Showing posts with label cataract surgeon. Show all posts
Showing posts with label cataract surgeon. Show all posts

Tuesday, May 28, 2013

Cataract Surgery after RK

Question: In 1994 I had RK (extensive - 16 cuts in right eye). I recently had cataract surgery on right eye but vision correction, even using the ORA System, was not totally successful.  My cataract surgeon is now suggesting "piggyback" IOL to further correct vision.  Should I consider this and what are the possible complications?

Answer: Cataract surgery and lens implants after RK is more complex than routine cataract surgery where there has been no previous corneal surgery. The complexity of the measurements and calculations diminishes the precision of the lens implant calculations and should there be a need for an adjustment and refinement of the final prescription, the previous RK incisions may limit the options. Certainly the use of intraoperative measurements such as ORA can be helpful but still the precision isn’t perfect. Generally there are a few options for achieving the desired refractive outcome including wearing eyeglasses, corneal laser eye surgery such as LASIK or PRK, a lens implant exchange or a piggyback lens implant. Your previous RK may preclude you from LASIK for sure. You do not state whether the residual refractive outcome requires correction for nearsightedness, farsightedness and/or astigmatism. This too will be part of the decision on the likely usefulness of a piggyback lens implant as if there is irregular astigmatism-somewhat common with RK-you may not achieve your desired outcome. It is also not clear from your description why one would choose a piggyback over a lens exchange-either could be appropriate but your description precludes knowing the best choice. So-the best advice and opinion is to follow your cataract surgeon’s suggestion. That said, the complications of piggyback IOLs are similar to primary lens implants with the added risks of a second surgery-as long as the primary was uneventful.


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, May 20, 2013

Multifocal Lens Implant for Bifocal Eyeglasses


Question: I am 58 and wear bifocals. It has been my dream for decades to be free of eyeglasses. This summer I am going to do it. It appears I have a choice of two methods to correct my vision:
Should I get a corneal transplant? Or should I get a multifocal lens implant? What are the risks and benefits to each?

Answer: Being free of eyeglasses is an admirable goal however you need to get more information about you vision correction options. Multifocal Lens Implants could very well correct your near and far vision-however it may depend on your prescription and exactly what your expectations are for seeing up close and intermediate distances. Further, for some reason you have stated that you are considering a corneal transplant for vision correction. Do you have some underlying corneal disease or problem that makes a corneal transplant medically necessary or are you simply confused? Before doing anything you need to go find the best cataract & lens implant surgeon you can and if you have some other corneal problem you probably want that surgeon to also be a corneal specialist. Schedule a consultation and absolutely take the surgeon’s advice on what your options might or might not be.

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.

Tuesday, May 7, 2013

Glare after Cataract Surgery


Question:  My mother had cataract surgery about 5 years ago and to this day she has a lot of problems with glare and she can't stand going in the sun or into rooms with too much light. She has gone back to her cataract surgeon numerous times, but he has not been able to help her. I keep mentioning contact lenses to see if that would help.  Do you think that contacts might help her?

Answer: First, it is important that you and your mother understand why your mother has continuing glare 5 years after her cataract surgery. The degree of glare disability you describe is not typical and should be evaluated. If you have been unable to get a satisfactory answer from her previous cataract surgeon then you need to find a top cataract surgeon in your area and schedule an examination for a second opinion. There are many reasons that there might be persistent glare problems after cataract surgery and with a thorough exam it should be possible to determine the cause and find possible solutions.

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.

Wednesday, May 1, 2013

Multifocal Lens Implants & Halos


Question: I have read that having a multifocal lens implant installed would lead to "halos" around lights when driving at night. First, how bad are the halos-do they impair your vision enough to make driving at night difficult? Second, if I get a lens that corrects my astigmatism and to see distance and near vision (computers, etc.) but I need glasses for reading, would that be considered multifocal enough to produce halos at night? If it does not produce halos-what type of lens implant would you suggest I use to accomplish-far vision, near vision and correct astigmatism and use glasses for reading? I am 76 years old.

Answer: First, multifocal lens implants are a very specific type of lens implant in terms of design. There are a few different designs produced by different manufacturers-each of which has somewhat different optical characteristics and thus differing tendencies to produce halos. Further, depending on your pupil size in bright vs. dim illumination, your results could be better or worse than what you have read-and could differ with each type of multifocal lens design. In addition, the shape of your cornea and its aberrations could also cause halos. 

