Thursday, June 28, 2012

Cataract Surgery & Soft Contact Lens Discontinuation

Question: I have a question about needing to stop wearing soft contact lenses before cataract surgery. I am in the queue for cataract surgery in the UK. I am scheduled for the measurement exam on 17 July and they have told me I must remove the left Permalens extended wear soft contact lens two weeks before the exam. I have worn Permalens contact lenses for 35 years and do not own glasses. I sleep in my lenses and change them once a month. I am very nervous how I will manage with only one lens. With Permalens lenses being so thin do I really need to remove one for 14 days? I will not be able to get to work, let alone work. Will 10 days be long enough? Could it be shorter with Bausch & Lomb contact lenses lenses?
Answer: Proper discontinuation of soft contact lens wear prior to Cataract Surgery measurements is a necessary and important step in allowing your Cataract Surgeon to obtain the best possible measurements for the calculation of the Lens Implant power. While Rigid Gas Permeable (RGP) contacts do cause significantly greater shape change in the cornea, extended wear contact lenses such as you have been using also can cause meaningful changes in corneal thickness and ultimately curvature. Someone who has worn extended wear contact lenses for 35 years needs to be certain that the cornea has fully returned to its normal physiology, shape and thickness prior to Lens implant measurements and certainly prior to the actual Cataract operation. Do not be surprised if after the initial measurement you are instructed to leave your contact lenses out for an even longer time in order for your Cataract Surgeon to fully confirm that all of the measurements are stable. it would be wise to carefully follow your eye surgeon's instructions.

Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery or Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.

Thursday, June 21, 2012

NY Surgeons on Laser Cataract Surgery

New York Cataract Surgeon Satish Modi, M.D., F.R.C.S. (C) of Seeta Eye Centers in Poughkeepsie, New York commented on his initial experience with the Alcon® LensSx® Femtosecond for cataract surgery. “I have been doing cataract surgery for 30 years now and can honestly say that I am a good cataract surgeon-but as any surgeon will tell you, we humans are not "on" EVERY time we operate-the femtosecond laser IS, every time.”

The integration of the femtosecond laser to assist in cataract surgery and lens implants offers the promise of allowing the refinement of the many skill intensive steps of cataract removal into a more predictable procedure that benefits from enhanced laser created, surgeon controlled precision resulting in further improved clinical results.

Andreas Wolter, M.D. a NY Cataract Surgeon, also of Seeta Eye Centers further emphasized, “The most important step in a cataract operation is the creation of a capsulorehexis, the circular opening made in the front of the cloudy lens-this controls the safety of the surgery. It also influences the position of the replacement intraocular lens, resulting in wonderful vision, or allowing less than great vision, if done even slightly off axis or improperly. The femtosecond laser creates an exquisite round and precise opening, a thousand times out of a thousand, beyond the capacity of ANY human being to replicate.”

You may schedule an appointment for a Cataract and Lens Implant consultation including Laser Cataract Surgery by calling Seeta Eye Centers at 845-454-1025, visiting Seeta Eye Centers or facebook.com/seetaeyecenters.

Seeta Eye Centers is conveniently located for patients in need of cataract surgery and lens implants from Westchester County, Rockland County and throughout the Hudson Valley, Dutchess County and Orange County including Poughkeepsie, Fishkill, Middletown, Kingston, New Paltz, Newburgh, Beacon, Bedford, Catskill, Cornwall, Eastchester, Ellenville, Florida, Goshen, Harriman, Harrison, Highland, Highland Falls, Kerhonkson, Mahopac, Monroe, Montgomery, Mount Kisco, New Rochelle, New City, Scarsdale, Saugerties, Spring Valley, Tarrytown, West Point, White Plains, Woodstock, Yorktown Heights and Yonkers, NY.

Tuesday, June 19, 2012

Lens Implants & Scuba Diving

Question: I had cataract surgery at the VA and asked the cataract surgeon if the lens implant was gas permeable. I scuba dive and needed to know. The surgeon had no idea and said to call the company. So, I did. Alcon AcrySof® IQ Toric is the info on my card. Model SN6AT5. I called and they said they have no idea either. Can you help me with this?

