Cataract followed by Retinal detachment and Membrane Peel Victrectonomy

[Adiprince1]

Hi I need some suggestions.  Let me give some background first.  I can see only from one right eye and have been blind in one eye all over my life.  I am 30 years old individual.  Last year I had Retinal detachment in my good eye and it was treated on time and saved.  The procedure used was gas bubble and laser.  After 6 months of that I developed scar tissue and my vision was distorted and waves. My Retina specialist performed peel membrane,  emperical buckle Victrectonomy.  I took 7 or 8 months for my eye to be healed now distortion and wavey lines are pretty much gone. Last month I saw my Retina specialist for a follow up and he told me that there is a cataract developing and it might take two years to fully develop and need a surgery.  However for the last two weeks I am experiencing glare and distortion.  I went back to my ophthalmologist and he told me it's a cataract and it developed faster than expected.  So he refered me to Retina and cataract specialist.  I am seeing her next month.  Currently my vision is - 10. In my only good eye which is right eye.  My ophthalmologist advised me that I can get rid of Myopia by having implant the corrective lense.  However I would need a pair of reading glasses to read smaller  text.  
My question is should i go ahead with the corrective lense?  Or just get the regular lense and wear glasses?  Considering that I just have one good eye and wore contacts and glasses all my life.  

Thanks

[John C Hagan III, MD, FACS, FAAO]

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[Adiprince1]

Yes doctor thanks a lot for your Prompt responses and help.  I really appreciate it.

[John C Hagan III, MD, FACS, FAAO]

Floaters are normal for all of us as we grow older. Because most people see better after cataract surgery they often can see floaters that were there before surgery but not visible due to the cataract.  Use the search feature and archives to read about floaters. Most floaters either drop out of sight or the brain stops paying attention to them (neuroadaptation).

Much better the posterior lens capsule is cloudy and you need a yag capsuloloty than have a macula problem.

Best of luck.

Merry Christmas.

JCH MD

[Adiprince1]

Hi doc so I came back from the appointment with the doc and she said that I will need a yag laser due to Hazy capsule.  She will do that after 6 weeks.  Since I just had  cataract surgery last week.  Also  I wanted  to ask you if the floaters are normal after cataract surgery and will go away eventually.  Also I used  workout daily on stationary bike for 50mint. After how long can I start that activity.  Thanks

[John C Hagan III, MD, FACS, FAAO]

The macula is the central part of the retina and the spot where reading and central vision is located.   It is totally different than the membrane behind the IOL that is treated with yag laser capsulotomy.

Ask your surgeon for details of your case.

JCH MD

[Adiprince1]

Hi doctor I wanted to follow up.  So finally my cataract surgery was done on Dec 5th. The doctor said she has successfully implanted the iol after removing the cataract.  However I still see Hazy cloudiness in my vision.  She was saying that my macula is Hazy so she would perform a laser in a month or two.  Not sure what that is.  Is this the one that involved yag laser treatment when they make holes in a Bag carrying lense to let the light pass through or something else?  Please elaborate thanks a lot

[John C Hagan III, MD, FACS, FAAO]

Look forward to your post
JCH MD

[Adiprince1]

Thanks for the encouragement doctor.  Ya your right everything has risks.  Hopefully I will do good.  I will keep you posted after the surgery  .  Thanks again

[John C Hagan III, MD, FACS, FAAO]

Your risks are very small and your surgical team is skilled. If the lens drops in the back of the eye it doesn't mean you will go blind. In most instances the lens can be retrieved at a later date by the retina surgeons.  

Life is full of risks. They cannot be eliminated. Driving in a car risk death each and every time.  Don't dwell on it.  Two weeks ago I blew out my knee playing sports and had arthroscopic surgery. They discussed risks including knee might never work right again, infection, bleeding and small risk of death under anesthesia. I signed on the dotted line. That's the way it works. They were honest and forthright. I'm doing fantastic and my knee is almost back to normal.

You should do well   Best of luck
JCH MD

[Adiprince1]

Hi doctor.  I got a chance to see the cataract surgeon earlier.  She said that I will be going through a surgery and they will implant Tecnis® ZCB00 1-Piece Acrylic IOL.  They took the measurement of My eye and told me about the risks involved.  She said that there is a 1/1000 times chances to have complications.  Since I already had Victrectonomy,  the lense could fall at the back of my eye.  She kind of scared me because she said if that happens I could eventually go blind.  Since I have only one eye  that is functional  I am paranoid but still keeping my self positiv.   She said that since I had Retinal detachment and emperical buckle before that might happen.  Please do shed some light on this issue.  Thanks

[John C Hagan III, MD, FACS, FAAO]

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[Adiprince1]

Thanks for the good wishes.  I will post back the results after the surgery

[John C Hagan III, MD, FACS, FAAO]

Best of luck. I think you will do well and be astonished by the improvement.
JCH MD

[Adiprince1]

Thank you so much doctor. Will do that. My retina suergeon sent me to this catract surgeon. So they should be consulting but I will also make sure .

[John C Hagan III, MD, FACS, FAAO]

1. A cataract almost always develops after vitrectomy and usually within year or two.
2. Read this carefully and at least 2-3 times:
http://www.medhelp.org/user_journals/show/841991/Consider-ALL-the-Options-Before-Your-Cataract-Surgery-Working-Through-Whats-Best-For-You
3. For most people the safest procedure would be a monofocal, high quality aspherior IOL and a target refractive error of 0.00 if you want good distance vision (farther than 20 feet) or -1.00 if you want a reasonable distance vision, good intermediate vision and fair reading vision without glasses BUT you should be wearing glasses all the time to protect your good eye.
4. Be sure your cataract surgery and retina surgeon work closely together. You will need some extra visits post op to have the retina surgeon check your retina while the cataract is heeling

JCH MD