Cataract Surgery with Fuchs Disease
Posted , 10 users are following.
I had cataract surgery in my left eye about 3 wks ago. My vision is still very blurred. Let me add that I have fuchs disease,but my surgeon advised me to go ahead with the surgery. I've had all kinds of eye drops but know luck at all. I'm afraid that my fuchs disease was excellerated. and thats why I still can't see. Very depressed. Anyone out there with this type of problem. I'm a 67 year old male who had 2 vitrectomies last year.
2 likes, 9 replies
robert93685 jar16
Posted
I am an experienced cataract surgeon and in practice the cornea may actually improve with less oedema after surgery but I always warn my patients of the risks. The endothelila cells can migrate after surgery to cover up bare areas. Unfortunately they do not multiply. Some surgeons advise waiting until cataracts are really bad. Personally I don't advocate this because dense mature cataract require more energy and trauma to mrove than early/moderate cataracts.
It is worth being patient because gradual improvement can continue up to 3 months after surgery. In severe cases further surgery might be required to graft endothelial cells from donor cornea. You have already had lots of eye surgery and it would not be advisable to have another op for many months!
Time is the main factor here. FML drops might help in the future. Some doctors advocate 1% sodium chloride ophthalmic ointment to dehydrate the cornea. This may help remove water by osmotic action but ointment severely blurs vision so I don't recommend messy ointments. Soft bandage contact lenses may help with comfort if you are get a lot of sharp pain.
It can take several weeks for vision to clear. These are still early days and I hope your vision improves.
jar16 robert93685
Posted
robert93685 jar16
Posted
My only comment is the pressure in your eye should be kept low to say 10 mm of mercury instead of the more average 17mm to help the endothelial cells doing all the pumping.
You cannot know the pressure in your eye by a sense of comfort or headache, however a local optician can easly check the pressure.
Occasionally steroid/ prednisolone drops can make the pressure go unexpectedly high even beyond 30 mm. Your headache and neck ache is almost certainly due to worry and tension headache. The best remedy for that is a combined back and neck massage!
jar16 robert93685
Posted
Thanks
Joe
cathy34670 robert93685
Posted
Are you a physician that deals with this?
tigitigi72 jar16
Posted
jar16 tigitigi72
Posted
Take Care
Joe
tigitigi72 jar16
Posted
Hope you feel better soon.
Take care.
kea61151 jar16
Posted
Bless you in your search for a clearer look at things.. Patience is a key too with this, i know that..