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Delaying Cataract Surgery - Any associated dangers?


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Posted

Should cataract surgery be done immediately on diagnosis?

Are there any 'stages' of cataracts and what are the time lines, if there are?

Any information is much appreciated.

Thank you.

 

Posted

Cataracts should be removed once they impair your vision enough to interfere with daily life. This is often many, many years after first  diagnosis. 

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Posted

Eight years ago, I had cataract surgery, First one eye, and then one moth later, the other eye.  At the time, one eye was most definitely worse than the other, but somehow the doctor was able to get authorization from Medicare (I was in the USA) to do both eyes.  

 

Anyway, I think each person is different. Some people might be better doing it sooner, rather than later. I was extremely myopic in both eyes. I developed a retinal tear in my right eye, six or seven moths later. right eye, so I needed surgery to repair that.  That surgery went well, but then last spring, I needed more surgery, as the entire lens bag had become detached and was floating around in my eye.  So I needed surgery for that, under general anesthesia.  I'm now fully recovered from that and I have a follow up appointment next month in Bangkok.

 

Bottom line: I might have been better off doing the original surgery sooner, rather than waiting as long as I did.  The older you get, the more possible complications with any additional surgeries that might be necessary. 

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Posted

@ravip  This obviously depends on your stage of cataract progression, but you can delay, possibly even reverse cataract progression with drops.   Strangely, that option isn't available in the USA, as banned for human use, but allowed for pets ... go figure.  

 

Hate to stop the money maker of cataract surgery.

 

My experience, and I'm not a doc or endorse or recommend this for anyone, just my experience.

 

Couple years now, during check up, left eye showed cataract, and I did not noticed, unless doing the lettered eye test, then obvious, blurred.   TBH, i barely noticed it, as my right eye is my power eye, and I'm an avid photographer, and edit photos.  Already had floaties, and why I had the exam to begin with, make sure no tears elsewhere.

 

To the drops, when getting a 2nd opinion (in TH), 2nd optometrist when asked how to prolong it worsening, gave me eye drops, stating might works, or not.   Brand 'Kary Uni', which has done exactly as I hoped, stopped the progression.   

 

Really don't like the idea of someone doing surgery on my eye, especially while I'm awake.   Right eye seems fine, and all I care about.  though if lost left eye, that would mess with my depth perception and safe driving ability.

 

At 70 years old, if drops continue to work, and cheap enough, I'll pass on eye surgery to remove cataract.  Don't have to worry about a surgery oops, as routine as it is, sh!t happens, and I get to save money.  Hate to have surgery, then crap out in a year :cheesy:

 

The drops do dissolve the cataract, whether old or new growth, it hasn't progressed.   When I wake in the morning, the left eye has considerably more crusties in the corners, than the right eye.  Proof for me, it works .... for me.

 

image.png.5e25c90206de4f6c8c781dbcf067484e.png

 

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Posted
2 hours ago, Sheryl said:

Cataracts should be removed once they impair your vision enough to interfere with daily life. This is often many, many years after first  diagnosis. 

Thanks for that. I was about to post something similar. I assisted at many cataract operations and nothing I saw indicates necessity to be done soon as possible.

If it was me, I'd put it off as long as possible.

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Posted

Apart from the symptoms,  a cataract should be operated when it's "ripe". If you wait too long it gets calcified and hard, that makes it more difficult to operate. Too early, is difficult,  too.

(explanation from my eye doctor)

 

This is relevant if cataract on one side, like Kh LA, and you can function very well with your healthy eye. 

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Posted

 have worn glasses all my life, from the age of around 12, most of this time always had Varifocals' 

2012 Dr said have Cataracts in both eyes  - + have the opp when it interferes with your daily life

 

2021 had more new glasses, Dr said waste of money to have Varifocals, so have Bifocals  HATE them  + 4 years on still hate them..

 

Last December Eye Dr said maybe time to have the Surgery, as yet still in 2 minds about it.

 

So at 74 sure eyes change over the years, but at moment long distance see much better without glasses  !!

the bottom glasses are reading = difficult as cannot see my feet or were I am walking very clear..

My vision problem is 1 - 2 meters away [PC and TV}  my PC Monitor is 32" had 32" for many years, wear glasses is a bit better but get neck pain holding my head so high to see out of the bottom of glasses.

 

Question - has anyone tried or have them ??  Looks a good idea, but do they work ?

 

Adjustable Magnifier Wearable Glasses

 

New 2025 Adjustable Strength Lens Eyewear Variable Focus Distance Vision Zoom Glasses  - https://www.lazada.co.th/products/new-adjustable-strength-lens-eyewear-variable-focus-distance-vision-zoom-glasses-protective-yijei-i5391073810.html?spm=a2o4m.searchList.list.133.755e7f80CVQMrk

 

 

 

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Posted
4 hours ago, thaibeachlovers said:

He's talking rubbish. I have varifocals and they are brilliant. Worth every cent.

in 21 years of living here + a few different eye Drs never seen a He eye Dr..

 

The older Lady 4 years ago, more or less said until I had Surgery would need new glasses every year or 2 so that maybe the reason  ?

 

The slip of a girl eye Dr in December said lenses in new glasses would do very little

 

As different days + times in a day my eyes can change, [earlier today both about the same, now the left eye in much worse].. reason was wondering about these Adjustable lenses

 

 

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