Cataract Surgery

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I'm 59, and have been diagnosed with cataracts a couple years ago. My right eye is worse and the left has early cataracts. I've been holding off although the right is affecting my vision, since I do have astigmatism, double vision as well. I am nearsighted and wear glasses for distance. As time goes by my vision is getting worse, but I am the type of believer that my natural lens is the best and I've been holding off on cataract surgery. How long have you guys held off on cataract surgery? Is it safe to do so? Also is it possible to have cataract surgery in one eye and keep the natural lens in the other? Or will I have complications due to the differences in vision?

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  • Posted

    1. The cataract surgery is one of the easiest surgeries. There is no pain. Just a few things to be careful for 2-3 weeks after surgery.

    2. Agree with you that the natural lens is the best. It is better than any IOL available on the market right now.

    3. However, if your vision in one of the eyes has deteriorated too much due to the cataract, there is no reason to postpone the cataract surgery.

    4. There is no problem in having a cataract surgery done in only 1 eye. I had the second cataract surgery done 17 years after the first one.

    5. The adjustment due to the differences in vision in the 2 eyes are more due to the differences in the prescription for the 2 eyes rather than due to one having a natural lens and the other one an IOL.

     

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  • Posted

    Hi brit, you will have a lot of response to your query, first of all yes you can most certainly have one eye done and hold on for as long as you like for the other one.

    I was similar somewhat to you I never wore distance glasses just reading glasses, ive had both eyes done my first eye which was my right one was done first because my sight wasnt good I couldnt read labels in shops I now can, had first eye done last June 2016 then the left one done in August, cant tell you anything about types of lens that other will talk about, my optician simply referred me to my GP who then referred me to the hospital, nothing was ever mentioned about types of lens the Consultant made that decision and that was fine.

    If you have had your consultation with the consultant at the hospital then you should go with what he considers, if you havnt yet then it wont do any harm to let your GP refer you they will give you a good examination at the clinic then you can decide after that what you want to do.

    Please let us know what stage you are at regarding your examinations then afterwards what you decide and especially how you get on, will be watching

    Regards

    Agnes

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  • Posted

    I had my right eye done a year ago. I had a couple of types of cataract: one of which kept passing through my focus point. The first thing that I noticed was how different vision between the two eyes was. Colour in one eye was bright and crisp: in the other eye, colour was very muted. I also found ghosting on the non operated eye difficult to cope with. My second eye was operated on on June. I have distance IOLs with one slightly weaker than the other. This was a clever plan to improve my near vision which hasn’t really worked.

    Overall, I am very pleased. My distance vision is exceptional but I need glasses for reading and computer work. My optician suggested regressive lenses. These didn’t work for me. What has worked well is a £35 pair of glasses off the web to my prescription corrected for computer use. My slight disappointment is that I do get circles of light when looking at a point light source in a dark room ( my surgeon said my brain will adapt: my optician said that it will not resolve itself),and I have had a couple of episodes of ‘zig zag’ migraines.

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    • Posted

      Hi david

      This operation is so very different for everybody this must be said, some come through it with flying colours, I didnt but I can live with the result, I dont use any drops because I hate anything being done to my eyes.  I dont get migranes but I do get episodes of black and white zig zag circles round both eyes which lasts for about 20 - 25 mins and I only get this every so often not regularly, it started when I was having a lot of stress at work, again I can deal with that, it has nothing to do with my cataract op because it happened quite some time before I had them done.  

      As I said if you read through all the comments on this site about cataract ops you will find some have similar symptoms to yours.

      It can be a wonderful transformation having cataracts removed my vision wasnt good and its a lot better

      Oh david you are having several things going on and it is very upsetting when the surgeon says one thing and the optician another and the not knowing is probably the worst thing, how long is it since the op that the surgeon is talking about that he thinks the brain will right the symptom.  Are you OK driving at night when its dark.

