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Medical Forum / General / Vision / October 2006cataract surgery and macular degeneration
specifics: I'm 52 years old, had mild dry macular degeneration in both eyes. Mild cataract in right eye, more severe cataract in left eye. I had cataract surgery in left eye in Dec 2004. Went to opthomologist yesterday and he reported that the ARMD has gotten worse in the left eye and remained the same in the right. He told me there are 2 schools of thought about how cataract surgery affects a case of ARMD. Some think it makes it worse, some think it has no effect. I might be one of the unfortunate few who proves the former. Now, I'm reluctant to get my other eye done. Any professionals out there have an opinion on this? OR any other patients want to weigh in? thanks - Karen > specifics: I'm 52 years old, had mild dry macular degeneration in > both eyes. Mild cataract in right eye, more severe cataract in left [quoted text clipped - 7 lines] > an opinion on this? OR any other patients want to weigh in? thanks > - Karen Please go to: http://www.mdsupport.org/ and the MD Forum section and state this same note for discussion and people who have this problem. Don W. > specifics: I'm 52 years old, had mild dry macular degeneration in > both eyes. Mild cataract in right eye, more severe cataract in left [quoted text clipped - 7 lines] > an opinion on this? OR any other patients want to weigh in? thanks > - Karen It's impossible to pinpoint the effect of cataract surgery on ARMD because you cannot stop "time." That is, you cannot tease apart the effect (if any) of the surgery from the effect of aging. > It's impossible to pinpoint the effect of cataract surgery on ARMD because > you cannot stop "time." That is, you cannot tease apart the effect (if > any) of the surgery from the effect of aging. Well, how about this. for "pinpointing the effects of cataract surgery". You form two groups with cataracts and ARMD. The groups are statistically similar. Then you perform the cataract surgery on one group. Then x months later, you compare the groups, statistically again, of course. So have you "teased time"? Don W. >> It's impossible to pinpoint the effect of cataract surgery on ARMD >> because you cannot stop "time." That is, you cannot tease apart the [quoted text clipped - 8 lines] > > Don W. Yes, but a researcher will never get an IRB approval for that:-) > > It's impossible to pinpoint the effect of cataract surgery on ARMD because > > you cannot stop "time." That is, you cannot tease apart the effect (if [quoted text clipped - 6 lines] > > So have you "teased time"? Well you could, but you would have to wait many months, if not years. How many cataract patients do you think would volunteer for group 2 and continue to put up with blurred vision due to not having surgery? Dr Judy > Don W. I was hoping to hear from eyecare professionals to see if they've seen this result in their patients. It's a curious thing that my 'operated on' eye is the one that got worse (re: ARMD). Coincidence? I don't think so. By the way, I have reviewed the www.mdsupport.org site - Very informative - thank you. Karen >I was hoping to hear from eyecare professionals to see if they've seen > this result in their patients. It's a curious thing that my 'operated > on' eye is the one that got worse (re: ARMD). Coincidence? I don't > think so. By the way, I have reviewed the www.mdsupport.org site - > Very informative - thank you. Karen Karen, Hope you are aware of the site/paper: http://bjo.bmjjournals.com/cgi/content/abstract/84/12/1343 You can download the entire paper from there. Don W. |
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