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Old 09-23-2018, 06:05 PM
 
3 posts, read 1,145 times
Reputation: 16

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Had cataract surgery May 22, 2018. Age 63 Male. I was seeing triple images on the right eye.

Got an Abbott Intraocular lense. ZCT150

All my followup visits seemed routine. Eye pressures a bit high, but last visit had them at 18 and 16 so eye doctor said he wouldnt see me for a year now. I ordered new glasses.
That was July 10th. Told to take the post-operative eyedrops til they ran out.

Aug 8th. Almost everything in that post-surgical eye was now blurry. Dr visit OCT scan found bad CME in that right eye. Proceeded to anesthesia that eyeball and inject Avastin. After anesth. wore off, bad pain from any luminence at all.

I proceeded to research complications for the first time as I had two months of perfect vision after surgery. I now find up to 20% of patients have this cme 8 to 10 weeks after surgery.

My question is have any other readers here had this ? Did your doctor tell you to look for blurriness after the surgery ? Why the hell wasn't I told so I could catch it immediately. My case got bad before I realized I needed to act.

Can you share your timeline and experience in this thread ? Thanks.

Last edited by sara.j; 09-23-2018 at 06:13 PM.. Reason: better explain, I thought I was in eye forum when I wrote
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Old 09-23-2018, 07:01 PM
 
Location: Mostly in my head
19,620 posts, read 53,390,714 times
Reputation: 18512
No problems after either one of mine so no help to you. So sorry you are having trouble.
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Old 09-23-2018, 07:04 PM
 
3 posts, read 1,145 times
Reputation: 16
How many months have you had your "new eye" ? Did your Dr. discuss and tell you to watch for blurriness 8 to 10 weeks out ? What state was yours done in ?

Thanks.
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Old 10-12-2018, 07:00 AM
 
Location: God's Country
4,638 posts, read 3,003,250 times
Reputation: 7516
Quote:
Originally Posted by sara.j View Post
Had cataract surgery May 22, 2018. Age 63 Male. I was seeing triple images on the right eye.

Got an Abbott Intraocular lense. ZCT150

All my followup visits seemed routine. Eye pressures a bit high, but last visit had them at 18 and 16 so eye doctor said he wouldnt see me for a year now. I ordered new glasses.
That was July 10th. Told to take the post-operative eyedrops til they ran out.

Aug 8th. Almost everything in that post-surgical eye was now blurry. Dr visit OCT scan found bad CME in that right eye. Proceeded to anesthesia that eyeball and inject Avastin. After anesth. wore off, bad pain from any luminence at all.

I proceeded to research complications for the first time as I had two months of perfect vision after surgery. I now find up to 20% of patients have this cme 8 to 10 weeks after surgery.

My question is have any other readers here had this ? Did your doctor tell you to look for blurriness after the surgery ? Why the hell wasn't I told so I could catch it immediately. My case got bad before I realized I needed to act.

Can you share your timeline and experience in this thread ? Thanks.

What you have said scares the hell out of me. But first, the good news.


Cataract surgery, right eye, four days ago. Thought I died and went to heaven. Able to drive without glasses, first time in decades. Only drawback was when I looked into the mirror, "Who the hell is that horrible old man staring at me?!"


My regular prescription glasses are obviously too strong but I still need something for near vision. So temporarily, I'm using a $25 pair of reading glasses from the pharmacy, with the strength recommended by the eye MD (3.00). Wear them on a cord around my neck. So everything at present is good.


But then I read the OP. 20% to 40% of those getting cataract surgery develop CME suddenly, months after the procedure. For 1% to 4%, the condition cannot be cured.


I'm in the low risk category, i.e., non-diabetic, and no inflammatory eye disease like uveitis but even those in this category succumb. In an attempt to prevent this, you use a cocktail of both NSAID and steroid anti-inflammatory eye drops for 4 to 8 weeks but there is no assurance that this regimen will be protective. Right now between the two anti-inflammatories and the anti-biotic which will end next week. I'm squirting 12 individual drops a day.


I understand that the surgical procedure itself can lower the risk, such as using a lower level candlepower and other practices that are above my pay grade to be able to comprehend.


