Software
Houzz Logo Print
lucystar1

Looking for advice on cataract surgery

6 years ago
last modified: 6 years ago

I am 71 years old. I need cataract surgery on my right eye. It was a fast-growing cataract. I’ve learned that there are two types of cataracts---one that grows fast and one that grows slowly. I don’t have any of the risk factors for the fast-growing kind (use of steroids, diabetes, smoking). Nonetheless, that is what happened in my right eye. My left eye also has a cataract, but it is not big enough for surgery, and may not need surgery for years. I am very near-sighted and the doctor has said that he will improve the vision in my eye with the cataract, but he cannot give me perfect vision in that eye because my brain would not adjust to one eye with perfect vision and one eye being so near-sighted.

I will get a new glasses prescription 30 days after surgery.

He did say that I could try to get a waiver from Medicare to have my left eye done, even though it doesn't need it now. Then he could give me 20/20 vision in both eyes. I told him that I was not going to pursue that. I am reluctant to have elective surgery on my left eye because even though cataract surgery is generally safe, all surgery can have adverse outcomes. I did not ask him what was the likelihood that Medicare would approve getting my left eye done now.

My sister had cataract surgery on both eyes (she needed it badly on both eyes, could barely see at all when she had it done) and she now has perfect vision. She thinks I should have both eyes done.

I have worn glasses since I was eight years old. I have never had good vision even corrected with glasses. When I was in my 30’s and 40’s I wore contact lenses and I realized what good vision was. I haven’t worn contacts in years because I have dry eye syndrome. I don’t mind wearing glasses. In my younger years, I would have liked not to have to wear them for vanity reasons. But now that I am older, I don’t feel that way.

The other thing is, with both eyes corrected I would end up using readers. Both my sister and sister-in-law use readers. If I hand my sister something to read it’s always “Wait a minute, I have to get my glasses”. In a restaurant, they have to get out the glasses to read a menu. They have glasses all over the house. I honestly don’t want to do that. I can’t imagine going in to a store and having to pull out glasses to read a label or price. I am on my laptop a lot while I watch TV. Not sure how that would work. If I needed both eyes done now, of course I would have them corrected to 20/20 vision and would use readers.

I do know what perfect vision is like, because my vision was crystal clear wearing contacts. It was a huge difference. Maybe because I have never had great vision, I am under-estimating how great it would be to be able to see without glasses (at least for distance vision).

If anyone has been in a similar situation, please advise. Were you able to get a Medicare waiver, or know anyone who has? Had a partial vision improvement with cataract surgery? Have you had complications or know anyone who has? Would you do elective cataract surgery on an eye that doesn’t need it now?

Thanks.

Comments (15)

  • 6 years ago
    last modified: 6 years ago

    I have had cataract surgery on both eyes and it was very simple and the outcome was good. I know many people who have had the surgery with no adverse effects. I would be very selective about the doctor who does the surgery and do follow the eye drops after care religiously.

    I can't answer your questions about a MDCR waiver as mine both needed surgery at the same time. I can say that it is possible to get glasses with progressive lens (instead of readers) that you can wear all of the time, if taking readers on and off is an issue.

    Edited to say: I assumed you were seeing a board certified ophthalmologist. I wouldn't settle for less and do check his credentials.

    LucyStar1 thanked lizbeth-gardener
  • 6 years ago

    I had cataract surgery in my 50's. Early onset cataracts run in my family. Best thing that ever happened to me. I went from very nearsighted to perfect vision. I had the one eye done first because the second didn't need it at that time, but the second eye apparently had a fast growing cataract so I had it done a year later. My doctor was great. No problems at all. My vision was blurry the day of the surgery but cleared up by the next morning, That said, I wouldn't do surgery on the eye that doesn't need it until it does need it. Surgery is surgery and its not without risks.

  • 6 years ago

    Is he proposing to do both at the same time? That would be a red flag for me. I would get the bad one done and then make a decision about the other one.

    I had both eyes done. Like sas, my cataracts started in my 50s. It was almost impossible to drive at night because the cataracts caused huge bursts of light from headlights of oncoming cars.

    I had one done and the other a few weeks later. Absolutely no regrets. I did develop some mild ptosis (drooping eyelid) in one eye after the surgery but it didn't change my mind about the benefits.

  • 6 years ago

    I had cataract surgery about a year ago. My right eye had a fast growing cataract and the left eye was developing cataracts. We decided to have both eyes done at the same time (a week apart). I think it’s rare to do both eyes on the same day. It was a very simple procedure and the results were amazing! It was like overnight the world brightened. Be sure to follow the after care procedures to a tee. My doctor gave me a chart for each eye to record the time and eye drops. I taped it to the bathroom mirror to help me remember.


