Lens Implant Materials with Retinal Surgery Risk

Question:  I am considered legally blind in one eye and now need cataract surgery in my good eye. Years ago I had a vitreous detachment in that eye, and I have floaters. I read that silicone lenses should not be used in a person that may have to have vitreoretinal surgery down the way.  Because I had a vitreous detachment and have floaters, does that mean me?  My cataractsurgeon only uses a silicone lens which is the Bausch & Lomb L161AO.  I went to another doctor who uses the Alcon AcrySof SN60WF, but I read of a glistening from this lens.  Which lens would be better for me?

Answer: Certainly in any one eyed patient the cataract surgeon wants to be as cautious as necessary and will guide you to the best choice of lens implant. First, while you had a vitreous detachment you do not state whether the retina is in any way compromised with excessive thinning, holes or tears, or whether there are any tractional areas on the retina. This should be evaluated by your cataract surgeon and perhaps even having a consultation with a retina specialist might be in order. This information is the basis for assessing the risk of needing vitreoretinal surgeon and might lead to some preventative treatment options. Once ths is evaluated and discussed you can as the cataract surgeon and the retinal specialist to make a lens implant material recommendation for you.

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