Next visit I'll share my fears with the doc who has told me nothing about this CME thing. The OP is what put the key in my ear and led me to research it.


OP: Sorry, I can't answer your questions.
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Old 10-12-2018, 08:13 AM
 
3 posts, read 1,145 times
Reputation: 16
Thank you Calvert for your time and posting. Please keep this thread active on your end, I will be watching your progress. sara dot j at embarqmail dot com is a direct path if you wish to use it.

On the other hand, my surgeried eye is slowly improving, I have an appt in 6 days and definitely intend to ask surgeon -- Doctor why he wrote me off before the window for a CME outbreak. I am now on two eyedrops. I will respond to you directly with what they are if you write back. I am getting them to give me samples at no cost. I am in Florida -- you ?
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Old 10-12-2018, 09:17 AM
 
Location: God's Country
4,638 posts, read 3,003,250 times
Reputation: 7516
Sara.j, let's keep it alive here. Maryland, age 74.
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Old 10-17-2018, 09:34 AM
 
Location: God's Country
4,638 posts, read 3,003,250 times
Reputation: 7516
Quote:
Originally Posted by Calvert Hall '62 View Post
What you have said scares the hell out of me. But first, the good news.


Cataract surgery, right eye, four days ago. Thought I died and went to heaven. Able to drive without glasses, first time in decades. Only drawback was when I looked into the mirror, "Who the hell is that horrible old man staring at me?!"


My regular prescription glasses are obviously too strong but I still need something for near vision. So temporarily, I'm using a $25 pair of reading glasses from the pharmacy, with the strength recommended by the eye MD (3.00). Wear them on a cord around my neck. So everything at present is good.


But then I read the OP. 20% to 40% of those getting cataract surgery develop CME suddenly, months after the procedure. For 1% to 4%, the condition cannot be cured.


I'm in the low risk category, i.e., non-diabetic, and no inflammatory eye disease like uveitis but even those in this category succumb. In an attempt to prevent this, you use a cocktail of both NSAID and steroid anti-inflammatory eye drops for 4 to 8 weeks but there is no assurance that this regimen will be protective. Right now between the two anti-inflammatories and the anti-biotic which will end next week. I'm squirting 12 individual drops a day.


I understand that the surgical procedure itself can lower the risk, such as using a lower level candlepower and other practices that are above my pay grade to be able to comprehend.


Next visit I'll share my fears with the doc who has told me nothing about this CME thing. The OP is what put the key in my ear and led me to research it.


OP: Sorry, I can't answer your questions.

Met with the firm's optometrist yesterday, eight days after surgery, distance vision came in at 20/20, absolutely delighted.


Anyway, he said that the beginnings of CME can be seen via an examination of the eye within the first 10 days post surgery. This is in stark contrast to what you (OP) and I have read on the Internet.


In three weeks I'll meet with the ophthalmologist who did the surgery and grill him. Meanwhile the optometrist told me to use up the steroid and non-steroid drops, shower normally, bend, lift ... essentially do everything I could do prior to surgery just eight days ago.


Wow, he sure does paint a rosy picture.
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Old 10-17-2018, 09:17 PM
 
18,622 posts, read 6,072,347 times
Reputation: 12599
My neighbor is now about a year with a botched cataract surgery from a Kaiser doc. They kept putting her off, giving her new drops, now it's steroid injections and I don't know what's next for her..she says leaving Kaiser and heading for Jules Stein at UCLA. She walks around with a hand over her surgeried eye. She's 66 or so.

I have worked with eye supports for years and doing fine, no cataracts for me at 80.
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Old 10-18-2018, 08:46 AM
 
Location: Gulf Coast
1,035 posts, read 542,706 times
Reputation: 2031
This is really scary. I have cataracts needing removed also. Have been trying to settle on a dr. What's the best way to pick one? What does CME stand for? Everyone I know who had this surgery had to go back in a couple weeks for a laser treatment for scar tissue or something that is common to form after. Nobody made it sound like a big deal.
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Old 10-18-2018, 10:20 AM
 
Location: God's Country
4,638 posts, read 3,003,250 times
Reputation: 7516
Quote:
Originally Posted by Pat Answers View Post
What does CME stand for?

Cystoid macular edema.
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