What can I expect - Stories please

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Just been diagnosed with cataracts in both eyes with astigma in right eye. Consultant says he want to do op, please tell me everything you know about the op, before during and afterwards to help me decide whether I should go ahead. I can still see and read, up to a point, and am a 68 year old female. Thanks.

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  • Posted

    Whether or not you should go ahead is entirely up to you, your doctor, and how bad your vision is.Mine got so bad that it affected my life and I simply didn't want to put up with it any longer. As for pain during the actual procedure, there really isn't any believe it or not. It's probably less painful than a mild massage. On a pain scale (10 being highest) I'd put cataract surgery at around a zero to 1. It's all over in about 10 to 15 minutes. I wish you the best.

    IG

    • Posted

      After reading all these replies, I wonder why I was hesitating at all, I will go for it, and will let you all know when I come out the other side!

      Thanks so much to you all

      Cath (in snowy Scotland)

      x

    • Posted

      Much preferable to going to the dentist.

    • Posted

      Cath - will you do just fine and probably wonder why you didn't do it sooner. I visited beuatiful Scotland two years ago. Lucky you! My mother was born in Ireland and I've been there a few times. If I was a younger woman, I'd move there!

    • Posted

      I'm originally from Edinburgh. A friend there had had one cataract done at St Johns hospital in Livingston and the other at the Edinburgh Eye Pavilion. The St Johns one was done on a Sunday afternoon by a surgeon who had been operating at a hospital in Carlisle in the morning.

  • Posted

    Hi

    Just joined this topic. After long distance glasses for many years with above average close-up vision these reversed somewhat a few years back. From then to now I did not require optics to drive but needed magnification for small print. Now approaching 76 I have been under 6 monthly review for approaching cataracts, macular and small hole in retina for a couple of years. Prednisone for Polymyalgia Rheumatica advanced cataract issue and I am to commence surgery next week. I too have satisfactory personal vision and all my old glasses allow me to see everything I need to and up-close I get by. I appreciate the very small risk and a better outcome generally but am reluctant to go forward as it all doesn’t seem worth the effort. I avoided the concern over which lens as my macular/retina issue appears to take multi-vision lens out of the proposition. Am in Australia and my private health cover will reduce costs to where that will not be a significant issue. The op for the macular issue was said to take an hour but is not being undertaken for some reason at this juncture so it’s just hopefully 10 minutes a pop but there’s a lot of toings and goings that will make an issue of it.

    It takes so much of aging lives just to maintain our bodies. For Prostate Cancer’s treatments and mistreatments, ongoing incontinence, Polymyalgia Rheumatica, Hypertension, Diabetes, Teeth, Oesteo Arthritis in so many joints and now the eyes have it. Exercise for diabetes and to take the strain off knees just makes them worse and I have been avoiding replacement there for a decade.

    I will post how this one works out.

    Barrie Heslop

    • Posted

      So sorry to hear of all your problems, and yes, old age sucks! We should be having the time of our lives, with no work and all day long to do things, but it just does not work out that way. Our bodies take so much longer to heal and so much to go wrong, but, after many years of feeling ill, I have decided to make the most of the good days and sleep on the bad days! I will have my surgery and hope I can drive again and I do hope all goes well with you, let us all know. You are stronger than you think.

      Cath

    • Posted

      Hi Barrie! I'm sure your surgery will go well and you will be amazed at how clear (and colorful) things look. If they need to repair your retina, that surgery is a lot more involved than the cataract surgery. I had a vitrectomy done after developing a detached retina (ugh). I'm 64 years old and thought I had more time before everything started falling apart (since I'd made it this far). My eyesight was not one of the things I thought would go wrong. Thank goodness for modern technology - I'd have gone blind otherwise. Good luck and keep us posted!!

  • Posted

    Hi Cath55617

    Good news is you have time to decide. Cataracts not life threatening and the procedure itself is painless (I too was terrified - diagnosed with cataracts at 53). Had surgery on both eyes 6 weeks apart with 8 months if being diagnosed.

    what you should read up on is type of lens you want and research clinic or surgeon doing procedure unless you have national health coverage and having this procedure covered by them and even then I would read up on it so that you can ask questions. I say that because it is not easy to extract the lens you choose and you cannot try them out unfortunately.

    There are trade-offs to make no matter which lens you choose (or in case of monofocal standard lenses if having done by national health - which focal point you want to see well at: distance intermediate or near as you'll require glasses for the other distances.

    I live in canada so this procedure is covered for standard lenses and we can pay difference in cost of lens if we opt for a multifocal or extended depth of focus lens. It is only covered if our eyesight is affected bad enough that we can't be corrected with contacts or glasses better than 20/40. My eyes were both worse than that do had no choice but to have cataract surgery or lose my drivers lic.

    There are lits of good posts here and online information. please take your time to understand your options and what you want life to be like after surgery. Take into account your job (is a lot of that looking st computer (intermediate vision) or driving (distance vision) or do you have a hobby like sewing or quilting where near vision is important.

    Wish you all the best. A lot of us are still here after our surgeries to be a support and help with questions (although we all were/are patients like you) so cannot offer professional advice - just share our experiences. I found much support here as I hope you will too.

    • Posted

      Very grateful for your reply, I am in UK and we don't get a choice of lens, will just have to take what I can get, but I do trust the surgeon, have seen him three times now and he has explained things to me, but I don't always hear what he is saying, i think when we are at our appointments, you just want to get out and home and the jargon goes in one ear and out the other. However, reading everyone's posts and all the advice here, I am a lot happier and will face this bravely, thanks to all of you.

      Will let you know how it goes.

