Dear Doc another question

[thepurselady]

Doctor you are great to take the time to respond to all these ??

Sorry to bother you again but I can't seem to get an answer from my Doctor.  He is the silent type.

I have now what appears to be a cloudy lens - beginning of cataract which only mildly affects my vision.

I also am what I believe  Myopic so I have been told I have somewhat narrow angles.  I read the report and it said something about a 2-3+, I can get the exacts if that would help

My doctor mentioned some time back that it could create a problem with angle closure glaucoma down the road.  But he did not expand on this.  I wonder at what point would this become an issue?  Currently I am told my lens is cloudy - but again no real visual issues other then some mild glare

Sorry to ask one more thing I am younger at 36 and am curious what would cause cataract at this age?  Parents both had healthy eyes.  Could it be a systematic issue and if so, what kinds cause it?

Thanks sorry for the long post. Im a big question asker and my doc is very quite and does not ellaborate much

Happy HOlidays

[Forum-OD-MP]

Cataract at age 36 is certainly interesting.  Yes, possible systemic disease, but could have also been caused by old ocular trauma (like a fight), or UV/IR exposure, or a multitude of other things.

Most myopes have WIDE angles, not narrow.  But if you've been told you have narrow angles...

Angle closure glaucoma is a condition where your iris bunches up and blocks anterior chamber fluid drainage.  It can be chronic, in which you may or may not know its occurring, but usually it is ACUTE, which means it comes on fast and is very painful.  If you suddenly develop a painful, red eye, you might be having an angle closure glaucoma attack, and would need immediate medical intervention.  You would likely know it if this were to occur.  Its supposed to be excruciating.

Barring an obvious attack like that, you just need regular eye exams and pressure checks and an occasional visual field test to see if you are having problems.  I personally dont consider a "2-3+" to be very "narrow" if 2-3+ is what you really are.  I certainly would consider the probability to be very LOW of your 2-3+ angles ever complicating a cataract surgery.

[thepurselady]

Dear Doctor,

THANK you kindly for your time.   I know your day is a busy one.

Ok I dug out my files and this is what i found, I appologize for the wrong info

My doc says here

There is no refractive error, however on cyclopletic refraction a significan hyperopia is identified.  Anterior chamer is deep with a 2-3+ deep open angles.  Tonometry is 15 and 12.

---

Doctor this was back in 1997.  Im guessing angles dont change size? But this was his report in 1997.  He also states crystaline lens is clear.  Now to date at 2005 its cloudy.

Dr thanks so much again.  Happy Holidays to you.

Gina

[Ag-i-doc]

all of that is normal.

interesting that you have no refraction, but "significant hyperopia" was found on cycloplegia.  i call that "latent hyperopia", and it means your late 30's & early 40's may turn out to be a wild ride Rx wise.  people with that diagnosis change rx's frequently during that time and have a hard time getting used to each rx change.  fun.

but none of that really affects the cataracts.  when they get to bothering you badly enough, have them reomved.

[thepurselady]

Thank you greatly sir.  My life has always been a wild ride so.. well nothing new. lol

Happy Holiays to you and I sincerely appreciate your time.

[thepurselady]

Oh goodness I just  had a though, i assumed you were a He, my appologies if you are a she.

Thanks again for your input it means alot ot me.  This is a fantastic forum so glad it exists.  Many of us are caught in a place where we do have Docs but the exchange of info is limited or explained in a way we don't understand - I think this is a tremendous asset to the community.

[Ag-i-doc]

its no problem.  you're welcome.

and you assumed correctly.  i am a "he". :)