Doctor insights on:
Cataract Surgery After Retinal Detachment
The retina is the light sensitive layer in the back of the eye that transmits images to the brain via the optic nerves to create vision. If a hole or tear develops in the retina, eye fluids can separate the retina from underlying layer (choroid). The most common cause of retinal holes or tears is traction from the vitreous, the clear gel that fils the inside of ...Read more
For someone who had posterior vitreous detachment completed prior to cataract surgery, what is the risk of post-cataract surgery retinal detachment?
Why do post-cataract surgery retinal detachments occur? Is there some retinal pulling involved from posterior vitreous detachment (pvd)?
Destabilization: The natural lens and its supports stabilize the front of the eye and vitreous. Removal of the thick natural lens and substitution with a thin artificial lens, increases the chance for the vitreous to move in ways that can destabilize the attachments of the vitreous over the retina. If there are weak places, this can increase the chance of detachment, even in the best of cataract surgeries. ...Read more
Could I have the wrong grad iol after cataract surgery my vision 20/25 in that eye, before that I had a retina detachment 8 mnts ago too?
I had cataract surgery and now have a hole in the retina of my eye. Are the two related in any way?
Typically not: A hole in the retina comes from traction from the vitreous ("jelly") on the retina in the back portion of the eye. During surgery, or the healing process from cataract surgery this traction may increase. This can result in formation or progression of a hole in the retina. Typically one has a pre-disposing condition, complication, or traction for this to happen associated with cataract surgery. ...Read more
3 weeks out cataract surgery. First, blurry vision, droopy eyelid, & now torn retina. Can it all be repaired? What does it involve?
Yes: Surgery can repair the droopy eyelid as well as the torn retina. It depends on what is causing the droopy eyelid to determine what treatment works the best. Also, depends on how much of the retina is detached to determine what treatment works the best and what the vision prognosis is. Your ophthalmologist will be able to help you. Good luck! ...Read more
Is there any more significant risk of doing cataract surgery on an eye that had a central retinal vein occlusion about a year ago vs a normal eye.
My mom-cataract surgery done on both eyes around 6-7 years back. Is being advised laser capsulotomy 4 left eye, does this cause retina thinning?
Laser capsulotomy: Is a common procedure that may be needed weeks, months or years after cataract surgery. A laser is used to open the original lens capsule that is left in position to support the intraocular lens which is inserted at the time of the original surgery. This laser procedure is very safe and will not cause retinal thinning. ...Read more
Is it normal to have retinal swelling and corneal abrasion after cataract surgery? I'm 54 had lasik in left eye 3/30/05 no problems good results. Had cataract surgery on 4/21/11 vision 20/200 swelling retina 350 micron with wrinkles and severe corneal abr
Corneal abrasion at the time of cataract surgery can happen, but it is very rare. Certain conditions can increase the incidence (dry eyes, blepharitis, even previous lasik).
The retinal swelling also is somewhat rare to the level you are describing, but it too still happens. Conditions like diabetes, uveitis history, and pre-existing wrinkling of the retina (epiretinal membrane) increase risk. ...Read more
Eye diseases like macular degeneration, retinal detachment, and cataracts are all in older people, right?
Age Related: All of those conditions are predominantly age related, although all can occur less often in young people. ...Read more
Possible.: Unfortunately, retinal detachment occurs not uncommonly after cataract surgery in about one to two cases per hundred cataract surgeries. Halos can be a function of the intraocular lens that is placed in the eye at the time of cataract surgery. They can be a function of uncorrected or over corrected refractive error. Also, the condition of the retina is obviously a factor. ...Read more
Perhaps: Some techniques used to repair a detached retina can lead to premature cataract. An example surgery is a pars plana vitrectomy where the jelly pulling on the retina (vitreous) is removed from inside the eye. While removing the vitreous may speed up cataract development, we accept this occurence as without an atrached retina, the eye does not see. Cataract surgery may be needed down the road. ...Read more
Diagnosed by exam: Each of these need extensive exam, follow-up and treatment. Books are written on each subject. ...Read more
Can anterior vitreous detachment occur before pvd? Does it reduce the retinal risks assoc with cataract surgery? Symptoms other than floaters?
Vitreous detachment: May occur at the level of the anterior retina adjacent to an area called the ora serrata. The vitreous may delaminate from the retina at any location, meaning either posterior or anterior at anytime either from trauma or idiopathic. If the vitreous is already detached from the retina, then the risks of a retinal detachment is theoretically reduced. ...Read more
Yes: You need a procedure. Sometimes this can be done in the office (pneumatic retinopexy), and sometimes this must be done in the operating room. Can't you possibly sign up for obamacare? ...Read more
Surgery now!: If your retina is detached, time is vision! The sooner your retina is repaired the more likely you are to regain vision lost, or prevent permanent vision loss. Not every detachment is the same. Some retinal detachments can be fixed with an in-office procedure. Don't delay! ...Read more
Outpatient Surgery: A retinal detachment can be repaired two ways. First, via an in-office procedure called a pneumatic retinopexy, and second, a more involved outpatient surgery employing a vitrectomy and/or scleral buckle. The first type is suited for a certain type of detachment that can be repaired with laser or a freezing treatment and a gas bubble injection, whereas the second type is done in the operating room. ...Read more
Yes: Retinal detachment surgery can change someone's refraction. Also sometimes a patient is left aphakic if the lens is removed. Contacts are needed in those eyes. ...Read more
Retinal Detachemnt: Varies, depending on what the cause, how long it has been present, age, amount of retina detachment, whether or not the macula is detached or not detached (macula off or on retinal detachment). Even if the retina is successfully attached, the vision may still be limited or the vision can be restored to normal. ...Read more
It is a eye surgery: Scleral buckle surgery is used to help repair the detached retina. It is used at times with another surgery called vitrectomy. It is a band that can go around the eye or partially around the eye and bring the wall of the eye inward to contact the retinal detachment. It also can provide support to the retina. ...Read more
See below: There may be some discomfort that gradually improves over several days that can be helped with over-the-counter pain relievers or something a little stronger which your retinal specialist can provide. If pain is severe or does not improve, it may be a more serious issue like increased eye pressure or infection, but that is why your retina specialist follows you closely postoperatively. ...Read more
Can anyone tell me is vitreous detachment after a retinal detachment surgery risking another retinal detachment?
Unusual: Most retinal detachments are preceded by a vitreous detachment. There are some exception, however those are uncommon or rare. As such, it is unlikely to have a vitreous detachment following retinal re-attachment surgery. If there was no vitreous detachment prior to retina re-detachment surgeyr, and no vitrectomy was done, a vitreous detachment could occur with it's risks. ...Read more
Occurs whent here is a clouding (or change in protein composition) of the normally clear lens (which is located behind the pupil and iris) inside the eye. Cataracts are most commonly due to aging, but can be congenital (born with it), due to trauma or uveitis (eye inflammation). Can be worsened by long-term topical steroid ...Read more
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