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Honored Contributor
Posts: 8,485
Registered: ‎05-08-2010

CATARACT QUESTION ABOUT CHOICES

First, I know I can Google this, but I am asking for personal experiences, not facts per se.

 

My DH had his pre consult for having his cataracts done.  The choice we were posed with was laser or scalpel removal of the old lense.  Laser is $3,300 more and the scalpel choice is included in the fee that our insurance will cover.

 

We didn't have to decide then because they need a release from his cardiologist.  

 

My question is which did you choose?  

 

This doctor recommended the standard lense for DH because he has a small pupil and he felt that the extra bells and whistles isn't worth the extra $$$.  He also feels that he will do well and will most likely not need glasses afterwards. At least that is one choice we don't have to make. 

 

TIA

Fear not Brothers and Sisters! I have read THE BOOK..........we win!!!
Honored Contributor
Posts: 35,746
Registered: ‎03-09-2010

Re: CATARACT QUESTION ABOUT CHOICES

[ Edited ]

I had both eyes done last year, no one ever asked me about any choices for any of it, my doc decided everything, both were a piece of cake, no issues and mine were paid 100% by Medicare. I did get the compounded drops, highly recommend that to using 3 bottles instead. Unless he is having a dropless procedure done.  I had no anestethic, only drops in my eyes. My choice.

Trusted Contributor
Posts: 1,459
Registered: ‎07-29-2012

Re: CATARACT QUESTION ABOUT CHOICES

I have had the experience of both procedures - one on each eye.  In my case the eye done with the scalpel took longer to heal and was sore.  The laser seemed to be less annoying.  So I guess it has to be an individual decision.  All in all each eye turned out great. Good luck with whatever you decide.

Honored Contributor
Posts: 9,134
Registered: ‎03-30-2014

Re: CATARACT QUESTION ABOUT CHOICES

Can you ask for more information?

 

The laser is merely a method for destroying the old lens.  I think the more traditional way is with ultrasound.  Then they vacuum the debris up.  Glad I was out of it 🤣

Honored Contributor
Posts: 8,485
Registered: ‎05-08-2010

Re: CATARACT QUESTION ABOUT CHOICES

Yes, we will get more info when we go back in and sign the paperwork and schedule the procedures.  

 

I just thought I would throw it out there for the experience of others.  I appreciate those of you that took the time to respond. 

Fear not Brothers and Sisters! I have read THE BOOK..........we win!!!
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Trusted Contributor
Posts: 1,184
Registered: ‎05-09-2010

Re: CATARACT QUESTION ABOUT CHOICES

[ Edited ]

I hope that you have confidence in your doctor as this is a medical question. While the experience of others may be interesting, only your doctor has actually examined your husband's eyes and has the training to make informed decisions and recommendations about optimal treatment. "Dr. Google" may alert you to questions to ask your doctor but, of course, cannot providd medical advice.  Hope all goes well!

Honored Contributor
Posts: 8,301
Registered: ‎05-09-2010

Re: CATARACT QUESTION ABOUT CHOICES

I had a VERY STRONG glasses/contacts prescription before I had my cataracts removed and lenses put in.

 

I chose the multi focal because the thought of never needing any glasses ever again was quite appealing.

 

HOWEVER, I will say that I still use reading glasses now, much more than I thought I would.  If I had to do it over, I might chose getting just distance fixed (because my distance vision would be a bit better than it is now) and then knowing I would still need reading glasses.

 

It is a tough decision for sure.  Good luck.

Always remember that you are absolutely unique. Just like everyone else. Margaret Mead
Respected Contributor
Posts: 3,072
Registered: ‎03-14-2010

Re: CATARACT QUESTION ABOUT CHOICES

Scapel removal of the lens is used less frequently than by laser.  It requires a larger incision with more stitches and can take longer to heal.

I wasn't given a choice at the place I went to.  They do most all by laser.  My only extra cost was because I chose a toric lens.

Esteemed Contributor
Posts: 6,769
Registered: ‎06-19-2010

Re: CATARACT QUESTION ABOUT CHOICES

As someone who had worn glasses for 50 plus years I got the best lenses I could get. I wasn't on Medicare yet so that didn't factor in. Yes I paid a premium but it's sooooo worth it to never wear glasses again. I also had laser removal. Now the only glasses I wear I are sunglasses. No readers. My vision went from 20/800 to 20/15. I preferred laser because it's faster and safer than some guy with a knife over my eye. 

Honored Contributor
Posts: 21,838
Registered: ‎10-25-2010

Re: CATARACT QUESTION ABOUT CHOICES

[ Edited ]

I have had four different types of surgeries on my right eye...three were with a laser, one with whatever the standard is...covered 100% by insurance. 

 

I have only had one surgery on my left eye for cataract surgery.  It was the standard way.

 

Would I recommend laser surgery for $3,300 more.  Heck no!

 

Both of my cataract surgeries were done with the standard procedure and I had no issues, no pain and I could see clearly after.


I would not pay an extra $3300.  I was offered a toric lens because I have a bad astigmatism for an extra $2500 but didn't get it.  The standard lens is fine.  I do not need glasses.