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Doctor insights on: Cataract Surgery After Retinal Detachment

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What would experts say about % chance of a retinal detachment occurring after cataract surgery?

Very low...: Very low, but this is one of the risks that surgeons consider when offering surgery to a patient. The benefits of surgery must outweigh the risks. ...Read more

Dr. Bernard Godley
178 Doctors shared insights

Detached Retina (Definition)

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


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For someone who had posterior vitreous detachment completed prior to cataract surgery, what is the risk of post-cataract surgery retinal detachment?

For someone who had posterior vitreous detachment completed prior to cataract surgery, what is the risk of post-cataract surgery retinal detachment?

Very small: As vitreous traction is the main cause for retinal detachment following cataract surgery, if the vitreous is already separated, there would be no traction and thus the chance of a detachment would be very small. ...Read more

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What are the chances of getting a detached retina right after cataract surgery?

Low: During cataract surgery the eye decompresses and this causes the vitreous jelly to create traction and pull on the retina. The jelly may then separate from the retina and tear a hole. This hole can lead to a detachment. It is uncommon but it can happen in a small % of cases. ...Read more

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Why do post-cataract surgery retinal detachments occur? Is there some retinal pulling involved from posterior vitreous detachment (pvd)?

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

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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?

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?

Not really: Vision of 20/25 after history of a retinal detachment is very good. If you had a wrong intra ocular (iol) then you may have a worse vision. You may need corrective lens to compensate for the wrong power of iol. ...Read more

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I had cataract surgery and now have a hole in the retina of my eye. Are the two related in any way?

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

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3 weeks out cataract surgery. First, blurry vision, droopy eyelid, & now torn retina. Can it all be repaired? What does it involve?

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

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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.

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.

Yes: There are some schools of thought that believe that microvascular disease such as vein occlusions and diabetes have an increased risk of getting neovascular glaucoma. Also, cystoid macular edema can happen in these subgroup of patients. ...Read more

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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?

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

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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

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

Perhaps: 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

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I had retinal detachment in both eyes. Will I also develop cataracts?

Not necessarily: If the retinal detachment was repaired with a para plana vitrectomy, then there is a greater chance of developing a cataract. If however it was only lasered or a buckle was used, then the risk of cataract formation is not necessarily higher. ...Read more

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I had retinal detachment in both eyes now. How likely is it that I will develop cataracts?

I had retinal detachment in both eyes now. How likely is it that I will develop cataracts?

Increased: Typically after cataract surgery 80+ % will develop and need cataract surgery with in 12 months. ...Read more

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Eye diseases like macular degeneration, retinal detachment, and cataracts are all in older people, right?

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

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I had two catarac surgeries and one detached retina now I see halos around my eyes?

I had two catarac surgeries and one detached retina now I see halos around my eyes?

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

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Is it normal to have a cataract on your eye when having a detached retina?

Is it normal to have a cataract on your eye when having a detached retina?

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

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How does an eye doctor treat and diagnose someone with cataracts, glaucoma, or detached retina?

How does an eye doctor treat and diagnose someone with cataracts, glaucoma, or detached retina?

Diagnosed by exam: Each of these need extensive exam, follow-up and treatment. Books are written on each subject. ...Read more

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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

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I've got retinal detachment. Is surgery my only option, as it's quite expensive?

I've got retinal detachment. Is surgery my only option, as it's quite expensive?

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

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What to do if I have retinal detachment, is surgery my only option, it's quite expensive?

What to do if I have retinal detachment, is surgery my only option, it's quite expensive?

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

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How risky is a retinal detachment surgery?

Depends: No surgery is without risk, but most do fine. The bigger risk is not getting it done if indeed you have a retinal detachment - then you really are risking blindness. ...Read more

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Is retinal detachment surgery a permanent cure?

Possibly: Scleral buckle and vitrectomy are two surgeries that can result in long term stabilization of the retina. In many patients, this is a permanent cure. Retinal re-detachment can occur and requires repeat surgery 5-15% of the time. ...Read more

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What's involved with a retinal detachment surgery?

What's involved with a retinal detachment surgery?

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

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Can contacts be worn after retinal detachment surgery?

Can contacts be worn after retinal detachment surgery?

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

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How successful is retinal detachment emergency surgery?

How successful is retinal detachment emergency surgery?

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

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What is the definition or description of: retinal detachment surgery?

Surgery: A surgical procedure to reattach the retina to the back of the eye. ...Read more

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Can you develop keratitis after retinal detachment surgery?

Can you develop keratitis after retinal detachment surgery?

Yes: After any type of surgery, the eyes tend to get dry. That is a risk factor for keratitis. If there is a concern of keratitis, the most important thing is to see your surgeon. Sometimes post op infections can mimic keratitis early on. ...Read more

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Can you tell me about retinal detachment surgery in the form of a scleral buckle?

Can you tell me about retinal detachment surgery in the form of a scleral buckle?

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

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For anyone with a scleral buckling surgery for retinal detachment, is there a lot of pain?

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

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I had surgery my right eyes 3 months ago for retinal detachment, but now I just can see 20/200?

I had surgery my right eyes 3 months ago for retinal detachment, but now I just can see 20/200?

Talk to surgeon: Visual recover after retinal surgery can be 6 months or more. In some cases, the vision does not recover. Discuss this with your eye surgeon. ...Read more

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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

Dr. Richard Bensinger
836 Doctors shared insights

Cataracts (Definition)

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


Dr. James Dukelow
3 Doctors shared insights

Retina (Definition)

That lines the inner eyeball that turns light into chemical/electrical signals interpreted by brain which we ...Read more