Posterior Sub Capsular Cataract

While every surgery has associated risks, the cataract surgery is relatively low risk. Thus, if your vision is degraded (due to the cataract) to the point that even with glasses, it is not acceptable, then you should not hesitate to have the cataract surgery. Please just make sure that you have a good surgeon.

If your genetics pre-dispose you to having a higher-than-average chance retinal detachment, that can happen irrespective of whether or not you have cataract surgery. So, that should not have too much influence on your cataract surgery decision

Hi,

I advise you to get them taken care of. I had the same kind and they started with blurriness when reading followed soon by mild haziness when in bright light. My glasses got stronger over about two years and I started to think my good vision I had always enjoyed was a thing of the past.

I am 49 and had both eyes done a month apart in November and December. I chose monovision which means I have one close eye and a distance eye. My close vision is 20/20 and my distance vision is 20/25. I have been fortunate I had no issues and I now live without glasses.

I did research (I study as a nurse) and discovered that post subcapular cataracts can be some of the fastest growing. Also where other cataracts give a yellow dim cast to the world these actually are like looking through frosted glass especially in sunlight. By the time I went for help I was approximately 75% blind in my right eye in sunlight.

Correct I was told it does not. The procedure was very easy. I did not even miss work and I drove the next day.

Hello Soks,

I m 45. Psc cataract in both eyes. Blurring started in dec 2016. I had my left eye cataract surgery in june 2017 when I have really great difficulty seeing faces and road signs under sunlight and bothersome starburst of car lights at night.

Surgery was smooth , it took 20 mins. I can see well the next day. I had a +1.25D prior to surgery and is corrected to -0.25D after. Vision of left eye after surgery is 20/20.

My right eye vision is getting hazy now. So if there isnt any risk, I would have the cataract surgery right away.

But I remembered my doctor said men in the age below 55 has a 6% risk in retinal detachment within the ten years after cataract surgery. Thats why I am deferring my right eye until the vision has 0.2 left. My vision in right eye is pretty bad now, I cant see any faces that is 2 meters away. And if I were to walk with only my right eye only, I would be having great difficulty in my daily life.

So the question is should you take the risk or not ?

Personally , I think when your vision has deteriorated to some point when you find getting out of your home has become difficult then you basically have no choice but to have one eye fixed first . Choose the dominant eye (distance eye) in that case. And for the other eye defer it until you cant tolerate .

Psc cataract advances quite fast .

For now, put your worries behind, and make a self judgement whether your vision now is affecting your daily tasks

Hi Soks

A) both distance and intermediate vision are clear with my monofocal left eye. By intermediate distance , I meant something at 30 inches away. Anything less than 30 inches with small fonts, you will see blurr and you need glasses to read.

But when I see with both eyes, I can read my mobile phone clearly without glasses because my right eye (still with cataract) is -1.25D . My future plan is do have my right eye lens replaced with a monofocal iol of -1.75D. That should result in no glasses needed.

b) I do not wear any glasses before the surgery. I was +1.25D left and -1.25D right. Both eyes with presbyopia of 2.00D.

c) I was asking my doctor to give me symfony iol but the doctor told me that you will only get symfony benefits in first year , but when you have PCO developed and later YAG laser fix, the effects of symfony become only a monofocal because the outer refraction rings cannot pass light through it.

He suggested using mono vision. I accepted his recommendation.

However, onething you may want to choose is the brand and type of monofocal lens . He used a abbott traditional lens on me, that lens produced some large circles at night when the source of light is adjacent to my eye ball. I researched online thats call glistening effect. I think some better monofocals may not have this. Also I got a little shadow that looks like the edge of the iol appearing in my vision around 2% of the time , they called that dysphotopsia. It was at first very bothering but now its better I dont see it as often. Some youtube video suggested to put the iol legs in 3-9 position and said this will reduce dysphotopsia. I shall have my second eye done that way.

Re the retinal detachment risk, some online research says if your posterior capsule did not rupture during the psc cataract removal, then your chance of RD will be lesser. My doctor did the removal and cleaning slowly, with suction pressure low, he charged me more because of this hand skill needed,

My capsule was intact and I am glad about that.

i Just got diagnosed with psc in my right eye.  I only noticed the blurred vision yesterday; the good eye had been masking the symptom.  I'm going back to the eye man in 6 weeks (is that too long an interval?) and my suspicion is that he'll start lining me up for the op.  Reading this chain, I'm pretty relaxed about it.  Better to get it sorted than to go through the process of sight getting worse.  One of my symptoms is that my back is hurting cos I am now leaning over the whole time to read my computer screen!  How long is typical between first diagnosis and a cataract operation, I wonder?  And of course I'm also wondering when the good eye starts blurring.  It seems a good bet...