Cataracts - Anyone Help Please

Cataracts - Anyone Help Please

Author
Discussion

968

11,965 posts

249 months

Thursday 8th January 2009
quotequote all
Simpo Two said:
968 said:
Sounds like she had normal tension glaucoma or perhaps another acquired optic neuropathy, which is unfortunate. The cataract surgery will have made no difference to her as her visual problems are due to the transmission of signals from retina to brain, rather than light focusing.
Indeed. And of course she keeps seeing TV adverts saying 'sight fixed for £399' and each time I have to explain to her it wouldn't work in her case. Heartbreaking really. Anyway, sorry OP for butting in, I'll now butt back out.
Sorry to hear it. It's a very sad condition, and unfortunately is difficult to treat, we can only usually stabilise it, rather than make it better, per se.

RupertTheFridge

Original Poster:

899 posts

192 months

Thursday 8th January 2009
quotequote all
968 said:
RupertTheFridge said:
968 said:
Hi, I've done probably more than 400 cataract operations.

Yes it can be done under local anaesthetic, the vast majority of our cases are, however, if a patient is particularly twitchy or reticent, we can do the op under general anaesthetic, although with the attendant risks of an anaesthetic.

The op is quick (about 10-15minutes, in my hands) and pain free. It's a day case and has a very high success rate (approx 97% patients get fantastic vision post op). Any specific questions feel free to email me.
PH never ceases to amaze me, an Opthalmic Surgeon on demand, well cool.

Cheers for the reassurance. The only thing thats getting me worked up a bit is the local anaesthetic, just the mental thought of some messing with my eyes whilst I'm awake has me twitchy.

Is it safe so say that the patient feels no part of this operation, and presumably vision during the operation is none existant?
You can see things, but you will be staring directly into a bright light, so most patients report seeing a kaleidoscopic effect of lots of weird colours and patters, whilst they have the op. Immediately post op you might not see that much, but over a few hours, it improves.

With regard to cataract treatment centers, I'm a bit dubious to be honest. We've had that foisted upon us by South African companies like Netcare, who did little more than was done at most NHS units, and moreover they didn't deal with non-routine cases or any of the complications they induced. It's far better to have a holistic approach from a good local eye unit than have it done in the back of a lorry by some surgeons who are in town for a brief time only.
Cheers mate, i have been told that they intend to make a small 1mm incision at the side of the eye, take a slice of the lens & remove all the bits of debrie from around the lens.

So from you said & what they have said, it sounds pretty routine.

968

11,965 posts

249 months

Friday 9th January 2009
quotequote all
RupertTheFridge said:
Cheers mate, i have been told that they intend to make a small 1mm incision at the side of the eye, take a slice of the lens & remove all the bits of debrie from around the lens.

So from you said & what they have said, it sounds pretty routine.
Nearly! We make 2 small incisions into the eye. Most people use a 2.8mm incision, but some centers are using 1mm incisions, in a slightly newer technique. The lens is then got at, by making a circular hole in its front surface, then the lens is separated from inside the bag which holds it and then broken into pieces, within the bag, and those pieces are sucked out with an instrument within the eye. Once all the debris has been removed, a new plastic lens is placed inside the bag which used to hold the lens, and it unfolds within the bag. Sounds easy, and most often is, but it's fiddly and inside a space of only a few millimeters. Has a very very high success rate, due to well trained surgeons.

RupertTheFridge

Original Poster:

899 posts

192 months

Friday 9th January 2009
quotequote all
968 said:
RupertTheFridge said:
Cheers mate, i have been told that they intend to make a small 1mm incision at the side of the eye, take a slice of the lens & remove all the bits of debrie from around the lens.

So from you said & what they have said, it sounds pretty routine.
Nearly! We make 2 small incisions into the eye. Most people use a 2.8mm incision, but some centers are using 1mm incisions, in a slightly newer technique. The lens is then got at, by making a circular hole in its front surface, then the lens is separated from inside the bag which holds it and then broken into pieces, within the bag, and those pieces are sucked out with an instrument within the eye. Once all the debris has been removed, a new plastic lens is placed inside the bag which used to hold the lens, and it unfolds within the bag. Sounds easy, and most often is, but it's fiddly and inside a space of only a few millimeters. Has a very very high success rate, due to well trained surgeons.
Might not have understood the info completely, was still reeling from the "local anaesthetic" bit, but I am going NHS @ Leicester Royal Infirmary.

V41LEY

2,895 posts

239 months

Friday 9th January 2009
quotequote all
Missus had both hers done last year @ 44. Had to have them redone due to scarring forming but had that lasered away and now (touch wood) has perfect sight. Worst thing about the procedure is the video
you watch in the waiting romm about what a cataract operation entails !! Somethings are best left untold if you are of a squeamish disposition.

