and ask them to fully explain the cause of your floaters to you.I hope that they settle and you can enjoy good vision as floaters are HORRIBLE.
The following user(s) said Thank You: HazelJ

Dr Alex George & RLE 12 Oct 2013 18:03 #314

  • Hazel Jones
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Has anyone else out there had this procedure and suffered problems?

I had Refractive Lens Echange surgery in October 2012 and my eyes have now developed floaters making it very difficult to see as they are very big and always present. I was told that I would see through them eventually and basically to go away and get on with it. Having gone back again to another branch I was told it had nothing to do with op and would improve.

I paid € 3594 for this surgery but OE are not interested in the problems. My eyes are now worse than before surgery. The head office has so far ignored any complaints I have sent. I am waiting to get hold of my contract so I can see if I signed anything to disclaim their botch job.

Please can you help me or put in contact with anyone else in this situation.

Toric lenses for refractive lens exchange 10 Aug 2013 21:43 #315

  • InthebusinessnotOE
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IDesign = iSpin.

Slightly better aberrometry for a platform that's not quite 21st century

Toric lenses for refractive lens exchange 08 Aug 2013 22:47 #316

  • Robin
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Ask OE if their iDesign aberrometer can capture an accurate wavefront scan in the presence of an intraocular lens should you require laser enhancement. Night driving is critical to most of us. See the earlier thread about night driving and conventional or standard laser by Mr Schallhorn.

"The iDesign aberrometer represents a new and exciting direction for diagnostic devices in the world of refractive surgery," said Steve Schallhorn, M.D., Global Medical Director of Optical Express."

I hope this thread is being read by those considering clear lens or refractive lens exchange.

YAG laser 08 Aug 2013 17:55 #317

  • anon
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Yag laser can be needed VERY early on after RLE and once that has been carried out lens exchange is much more hazardous. The position of the lens can also change after yag laser thus altering your prescription, so If you have already had a laser enhancement you may need another one!
If you have thin corneas the laser enhancement will be lasek not lasik and this is no quick fix, taking many months for the end result. (if you are lucky)
All this information could of course put potential customers off!
Been there too!
I think the promotion of refractive lens exchange should be kept for those with cataracts present only.

YAG laser 08 Aug 2013 17:44 #318

  • Been there!
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Optical Express will perform YAG laser if you have problems with RLEs which can leave you in an even bigger mess!!

Toric lenses for refractive lens exchange 08 Aug 2013 17:19 #319

  • OE Victim
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anon wrote: Ask OE what the chances are that you will need laser enhancement after the toric lens exchange and if that enhancement would be lasek or lasik.

Valuable advice - GET IT IN WRITING!

if they refuse or fudge the issue then you should indeed be heading for the hills :unsure:

Toric lenses for refractive lens exchange 08 Aug 2013 13:53 #320

  • anon
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Though you have not given any details of your prescription it sounds like it is not the most straightforward to treat.

I strongly advise that you do not risk your eyes with any of the optometrist led clinics and instead go to one of the centres of excellence where you are assessed by the consultant surgeon from the very start.

Ask OE what the chances are that you will need laser enhancement after the toric lens exchange and if that enhancement would be lasek or lasik.

OERML & My Beautiful Eyes Foundation rely on your support to expose the horrors of this unregulated industry.

Your help is very much appreciated!

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