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A 39-year-old member asked:

might one ever need a secondary cataract lasered again?

6 doctor answers12 doctors weighed in
Dr. Richard Carlin
Ophthalmology 50 years experience
Generally no.: It is rare for the opening made by the laser to close again. If it does happen, it can easily be lasered again.
Dr. George Yang
Ophthalmology 27 years experience
Rarely: However, if the opening created by the laser is small, or if there is significant inflammation inside the eye, another secondary cataract may return.
Dr. Harvey Fishman
Ophthalmology 21 years experience
Yes: Occasionally a tag of lens capsule can remain after laser. This can be lasered a second time.
Dr. Michael Ham
Ophthalmology 27 years experience
Typically no: Typically no, once there is a hole made in the cloudy posterior capsule(secondary cataract), there is nothing to turn cloudy. Sometimes if the original laser hole was small, the cloudy membrane can make the opening smaller and it may need lasered again, but this is uncommon.
Dr. Sandra Lora Cremers
Ophthalmology 25 years experience
Yes, PCO: The lens: usually clear, behind iris; is like a "pillow in a pillowcase". When cloudy/white & affecting vision, surgery needed. Goal: remove top part of pillow case (anterior capsule), remove pillow (cataract), keep back pillow case intact (posterior capsule), place a new lens; 10-20% risk need laser after 1st surgery for PCO: posterior capsular opacification. More info: eyedoc2020.blogspot.com
Dr. Richard Bensinger
Ophthalmology 52 years experience
Rare: When a secondary cataract (also termed capsule fibrosis) develops, it is treated in an outpatient procedure termed a YAG laser procedure. This gets rid of the opacity and usually this is permanent thereafter. Rarely there may be some interference which can be retreated with the laser, but this is unusual.

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What is laser resurfacing?

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Wrinkle removal: Laser resurfacing is a way to peel a layer of skin. In doing so, brown spots are removed, reorganization of underlying collagen ocurs, and smoothing of the texture of skin results. Laser resurfacing is generally either ablative (deeper) or minimally ablative (more superficial), the former is more effective on deeper wrinkles but with longer down time.
A 21-year-old member asked:

I know that there are varieties of surgeries to treat cataract. What are they?

4 doctor answers7 doctors weighed in
Dr. Theodore Wu
Ophthalmology 22 years experience
Cataract surgery: The most common type of cataract surgery, called phacoemulsification, uses ultrasound to break up the cataract into tiny pieces, which are then aspirated from the eye. The latest cataract removal technique is called femto cataract surgery, which uses a laser to break up the cataract. This is only available in a few cities, and is rapidly gaining popularity.
A 21-year-old member asked:

What happens during laser treatment?

2 doctor answers3 doctors weighed in
Dr. Michael Carson
Internal Medicine 29 years experience
It Depends: The doctor will use a laser as a tool to essentially burn a very small amount of tissue, but it is used for eye disorders, vaginal disorders, and during some types of surgery. When used for diabetics, they burn blood vessels in the eye that have grown abnormally large.
A 39-year-old member asked:

What are the symptoms of congenital cataracts?

2 doctor answers10 doctors weighed in
Dr. Richard Bensinger
Ophthalmology 52 years experience
Various: Cataract is a generic term for any opacity in the structure of the natural lens. You can be born with anything from trivial opacities to profound deposits. The minor ones frquently do not need anything done and cause no symptoms. The major ones can block vision, cause an eye to turn in or out, and can cause permanent loss of vision. Your pediatric ophthalmologist is an expert at these.

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Last updated Sep 28, 2016

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