It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Eye & Vision Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 11-13-2011, 11:24 AM   #1
Senior Member
(female)
 
Join Date: Apr 2011
Location: lake tapps wa
Posts: 109
tubint HB Usertubint HB Usertubint HB Usertubint HB User
Cataract Surgery after Vitrectomy

I've read that Cataract surgery after one has a Vitrectomy is riskier due to the thinner Saline Vitreous fluid behind the lens capsular sac=less support on the sac that holds the lens during Cataract removal and replacement.

One of the complications of this lesser support is that the capsule can rip during the Cataract surgery process. My question is, does anyone know what the Cataract Surgeon does in that case ???
How does he handle the problem ???

I am in the process of finding a Cataract Surgeon that I want to do my surgery and was wondering what specific questions to ask him and what the response to this particular VERY IMPORTANT one would be.

Does anyone out there have any ideas?

 
Old 12-01-2011, 08:02 PM   #2
Newbie
(male)
 
Join Date: Dec 2011
Location: Berkeley, California, USA
Posts: 5
kmiller1949 HB User
Re: Cataract Surgery after Vitrectomy

My cataract surgeon mentioned the same risk to me, even though my situation is slightly different (namely that, instead of aqueous fluid, I have oil in the eye). Sorry that I can't tell you if he said the risk was increased due to the non-vitreous fluid.

I think it's possible that the surgeon can use a lens that goes in front of the capsule in such a case. Did you find a surgeon you like, and did he/she answer your question?
Ken

 
Sponsors Lightbulb
   
Old 12-05-2011, 07:59 AM   #3
Senior Member
(female)
 
Join Date: Apr 2011
Location: lake tapps wa
Posts: 109
tubint HB Usertubint HB Usertubint HB Usertubint HB User
Re: Cataract Surgery after Vitrectomy

The first Cataract specialist I went to was not impressive at all. I showed him on my OCT result where I was still swollen in the central macula at a number of 385...and asked him where he would want that swelling to go down to before he felt comfortable doing the cataract surgery.

He told me the swelling should be around 250-300. I knew from research that one does NOT want to add another eye surgery until the eye from the first Retina surgery has "settled down"--which means back to reasonable swelling.
Shortly after he acknowledged that my retina was not ready, he went into his
"sales pitch" and said I should get on the surgery schedule in about 2 weeks.
REALLY ? It took me 3 whole months for the swelling numbers to reduce from 450 to 385, so what was he thinking???

Anyways, that was just an example of why that guy will NOT be doing my surgery.

I see another Cataract specialist Dec. 12th. I am trying to pace out my appointments as to not bombard my poor surgery eye with too many eye drops (chemicals).

Anything you can share ?

 
Old 12-05-2011, 09:36 PM   #4
Newbie
(male)
 
Join Date: Dec 2011
Location: Berkeley, California, USA
Posts: 5
kmiller1949 HB User
Re: Cataract Surgery after Vitrectomy

I don't have anything for you in the way of reliable information, but I will relate my own experience/feelings. I didn't go for the cataract surgery until 16 months after my retinal surgeries. Yes, I've been going around with pretty much one eye, but it felt better to me to take my time until I felt comfortable that that I knew all I could know to decide what strength lens to have installed. I'm happy I didn't rush into it.

Ken

 
Old 12-06-2011, 06:26 AM   #5
Member
(female)
 
Join Date: Oct 2011
Location: London, KY USA
Posts: 58
eyemar HB Usereyemar HB User
Re: Cataract Surgery after Vitrectomy

Quote:
Originally Posted by tubint View Post
I've read that Cataract surgery after one has a Vitrectomy is riskier due to the thinner Saline Vitreous fluid behind the lens capsular sac=less support on the sac that holds the lens during Cataract removal and replacement.

One of the complications of this lesser support is that the capsule can rip during the Cataract surgery process. My question is, does anyone know what the Cataract Surgeon does in that case ???
How does he handle the problem ???