Answer: Whether or not the Lens Implant after Cataract Surgery is gas permeable should be immaterial to going scuba diving. Unlike a contact lens that is placed on the surface of the cornea and requires oxygen, nitrogen and carbon dioxide permeability in order to sustain corneal transparency and integrity-an intraocular lens implant or IOL is within the eye and does not in any way impact corneal physiology. When scuba diving and wearing contact lenses this is an important feature-but not for lens implants. Thus, it is doubtful that the manufacturer or anyone would take the time to conduct oxygen permeability studies of the acrylic lens material used for this type of Lens Implant.

Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery or Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.

Friday, June 15, 2012

Medicare Cataract Surgery Payment Criteria

Question: I understand that the Medicare guidance for cataract surgery is that your vision has decreased to 20/40 and can't be corrected by refraction. I have been diagnosed with cataracts although my visual acuity is 20/30 in one eye (corrected to 20/25 minus 3) and 20/25 in the other eye (corrected to 20/20 minus 1.) The test with bright lights to simulate night driving decreases the vision to 20/40 in one eye and 20/30 minus 2 in the other.)

I feel like my vision has deteriorated significantly and I do have difficulty driving at night, although the tests above indicate things aren't too bad yet. Do you know if Medicare will cover cataract surgery at this point or will they only cover it if/when things deteriorate further so I am equal to or worse than Medicare guidance?

I should note that in addition to the visual acuity issues I mentioned, I also have glaucoma. I understand that in some (not all) cases, removal of cataracts can have the side effect of lowering IOP. So this a second motivation for considering cataract surgery at this point.

Answer: From what you describe, with glare testing you have one eye with a Cataract that is only correctable to 20/40 vision. You can certainly have Cataract Surgery covered by Medicare as the glare testing demonstrates the appropriate compromise in that eye. The 20/30 eye is borderline at this time but one would expect it will follow the same pattern in a relatively short term. Further, when you discuss your the surgery with your Cataract Surgeon you may want to ask whether you might be a candidate for Endocyclophotocoagulation (ECP) which is a type of treatment for Glaucoma that can be performed at the same time as the Cataract Surgery.

Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery or Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.

Thursday, June 14, 2012

Lens Implant Choice

Question: I am having cataract surgery and want to know what factors aside from cost I should consider in deciding whether to get the older type of lens implants as compared to the newer "premium" lens implants such as multifocal lens implants that are now readily available?
Answer: Advanced technology "premium" Lens Implants really address two types of vision correction problems after Cataract Surgery. First, for patients who have preexisting astigmatism correction in their eyeglass prescription, astigmatism correcting toric lens implants allow for the correction of astigmatism and thus clear vision at distance without dependence on glasses for distance vision for the vast majority of patients. Multifocal Lens Implants or Accommodating Lens Implants address the near and intermediate distance focusing vision problem called presbyopia. After Cataract Surgery virtually everyone has to wear some type of intermediate and/or near vision correcting eyeglass prescription unless they solve the near vision focusing problem-presbyopia-by some other means. Multifocal Lens Implants or Accommodating Lens Implants allow most patients to be much less dependent or even independent of eyeglasses for seeing arm's length and near. This can give patients who have had Cataract Surgery a level of freedom, convenience and independence that is quite desirable. If however, wearing eyeglasses after Cataract Surgery does not pose any barriers or disturbance to you then the conventional Monofocal Lens Implants may be a good enough solution. the best course of action here is to discuss your personal vision correction needs, goals and objectives with your Cataract Surgeon and then he or she can tell you what might be possible in your case. Not every Lens Implant type is right for every patient.

Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery or Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.

