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Old 08-20-2007, 08:21 AM   #1
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Question blindness after cataract surgery

A friend went into have cataract surgery.. not only was eye blurry ( typical and expected response) but after six months of being told the blurry vision would clear up, he cannot SEE out of the eye any longer. The surgeon says it has nothing to do with his surgery.. possibly attached retina problem. He was been referred to another opthalmologist opnly after they tried vision testing his left eye and he saw nothing(. It seems they really didn';t blieve he couldn't see anything when he told them)

I am wanting to know if anyone has had this procedure with these results. I am wondering if it really has to do with surgery or not.

thank you
I joined this health board because of his probem and because I had a problem with my eyes after this surgery but not to this extent. That will be another post!!

 
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Old 08-20-2007, 08:43 AM   #2
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Re: blindness after cataract surgery

Good morning....I am having cataract surgery tomorrow and believe me wish I hadn't seen this. Not your fault. My surgeon told me that all is good to go. IF there should be any problems after surgery it would have to do with my retina and that would be taken up with another eye specialist. He also made it clear to me that he has no way of seeing certain problems in the back of theeye until surgery. I can't tell you if the surgery had anything to do with your friend's blindness BUt thought I would share what I was already told. I am a diet controlled diabetic and seem to have problems that others don't experience.


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Old 08-20-2007, 09:15 AM   #3
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Unhappy Re: blindness after cataract surgery

Quote:
Originally Posted by drake07 View Post
A friend went into have cataract surgery.. not only was eye blurry ( typical and expected response) but after six months of being told the blurry vision would clear up, he cannot SEE out of the eye any longer. The surgeon says it has nothing to do with his surgery.. possibly attached retina problem. He was been referred to another opthalmologist opnly after they tried vision testing his left eye and he saw nothing(. It seems they really didn';t blieve he couldn't see anything when he told them)

I am wanting to know if anyone has had this procedure with these results. I am wondering if it really has to do with surgery or not.

thank you
I joined this health board because of his probem and because I had a problem with my eyes after this surgery but not to this extent. That will be another post!!
Hello Drake, I too am having a problem after cataract surgery, blurry vision after surgery 16 months ago, now I can barely see out of the eye. I've seen other doctors and have been given drops but they all seem to worsen my vision. I was told by my current doctor that I have a fluid build up in the back of my eye and it need to be removed with drops, (xibrom) after only a few days of using the drops 2x a day my vision is worse than before in that eye. I'm so afraid I'm going blind in my left eye and I don't know what else to do. The doctor that did my surgery in Baton Rouge should have been sued, I found out afterwards I didn't even need cataract surgery. He wanted to do the other eye the following week and thank God I didn't let him touch it. I have 20-20 vision in that eye and probably had it in the other one also. I will check this site regularly so if you have any questions please feel free to ask, thank you

 
Old 08-20-2007, 01:35 PM   #4
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Re: blindness after cataract surgery

Hi Cheyenne.....I am curious why you had cataract surgery if you didn't need it. Were you having vision problems?


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Old 08-20-2007, 04:11 PM   #5
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Re: blindness after cataract surgery

It's DETACHED retina, not attached retina, but of course I don't know if your friend has it.

Isn't it pretty obvious he should change doctors "yesterday", "immediately if not sooner"?

Swelling in the back of the eye is called Edema, and I had a steroid injection for it in each eye, Kennalog, which is rather risky but I have a skilled woman retina specialist. She never even inflicts any pain.

Surely there's an eye doctor in your area who's the best-known, who could examine your friend or maybe just would know from his description what kind of specialist he needs, could get him in as an emergency. If you don't know of anyone in town, how about consulting a hospital? Just a thought.

There's also a membrane that can form after cataract surgery, can't remember if there's a name for it, and I had a "capsulotomy" in each eye for that., separate occasions, in office, no hospitalization. For every procedure you have to sign a rather frightening consent form, so be sure to have caretakers you can trust.

They make a peep hole just behind the pupil using the laser, so they can see in and the patient can see out. I had mine almost immediately. With some people I think it could take a year. That may have happened but the people treating him certainly should have known about it!

I'm very long-term diabetic too, type 2, and hypo thyroid, just came online to look up whether that can cause asthsma, which my dad had, so it's probably familial, and saw your post which is an emergency.

You don't give any clue where you are, and probably that's against the rules.
If in the Detroit area, there's the Kresge Center downtown, and U of M in Ann Arbor and on Haggerty. I go to some people in Southfield, Tele and 12 Mile. Let us know how this comes out.

BTW, usually they give deadening drops about three times before a doctor starts a laser procedure on you. But some of the help might claim you only need that one time. Don't believe them, especially if it's a pretty big procedure, lots of proliferative diabetic retinopathy, for which they seal of the extra blood vessels that form and can cause blindness. Retinopathy happens after about 20 yrs to a lot of people, nothing to do with their control, just the length of time they've had diabetes. Good control helps, of course, to slow it.