I am in the process of finding a Cataract Surgeon that I want to do my surgery and was wondering what specific questions to ask him and what the response to this particular VERY IMPORTANT one would be.

Does anyone out there have any ideas?
I had a vitrecotomy on the 17th of november, and they told me that I would definately get a cataract.....at some point, maybe soon or maybe not soon, andyway. I didn't realize that surgery was more risky after a vitrecotomy, so your question is very good and I'm very interested in any replys you get.
When did you have your vitrecotomy?

 
Old 12-06-2011, 06:34 AM   #6
Member
(female)
 
Join Date: Oct 2011
Location: London, KY USA
Posts: 58
eyemar HB Usereyemar HB User
Re: Cataract Surgery after Vitrectomy

Quote:
Originally Posted by tubint View Post
The first Cataract specialist I went to was not impressive at all. I showed him on my OCT result where I was still swollen in the central macula at a number of 385...and asked him where he would want that swelling to go down to before he felt comfortable doing the cataract surgery.

He told me the swelling should be around 250-300. I knew from research that one does NOT want to add another eye surgery until the eye from the first Retina surgery has "settled down"--which means back to reasonable swelling.
Shortly after he acknowledged that my retina was not ready, he went into his
"sales pitch" and said I should get on the surgery schedule in about 2 weeks.
REALLY ? It took me 3 whole months for the swelling numbers to reduce from 450 to 385, so what was he thinking???

Anyways, that was just an example of why that guy will NOT be doing my surgery.

I see another Cataract specialist Dec. 12th. I am trying to pace out my appointments as to not bombard my poor surgery eye with too many eye drops (chemicals).

Anything you can share ?
I just want to thank you for input. I'm feeling the same way about my surgery eye. I know that it can't be good to keep putting chemicals in my eye.
hopefully on the 12th you can get some answers.
eyemar

 
Old 12-07-2011, 06:54 AM   #7
Senior Member
(female)
 
Join Date: Apr 2011
Location: lake tapps wa
Posts: 109
tubint HB Usertubint HB Usertubint HB Usertubint HB User
Re: Cataract Surgery after Vitrectomy

Thank you all for your responses...the sharing of any and all information is helpful for everyone who reads this forum.

I had may Vitrectomy in May in Seattle Washington. Went from 20/200 in the Epiretinal Membrane Eye pre-surgery to 20/60 ish one month Post- surgery.
Then, at 4 month post-surgery check-up went down to 20/400. Very discouraging. Was told by Retina Specialist that it was due to a forming Cataract, but I had my doubts as to whether we could blame the sudden decline solely on the cataract. Never did get any straight answers, and I am going in again tomorrow, now 7 months post-surgery to do another OCT and evaluation of my retina condition.

Still trying hard to figure out a way to encourage these Specialists to share some of their knowledge with me and evaluate the OCT results in front of me.
That is why we are there in their office, isn't it? I seem to get the feeling that if one asks detailed questions, they seem to feel "threatened" somehow and actually clam up. Knowledge from internet research is one thing, but I really want to know how my eye, specifically, is healing from the Retina surgery before I proceed with the Cataract surgery.

Onward and upward, I'll keep trying. I will be bringing Christmas presents to the Specialist and his Tech tomorrow, so perhaps that will help.

KEN, since you waited 16 months before Cataract surgery, did the surgeon mention that your Cataract was harder and much more difficult to remove?