So, there is no simple answer. In order to choose the best multifocal lens implant for your vision requirements and the distances you wish to see clearly at requires a VERY thorough eye exam and consultation and measurements and cannot be accomplished by discussing pros and cons of the designs. So-your best bet is to schedule a consultation and examination with the best cataract surgeon who is also a refractive surgeon and FULLY explain that you do NOT want halos. Then be prepared to provide the measured distances that you wish to see clearly for…i.e. the actual distance of where your computer sits and where you hold reading material. From this information a refractive cataract surgeon should be able to offer you options that might be the most desirable for you.

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.

Wednesday, April 24, 2013

Dizziness & Monovision Toric Lens Implants


Question: I have two toric lens implants for monovision-one set for distance and the other set for close vision but I still wear glasses for intermediate vision. I am very dizzy and have balance problems. Could it be the two different lens implants? Could they be replaced with other lenses to solve the problem? 

Answer: Monovision correction with lens implants can be a very good option for many patients to help with correction of both distance and near vision. Some patients are simply unable to tolerate the difference in the correction between the eyes as we say that they have a low “tolerance to defocus.” This may very well be a cause of the dizziness and the balance problems but may not be the sole cause or even the primary cause. You do not state your age or general medical condition. If you have any risk factors or a history of vascular problems, high blood pressure or stroke this must also be ruled out as well. Further, the improper orientation of astigmatism correcting toric lens implants can also cause what you describe. If the problem turns out to be the monovision correction from the toric lens implants, depending on the length of time since your surgery it may possible to perform a lens exchange and correct both eyes for distance or you may need a LASIK procedure to create a distance correction for both eyes. All of this should be discussed with your cataract surgeon who can provide you with the information after a clinical exam and of course should you have any other risk factors mentioned above you should consult your Internist or family doctor 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.

Distorted Vision & Spots after Cataract Surgery



Question: I am 51 and I had cataract surgery two months ago. My vision has not improved and is worse. It is blurry both day and night along with being all distorted.  I also have a lot of black spots and blotches in my vision. I can see this film moving all around when I look around. My cataract surgeon said the lens is fine it's just the gel that I'm seeing. What should I do?

Answer: It is difficult to know exactly what is happening without a careful clinical exam. However, from your description there are a number of things to be considered as to why your vision is distorted, blurry and you are seeing spots after cataract surgery. First, the inside of the eye is filled with a gel called the Vitreous. It is not uncommon for the Vitreous gel to shrink, collapse and pull away or detach from the retina after cataract surgery. In fact the studies suggest that more than 50% of patients who have cataract surgery do indeed experience some kind of Vitreous gel detachment or irregularity after cataract surgery. 

This phenomenon called Vitreous Detachment can result is the spots and perhaps the distortion that you are experiencing. The risk is whether the Vitreous gel is also pulling on the retina and even causing it to tear or detach resulting in “distortion”. This needs to be carefully examined. Also, sometimes people with continued blurred vision two months after cataract surgery along with a Vitreous detachment might also be experiencing some swelling of the Macula area of the retina. One would suspect your cataract surgeon has ruled these problems out through a thorough examination. If you are not clear or are not satisfied with the explanation being provided by your cataract surgeon it is never inappropriate to have a second opinion. Based on the symptoms and concerns you relay one might consider a second opinion with a retina specialist rather a cataract surgeon at this time.

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, April 22, 2013

Cloudy Vision after Cataract Surgery


Question: Is cloudy vision normal 10 hours after cataract surgery?

Answer: Some degree of short term blurry vision or cloudy is possible due to varying degrees of swelling or corneal edema, perhaps minor inflammation and swelling elsewhere in the eye and just the general recovery of the delicate tissue. Cloudiness or blurriness that persists without improvement for more than a few days does warrant discussion with your cataract 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.

Anesthesiologist for Cataract Surgery?


Question: I am having cataract surgery and was told I have to have an anesthesiologist and will be charged $400.  I don't want an anesthesiologist for my surgery but my cataract surgeon and the surgery center say I am going to be charged the $400 for one to be there anyway because it is required by state law.

Answer: Depending on your cataract surgeon and your general health it is often the case that even though cataract surgery is typically done with only eye drops for anesthesia, it is necessary to have “stand by” or other anesthesia available. This is NOT your decision. It is a medical decision made by the surgeon, the surgery center and general medical and surgical practice standards that are often mandated by regulations at various state levels and sometimes even federal regulations.

