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Eye Care Archive  (Expert Forum)
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At Risk for IOL Dislocation?
Our Ask A Doctor Ophthalmology Forum is where you can post your question and receive a personal answer from physicians affiliated with the American Academy of Ophthalmology.

At Risk for IOL Dislocation?

by BruceA, Feb 19, 2007 12:00AM
I have been diagnosed with cataracts in both eyes - surgery and IOL's have been strongly recommended.

I have concerns about IOL's and compatibility with my occupation.  I work in commercial building demolition.  I frequently use pnuematic and electric powered jackhammers.  The possibility of occasionally getting bumped in the head also exists, regardless of wearing a protective hard hat.  These activities jar and shake my head, sometines quite aggressively.  I also occasionally participate in informal contact type sports.  My concern is about the possible dislocation of the IOL's.  I am looking for feedback on the possibility or probability of dislocation, correction of which might require further surgery.  What does it take to dislocate an IOL?  Do I need to be concerned about my activities, and if so what limitations do I need to impose?

Thank you - input will be greastly appreciated.

by Forum-OD-MP, Feb 20, 2007 12:00AM
i dont consider any of that to be contraindications to cataract surgery.  did some surgeon tell you that the jarring head motions would be a problem with cataract surgery?
Member Comments (4)

by aimee37, Feb 19, 2007 12:00AM
To: Bruce
I am also in construction. About 3 weeks post cataract surgery I stood up into a steel beam without a hard hat. It was hard enough to give me a concussion. I Freaked out and called my Eye Doc. He said not to worry, the lens is surrounded and cushioned by liquid. any hit in the the head that could possibly dislodge it would be probably kill you. He said if I was not dead the lens would still be in place

by aimee37, Feb 20, 2007 12:00AM
R.M.P., O.D.,

No surgeon has sugested a problem - in the same light neither of the two surgeons that I consulted were willing to attempt an answer to my question or, alternatively, offer suggestions as to where I might look for an answer.

I felt and feel uncomfortable having the surgery done before I am confident in approaching this thing from a point of at least basic knowledge and understanding.  In the past, I was told by my primary care physician: it is your body and you have a right to know the up and down sides to any procedure.  He is a person whose judgement I have come to trust.

["...greastly?"  My apology - should read greatly.]

by aimee37, Feb 20, 2007 12:00AM
i personally think that cataract extraction is probably very safe for a patient with this type of profession, and that future use of said construction equipment should not dislocate any potential IOL.  no guarantee, of course, but highly improbable in my opinion

by aimee37, Feb 22, 2007 12:00AM
Thank you Dr. Prince and BxBinky.  I consider valuable any related experiences that address my concerns.   BxBinkey, I hope that you didn't suffer any long term injury to your noggin.  Getting a solidly thumped on the head is no fun!
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