 
The Following User Says Thank You to tubint For This Useful Post:
fullwave2 (12-21-2011)
Old 12-21-2011, 09:54 AM   #8
Newbie
(male)
 
Join Date: Nov 2007
Location: Perrysburg, OH, USA
Posts: 7
fullwave2 HB User
Re: Cataract Surgery after Vitrectomy

Thanks for posting this thread. I had a vitrectomy in July for a detached Retina and have snce formed a quick forming cataract. After several follow ups with the original surgeon he referred me back to the Optometrist for a referral to a surgeon to handle the cataract. The vision in the affected eye has been getting progressively worse rather quickly and while I'm 62, I am still employed and do a lot of spreadsheet and computer work. My eyes are my livelyhood.
My concern as well are the risks for doing the cataract surgery on the post vitrectomy eye (I had the gas bubble procedure). I'd love to hear if you've had success or if anyone has a positive story to tell about this follow up cataract surgery after retinal repair via vitrectomy and gas bubble.
Thanks in advance.

 
Old 12-21-2011, 10:47 AM   #9
Member
(female)
 
Join Date: Oct 2011
Location: London, KY USA
Posts: 58
eyemar HB Usereyemar HB User
Re: Cataract Surgery after Vitrectomy

Quote:
Originally Posted by fullwave2 View Post
Thanks for posting this thread. I had a vitrectomy in July for a detached Retina and have snce formed a quick forming cataract. After several follow ups with the original surgeon he referred me back to the Optometrist for a referral to a surgeon to handle the cataract. The vision in the affected eye has been getting progressively worse rather quickly and while I'm 62, I am still employed and do a lot of spreadsheet and computer work. My eyes are my livelyhood.
My concern as well are the risks for doing the cataract surgery on the post vitrectomy eye (I had the gas bubble procedure). I'd love to hear if you've had success or if anyone has a positive story to tell about this follow up cataract surgery after retinal repair via vitrectomy and gas bubble.
Thanks in advance.
Both of the Retina Specialist I saw before I had my vitrctomy, told me that I would definately get a cataract in my eye after the surgery. They didn't know how long it would take....maybe 1 - 5 years. They acted like it would be no big deal to have cataract surgery after a vitrectomy. I see my regular eye dr. in about a month to get new lens, so i should know then, if I'm getting cataracts. Good Luck and I'll try to keep you posted and you do as well.

happy holidays

 
Old 12-21-2011, 10:56 AM   #10
Newbie
(male)
 
Join Date: Nov 2007
Location: Perrysburg, OH, USA
Posts: 7
fullwave2 HB User
Re: Cataract Surgery after Vitrectomy

Thanks Eyemar. I see the surgeon Friday for the consult and after he spoke to my optometrist he already has me on the surgical schedule for the 27th. I understand they recommend an acrylic lens for post virectomy patients but you might want to check on the concerns and risks.
Happy Holidays to you too. All I want for Xmas is my eyesight back....

Last edited by moderator2; 12-21-2011 at 11:51 AM. Reason: please do not post a commercial website, for any reason.

 
Old 12-21-2011, 12:33 PM   #11
Senior Member
(female)
 
Join Date: Apr 2011
Location: lake tapps wa
Posts: 109
tubint HB Usertubint HB Usertubint HB Usertubint HB User
Re: Cataract Surgery after Vitrectomy

Ask lots of questions, detailed questions like "what is my macula swelling like at this point post Vitrectomy surgery".

The OCT test results will show your retina thickness and health of your Retina, which is critical...you can ask to review it with your Retina specialist or Cataract specialist and even get a copy to review at home and keep in your files.
I was told to absolutely wait until the Retina has "settled down" post retina surgery. "Settled down" seems to be subjective, but have them at least discuss it with you.

The BIG risk of doing cataract surgery too soon after Vitrectomy surgery is CME (cystoid macular edema). From what I've read, Cataract surgery can induce CME (macular swelling and fluid pockets=NOT GOOD) even if the surgery was done "successfully" by a skilled surgeon. However, adding swelling on top of swelling is just asking for problems. Unless you have a really good reason to jump into Cataract surgery...proceed with caution.

Like one of the technicians told me...cataracts are not a medical threat, but Cystoid Macular Edema can be.

I did not have the gas, just Saline solution after my Vitrectomy but I believe the principles would be the same.

