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Question DetailsAsked on 3/21/2012

1.Could you have a discussion about the cataract operation whether to use laser or knife and what are the pros and cons of the lens they c

I heard that as new laser is now being use to remove the lens and there are many different lens that could be installed....

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I would love to. The new lasers recently approved for PART of cataract surgery are actually not new at all. They are marketed for a different use in cataract surgery to perform parts of the surgery that any competent Ophthalmologist can do with standard equipment that has been used and tested for years. The lasers do not do the surgery differently than the standard equipment, and there is no data that they do it better. What the lasers do better is increase the cost of the procedure. Why would a surgeon use a laser that doesn't improve outcomes and increases cost? Those of us (the vast majority of Ophthalmologists) who dont use them wonder this daily. Possibilities?

Marketing- "I have the newest laser so my surgery is better."
(There is no data to prove this).

Improvement of poor surgical skills- I suppose a poor surgeon might be better with the laser, but there are also reports of increased risk of complications using the laser, and the laser software is being updated regularly because of it.

Take home message is this: You need a well trained, qualified Ophthalmologist, not a new technology that is more expensive (often charged to you) and no better.

I hope this helps!

Source: http://www.aao.org

Answered 7 years ago by rlodad




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