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, February 11, 2013

Cataract Surgery & Astigmatism Correction

Question: My mom is scheduled to cataract surgery in one of her eyes and her cataract surgeon insists on correcting her astigmatism at the same time as cataract removal. Besides extra cost for astigmatism correction I would like to know is this really necessary as she is 76 years old? How safe it is considering her age? Does it make sense to do only cataract removal without correcting astigmatism or we should go for this extra procedure?

Answer: In order to have the best results and vision after cataract surgery, patients who have astigmatism need to have it corrected. It can be corrected in eyeglasses-that you will have to purchase, probably several times over the  year, it can be corrected with a second surgical procedure called Limbal Relaxing Incisions (LRI), or it can be corrected with a toric lens implant. Both the LRI and the toric lens implant provide your mother with less dependence on glasses for seeing clearly at a distance which is a safer and more comfortable correction in terms of mobility. She could however wear glasses if the astigmatism wasn’t too bad and didn’t limit her mobility. I am sure you would NOT want to see your mom take a fall and break a hip due to uncorrected astigmatism blurring her vision. So, yes it needs to be corrected and you should follow the advice of her cataract 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.

Cataract Surgery, Astigmatism, Eyeglasses & Flomax

Question: I have astigmatism and take Flomax and need to have cataract surgery on both eyes. I have been wearing progressive lens glasses for 20 years and am very happy using this type of eyewear. Is it possible to have surgery and still use progressive lens eyeglasses after? I take Flomax. How much before the cataract surgery should I stop taking Flomax? Is it better to have the surgery done by the new laser assisted method or the "old" fashion way. Will it be possible to have 20/20 vision after the surgery while using progressive lens eyeglasses?

Answer: It is quite possible to continue wearing progressive addition spectacle lenses to correct your near and intermediate vision as well as your astigmatism should you so desire. It is also possible to have an astigmatism correcting toric lens implant in which case your distance vision could very well be clear enough to not be dependent on eyeglasses for seeing far away at all. This is entirely your choice. If your eyes are otherwise healthy-especially the retina and cornea-it may very well be possible to achieve 20/20 with the progressive lenses after cataract surgery. Now, UNDER NO CIRCUMSTANCES should you discontinue your Flomax until you have discussed this with your cataract surgeon and your urologist. Your cataract surgeon will ABSOLUTELY need to be involved as there are surgical procedure modifications to be employed when someone has taken Flomax prior to cataract surgery. They will advise you of whether and when to alter your medication. Either traditional or laser cataract surgery can produce good results for you in the hands of a skilled cataract 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.

Tuesday, January 29, 2013

Toric Lens Implant Vision Blur & Sloping




Question:  My wife recently had cataract surgery with a toric lens implant for astigmatism in her right eye. 10 days after her operation the vision is fuzzy-out of focus-and horizontal surfaces seem to slope to the right, and despite several attempts the cataract surgeon was unable to find any external lens or combination that would give any clearer vision. She can see clearly through a pin-hole mask and the macula, retina, and pressure are all good, and the lens seems to be correctly placed. They say come back in 6 weeks - what do you recommend? 
Answer: There are many reasons that your wife may be experiencing blur that clears with a pinhole mask and also several others that might cause a sloping of her vision. Some of these are related to the healing process and should self limit in the next 6 weeks as your cataract surgeon suggests. Others may not clear and could represent complications that require more immediate attention and possibly intervention as they could involve the retina. While you state that the retina is normal, prudence suggests that a retina consultation is to be considered to rule out subtle swelling of the macula, fine epiretinal membrane formation and other subtle changes that might be contributing. A conservative approach would be to have the retina consultation now and then the waiting for six weeks will likely be a less anxious time.

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, January 21, 2013

Multifocal Lens Implants & Near Vision

Question: I am having cataract surgery but can’t decide whether to have multifocal lens implants. I do not always need my glasses to read and when I do I wear minimal eye wear for reading.  Should I spend $7000 for multifocal lens implants as they might cause haloes around lights?

Answer: Since you are able to read pretty well with minimal correction, it suggests that you are mildly nearsighted in at least one eye prior to your cataract surgery. If you have cataract surgery and the lens implant prescription is calculated to render your distance vision as close to 20/20 as possible-thus eliminating the  nearsightedness-you will no longer no able to see up close and read without bifocals or reading glasses. Your options are to discuss with your Cataract Surgeon the possibility of creating the same type of refractive errors that you have now so as to remain a bit nearsighted-which may very well require a mild correction for seeing clearly at distance-or to select multifocal lens implants which provide an extended range of clear vision. In some designs and for some patients they do experience glare and haloes although in most instances this goes away.

