HIGH MYOPIA AND CATARACT

[Soman11]

Thanks for the reply by by John C Hagan III, MD, FACS

John C Hagan III, MD, FACS , May 09, 2009 09:54AM

With referene to your reply. My left eye has started developing cataract and from which I have maximum vision and right has develop cataract which has got very low vision.  

I am 38 yrs age and have high myopia and wearing contact lenses.  My current Nos are –22 left and –24 in right eye. My left eye has more vision than right eye and in last 1year my numbers has increased from –18 to –22 in left.  My right eye has develop cataract in right eye and so I am not able read and write and difficulty in viewing small  objects but not large.  In my Left eye cataract is started developing and I am facing difficulty in reading and writing unless and until in very bright light and also performing day to activity like driving, crossing Roads and due to this my self-confidence has become very low.   My concern is if surgery is perform in right eye than whether vision will improve or not ?  What are other possible complications ? .

[Soman11]

HIGH MYOPIA AND CATARACT
Hi and Hello everyone.  I am back after almost more than 2 years gap.  I was having very high myopia and cataract and gone through phacoemulsification surgery in Chennai, India.  Now after 2 years by the doctors help and grace of god and blessings and good wishes of dear ones I am doing pretty well with vision. Immediately after surgery I was having very good vision and at present I have distance No. -1.5 left and -1.50 right eye and same no plus for reading.  But past several months I am witnessing floaters in my both eyes.  Is this the sign of worry ? I have advised by the doctors not lift the weight, avoid jerks, avoid night driving and eat green vegetables. Moreover, Angiography of both ratin was done in the year 2009 and  the findings was that on both the retina veins are only reach upto periphery of the retina unlike it happens with normal retina.

Thanks
Soman Dutta

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

phacoemulsification under topical anesthesia and insertion of a posterior chamber IOL even if the power is zero.

JCH MD

[Soman11]

WHICH TYPE CATARACT SURGERY IS BETTER FOR PEOPLE LIKE ME HAVING HIGH MYOPIA AND CATARACT

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

It is ALWAYS better to put an IOL in even if it has no power on it. Studies have shown that a zero power IOL or a MINUS power IOL still reduces the risk of retinal detachment and reduces the rate of secondary cataract and need for yag capsulotomy.

If the local doctor is an ophthalmologist ask him to do  a literature search. The papers were published in either the american journal of ophthalmology or Archives of Ophthalmology or OPHTHALMOLOGY.

JCH MD

[Soman11]

According to one of local doctor cataract surgery in my case, there is no need to input lenses and it will be better for petient like me because I have -22 Nos in Left Eye and -24 in Right Eye.  And cataract is developed in right eye and in left is yet started and with opinion to only operate right eye and wait & see the results.

Thanks

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

1.  I don't understand what you're saying.
2. Waste of money, doesn't work
JCH MD

[Soman11]

With reference to your answer on May 11, 2009

1. If IOL Power is input of numbers,  is there any chances of getting problems in later stages means at older age or better to input IOL of 00 numbers, so that I have to wear same number of lenses after the surgery.

2. What about NU-Eye drop (NAC)  medicine whether it is adviseable to use for people like me with high myopia and thin retina.

Thanks

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

You need to get that information from the surgeon. Remember with one eye done and residual refractive error set for 0.00 you eyes will not work together. So you will need one eye done. Let it heal then get other down 4-7 weeks later.

Risks include infection, bleeding, increased retinal detachment, IOL power not what expected, trouble with eyes working together, swelling of the reading spot (macular edema).

JCH MD