      Im pleased you got suitable glasses on the web that was a big saving

      Look forward to your reply

      Regards

      Agnes

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  • Posted

    Hi Brit,

    I was told last year that I had a cataract in the right eye, but decided to leave well alone at the time.  I saw the  Consultant in June this year and he said that the cataract was very dense, when I asked what this meant, he said he would have to be extra careful doing the surgery.  By the time August came, the cataract was so bad, that I had no vision at all in the eye and decided that it was far too dangerous for me to continue driving, so stopped. 

    My operation was two weeks ago and although I can now see brilliantly, the operation took much longer than normal and unfortunately was very painful.  He did apologise, but explained that it was due to the cataract being so dense.  What I'm trying to say is, don't leave it too long, it will have to done sometime so why not bite the bullet and go for it.   

    My other one will need doing within the next few months and I won't delay on that one.  Good luck.  cool

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    • Posted

      Hi Sukes

      I was interested in you letter, I too had two very painful ops for the same reason as you, like you said it has to be done or you lose your sight.

      You did say your sight was brilliant but do you have any discomfort in your eye  would be very interested to know

      Regards

      Agnes

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    • Posted

      Hi sukes,

      Appreciate the reply, I do worry that my cataracts have been more dense than my last eye examination. It's been over a year now and for the same reason I was told that laser-assisted surgery might be better to "break" up the dense cataracts. How long did the operation take? Hopefully you no longer have the pain. Interested in knowing if you had laser or just traditional surgery and with which IOL.

      -Brit

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    • Posted

      The best advice that I got from my optician was to choose a corneal specialist. His argument was that if you wanted a wall built you should use a bricklayer not a general builder. Easy to say, but finding someone isn’t always easy.
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    • Posted

      Hi Brit,

      I'm not really sure how long the operation took, (it was traditional surgery) but my husband said I was away for over an hour and in fact he was getting a bit worried.  I walked to theatre, but came back in a wheelchair which took no longer than a few minutes.  

      I have no pain now, but the eye still aches a little, they tell me that is quite normal.  As regards the IOL, I have no idea.  During my appointment before the op, they did readings and I was asked if I wanted to see distance or close up, I chose distance.  I hope that helps.

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    • Posted

      Hi Agnes,

      I do have some discomfort, it's like an ache really, but then it's only been two weeks since the op, so I guess that's not long. x

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    • Posted

      Brit01 - please inquire about the added expense of laser assisted cataract surgery as some doctors charge significantly more for it than traditional.  
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    • Posted

      Kudos to you, Sue Ann for your thoughtful, kind analysis.

      Your advice has really helped me and I'm sure that it has helped many other people as well.

      All the best to you!

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    • Posted

      I've read mixed research about laser-assisted actually being beneficial. The traditional is covered by my insurance but I believe the laser isn't so I am hesitant on whether to go with it or not. 

      -Brit

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    • Posted

      Hi Brit01 - yes keep researching.  Trying to recall someone who posted on these forums regarding cataract surgery for her mom who was in her 80’s and used laser assisted surgery on surgeon recommendation.  Laser assisted surgery would have been covered by healthcare except surgeon also mentioned he would correct her mom’s small amount of astigmatism.  So he did  limbal relaxation incisions which surgeon could charge for laser wasted cataract surgery.  He did not tell her that astigmatism could be corrected with glasses and then the surgery would have been completely covered.  She feels quite deceived by surgeon. unless your cataract is very dense traditional will work just as well.  I live in Canada and my cataract surgery was completely covered and I had traditional surgery.  Was painless and took 10 mins.  I did pay for an upgraded lens only.  Surgery was covered.

      Save yourself the funds.  

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    • Posted

      Thanks Ed.  Hope you’ve had a successful outcome.  Although nothing is perfect the ability to regain eyesight is remarkable and it is great to drive again and read.
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    • Posted

      Brit01 - found that posting on traditional vs laser assisted surgery.  Person that posted was Jillie280.  Haven’t seen her post for a good month or so.  Hope all is going better with her mom as I know she was upset with surgeon not disclosing everything and 2nd eye surgery didn’t go that well for her mom. 
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