Question My 86-year-old mother had cataract surgery about 4 years ago. Night vision improved very temporarily but the surgery results were always disappointing. As time passed she began to say that something was making it hard to see--finally described as if she had gauze over her eyes. Ophthamologist sees her every six months to check pressure. He says not glaucoma but has her on drops for pressure--also before cataract surgery had a treatment where they made holes to alleviate pressure buildup, as I recall. When she complains about vision issue, he has repeatedly sent her for new exam for glasses prescription update. Optometrist increases it a tad but does not seem to think her vision is bad. She was treated for blephritis during this time but even when declared blephritis free, the same 'gauzed' vision remains.
Now I finally found something online about opacification after cataract surgery. However, if she had these cells trying to regrow, wouldn't the doctor automatically see that in his exams? What else could be causing this? Thank you for any help--she is getting discouraged.
Answer Yes laser capsulotomy is performed in about 25% of post op cataract oatiemts as the outer membrane ( lenticular capsule) becomes Opacified. This is a 10-15 minute in office procedure and should help her vision. Another consideration is either macular or corneal edema or macular degeneration. Have them all ruled out before new eyeglasses are made. Hope this helps. Dr Berger
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Thank you very much! I have looked up all the things you mentioned and will pursue them regarding her condition.
Any and all questions with regard to ocular ailments, eye diseases as cataracts, glaucoma, macular degeneration, diabetic retinopathy, etc , eye and visual sympomatology, eyeglasses, contact lenses, low or subnormal vision, pediatric vision conditions,and special and unique ailments will be discussed.
36 years of clinical experience in opticianry and therapeutic optometry. Still in private practice with special interests in vision conditions, diagnosing and treating ocular ailments, prescibing treatment plans which include medicine, eyeglasses, and contact lenses primarily. Although surgery is not within the realm of my area of expertise, I co-manage many pre and post -op surgical cases which include Lasik and PRK procedures.
Organizations New Jersey Society of Optometric Physicians
American Optometric Association
Education/Credentials B.A.,1968, Hunter College of the City University of New York
B.S.,1970, Pennsylvania College of Optometry
O.D.,1973, Pennsylvania College of Optometry
Therapeutic Pharmaceutical Administration Certification, New Jersey 1992
Awards and Honors Clinical Efficiency Award, 1973, Pennsylvaania College of Optometry