Cataract surgery and map dot dystrophy

Posted by bobr1040 @bobr1040, Sep 4, 2020

I have map-dot dystrophy in both eyes. Last September I had to have my right eye debrided and the epithelial cells removed after a laser procedure. It was one of the most painful experiences I have ever had. I now need cataract surgery in my left eye and asked my ophthalmologist about having a corneal specialist do the surgery because of the potential problems with my dystrophy. He said that he would irrigate the eye more and make sure it stayed moist during the procedure and that a "general" ophthalmologist with a lot of experience doing cataract surgery would have a better chance of not having a negative outcome with the dystrophy than a corneal specialist. He said corneal specialists were good with corneal transplants but they really did not to as many cataract surgeries as an ophthalmologist with a large cataract practice. My Dr. is no longer doing surgeries but his partners are. Does anyone have comments on his advice or experience with this issue. I realize that I might have problems with the dystrophy when I have the surgery but I just want to hedge my bets with the best choice of surgeons.

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I have Map Dot Dystrophy in my left eye and will need cataract surgery in the next year or two. My local opthomologist (experienced in cataracts but not a corneal specialist) said he would recommend debriding the map dot dystrophy cells first then do the cataract 3 or so months later after the eye had healed. I don't understand why anyone would voluntarily go through that painful debridement process unless absolutely necessary or if something happens in the cataract surgery. Any thoughts or comments. Has anyone chosen to have the debridement procedure if the map dot dystrophy cells were not causing a problem.


Good questions about swelling, Datd2. I'm hoping @bobr1040 @rckj @rwinney or @jdeloia422 might be able to offer their experiences.

Datd2, did you talk to your surgeon about the swelling and what you might expect?

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UPDATE; I had my left eye cataract surgery done [after the extremely painful map dot surgery, during my one week check up, my doctor's partner told me see wanted my doctor to see me and she was order another map dot test to be done before he sees me because she said that the map dot was causing my tearing/swelling and lack of healing. Back I g, get the test, WHICH MY DOCTOR DID NOT EVEN ACKNOWLEDGE TO ME, stated to his assistant that "there is some map dot in Rt. eye and bilateral" blah, blah, blah, I had brought pictures of my swollen eyes, he did not look at them, the said the swelling was because they had to clamp my eyelid to do surgery and he would refer me to the specialist in this area, then told his assistant to "do the best she could" with the prescription for my new glasses. I get the prescription and go pick out glasses, etc. and wait 3 wks. for my new glasses, they DON'T WORK. Weeks later I see the specialist, find my tear ducts are blocked on the lt. eye 25% and 80% on my rt. eye [in the meantime I find my thyroid has stopped working and I have severe hypothyroidism, I am immediately put on meds] I tell her of this and she sets me up for a redo on my glasses prescription and to see the dry eye specialist and then her [same day] and they will figure out how to proceed I finally get my re-do appointment 3 days ago, he has the photos of my last map dot test and the first one done 8 mos. ago, he checks my eyes, and finally tells me that he can not do anything more to help me see better, my tests looked EXACTLY the same and he says I need to see another doctor who is a cornea specialist which is also the dry specialist. That's 2 wks. from now, and then he will decide on a course of treatment. ARE YOU KIDDING ME! This has been going on since my first cataract surgery on Jan. 5th, it's now Aug. 14th and I still have all these issues. HAS ANYONE HAD TO HAVE MAP DOT SURGERY REPEATED???

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