Floaters after Cataract Surgery

Question: My father had cataract surgery and now has floaters that really disturb his vision. He had cataract surgery about a year ago on both eyes about a week apart and after 3 months he started to have floaters in each eye. Now they are so bad he cannot drive anymore and he says it is like trying to drive in the rain without windshield wipers. This is really affecting his life and the cataract surgeon says there is nothing wrong. Any suggestions or referrals or anything would be helpful.
Answer: Floaters after Cataract Surgery are not terribly uncommon but usually settle down and really do not cause any disturbance in vision. If the presence of the floaters is continuing to get worse it may very well warrant an examination with a Retina specialist who is a Vitreoretinal surgeon in order to rule out any other abnormalities of the peripheral retina and the vitreous that might be contributing to the floaters. There are some conditions of the vitreous that can be particularly annoying but are benign-and there are other potential events that might have left debris in the vitreous. All of these can be carefully considered by scheduling a consultation for a second opinion with a Vitreoretinal Surgeon.

Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery or Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.

Monday, June 11, 2012

Glasses after LASIK & Cataract Surgery

Question: I have a question about the need for glasses after LASIK and cataract surgery. I wore thick horrible glasses for over 50 years and had LASIK 12 years ago and found such freedom. I now have cataracts and the fear that I will need glasses again and this is making me a total wreck. I'm a vegetable farmer and I love it but I pick tomatoes all day and if I have to wear glasses they slide down my nose and break all the little veins and just make me miserable. Is anyone who first had LASIK lucky enough not to need glasses after cataract surgery?

Answer: While there can be no guarantees, it is entirely possible not to need glasses after cataract surgery even if you have had a previous LASIK surgery. However, there are some things you need to know.

The measurements for Lens Implants after Cataract Surgery are quite critical and considerably more complicated and less precise if you have had LASIK. Changing the shape of the cornea during LASIK makes these measurements and calculations somewhat less reliable. That said, you can be of great help to your Cataract Surgeon in most precisely obtaining these measurements and calculations if you can provide them with copies of ALL of your pre LASIK eye measurements including your prescription, the corneal topography, the corneal thickness and the keratometry or corneal curvature measurements, at a minimum. Also, the operative report of your LASIK would be helpful as well. This information along with the use of advanced measurement and imaging equipment can help improve the Lens Implant calculation a great deal. Now, it may or may not be possible to offer you some help for intermediate and near vision by using a the technique of Monovision Lens Implants or possibly an Accommodating Lens Implant such as the Crystalens® Lens Implant. While there is a difference of opinion among Cataract Surgeons, in general the use of Multifocal Lens Implants does often produce less than optimal results after cataract Surgery whereas the Crystalens® Lens Implant may offer a better compromise for the intermediate and near vision correction. For certain, you should seek a consultation with an eye surgeon who is BOTH a Cataract Surgeon and Refractive Surgeon as the goal of being glasses free does require a more disciplined approach to measurement, calculation and Lens Implant selection than ordinary Cataract Surgery.

Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery or Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.

Eye Rash after Cataract Surgery

Question: I had cataract surgery a year and half ago and now have a red rash under my eyes that itches. I also have a problem seeing as my eyes feel like they are swelling. I was told I need to use hot packs 2-3 times per day. is this what I should do?

Answer: There is no way to know why you have a rash under your eyes but it is unlikely that it has anything to do with your Cataract Surgery. Further it is impossible to know whether hot packs are appropriate without an eye exam and careful evaluation of your eyelids, eyelid margins and the skin beneath your eyes. You may in fact have a dermatitis or a blepharitis or some other eyelid gland dysfunction that is creating the problem. Your best next step is to schedule an appointment with the Cataract Surgeon who performed your Cataract operation and have him or he provide you with a thorough evaluation and recommendations for treatment.

Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery or Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.

Thursday, June 7, 2012

Toric Lens Implant Shadow

Question: I had an AcrySof® Toric Lens Implant to correct astigmatism and nearsightedness after cataract surgery for a posterior cataract and now see a shadow. The model is SN6AT4 with a power 21.0 D. My vision is good 20/25 left eye and 20/20 with my single glass lens for the right eye. My concern or complaint is that I have a shadow that is located on the upper outer quadrant of my field of vision. It is worse if I look to the right or to the right and down. It feels like I have something in my eye and I need to remove it. It makes me nauseated. I saw my eye surgeon today and he said it was just me. I think it might be a wrong size of lens. The machine that measures your eye for the lens "broke" during my exam and he calculated the numbers. Is this all in my "eye" and do I have to live like this forever? I am a Nurse and am still working for at least 10 more years and I need good vision.