As I mentioned, the one cataract surgeon I went to was trying to get me on the schedule FAST, like a used car salesman almost. At some point you have to gather as many opinions as you can and use your best judgement.

I am going to 4 Cataract specialists before I decide on who will be doing my surgery. My insurance covers as many opinions as I want, but call and specifically ask your insurance if they cover additional opinions...get names, dates, and what they promised you in case they don't follow thru later.

Also, Cataract surgeons are about as common as Starbuck locations. However, many of the Cataract surgeons DO NOT do many patients with previous Vitrectomy. There ARE additional risks for us patients.

Sorry to ramble on here, but I have done so much research that I was hoping that I could help someone else going thru what I am.
Don't get me wrong, I do plan to do the Cataract Surgery in a couple of months, I just want to make certain I choose the right Surgeon as it is not good to replace IOL lenses.

BTW, selection of the Target is also critical...ask how your eyes will work together and what the surgeon plans for your specific "Post operative uncorrected refractive error".

 
Old 12-21-2011, 12:44 PM   #12
Member
(female)
 
Join Date: Oct 2011
Location: London, KY USA
Posts: 58
eyemar HB Usereyemar HB User
Re: Cataract Surgery after Vitrectomy

Quote:
Originally Posted by tubint View Post
Ask lots of questions, detailed questions like "what is my macula swelling like at this point post Vitrectomy surgery".

The OCT test results will show your retina thickness and health of your Retina, which is critical...you can ask to review it with your Retina specialist or Cataract specialist and even get a copy to review at home and keep in your files.
I was told to absolutely wait until the Retina has "settled down" post retina surgery. "Settled down" seems to be subjective, but have them at least discuss it with you.

The BIG risk of doing cataract surgery too soon after Vitrectomy surgery is CME (cystoid macular edema). From what I've read, Cataract surgery can induce CME (macular swelling and fluid pockets=NOT GOOD) even if the surgery was done "successfully" by a skilled surgeon. However, adding swelling on top of swelling is just asking for problems. Unless you have a really good reason to jump into Cataract surgery...proceed with caution.

Like one of the technicians told me...cataracts are not a medical threat, but Cystoid Macular Edema can be.

I did not have the gas, just Saline solution after my Vitrectomy but I believe the principles would be the same.

As I mentioned, the one cataract surgeon I went to was trying to get me on the schedule FAST, like a used car salesman almost. At some point you have to gather as many opinions as you can and use your best judgement.

I am going to 4 Cataract specialists before I decide on who will be doing my surgery. My insurance covers as many opinions as I want, but call and specifically ask your insurance if they cover additional opinions...get names, dates, and what they promised you in case they don't follow thru later.

Also, Cataract surgeons are about as common as Starbuck locations. However, many of the Cataract surgeons DO NOT do many patients with previous Vitrectomy. There ARE additional risks for us patients.

Sorry to ramble on here, but I have done so much research that I was hoping that I could help someone else going thru what I am.
Don't get me wrong, I do plan to do the Cataract Surgery in a couple of months, I just want to make certain I choose the right Surgeon as it is not good to replace IOL lenses.

BTW, selection of the Target is also critical...ask how your eyes will work together and what the surgeon plans for your specific "Post operative uncorrected refractive error".
Thanks so much for this reply!!
I don't plan to rush into cataract surgery and I'll definatley find out about the swelling and etc. . Thanks so much for pointing out that there are a lot of cataract surgerons, but maybe not too many that have post victrectomy patients. Almost everybody I've talked to who had cataract surgery had Not had a vitrectomy.
Thanks again,
happy holiday! :-)

 
Old 06-02-2012, 11:05 AM   #13
Newbie
(male)
 
Join Date: Jun 2012
Location: Paulma Valley
Posts: 1
jnels HB User
Re: Cataract Surgery after Vitrectomy

Have you had your cataract IOL surgery yet?

I have some nuclear sclerosis in a post vitrectomy eye, so I do empathize.

