Macular Degeneration After Cataract Surgery


Nov 7, 2009

I have Cataracts in both eyes and had surgery three weeks ago with Crystalens implanted in right eye.

Apart from one hour after surgery when my sight in the right eye appeared wonderful I have been unable to see properly. All detail is blurred; I can see my outline three feet from a mirror but no detailed features; straight lines are distorted; (i.e. door frames picture frames etc) and vision from this eye appears to be via a green glass window.

After the first week I had further laser treatment to remove cloudiness but my eye sight remained exactly the same with the same symptoms and distortions.

Yesterday I was diagnosed with Macular degeneration (wet) and given an Avastin injection in the eye and advised that it could take several months for me too see from this eye.

I am a male 66 years old and very worried, particularly as I also have untreated cataracts in my left eye. I have also lost confidence in the surgeon in view of the change in diagnosis and the failure of the original surgery.

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On Jan 6 of this year my ophthalmologist advised me I had a macular pucker in my right eye.  During that visit and prior to her diagnosis I received an eye chart test in which I noticed for the first time that straight lines were slightly wavy in the right eye.  

My doctor’s diagnosis was that the  same right eye had a cataract and I should see an eye surgeon to discuss possible surgery.

A month later I had the cataract surgery and was on a regimen of eye drops (pred Forte & Ilevro)
(one week prior and three weeks after the surgery).

On 3/21 (my last post op visit) I mentioned that the cataract surgery has improved the vision in the right eye but I have noticed the waviness of straight lines due to the macular pucker in the same eye seems a little more pronounced.   I was given a test to see if the pucker had  worsened and was told it had but only slightly  (foveal thickness was 429 from  437 on Feb 6

I was also told to continue with the pred forte but increase to 3 times a day and the ilevro twice a day.

The doctor said it was possible the cataract surgery may have affected the pucker a little and that I should see a retinal specialist in several weeks  to learn if the pucker size had changed further.

Am looking for a second opinion on this course of action and to see if anyone has had a similar experience with cataract surgery affecting a macular pucker

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On the morning of the third day (Saturday) it felt as if I had something in the outside corner of my eye and that the clarity of vision was somewhat less. As it didn't wear off I called the out of hours ophthalmic nurse. She first asked me to check for an eyelash or anything in the eye. Her second suggestion was that I could have a sensitivity to the cheapo NHS eye drops with preservative in them.

We agreed to leave the situation until after applying the next eye drops. Things were no better when she called me back. She offered to get the on call eye doctor to see me at the hospital.

I did not feel that it was urgent enough for that and that I would leave it until today ( Monday)

The discomfort worsened over night and I called the daytime contact number. They took my details and will pass them on to the eye clinic and someone will call me back...but it might not be today.

The feeling is rather like when many years ago I wore contact lenses and I put one in wrongly.

Has any other reader had the same sensation?

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I would love to hear stories of how this surgery turned out for you.

Mine, diagnosed last Aug. and on a recheck found it to be slightly worse so they recommend surgery to fix it. I was seeing 20/40 and she didn't say what it was on this recent appt. I can tell it's worse.

Is it worth the risks of surgery to repair this? I've read that if it gets worse the correction will not work as well. If done early success is more likely.

The risks scare me. Infection, Retina detachment, double vision.....

How can I decide if this is right for me?

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I have had a macular pucker in my right eye for three years. It's not terrible, just very frustrating. It has been changing only a little from year to year.

I have not wanted to try vitreous surgery for epimacular membranes (macular pucker 'repair') because of the risk of some of the receptor cells being damaged as the scar tissue (epimacular membrane) is pulled off the macula. I don't want blind spots.

Yesterday an optometrist told me that I risk getting those same blind spots by not having the surgery - because the scar tissue is pulling the receptor cells away from their blood supply.

Is/are there any data or studies that compare the risks of having the surgery with the risks of not having the surgery - as regards damage to the macular cells?

I know that development of cataracts is a well known complication of having the surgery. And having to risk cataract surgery is another reason I have for resisting the pucker repair.

I am seriously considering getting glasses that adjust for my main problem (things look 15% bigger in my right eye). This condition, caused by the membrane, is called aniseikonia and can be compensated for by getting glasses that minimize the image in my right eye.

If the risks of surgery, and there are many, are greater than no surgery, special glasses will be my choice.

I've read that, on average, the surgery, if successful, gives you back half of the vision originally lost to the pucker. I think that means I would still need special glasses.

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I have had 5 surgeries on my left eye. It started with a basic cataract surgery that I had cloudy vision issues with, retina detachment, high eye pressure, laser to "fix the pressure issue which did not work, a tube was put in to decrease the pressure which worked and finally macular pucker surgery but the eye collapsed and the Dr. had to inject something into the eye to maintain the shape.... At this point, 2 months after the macular pucker surgery, my vision has not improved and I can only see faint images for distance and can't read anything.

The cataract and laser surgery was performed by an ophthalmologist and all of the other procedures was done by a retina specialist.

My retina Dr. is saying that the eye is still swollen and recovering from the "collapse" and it will take time before my sight begins to improve

Is there anyone who has had the same issues?  Any suggestions?

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I can see 20/200 on my left eye, but after macular pucker surgery, i can only see light , but no image after 2 1/2 days .

Is that normal?

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I can see 20/40 in the bad eye and just fine in the other one. I do wear glasses though. I can tell that my vision is weird as it tries to blend the 2 eyes together but it doesn't stop me from living a normal life.

So, is it worth it to have the surgery like they say or can I just wait it out? If it never changes from what I have I will be fine. I fear the bad results possible with surgery. Why risk a bad outcome and a worse problem than I have now?

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I went to a neurosurgeon and couldn't find anything wrong with my whole spine after checking the MRI. Just mild disc degeneration.

He thinks it may be anxiety. I've just moved countries, and no job and haven't been doing anything for months on end, and just been lazing about, no exercise and eating not too healthy, smoking, and drinking 4 coffees a day. I have been stressed out lately and I feel I need to have a diagnosis. Is it anxiety/stress related? Is it muscle atrophy? (due to me lazing about and doing nothing for 3 months)

I've been to 3 different neurosurgeons with all similar answers, Been doing physio on my lower back, and been exercising every day for the past 2 weeks. Been taking no medication (which I don't want to).

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