Last edited by Eagle; 08-20-2007 at 04:13 PM.

 
Old 08-20-2007, 09:45 PM   #6
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Re: blindness after cataract surgery

Cataract surgery gave me the sight that I only dreamed about having. I began wearing glasses at the age of 3, we use to call them "coke bottle' glasses.

At the age of 40 I had a cataract removed from my left eye and it's amazing how beautiful the world looks and now I only need glasses to read.

On the same note please tell your friend that a person with sight in only one eye can do anything a two sighted person can and sometimes even be better at.

Just don't ask a one sighted person to draw a line but if he or she is like me..I can't even do it with a ruler.

 
Old 08-22-2007, 06:33 AM   #7
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Time for the Capsular Membrane

Drake, I just read your post again where you said it's been 6 mo. after your friend's cataract surgery and he can no longer see out of the eye.

My capsular membranes formed even faster than that. Some people take a year or more. I'm pretty sure that's his problem.

I haven't had detached retina yet, don't know anything about that. I have proliferative diabetic retinopathy, for which they have to seal off extra blood vessels from time to time with the laser. So I couldn't have multifocal lens implants and it's really maddening not being able to do things without going to get my glasses, and I need a large reading surface, no bifocals. We adjust, of course. The multifocal lens implants have extra things on the sides I think to keep them in place. There's also such a thing as epithelial membrane, they just watch for quite a while to see if it gets bad enough to try to do anything about. I think that requires vitrectomy, removing the gel "stuffing" of the eye and replacing with either saline solution or a gas bubble which I hear takes quite a while to dissipate, may require some face-down healing. I've heard that does a number on your neck. Someone at this board has had it several times.

Do keep us informed how he does. You're a true friend. Good luck to you both.

 
Old 08-23-2007, 09:48 AM   #8
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Re: blindness after cataract surgery

Eagle

Did Kennalog Steroid Injections helps bring the swelling down with your edema. I have the same thing and I am being treated at Kresge Eye Institute with pred forte and acular eye drops. If the swelling does not go down (I've had it all year) then I am thinking they may do the injections. Seems like it should have went down by now, even though I have read and have been told that it takes a long time to resolve itself, but evenually it usually does. I am beginning to run out of patience.

Sharon

 
Old 08-23-2007, 02:05 PM   #9
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Hi, Dancin',

Quote:
Originally Posted by Dancinboots View Post
Eagle

Did Kennalog Steroid Injections helps bring the swelling down with your edema. I have the same thing and I am being treated at Kresge Eye Institute with pred forte and acular eye drops. If the swelling does not go down (I've had it all year) then I am thinking they may do the injections. Seems like it should have went down by now, even though I have read and have been told that it takes a long time to resolve itself, but evenually it usually does. I am beginning to run out of patience.

Sharon
Yes, the Kennalog worked beautifully for me. The Pred Forte and Acular and another kind of drops I forget the name of are used at cataract surgery time, before and after, everyone.

I don't THINK they're for macular edema at all! But what do I know?

We're under a severe thunderstorm watch, as you know, Dancin', being in my area, so I'm hurrying. Good luck.

 
Old 08-23-2007, 04:29 PM   #10
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Re: blindness after cataract surgery

Hi Eagle

How long did you have the swelling? Did they try any other treatments for the swelling before they did the injection?

Dr.A at Kresge has me on the pred forte and acular because they are for reducing swelling due to the edema. So far I don't think the drops are working. I go back downtown on Monday .

I also had a cataract removed in July and was using the predforte after that. All this year I have been using acular 4 times a day and then after cataract surgery Dr. A told me to continue taking acular and also the predforte drops 4 times a day. I don't know what the next step will be. Maybe the injections.

Because of the swelling I did not experience the elated feeling of seeing wonderfully after the cataract was removed. If and when they get the swelling down, hopefully vision will improve. I can see out of right eye but details are not real clear, since the edema effects your central vision. How long after you had the injection did the swelling go down and your vision improve?

Sharon

Last edited by Dancinboots; 08-23-2007 at 06:02 PM.

 
Old 08-24-2007, 12:13 AM   #11
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Kennalog Directly to Internal Site, Immediate Results

I think the results were immediate.

My woman retina specialist was so pleased, she wrote to the young cataract surgeon about it. She'd evidently had no guarantee it would work so well, and I didn't feel a thing.

You know the deadening drops? They always gave them three times before she did any procedure, and to me it seemed they had a cumulative effect. (Recently at a place in Taylor where I'll probably not be going any more because men like to haul out their biggest laser, had to cut his power down three times and it was still intolerable, a prep girl who may have been new and is no longer there insisted I only needed the deadening drops one time, and no waiting time to take effect, just right when he came into the room to start the procedure. A woman once told me of another male doc who'd have patients screaming and crying, and she even had some damage, they told her at U of M, from his using too big a laser! They were able to fix it. )

What do I know, but seems to me the drops you're using are only TOPICAL, to prevent surface infection where the incision was, and do not get to the macula, the heart of the problem, internal, at all, plus don't you want to read up on side effects? After doing that I think I'd get a second opinion, as you've done before.