Answer: As your vision correction after your eye surgery with the Lens Implant seems quite good, it is not likely that there is a measurement" error and the type of Lens Implant you describe unfolds to fit the space available to it, thus "too big" is an odd description. The "shadow" that you report is something that many patients having Lens Implants do report as they initially adapt to seeing the edge or sometimes the reflection of the edge of the Lens Implant. For the vast majority of patients this becomes unnoticeable over a period of weeks or months. However, if you have not already done so it would be important to have a thorough examination of the Retina to be sure there are no subtle complications occurring here as well.

Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery or Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.

Toric Multifocal Lens Implant Problem

Question: I had the Mplus Multifocal Toric lens Implant 2 months ago after cataract surgery. I had an episode of flashing lights and seem to have lost the near reading vision, but not my distance vision, in my left eye. My cataract surgeon seems unable to explain why. He checked my eye, and sent me away saying all seems OK with the lens position. There is no detachment of the retina. I did have excellent near vision two weeks after the operation. Also my right eye has shocking ghosting, and star-burst effects and has also developed a rather large annoying floater. Any ideas what I could ask on my next follow up appointment would be helpful.

Answer: First, it is highly probable that your Cataract Surgeon has investigated most if not all of the possible causes. The LENTIS Mplus Toric IOL is a very sophisticated Lens Implant and does require exact positioning as it is a "sector" style multifocal lens implants rather than the more common "ring" multifocal lens implants. A small degree of rotation could in fact eliminate the near vision correction. Typically this would also be associated with some compromise in the distance vision as well as the astigmatic correction would be off axis. Your cataract Surgeon should be able to observe this as with this Lens Implant the orientation marks are quite visible. It is possible that there is some posterior capsular opacification beginning in a position so as also to decrease the near vision considerably. As this progresses if will become obvious and could be remediated with a YAG Laser Capsulotomy if indeed it were the cause. As part of your retinal evaluation to rule out the possibility of detachment it is likely but is worth revisiting the health and integrity of the Macula and have an Ocular Coherence Tomogram(OCT) to be certain that the Macula and underlying spaces are healthy.

Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery or Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.

Laser Cataract Surgery of New York, L. L.C.

Laser Cataract Surgery of New York, L.L.C. is pleased to announce that it has commenced operations at the Dutchess Ambulatory Surgical Center, L.L.C. in Poughkeepsie, New York under the direction of New York Cataract & Refractive Surgeon Satish Modi, M.D., F.R.C.S. (C) of Seeta Eye Centers. Dr. Modi commented, “Cataract surgery is a technically complex type of eye surgery requiring tremendous surgical skill for a number of steps that we would typically perform manually. Now, after having done a number of cataract operations using the “femto-phaco” method with the Alcon® LensSx® Femtosecond Laser to assist in the cataract surgery and lens implant procedure, I am impressed by the safety, precision and reproducibility achieved by consolidating the many skill intensive steps of cataract removal and lens implantation. Even as an experienced cataract surgeon, my ability to direct the controlled laser precision to further improve clinical results is amazing.”

You may schedule an appointment for a Cataract and Lens Implant consultation including Laser Cataract Surgery by calling Seeta Eye Centers at 845-454-1025, visiting Seeta Eye Centers or facebook.com/seetaeyecenters.

Seeta Eye Centers is conveniently located for patients in need of cataract surgery and lens implants from Westchester County, Rockland County and throughout the Hudson Valley, Dutchess County and Orange County including Poughkeepsie, Fishkill, Middletown, Kingston, New Paltz, Newburgh, Beacon, Bedford, Catskill, Cornwall, Eastchester, Ellenville, Florida, Goshen, Harriman, Harrison, Highland, Highland Falls, Kerhonkson, Mahopac, Monroe, Montgomery, Mount Kisco, New Rochelle, New City, Scarsdale, Saugerties, Spring Valley, Tarrytown, West Point, White Plains, Woodstock, Yorktown Heights and Yonkers, NY.