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.

Cataract Surgery Glare

Question: I am a 57 yr old woman who had cataract surgery in my left eye on December 5, 2012 and around December 15, 2012, I noticed daytime and nighttime glare in the left eye. What is causing the glare in my left eye? What procedure(s) can be done to correct the glare in the left eye and how soon can it be done?

Answer: There are many reasons that you might be experiencing glare after your cataract surgery and lens implant procedure. It is really not possible to know what is causing the glare without a clinical exam. You do not specify the type of lens implant used to correct your vision which also could contribute to the glare. Some things to consider are residual inflammation, any compromise of the posterior lens capsule which has been left in place to support the lens implant, swelling or irregularity of the cornea and even a remote possibility of mild swelling of the retina. Your best course of action is to return to your Cataract Surgeon and express your concern regarding the glare. After  an examination he or she will be able to tell you whether the  glare you are experiencing is part of the  healing process and thus transient or in fact needs medical, laser or surgical intervention.

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, December 27, 2012

Blurry Film after Cataract Surgery


Question: I had cataract surgery in October and my left eye continues to blur or get a film over it. If I blink hard enough this seems to help. It also hurts at times. Is this normal? Should I visit my eye doctor or cataract surgeon?

Answer: Without a clinical exam to fully understand the range of possible reasons that you have a blurry film after your cataract surgery that clears when you blink, we can only offer the following consideration. What you are describing sounds like an abnormality of the tear film or the eye surface. This is not uncommon at all and occurs in as many as 30% of the patients having cataract surgery. It is often attributed to dry eye or inflammation of the eyelid margins called blepharitis although there could be many other reasons. Your best course of action is to return to your cataractsurgeon and ask him/her to evaluate your situation. In almost all cases there multiple ways to improve the eye surface and tear film depending on the actual cause. Be patient as it does require some trial to find the best therapeutic approach. 

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.

 

Cataract Surgery with Diabetic Retinopathy

Question: I have a question about having cataract surgery if I have diabetic retinopathy. I have been diagnosed with diabetic retinopathy and am currently undergoing laser treatment. I am also beginning to develop a cataract and will need cataract surgery for this as well in the future. Are there any restrictions for cataract surgery if you have had laser treatment for diabetic retinopathy?

Answer: Cataract surgery and lens implants for patients with diabetic retinopathy can be performed successfully for the majority of patients but the ultimate results do depend on the overall health ad condition of the retina in terms of the progression and degree of treatment that has been rendered. First, it is critically important that a very careful and meticulous preoperative retinal evaluation confirm the level of vision that should be expected. One of the more common findings in diabetic retinopathy is the presence of Diabetic Macular Edema (DME) which can have a considerable effect of the level of best corrected vision that can be achieved-with or without cataract surgery. It is likely that your eye surgeon rendering the diabetic laser treatments is evaluating you for Diabetic Macular Edema with fluorescein angiography and ocular coherence tomography (OCT) testing. The presence of DME might actually be one of the reasons you are having diabetic laser treatment currently.
 
Diabetic Macular Edema is often treated with laser and/or vascular endothelial growth factor (VEGF) inhibitor injections such as Lucentis® as well as other medications. One of the concerns that many diabetics have is their susceptibility to slow or poor wound healing and infection. Modern cataract surgery is typically performed using eye drops for anesthesia rather than injections and through a very tiny self sealing incision-often between 2.2 and 3.0 mm. The precision and the architecture of this tiny incision allow it to close and heal without sutures in most cases. So, modern cataract surgery is actually quite “wound healing friendly” and requires no real modification in technique for diabetic patients. Depending on the stage of diabetic retinopathy at the time of your cataract surgery and lens implants, it is possible that your Cataract Surgeon or Retinal Specialist might place a vascular endothelial growth factor (VEGF) inhibitor injection such as Lucentis®, Eyelea® or Avastin® into the vitreous gel as a preventative and/or therapeutic measure. Assuming that you will not have had any retinal or vitreous hemorrhages prior to cataract surgery, and that the vitreous is otherwise healthy, other than these considerations and as long as any presence of macular edema has been accounted for in the setting of expectations for your ultimate vision after the cataract operation-you should have a relatively routine cataract surgery experience.  
 
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.