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Medical Forum / General / Vision / August 2004

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Cataracts inoperable at old age

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Del Shannon - 21 Aug 2004 22:36 GMT
After my mother's death at 91, I noticed she had glued bright
orange-red caps
or used covers on items like containers in which she kept sugar, soap
pads, etc. Could this be something someone with cataracts would do?
She had to mark
the control buttons on her white TV, too. I think she even had a
difficult time sewing by hand which she enjoyed. I insisted I get her
a needle threader.
When I took her to a showing of the 1957 film Jailhouse Rock, she
kept asking,
"Is this really Elvis, or someone playing him? He looks too young to
be him."
Dr. Jay Stockman - 22 Aug 2004 00:59 GMT
More likely than not, at 91 she would have had cataracts, senile
cataracts to be exact.  As to why she had labeled items, or questioned
the Elvis movie, may be other issues unrelated. Difficulty threading a
needle certainly could have been due to cataracts.  

Dr. Ted Roxan
http://visionupdate.net/

>After my mother's death at 91, I noticed she had glued bright
>orange-red caps
[quoted text clipped - 8 lines]
> "Is this really Elvis, or someone playing him? He looks too young to
>be him."
Del Shannon - 24 Aug 2004 22:03 GMT
> More likely than not, at 91 she would have had cataracts, senile
> cataracts to be exact.  As to why she had labeled items, or questioned
> the Elvis movie, may be other issues unrelated. Difficulty threading a
> needle certainly could have been due to cataracts.  
>
> Dr. Ted Roxan

 This is what I suspected. But inoperable at her age, yes?
Dr Judy - 25 Aug 2004 17:18 GMT
> > More likely than not, at 91 she would have had cataracts, senile
> > cataracts to be exact.  As to why she had labeled items, or questioned
[quoted text clipped - 4 lines]
>
>   This is what I suspected. But inoperable at her age, yes?

Age alone is not an factor. Other major health conditions make surgery
risky, but as cataract surgery is done with local, not general anaethesia, a
patient has to be very sick for their health to be a limiting factor.  If
she was told her poor eye vision could not be fixed with surgery, it more
likely means she had an eye disease other than cataract.

Dr Judy
Al Smith - 25 Aug 2004 18:02 GMT
I agree with Dr. Judy.

However, you must be sure that the physician is not,
as they say, less than scrupulous.  Also, physicians have
tended to band together in very large organizations these days.  I have
found that once one of the physicians in one of the large
practices has made a diagnosis, all the others will fall in line,
even if the first diagnosis is wrong.

So, always get a second opinion and be sure to check
that the second opinion is truly independent.  That may
involve driving many tens of miles, perhaps hundreds.

In my 89-year-old  mother's case the first (I'm having trouble not typing
crook or quack) "doctor" stated that she needed a cornea transplant.
Many other Drs/crooks/quacks stated that she did not until
the second visit when they later discovered that the lens needed
to be replaced and a cornea transplant, too.  One was so bad that
she was prepared for surgery with her eye numbed when the
Dr/crook/quack decided that a cornea transplant was necessary.
Later, I found out that there are all in the same mega-practice.

Finally, she went to a university hospital.  The doctor there, one
of two doctors on the planet whom I respect, took out the cataract,
put in a new lens, and she has been very happy for the last two
years.  She has the option of having a cornea transplant later if she
needs it.

Get a second, third, fourth, etc opinion, use your head, and be careful.

> > Dr. Jay Stockman <editor@visionupdate.net> wrote in message
> news:<iaofi0t0a38nurghvu6h3fqsdeunp90mel@4ax.com>...
[quoted text clipped - 14 lines]
>
> Dr Judy
Del Shannon - 26 Aug 2004 23:35 GMT
> So, always get a second opinion and be sure to check
> that the second opinion is truly independent.  That may
> involve driving many tens of miles, perhaps hundreds.

  While this is true, certain medical benefits offered by pension granters
prefer to resort to limit their choice of what and whose services it will
copay. Then your choice of physicians may be limited, though your opinion
shjould be definitely more than one, even from an expert in his field.
Rishi Giovanni Gatti - 27 Aug 2004 21:31 GMT
> Get a second, third, fourth, etc opinion, use your head, and be careful.

Yes, use your head, even if it's full of crap, it's better than the
crap of others, expecially doctors.
Del Shannon - 27 Aug 2004 00:01 GMT
> Age alone is not an factor.

 I never thought it was.

> Other major health conditions make surgery
> risky, but as cataract surgery is done with local, not general anaethesia, a
> patient has to be very sick for their health to be a limiting factor.  If
> she was told her poor eye vision could not be fixed with surgery, it more
> likely means she had an eye disease other than cataract.

  Ma told me the opthalmalogist she saw informed her he could do
nothing
 for her. "Honey, I'm sorry, I can do nothing for you" (quoted)

  She did receive blows to the head which may or may not have
influenced
 the onset of cataracts or vision problems....as I said, her husband
struck her
 during their marriage. She eventually left the husband, choosing to
live by herself after living with him 35 years...after his death she
lived almost 28
years to the time of her death.
Dr Judy - 22 Aug 2004 23:34 GMT
> After my mother's death at 91, I noticed she had glued bright
> orange-red caps
[quoted text clipped - 8 lines]
>  "Is this really Elvis, or someone playing him? He looks too young to
> be him."

Unless she had had an eye examination and you can ask the doctor about her
eyes, you will never know.  Cataract, macular degeneration, glaucoma, and
corneal edema are just a few of the hundreds of eye diseases that cause
reduced vision.  Or maybe her refractive error had changed and she just
needed new glasses.

Dr Judy
Del Shannon - 24 Aug 2004 22:15 GMT
> Unless she had had an eye examination and you can ask the doctor about her
> eyes, you will never know.  Cataract, macular degeneration, glaucoma, and
> corneal edema are just a few of the hundreds of eye diseases that cause
> reduced vision.  Or maybe her refractive error had changed and she just
> needed new glasses.

 May I say, she was struck by her husband during her 40s and 50s? She
may have been struck in the head at times. Could this lead to problems
developing later in life? She lived separate from her husband at least
two years before he died, in 1975 and lived by herself for the next
almost 28 years. I stayed with her
only about a month and a half till I got my own apartment and then
lived alone.
I stayed with her a few hours before I left for my home. I guess she
must have died sometime after that. She claimed to be in pain and was
lying in bed.
I underwent an eerie feeling that this might be the last time I would
see her alive. She was confused-sounding yet she reminded of what I
had access to do
if the dark hour were to come. I kissed her on the forehead and asked
her
"Honey, what can I do to help you?" She asked for therapeutic
pain-relieving pads, but when I bought them, it was too
late..............I never got to give them to her.
 
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