I always do an internet search as soon as possible for possible adverse side effects. You too?

One of the young guys wanted me to keep using one of the bottles of drops a while, I forget which one and why, and I protested, so he said But you'll have an opthalmologist WATCHING it. Those young guys no longer have an office in my city, may have goofed a lot with a lot of people. I wasn't going to "blindly" trust. I'll always feel badly that he implanted the old-fashioned mono-focal lenses without giving me the option of multi-focus, and my vision will never be as good as with my natural lenses, which I've now heard, too late, some woman in Trenton (?) will still keep for you. I've mentioned that before. If something goes wrong in these implants we're up a creek. It's dangerous to try to remove and replace them. He wasn't the least bit apologetic about my mourning the loss of my vision. Not at all. In fact I had the distinct impression "spoiled brat". Good luck and please let us know how you get along.

Sure hope Drake lets us know how his friend's doing.

Last edited by Eagle; 08-24-2007 at 12:17 AM.

 
Old 08-24-2007, 12:07 PM   #12
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Re: blindness after cataract surgery

I will have to question them on Monday concerning the drops. If you read what acular and pred forte is used for you will find that it is to help with swelling in the eye. That's what I have been told all along that the drops were to help the swelling go down.

Did your vision improve immediately after the kennalog injections took the swelling down?

 
Old 08-24-2007, 10:49 PM   #13
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Re: blindness after cataract surgery

Yes, vision improved.

Maybe you have some kind of surface of the eye swelling, rather than macular edema?

I'd look up online possible side effects of the drops you're still using. Have found that doctors do not seem to ever bother checking. There were some that frightened me, but naturally I can't remember now what they were.

FWIW, I don't know if I'd trust them to do the Kennalog injection either, if they didn't think of it on their own. BTW, I think I did feel the liquid squirt in, for one eye, but no pain, and felt nothing when the second eye was done.

Could be you don't have macular edema (swelling), which would be inside. Once your incision's healed up there would be no way drops could get to it. Maybe they told you some other kind of swelling(?)

Later on, other things can be happening, like diabetic retinopathy, for which they have to seal off hundreds of tiny extra blood vessels that can cause blindness.

Drake didn't say if his friend's diabetic, right?

Last edited by Eagle; 08-24-2007 at 10:52 PM.

 
Old 08-25-2007, 11:37 AM   #14
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Re: blindness after cataract surgery

I have total confidence in Dr. A. What I believe he is doing is giving the drops a good long time to see if they will reduce the swelling before he jumps into something else.

Actually I like his approach even though it seems to be dragging on. I would hate to have injections or surgery if it wasn't necessary. I think before long, perhaps on Monday he will suggest different treament if he does not see any improvement. He is the director of Kresge Eye Institute, so I feel lucky to have him as my Dr.

I also had that epiretinal membrane (wrinkled macula) (vitrectomy surgery) last October, where they peel back the membrane. He said it wa one of the thickest membranes he had ever seen and recently he told me that some of that membrane still remains and possibly they may need to repeat the surgery to get the rest of it.

That also may be the reason this swelling is taking so long to go down. All I know is I am sick of going to Doctors. What I want is to have something resolved, and I have to admit I'm getting pretty discouraged with the whole thing. I know that Retina Dr. where you go didn't do me no good. He just blew me off like I was a hopeless case.

 
Old 08-25-2007, 05:03 PM   #15
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I Go to a Woman Doctor

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Originally Posted by Dancinboots View Post
.................

I know that Retina Dr. where you go didn't do me no good. He just blew me off like I was a hopeless case.

I go to a woman doctor, always remember, and I've been just politely answering whatever you ask me, didn't recommend anyone.

You told me several months ago that Dr. M, who've I've barely met, was very nice, and I'm not here to argue doctors, but having just been dx'd with something new myself, asthma, and the steroids for that cause osteoporosis, which they say I also have, plus making my mouth sore, I sure know how you feel about having to go to various doctors.

Blue Cross is probably going to get behind too. IOW I've just "been there". I'm completely worn out.

Have to go for more laser Monday morning. A man Dwnr was trying to do it, but they often like to haul out their big guns, and the girl wouldn't give me the usual amount of the anesthetic drops. He had to "cut his power down" about three times and finally just give it up. Would like me to go to a hospital for it. No way. I've never had any pain no matter what the procedure with the woman doctor, and if I do this time I'll know it's necessary. Heard about another famous one, Dbn Hts I think, who's had patients screaming and crying, did some damage, I may have already told you, and they had to go to U of M to get it repaired. Were told he'd used too big a laser.

Where you go is up to you, but there's yet another option. Not saying go there, just want you to know about it since you live near the Haggerty Rd Kellogg Center PROBABLY. I'm not sure if the person went there or to Ann Arbor. Not familiar with that at all.

Good luck Monday, you and me both.

 
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