I'm 52 and was recently diagnosed with cataracts in both eyes. The optometrist referred me to an opthomologist who confirmed cataracts and then referred me to a cataract surgeon. The surgeon evaluated me and said he would not operate until I had laser surgery to patch lattice degeneration. I returned to the opthomologist and he confirmed there was degeneration, but no tears, holes or leaks. He said he wouldn't have suggested preventative laser repair but if the cataract surgeon wanted it done, he would do it. It seems to me that this should be a more objective decision. What is considered "best practice" in this situation? I'll do the preventative laser surgery if it is really necessary, but I'm reading a lot of things that recommend against it because of other risks unless tears or holes are already present. thank you.
I would recommend that you seek the opinion of an eyeMD specializing in retina and ask their opinion regarding treatment. Cataract surgery does increase one’s chance of retinal detachment. Usually, lattice degeneration that is associated with symptomatic tears and high risk should be treated.
Sandy T. Feldman, M.D., M.S.
ClearView Eye and Laser Medical Center
San Diego, California
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