A year aFter Cataract Surgery

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Aree314
Posts: 5
Joined: Mon Nov 23, 2009 12:38 am

A year aFter Cataract Surgery

Post by Aree314 »

Hello all. It has beeen awhile since I've been here, but truly need someone who knows what I am experiencing to chime in. I am not sure where I should post this, but I am starting here.

A year ago I finally was able to have cataract surgery, and my vision was doing great (that is after all the complications I had with the surgery surpassed). About two months ago I got this terrible cold which was causing a major headache. I began feeling pressure behind my left eye. And my left eye looked like it was bleeding. My general eye doc checked my pressures (they were good). But recommended that I see the retina specialist immediately because he could guarantee that I had swelling redeveloping (same thing occurred after I had the cataract surgery) behind my eye. The specialist confirmed that's exactly what was happeining, but couldn't give me a reason why this was occurring. He just increased the steroid drops that I am currently taking.

So now I feel like I am back at square one before I had the surgery (blurred vision, halos, headaches, pressure behind the eye, blood shot eyes, sensitive to light, and unable to see to drive at night). Has anyone out there had any of the above issues after Cataract Surgery? What did you doctor recommend? Did you have to go back under the knife? What are you doing to cope? Did you seek a second opinion?
Mike Bartolatz
Posts: 6595
Joined: Fri Feb 06, 2004 9:58 pm

Re: A year aFter Cataract Surgery

Post by Mike Bartolatz »

I strongly urge you to contact an Uveitis specialists, an ocular immunologist who can use more than steroid drops to treat this. you mention swelling behind your eye which would mean this isn't the eye but perhaps related to something like thyroid disease. swelling IN the back of the eye is usually caused by cystoid macular edema. this is fluid build up and it is treated with injection of Avastin or other Vascular endothelial growth factor drug.
sometimes Xibrom, an NSAID eyedrop is added to treat the CME.
the anterior uveitis is treated with a corticosteroid eyedrop and a dilating drop to prevent the inflammation from causing the iris to stick to the lens.
sometimes uveitis can cause Pressure to increase inside the eye causing glaucoma which damages rods and cones and the optic nerve. pressure lowering drops are used to lower pressure inside the eye. if pressure lowering drops don't work, then there are surgical proceedures that can be done to get it lowered down.

The main thing is to get a steroid sparing approach to treatment developed for you and to use MODERN treatment to get you to REMISSION, not just more steroid eyedrops or only steroids to treat this.
you sound like you may have developed opacification fo the lens capsule from protein build up due to inflamation of the vitreous. this would require YAG laser to blast a hole in the lens capsule so you can see better.
it also sounds like you have more going on inside your eyes than just anterior uveitis.

a list of specialists can be found at http://www.uveitis.org in the Patient information section of the site on the various specialist lists.

wish you the very best,
mike
o
Mike Bartolatz
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