RupertTheFridge

Original Poster:

899 posts

192 months

Friday 9th January 2009
quotequote all
V41LEY said:
Missus had both hers done last year @ 44. Had to have them redone due to scarring forming but had that lasered away and now (touch wood) has perfect sight. Worst thing about the procedure is the video
you watch in the waiting romm about what a cataract operation entails !! Somethings are best left untold if you are of a squeamish disposition.
Thanks .............................. i think

968

11,965 posts

249 months

Friday 9th January 2009
quotequote all
RupertTheFridge said:
V41LEY said:
Missus had both hers done last year @ 44. Had to have them redone due to scarring forming but had that lasered away and now (touch wood) has perfect sight. Worst thing about the procedure is the video
you watch in the waiting romm about what a cataract operation entails !! Somethings are best left untold if you are of a squeamish disposition.
Thanks .............................. i think
The laser procedure the chap is talking about is not an operation. It's done in clinic and takes about 5 minutes, and is entirely pain free. It's quite common to require this, it's a reaction that the body has to the plastic lens, which grows a membrane over the back of the clear lens making it a bit foggy. The laser pushes it out of the way. This happens in 20% of patients after surgery, but is no big deal and may happen years later.

With regards to Leicester, I hear they are a good unit and have a colleague who used to work there and speaks highly of it. I'm sure you'll be fine.

RupertTheFridge

Original Poster:

899 posts

192 months

Friday 9th January 2009
quotequote all
Only one thing left too do, get on with it me thinks ........

968

11,965 posts

249 months

Friday 9th January 2009
quotequote all
RupertTheFridge said:
Only one thing left too do, get on with it me thinks ........
Yep. Honestly, you'll be fine. Just look forward to the great vision you'll have afterwards.

mybrainhurts

90,809 posts

256 months

Friday 9th January 2009
quotequote all
RupertTheFridge said:
Cataracts - Anyone Help Please
You need a canoe....

RupertTheFridge

Original Poster:

899 posts

192 months

Friday 9th January 2009
quotequote all
mybrainhurts said:
RupertTheFridge said:
Cataracts - Anyone Help Please
You need a canoe....
lol

I swear your stalking me!

WestYorkie

1,811 posts

196 months

Friday 9th January 2009
quotequote all
mybrainhurts said:
RupertTheFridge said:
Cataracts - Anyone Help Please
You need a canoe....
biglaugh subtle wink


I remember alot of years ago Blue Peter did the 'ol save milk bottle tops (or some such like) and they'd make enough money for Cateracts operations in African Villages.
As each Op cost 99p or suchlike They'd be able to save numerous amounts of people.

968 this isn't a dig at you whatsoever but could they have done those Operations so cheap?
This was the late 80's BTW

Edited by WestYorkie on Friday 9th January 01:19

F i F

44,175 posts

252 months

Friday 9th January 2009
quotequote all
Sorry 968 another question.

Re local vs general and nerves etc.

When on local do you ever give patients a sedative? Similar sort of thing that is given sometimes when a gastroscopy is done say? Just wondering if this is an option or if it isn't due to complications.

dmitsi

3,583 posts

221 months

Friday 9th January 2009
quotequote all
If you're lucky you'll get a pretty healthcare assistant holding your hand for the op.

Landlord

12,689 posts

258 months

Friday 9th January 2009
quotequote all
whitechief said:
now has brand new eyesight
You mean she's constantly going "What are these?, what's that?, what are they?"

F i F

44,175 posts

252 months

Friday 9th January 2009
quotequote all
dmitsi said:
If you're lucky you'll get a pretty healthcare assistant holding your hand for the op.
Yeah but even though I had my face firmly wedged into the ample chesticle regions of one during a sigmoidoscopy it didn't stop it smarting a tad.
:wibble:

whitechief

4,423 posts

196 months

Friday 9th January 2009
quotequote all
F i F said:
dmitsi said:
If you're lucky you'll get a pretty healthcare assistant holding your hand for the op.
Yeah but even though I had my face firmly wedged into the ample chesticle regions of one during a sigmoidoscopy it didn't stop it smarting a tad.
:wibble:
Just searched that, eek

whitechief

4,423 posts

196 months

Friday 9th January 2009
quotequote all
Landlord said:
whitechief said:
now has brand new eyesight
You mean she's constantly going "What are these?, what's that?, what are they?"
hehe

croyde

22,986 posts

231 months

Friday 9th January 2009
quotequote all
whitechief said:
F i F said:
dmitsi said:
If you're lucky you'll get a pretty healthcare assistant holding your hand for the op.
Yeah but even though I had my face firmly wedged into the ample chesticle regions of one during a sigmoidoscopy it didn't stop it smarting a tad.
:wibble:
Just searched that, eek
Oooooo same 'erevomit

Muncher

12,219 posts

250 months

Friday 9th January 2009
quotequote all
Ear cataracts???