90 days after cataract surgery

[bbuzz]

When I went to my eye doctor today, she said my eye was still dry and to keep on using Restasis for another month.  I have been on Restasis a month now.  If my vision doesn't improve, she is going to do lasik on the posterior capsular membrane.  At that time my cataract surgery will be around 90 days old.  Is it unusual to have that type of lasik so soon after the cataract sugery and will this improve my vision?  My vision is much clearer in my right eye with my contact lens.   I know you can't make a clear judgment without examining my eye, but is my surgeron looking for some reason my vision isn't are sharp as expected?  She said my vision still might improve even after all that time.  Thanks for you reply.

[Michael J Kutryb, MD]

Macular edema, macular pucker, and macular degeneration all affect the macula but are fairly different in nature and prognosis.  Basically it is very important to make sure your macula is healthy before pursuing yag capsulotomy.

MJK MD

[Michael J Kutryb, MD]

Your vision is a little blurred after cataract surgery.  Your doctor is trying to treat dry eye  keratopathy using tear drops and restasis.  THis might help improve vision.  Also there may be some posterior capsule opacification requiring a simple, very safe, yag laser capsulolotomy.  Sometimes the yag laser procedure needs to be done early on like this.  Generally after 90 days, the eye should be stable and suitable for the yag laser if needed.  Now, one important note, the doctor needs to carefully evaluate the macula to make sure there is no abnormality there like macular edema or macular pucker.  An OCT scan would be very, very helpful here, and I would want to make sure it was normal before proceding with yag laser.  Ask you doctor about the health of macula.  How does OCT scan of macula look?

Michael Kutryb, MD

[bbuzz]

I have worn hard ontacts for over 50 years.  Before I had my tests for the cataract surgery, I wore soft contacts for three weeks and then glasses for a week.  After the test for the IOL, I was told I could wear my contacts again so I wore the soft lens up until the operation.  Could this have affected the outcome of the operation?  I know I sound unduly worried about my 20/30 vision, but was just wondering if this could be a cause.  I doubt that many people have worn hard lenses for that long a period of time, so if I'm to have my right eye operated on, I'd like to do something different as far as wearing the contacts if this is a factor.  Thanks.  

[bbuzz]

I'll certain ask her to do that scan since my brothers, sister and mother have macular degeneration.  Only one doctor I have been to has said I don't have macular degeneration, but that was many years ago.  Is this the same disease?  I appreciate your answering my first question so quickly.  Thanks.