      Best wishes to all xxx

    • Posted

      Cath - that is so true about not hearing everything the surgeon says when you meet with them about your eyesight! I had so many questions after each appointment. All I heard for the most part was "blah blah blah"! Glad you reached out to through this forum. It's a good place to get positive support and answers!

    • Posted

      They don't mind if you record the consultation on your phone.

  • Posted

    I had my first surgery about a year ago. My doctor's surgery doesn't require drops after. There is something implanted on your bottom eyelid that does the same thing as the drops would have. There were lots of drops before but I wasn't aware of the surgery happening. One problem that I did have a month or so after both of my surgeries was styes. I had to treat them for weeks but since they are gone I am fine. I do have to use Artificial Tears for dry eyes every day. Best of luck with your surgery.

    • Posted

      Thanks for your reply, I have had dry eyes for 2 years now and use drops 4 times a day. I remember I used to get lots of styes as a kid and had to put golden eye ointment on them, so not too scary.

      Cath

  • Posted

    My optician has been monitoring my slowly developing cataracts over the

    last few years and last September suggested it might be better for me

    to try and have the operations on both eyes.

    Over the past year or so I had noticed that I couldn't read very well the

    type on our television ('Pointless' has a lot of it in the questions)

    and realised my eye sight was deteriorating.

    I still seemed capable driving in the UK and abroad wearing glasses

    without any worries but I knew this couldn't continue for much longer

    without surgery.

    The Optician wrote a letter to my GP and he refereed me to the local

    Hospital.

    I don't know what criteria they use to determine the starting point for

    a cataract operation but at our local Hospital it seemed that a

    letter of concern from an Optician and agreement by a GP starts the

    process.

    After visiting the Hospital Eye Centre and having an eye test (reading the

    letters on a board), high definition pictures taken of my eyes to

    determine the lenses required and a consultation with the Cataract

    Consultant I was booked in to have the operation on both eyes.

    The first eye was operated on early in January and after four weeks the

    operation was deemed a success and I was booked in for the second

    eye's cataract removal.

    This was done a few days ago and seems to be problem free (touch wood) and

    I return for a check-up in about a months time.

    The procedure - six of us were grouped in the Hospital day ward, ages

    from 51 to 85, and our details were checked and questions asked

    about our medical history and any recent health problems.

    The eye that was to be operate on, decided at a previous meeting with the

    surgeon, was marked on the forehead with a marker pen arrow above the

    correct eye.

    A small pellet is placed inside the lower eyelid and assists the eye to

    dilate – this is done at least one hour before surgery.

    Our blood pressure was taken and deemed in order.

    You go in to have surgery in order, number six had a long wait, and lie

    on a trolley in an ante-room.

    No clothes and shoes needed to be removed.

    The head is positioned in a moulded shaped block, pillows placed under

    the knees to support them, side panel raised to stop lateral

    movement, a hair net over your hair and anaesthetics drops applied

    into your eye.

    Within a few minutes you are pushed into the operating room and a gown is

    draped over your body and an oxygen pipe placed near, but not over,

    your face.

    The Surgeon will reassure you and commence by putting a mask over your

    face which 'seals' your eyelids apart and stops you from shutting the

    eye.

    He then proceeds by shining a bright light into the eye and you see

    three shapes – two small round ones and a square one – and are

    asked to concentrate on looking at the square shape.

    You can feel something happening to your eye but I felt no pain or real

    discomfort during the operation.

    My second operation lasted 17 minutes.

    A protective plastic eye shield is taped over the eye and needs to be

    left there until the following morning to avoid you inadvertently

    rubbing the eye.

    When he has finished you are again reassured and taken to a side ward,

    where the blood pressure is checked, and then if required its

    tea/coffee and toast.

    You wait while your medication is prepared, drops to be taken for about a

    month, and this takes only a few minutes before you are discharged.

    You are given a full list of instructions regarding the drops and

    frequency of applying them, told to wear the eye shield at night in

    bed for a week, given telephone numbers in case of any problems and

    leaflets that you can read if needing advice and help.

    I will need glasses, both eyes have astigmatism, and while I wait for

    new glasses I have blurred vision but can't get any replacement

    glasses for around 6 – 8 weeks after the operation and then having

    them checked by the Eye Centre Nurse Practitioner.

    With the first eye she has written a letter that explains to an Optician

    my eyes condition and data that will be relevant to obtaining

    glasses.

    At the moment I'm not able to drive, read books or newspapers and I need

    to increase the size of type on my PC and tablet.

    But I am quietly confident that within a couple of months I will have

    much better eyesight than I've had in the last decade or longer.

    In these modern days the operation is something that is done by the

    skilled surgeons as a matter of course on a daily basis and any

    problems are minimal.

    I wish I'd had it done years ago and would encourage anyone having

    doubts or worries to have it done to give you a better quality of

    sight and life.

    I am a 77 year old male with a pacemaker for AF, have Heart Failure and

    take a blood thinner.

    Apologies if this is considered the ramblings of an old man – but you did ask

    the question.

    Hope this helps

    • Posted

      Excellent reply, RoryBoy! I did not find your answer rambling at all (of course, I didn't ask the original question either). It's really interesting to learn the small differences in how cataract surgery is performed in different areas. I do remember having the surgeon mark my forehead above the eye that was being operated on (no point in doing the wrong eye my mistake!).

      By the way, have you tried a cheap pair of reading glasses to help you see close-up until you're able to get a new prescription for glasses? I was able to find an old pair of my own glasses that allowed me to see ok until the follow-up appointment and that was such a help.

    • Posted

      mjcg - I had been looking for an 'old' pair of glasses when you replied and couldn't find one that helped.

      Then yesterday, in the depths of my camera bag, I found a really old pair and can now read reasonable well and have read the newspaper for the first time in a week.

      Thanks for your advice.

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