[ngcles]

Hi Peter & All,

The short answer is get them done, you won't regret it for a moment, you vision will improve very dramatically, I know it sounds scary but I've got to say I'd prefer to have that operation again than having a trip to the dentist.

Here is my story:

I discovered I had a cataract forming in my right eye nearly five years ago when I went for a regular eye-test. The optometrist suggested I switch my observing eye to the left and wow! What a difference it made in being able to see faint things! (it was still cataract free). I knew things were only going to get worse and finally earlier this year I detected that there was something wrong with the left one too. After putting it off and putting it off out of fear of an operation I finally bit the bullet and re-visited the optometrest. Cutting to the chase, the cataract in my right eye was "ripe" and the left eye had a partially formed one as well. There are strong genetic links to cataracts and both my parents had cataract operations in their early 60s. I am 57.

I was referred off to the leading local eye surgeon Dr Basil Crayford) who was absolutely and completely fantastic. Brilliant. Listened to all my concerns about telescopic and naked-eye star-images and viewing post-op. I gave him a copy of an article that was in S&T about 6 years ago -- a horror story when the operation was performed without performing a full capsuleotomy (removal of the front of the sac that holds the affected lens (copy attached of the original un-edited version). Basil listened very carefully and he assured me that while he couldn't promise absolute perfection, he had performed over 4000 operations of this sort without a single "failure".

I had the two operations in Orange NSW (large country centre) in day surgery on 8th and 15th August. For a whole host of reasons I won't go into here, I did without twilight sedation and after a succession of anasthetic eye-drops, I then had a "big" local injected into the eye and the procedure was completed in about 10 minutes, and I was back out in the street an hour later.
After a post-op visit the next day, I was allowed to drive home (about 70kms). The improvement in that eye was apparent just 24 hours post op with lovely, tiny, round star images. After several days when they were a bit up and down, they finally settled and by the time the second eye was done was close to perfection. The left eye was done second and again, much improved almost immediately.

Now two and a half months post operatively, they work just like they did when I was a teenager.

Yes, I know it wounds scary. I was very scared prior to the first op but honestly hardly felt a thing and there was no pain at all apart from about 6 hours after when the affe3cted eye felt a bit "scratchy" and was red.

Make sure you talk to the surgeon and tell him about your hobby and needs. Most people don't have the exacting needs we do, nor the desire for absolute perfection in a point light-source. The problems some amateurs have encountered revolve around a wrinkle in the artificial lens that most people would hardly notice if at all. The second issue is bits bits of the lens capsule that aren't completely removed in most ops becoming apparent when we are fully 6mm dilated at night (in daytime, they're hidden by the iris stopping the eye down to about 1mm aperture).

I know you will be nervous -- that's completely natural but from one who has had it done, it's no big deal. Now two and a half months post operatively, I can now see nine Pleiads naked eye without real difficulty. I was down to three and sometimes two! I was fortunate that prior to cataracts, I had no optical defects at all, no short-sightedness, no barrel great maculae. Now I see like a teenager again.

If you want to ask any other questions P.M me.

In the end, the private health insurance covered the whole bill from the day surgery (x2) and the anaesthesiologist -- The statement said $9,899 for that. The surgeon's fee was $2,200 per eye all-up of which Medicare refund about $790-. In the end, out of my pocket, it cost just short of $3000-.

Best,

L.

P.S Can't attach the article because the .pdf is too big. If interested, send me your email address via P.M and I'll sent is direct to you.

P.P.S as others have noted lasik is a different operation on the front surface of the cornea (the first refractive element of the eye) and will not help with cataracts that involve the lens inside the eye, behind the iris. A cataract operation involves removal and replacement of the affected lens. It is the single most performed eye-surgery in the world and has very, very high chances of complete success (better than 99.9%). My lens implants are Alcon (U.S) and my eye-surgeon described them as the Rolls Royce of implant lenses. They are also U.V opaque. The first thing you will notice post-operatively is the vividness of blues and greens -- the colours most affected by the crystallisation of the affected lens(es).