Cataract Surgery after Macula Detachment

Question: Can cataract surgery improve vision after a macula detachment? I had a retinal detachment in my left eye two years ago that included a macula detachment. The best level of visual acuity achieved since the detachment is about 20/200. I can read with this eye easily, from fairly close up. My retinal surgeon says my retina is stable. Are there cases in which a lens implant resulted in significant vision improvement despite the macula detachment?


Answer: The fact that you had a Macula Detachment and that you report the BEST level of visual acuity since the Retinal Detachment repair is 20/200 suggests that Macula function was impaired by the detachment. However, the fact that you can read is a positive prognostic sign for overall visual improvement if NOT central vision after a Cataract is removed. If the presence of a Cataract is causing a significant reduction of light transmission to the Retina and Macula this could cause a disproportionate loss of contrast sensitivity and associated functioning. HOWEVER, if the BEST corrected visual acuity after the Retinal repair was 20/200 AND THERE WAS NO PREEXISTING CATARACT, the likelihood of a significant improvement beyond that level is small. This does not mean that removing the cataract would not help with overall functioning particularly in reduced contrast situations. This requires thorough and careful evaluation with the best Cataract Surgeon you can find in your area who can offer the full scope of diagnostic and prognostic testing in your individual situation. it would worthwhile to consider this when you are ready.

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