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Problems with cataract surgery!

by alegarcia, Oct 19, 2009 04:30AM
My dad (79 years old) had eye surgery on his right eye (phaco emulsification on a hardened, old cataract) at july 27, 2007.-The Doctor said the surgery was very difficult.-He also has Pseudo-exfoliative Sy.-First, he only saw bluriness and could not distinguish colours.-Little by little he coul distinguishes coulours and saw more details but he could not get a normal vision.-Doctor said that the cornea was swollen and that is why his vision was not as good.
Through the time, his vision worsens a little more; for this reason, on last June 2009, my dad visited another Doctor who said that  haziness had developed on the posterior capsule and he decided, via yag laser, to do a capsulotomy.-Now my father discovered a central Scotoma and his vision is worse and by means of a Oct., the Doctor said that the macula was damaged and there is nothing to do.
His intraocular pressure, in both eyes is 13 mm.

Now my father is very sad to know that he has a 20-50 vision,and a 20-40 wearing prescribed lens, on his unvaluable left eye because of a cortical and nuclear cataract which is getting hard, together to a pseudo-exfoliative Sy.

Please let me ask these questions:

1.-Time to wait for a new surgery on his unvaluable left eye?
2.-Is phaco emulsification an indication for surgery on a hardened cataract?
3.-The name of a very qualified Doctor to whom contact and who could attend my father without mistakes?
4.-Any possibility to make something on his right macular damaged eye?

Thank you very much, for your help.
Member Comments (1)

by John C Hagan III, MD, FACS, Oct 19, 2009 07:33PM
1. Most surgeons believe it is safer and better to operation on an eye with pseudoexfoliation (PXE) SOONER rather than later and NOT to let the catract hard like the right eye did.
2. Yes phaco is state of the art
3 If you live in the USA go to www.aao.org to find one near you
4. Get a second opinion from a retina Eye MD and another from another cataract surgeon.
5 PXE eyes are difficult to operate on and the complication rate, especially in a hard cataract, is twice that of normal cataracts without PXE

JCH MD
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