Wednesday, June 6, 2012

Light Sensitive after Cataract Surgery

Question: After cataract surgery I am so light sensitive that I now have to wear two pairs of sunglasses in order to drive. I never had any problem with sun glare before cataract surgery. This is miserable. What is wrong? I also now have double vision in that eye without glasses.

Answer: Being light sensitive during the short term recovery time after Cataract Surgery is not uncommon. The key being "shortly". If light sensitivity persists for a significant time after your Cataract removal, then one has to be sure that there is no ongoing low level inflammation inside the eye. If it has been some time since the surgery, then you need to return to your Cataract Surgeon and explain your discomfort and the situation and it is possible that you may require some additional eye drops or there may be some other reason for prolonged light sensitivity. Regarding the double vision after Cataract Surgery, you do not state whether it is monocular diplopia-that is occurring in one eye, or binocular diplopia that occurs when both eyes are open. There are many reasons for each-however if it is indeed remediated by the use of your glasses then it most likely has an optical cause. You should also discuss this with your Cataract Surgeon especially if it is of recent onset.

Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery or Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.

Risk of Cataract & Smoking

Patients who are current smokers or who have any history of smoking are at increased risk of getting a cataract according to researchers reporting in Investigative Ophthalmology & Visual Science. The researchers found that the overall current literature suggests that smoking was associated with increased risk of age related cataract, especially nuclear cataract and to some extent posterior sub capsular cataract. They further recommended that additional efforts should be made to confirm these findings and clarify the underlying biological mechanisms.

“We are well aware of the vascular risks of smoking, and recent research demonstrates an increased risk of glaucoma and age related macular degeneration among smokers, so it is not surprising that smokers are at greater risk of cataracts-although the mechanism does in fact need to be identified,” stated Connecticut Cataract Surgeon Leslie Doctor, M.D. of Doctor & Associates with offices caring for cataract patients in Norwalk, Westport and Wilton, CT.

“A healthy lifestyle and diet are meaningful ways of maintaining eye health and vision-whether lowering your risk of cataracts, keeping the tiny blood vessels in the eye functioning properly or minimizing the associated risks of glaucoma-it’s important to avoid smoking as a lifestyle choice,” further suggested Dr. Leslie Doctor.

Patients concerned about Cataracts, in need of Cataract Surgery or Lens Implants should find the best Cataract Surgeons and schedule a visit for a Cataract evaluation, examination and consultation.

Tuesday, June 5, 2012

Laser Cataract Surgery Complication

Question: My mother had laser cataract surgery last week for the left eye and now has a complication. When she returned the very next day after surgery her eye looked fine and she said her vision was very clear. Now, three days after the laser cataract surgery she said she saw flashes in the bottom of the eye. When she went to the cataract surgeon to have this checked and the doctor said there is some minute amount of tissue of the old lens present and it must be operated and removed. Is this the mistake of doctor that he didn't remove the old lens fully? What is the risk of going under knife again? How serious this condition is? What are the complications after the second surgery?

Answer: While Laser Cataract Surgery does potentially provide greater precision, efficacy and reproducibility through the consolidation of a number of manual steps into a surgeon directed laser, rather than manual procedure for these steps, a critical part of the Cataract operation is the process of phacoemulsification whereby the cloudy lens material is actually aspirated from the eye. This step, as well as many others, still requires considerable skill of the Cataract Surgeon and from time to time can have some complications. Now-if the remaining fragments of lens material are in the front of the eye-or anterior chamber-the removal would be done with traditional phacoemulsification techniques. The risks and complications of a second cataract procedure are the same as first procedure which would include infection, rise in intraocular pressure, corneal edema, retinal detachment, macular edema, ptosis or even damage or a break in the posterior capsule. If however, the remaining lens fragments are in posterior segment, or posterior chamber of the eye, that is a whole different picture as it could involve the need for a vitrectomy with all of the associated risks of such surgery.

Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery or Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.