Severe Cataract

[user78546]

I 28, live in a third world country, I have severe cataract in one eye (from some trauma in childhood I suppose!), the pupil looks white. I don't have vision in that eye. I been diagnosed by some ophthalmologists (contradicting mostly). they said I have weak retina / optic nerve.

I asked the most recent doctor to remove the cataract (at least) cosmetic-wise. although him being reluctant about doing this surgery, he said I might gain some sight there. I asked about his reluctance and he replied there is some chance (5-10% maybe) of that eye having complications and lose it.
some other doctor said nothing about such a complications and said if I want it I can proceed with surgery.

I did some eye scans called B Scan, I will scan and upload.

[user78546]

thanks for response.
so according to your diagnosis there is no harm in removing the cataract? Because this would help a great deal to my confidence.

Does "disorganized back of the eye" mean retina problem?

in case no-vision after operation, because there is some strabism problem, after strabism correction does the blind eye stay aligned?

[JohnHaganMD]

The risk to the good eye is much less than 5-10% and if it were that high the surgery would be too risky to even consider. The condition where an injured eye damages the other uninjured eye is called 'sympathetic ophthalmia"  Use your search engine and read about and look on WebMD and emedicine and read about. Get at least 1 more independent second opinion before you make up your mind. Ask the consulting surgeon about the risk of sympathetic ophthalmia"

JCHMD

[user78546]

Firstly thanks for response.

Actually the 1st doctor said nothing about complications and said I can proceed with surgery.

The 2nd doctor told about "the good eye getting damaged risk" and refused to operate. (I didn't take it seriously because the other two didn't say nothing about the good eye getting risked.)

the 3rd doctor said the good eye is okay and meant that there is the risk of bad eye (maybe 5-10%) having complications and getting extracted!

in case it helps this is the scan I did on the bad cataract eye (it was called B Scan):
https://veuwer.com/i/3qi5.jpg
https://veuwer.com/i/3qi8.jpg
https://veuwer.com/i/3qi9.jpg

so I'm totally confused and desperate and plan to wait until I go to Europe or something.

Thank you in advance.

[JohnHaganMD]

No I did not say there is "no harm" in removing the mature cataract. No operation is without risk and all the standard risks of infection, bleeding, corneal damage, etc still exist.  A blind eye often does not stay aligned in adults it tends to wander out towards the ear (wall eye or exotrophia)

Yes the retina looks abnormal

JCH MD