I'm a 25 year old male who had a ruptured cerebral aneurysm nearing 3 years ago, causing Terson's. One Retina guy wanted to do a vitrectomy. Second opinion more experienced vitreoretinal surgeon told me to hold off, saying it would clear on it's own. At this point, the vitreous is fairly clear, with a rare floater. A small retinal detachment was corrected by laser, after vitreous was clear enough to be seen through and it was found.
Now, I'm told I have a cataract. I'm told causes include the hemorrhage intrusion from Terson's as well as the laser used to repair the tear. All of this mess in in my right eye. My left eye sees 20/15 with a -2 correction. The right eye was at -3.75 prior, both eyes have about -1 Cyl. (astigmatism?) I will be attending medical school in Fall 2014, continuing physical therapy until then.
I have been doing kind of ok even with the cataract in place. I know the left eye was already dominant before, but am concerned that if I don't get the right one in shape soon, the brain might turn it off altogether.
My college education is in biomedical engineering, so the whole IOL business is kind of fascinating to me.
I'd like to not be 25 with bifocals, so I was considering some kind of multifocal. Seems like Crystalens is the only multifocal without light halos o a long time to get used to it (per official literature). However, I've read horror stories of Posterior capsule opacification and the YAG that follows (concerning since I've already had one retinal tear).
I think I was told my cataract is a Posterior subcapsular cataract, if memory serves.
I'd like some information on choices, and especially what the doctors would do, if in my place. I'd like to know what to ask before making the official consult (only picked up info packet from surgeon's office so far)
As an adult, you do not have to worry about the cataract in the right eye causing a lazy eye. This only happens in young children. The cataract may be removed when it is troublesome to your functioning, like reading or driving. A posterior subcapsular cataract can really interfere with reading, and seeing in bright light situations. My strong preference is for a monofocal implant lens in your case; the best results with multifocal or crystalens are when the lenses are in both eyes. Clearly, your left eye will not need cataract surgery for decades. You could place a monofocal implant in the right eye, aiming for -2.00 correction to balance the left eye. You would be able to read without glasses, and need them for driving or movies.
I have noticed that in dimly lit rooms, I can see much better with the right eye than in bright places (even without glasses)
if a monofocal is done as you suggest, while wearing distance glasses (as I'm accustomed to doing), would things focus up close? Or would I have to do the middle-aged thing of reading at arm's length? I've gotten used to having distance glasses on for even computer work (24-48ish inches away) as at that distance the left eye isn't as clear as I would like uncorrected for small print.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.