Joseph Nelson, M.D.

 
Old 06-02-2012, 05:06 PM   #14
Senior Member
(female)
 
Join Date: Apr 2011
Location: lake tapps wa
Posts: 109
tubint HB Usertubint HB Usertubint HB Usertubint HB User
Re: Cataract Surgery after Vitrectomy

If you are directing the question to me, YES I did have the cataract surgery with IOL monofocal Tecnis lens implant on March 20th, 2012.

I only had the one eye done because my other eye only has a trace or +1 cataract (=still mild). My vitrectomy induced cataract had that eye at 20/400 vision before the surgery. I saw great improvement the day after cataract surgery...but almost anything is better than 20/400!
Actually, with my previous scar tissue (ERM) and vitrectomy on that eye, the retina had some tugging and swelling that has not gone away.

The one retina specialist gave me a good mental image of the tugging that the scar tissue does to the retina...he said it was like pulling up on a tight bed sheet and then letting go---the stretched bed sheet never really lies flat and tight again after the scar tissue is removed. When the retina is tugged on it can be like that and the photoreceptors can rearrange and affect your vision.

Anyways, my cataract surgery was as successful as it could be ...my residual bluriness is due to the retina issues.
I actually ended up with mini-monovision. Cataract IOL gave my eye -.75 diopters and my good eye is +1. As long as your eyes are less than 2 diopters apart they usually merge the images together. Mine took about 8 weeks to really comfortably merge the images together, and my brain is still trying to adapt. I will NOT proceed with cataract surgery on my good eye until absolutely necessary. I am a believer of "less is more" and quit while your ahead. Not taking any chances messing up my good eye.

I may be giving everyone too much information here, but I know that when I was researching my IOL and cataract surgery, I welcomed any and all shared experiences.

BTW, I take t tablespoons of Barleans flaxoil daily to help with dry eye, of which I don't have but can become a result of eye surgeries. It's good for skin and other things too.

Let me know if you have any specific questions I can try and answer, otherwise I'll keep rambling and maybe not be helping.

 
Old 09-07-2012, 10:56 AM   #15
Junior Member
(female)
 
Join Date: Mar 2012
Location: Warrensburg Missouri USA
Posts: 13
clandy HB User
Re: Cataract Surgery after Vitrectomy

I am having cataract surgery on October 1st 2012 I had my vitrectomy on May 20th 2012. Does anyone think that is too early to do? My doctor seems very good and did not tell me of any risks off the surgery. Also I did not know that the lens they put in your eye had my prescription in it and I would bnot have to wear glasses. But how do I see faraway? Just a few questions I would like to know. Thanks for any help.

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
TORIC IOL IMPLANTS after cataract surgery Muskegon Eye & Vision 7 03-16-2012 08:17 AM
shimmering/flickering of peripheral vision after cataract surgery with IOLS? braveheart226 Eye & Vision 5 09-13-2011 12:42 PM
vision loss with vitrectomy and cataract surgery susanml Eye & Vision 2 03-26-2009 09:16 PM
Did anyone have their eye dilated for a long time after cataract surgery? helpme911 Eye & Vision 0 06-28-2008 11:15 AM
How successful are Vitrectomy/Cataract combo operations? helpme911 Eye & Vision 7 05-13-2008 06:56 PM

Tags
cataract, erm surgery, vitrectomy induced cataract



Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added








TOP THANKED CONTRIBUTORS



JodieJ (11), tubint (11), Bleue (9), TopGeek (8), senior41 (8), Laura1000 (8), earthworm88 (7), Eagle (7), esker (7), ladybud (6)

Site Wide Totals

teteri66 (1180), MSJayhawk (1013), Apollo123 (910), Titchou (859), janewhite1 (823), Gabriel (763), ladybud (755), midwest1 (671), sammy64 (668), BlueSkies14 (607)



All times are GMT -7. The time now is 03:23 PM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!