General questions re. cataracts

Posted by ellerbracke @ellerbracke, Dec 27, 2018

I am new to this group, and would like to get some general feedback regarding the progression of cataracts. I am not currently seeing (!) any kind of eye doctor. Started to need reading glasses perhaps 15 years ago, cheapos from drugstore. Eventually needed glasses for distance vision and driving, got bifocals, hated them. Kept cheap reading glasses, got distance vision glasses for driving. About 2 years ago reading became easier and easier, can read 80% of material without glasses, no problem. Distance vision has also improved to the point where I needed less magnification. I was told in 2016 that I am starting to develop cataracts. So far the only negative aspect is the halo effect when driving at night, especially when it is raining. Otherwise no problems. Does one wait for symptoms to develop/worsen, or get myself to an opthamologist now? How long can I hope for this so-called 2nd sight to last? How quick can I expect the eventual deterioration to be? Has anyone heard of or received the new lens (I think it’s called adjusted depth of focus lens??
I appreciate any comments or advice from people who have dealt with this fairly common eye problem.

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1995victoria - it sounds like the wrong prescription IOL was implanted. My sense is there are statistical models for the surgeon to choose the correct lens - based on whether on wants to see near or far. I don't know why this would "not be possible." You've seen another surgeon? This is correctable, but surgery to remove and replace the IOL is required.

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@ellerbracke

Thanks everone for their comments. It helps to know that the multi-focal lenses are not the best choice, and that laser surgery is the way to go. I hope to be able to keep going without any surgery for as long as possible, and do my homework re. doctor and procedure when the time comes.

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i disagree that multi-focal lenses are not the best choice for certain people. i know numerous people very happy with them. However, it seems all the people i know happy with multi-focal lenses were already comfortable wearing glasses for closeup eg reading a menu

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@moo1

Multi focals were not recommended, too many adjustment issues! I selected far vision, TV, without need for glasses. Wearing glasses for reading
menu’s, newspapers is a good choice. My new cataract lenses also filter harmful blue rays. Make sure your surgery is done by an Eye Surgeon
who does hundreds of Cataract surgery every year.

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Had my right eye done 6/11/2024 I'm 84 heavy cataracts in Ft eye Praise the Lord & a marvelous Surgeon came through with flying colors my daughter had it done 1st I also did a lot of reading before & after 1st surgery counted my many blessings the left eye was as sighted as the new right eye called & cancelled the 2nd surgery Dr wasn't happy about it I could care less read to many horror stories about 2nd eye surgery that didn't have any problems as my daughter said No one can tell you how you can see out of your eyes they screw up it's on you to have it fixed and pay for it assembly line medicine I still hear from her you must be your own advocate especially in taking care of your health a doctor reguardless of specialty years & degrees especially today with Conglomerate Corporations buying up all the single independent medical practices it's a money game it's not the 50's 60's 70's anymore & certainly no accountiably
GOD BLESS US ALL TAKE CARE

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@bej39

Had my right eye done 6/11/2024 I'm 84 heavy cataracts in Ft eye Praise the Lord & a marvelous Surgeon came through with flying colors my daughter had it done 1st I also did a lot of reading before & after 1st surgery counted my many blessings the left eye was as sighted as the new right eye called & cancelled the 2nd surgery Dr wasn't happy about it I could care less read to many horror stories about 2nd eye surgery that didn't have any problems as my daughter said No one can tell you how you can see out of your eyes they screw up it's on you to have it fixed and pay for it assembly line medicine I still hear from her you must be your own advocate especially in taking care of your health a doctor reguardless of specialty years & degrees especially today with Conglomerate Corporations buying up all the single independent medical practices it's a money game it's not the 50's 60's 70's anymore & certainly no accountiably
GOD BLESS US ALL TAKE CARE

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If your first eye surgery was successful, and helpful to you, why do you believe the other eye surgery would not be.

It is assembly line like because if the number of people with cataracts. The process is tuned for incredible levels of success. I believe your statement about conglomerates to be inaccurate.

Being your own advocate means understanding the systems, technology and the processes.

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I think it is very important to ask Dr about other eye issues which might affect the successful outcome. My Dr didn't tell me that my macular puckers would result in visual distortions, AND the my being a high myope might need an IOL which is not the usual for people with normal vision. As a result I'm very unhappy with my results on my left eye, and now I know not to be so quick with my right eye.

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@1995victoria

I think it is very important to ask Dr about other eye issues which might affect the successful outcome. My Dr didn't tell me that my macular puckers would result in visual distortions, AND the my being a high myope might need an IOL which is not the usual for people with normal vision. As a result I'm very unhappy with my results on my left eye, and now I know not to be so quick with my right eye.

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1995,

Not sure I understand.

If you had cataract surgery, your organic lens was removed, and an IOL (Intra Ocular Lens) was implanted. In a majority of patients, at some point (days to years), following IOL implantation due mainly to posterior capsule opacification, a NdYag laser is used to open an area in the back of the capsule to prevent it occluding the light.

My understanding is that macular puckers are somewhat common, but can't be treated in this same manner.

It would seem like needing to have your cataracts removed would be a priority since obscuration of vision would continue to worsen?

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Unfortunately, my cataract surgery, my vision is better, but worse. Now symptoms of puckers is more apparent then before when cataract obscured the pucker symptoms.

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@1995victoria

Unfortunately, my cataract surgery, my vision is better, but worse. Now symptoms of puckers is more apparent then before when cataract obscured the pucker symptoms.

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There is surgery available to release the puckers. The results are not instantaneous, but it is working for my husband. His vision is improving month-by-month since surgery in July, and the doctor expects it will continue to do so for up to a year. The surgery is called a vitrectomy, and is performed as an outpatient procedure by a specialized ophthalmologist. One eye is done at a time.
Has your doc suggested this option?

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@sueinmn

There is surgery available to release the puckers. The results are not instantaneous, but it is working for my husband. His vision is improving month-by-month since surgery in July, and the doctor expects it will continue to do so for up to a year. The surgery is called a vitrectomy, and is performed as an outpatient procedure by a specialized ophthalmologist. One eye is done at a time.
Has your doc suggested this option?

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I'm seeing retina specialist today. Thanks

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