Cataracts Treatment

Question by Carlos: is marijuana used as a medicine or any type of treatment?
i heard that it was used to cure or help cataract but im not sure

Best answer:

Answer by Babel
i’ve heard of it being used to relieve pain in cancer patients but not to cure anything

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Question by Indiana Jones: Is a laryngeal mask airway (LMA) commonly used for CATARACT surgery when having general anesthesia?
i assume my surgeon rather just use the LMA instead of a full intubation since its only supposed to take about 20 minutes but i’m just wondering if that is common procedure or if in most cases full intubation is used.
i’m a bit nervous about the LMA cuz i’ve read that it doesn’t protect your from aspiration.
“pangolin”
thanks for the answer.
my surgeon is using GA cuz i’m a very complex case with multiple eye conditions and he just thinks it would be better for both of us if i were completely unconscious.
oh and i know that the surgeon doesn’t place the LMA i know its the anesthesiologist that does and to be honnest i wouldn’t trust a surgeon to do it since they have no experience in that field.
my surgery is at wills eye hospital in philadelphia. and since the surgeons and anesthesiologists work with each other every day i’m sure they have become close and that my surgeon and my anesthesiologist discussed my case to determine what was best for me prior to my surgeon telling me that i’d get GA with an LMA.
again thanks for your answer.

Best answer:

Answer by Pangolin
We almost never use GA for cataracts. I’ve seen it maybe a handful of times in 19 years of practice, and that’s for demented patients who couldn’t keep still.

Intubation vs. LMA has little to do with the duration of the procedure, and more to do with your particular medical condition. If you are prone to reflux, you might get an endotracheal tube for a 3 minute procedure. I routinely use LMA’s for procedures that last 3-4 hours or more.

If the surgeon wants you paralyzed (most eye surgeons do, when they have instruments in your eyeball), then you’ll get a tube. If you’re a smoker, you might get a tube and paralysis so you don’t try to cough up a lung during the procedure.

Regular LMA’s don’t protect the airway from aspiration, but there is one called a pro-seal that has a port for placing a tube into the stomach to empty it.

BTW, your surgeon doesn’t place the ETT – the anesthesiologist does. We do discuss the situation with surgeons, but to be honest, an ophthalmologist wouldn’t know which hand to hold the laryngoscope in.

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Question by MissC: Does any one have used drops to treat cataracts on dogs?
My little dog is starting to develop cataracts. Has anyone used any of the eye drops which claim to treat canine cataracts: Ocluvet, Nu-Eyes, Pet Vision, Can-C

Best answer:

Answer by Bobbie L
People here are NOT vets. I would never trust the advice of total strangers on YA’s. Have your vet refer you to a canine ophthalmologist.

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Question by Tim: Bi-focal lens vs mono-focal len used in cataract surgery?
I heard my eye surgeon mentioned that after cataract surgery with standard implant len (i.e mono focal len).

1) As such, is there any SPECIAL instances that such patients will still be able to read library books like normal people does but with lower contrast? (without using reading glass) or it is generally impossible after surgery?

2) with Bi-focal len i understand that these patients would be able to read their books and see far. But how does it works? Is it a seamless process like a normal person (without visual aid) does or he/she has to read like someone with progress lens does?

3) how does these lens actually looks like physically? I thought its really something like a concave shape len or am I wrong?

Best answer:

Answer by devitsdev
as far as i know lens used for implant are biconvex monofocal. after surgery one can read books, but it is subjective on the matter of use of external lenses(reading glasses). it differs from person to person depending on prior condition of the eye, corneal condition, adjustments for scarring etc. nowadays seamless bifocal glasses are available where you cant see the demarcating line between the two different lenses, though they are more expensive than the older ones. best to leave the decisions to the professionals.

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Question by topgun2148: Hello has anyone had cataract surgery and used the ReStore, or ReZoom iol lenes?
I wanted to know how you got along with fhese lenes. Do you get a lot of glare? Did they help your near vision and also your far & intermeated vision? Do you think they were worth the extra cost?
Thanks. SAM

Best answer:

Answer by Danielle
I myself have not gotten them, but I do all the patient education at work for cataract surgery and we use the Restor IOL by Alcon.
One of the main complaints of the Restor is that patients still have glare at night or in bright lights.
The other common complaint is that patients do not have good intermediate vision-computer work especially and most patients still have to wear glasses to improve the vision in that area.

The main question that I ask my patients is if they truly mind wearing glasses and/or contacts. If patients do not mind wearing their glasses and actually prefer them, then I do not recommend this IOL for them mainly because I do not see the need to spend that kind of cash and not really want to eliminate glasses.

Also, if you do go with this IOL, do not set your standards too high, especially at first. I tell patients that instead of the normal 4-6 wks of healing from cataract surgery with a regular IOL, expect 2-3 months for neuro-adaptation to be complete, meaning getting your brain up to par with your eyes and getting used to the ability to focus both near and far with no help.
That alone is one of the biggest complaints within the 1st month-2 after surgery, some patients say they wish they didn’t have it, then a few wks later are so happy because they are finally used to it.

Good Luck with your decision!

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