    I do have to use readers for close work but my distance vision has never been better. And the clarity - who knew? And yes, there are readers all over the house 😊. Small price to pay.

    LucyStar1 thanked tannatonk23_fl_z9a
  • 6 years ago

    One of the worst mistakes i ever made was getting monovision when i had my cataracts removed. It sounds like you would have the same result if you only do one eye. Monovision is one eye corrected for distance and the other for reading. My brain could never adjust to the dissonance between my two eyes. I would strongly suggest that you have both eyes corrected for distance now. Of course wait a couple weeks between doing each eye as is the usual procedure.


    I was so hoping I could get rid of my regular glasses and just use readers but i am still wearing glasses full time in order to correct my near distance vision in one eye..


    If you don’t like taking readers on and off you can get regular glasses that have only bifocals at the bottom and you can leave them on your face all day.


    I was not yet on Medicare, but covered by my regular insurance so i had a co-pay of $500 per eye.Stupid me. If i had waited six months until i went on Medicare I would have had no co-pay.


    Of course rhere is no reason you can’t have one eye done now, and see how you adjust to it. If it’s uncomfortable or driving you crazy, go back and have the other eye done. Theres no harm in waiting between each eye. The procedure is simple.

  • 6 years ago

    Would you do elective cataract surgery on an eye that doesn’t need it now?

    Yes, I would definitely have the elective surgery done in order to have a good outcome overall.

    LucyStar1 thanked graywings123
  • 6 years ago

    Yes, I would do elective surgery on an eye that shows some cataracts. It's exactly what I did. I told the dr., if at all possible could he do both as I'm an artist and I need both eyes to work together so he agreed, he did one which was easy peasy, DH and I went out for lunch afterward. A month later he did the other. WOW, the world looked so different with 20/15 vision. Life was beautiful again.


    LucyStar1 thanked Yayagal
  • 6 years ago

    I had cataract surgery last Fall, one eye and the second 2 weeks later. I could not have the monovision done because of a stigmatism (sp?). And yes, I now need readers for up close ... I also have them all over the house, in my purse, a pair in the car ... and I also read my kindle while watching TV and just put the readers on the top of my head when I'm watching TV. It's something you'll get used to. I also would suggest you do both, just to get it over and done with.

    LucyStar1 thanked pamghatten
  • 6 years ago
    last modified: 6 years ago

    I had Lasik on both eyes 20+ years ago. At the time, I knew I was going to need bifocals or reading glasses with the Lasix procedures. I detest bifocals so chose to finally have Lasik. Fast forward to about 3 years ago and I had a cataract develop in one eye. It was between a grade 3&4 so I could have waited bit decided to proceed. Good decision to go ahead and I would recommend it. The other eye has not developed a need for the surgery.

    About a year later, DH needed cataract surgery and decided to have both Lasik and the cataract surgery at the same time. One eye one day and the other eye two weeks later. Perfectly successful both times. Yes, he needs reading glasses but he couldn’t be happier. 20-15 vision in both eyes. Mine is still 20-20 and I have slight astigmatism which cannot be guaranteed to be successfully corrected surgically.

    edited finally to correct the spelling of Lasik

    LucyStar1 thanked OutsidePlaying
  • 6 years ago
    last modified: 6 years ago

    Sorry for the mis-typing. I would like to blame autocorrect, but in this case, it was my error. Geez, when you want autocorrect to work, it never does! Thanks mdln for the correction.

  • 6 years ago
    last modified: 6 years ago

    I just talked to my doctor. I have decided to have both eyes corrected. They will both be corrected for distance vision and I will need readers. He said that Medicare will pay for the eye that has a cataract that isn't ready now because there will be too much of an imbalance to not have that eye corrected. Truthfully, I would have paid for it myself because I was not comfortable with only having a partial vision correction.

    I want to thank everyone who responded. All of you made me re-think my orginal decision not to have both eyes corrected. Your positive outcomes have encouraged me and I hope that I have the same.

  • 6 years ago
    last modified: 6 years ago

    Good Luck I had cataracts in my 50's best surgery (and only lol) I've ever had. First eye done and second 2 weeks later.

    LucyStar1 thanked jck910
  • 5 years ago
    last modified: 5 years ago

    Unfortunately, many people have vision problems and it depends on how serious everything becomes and if it is treated in time. My wife has a very unpleasant case on this subject. For a long time, she consumed a bladder treatment and started to have severe eye complications and we didn't even know it was related to the treatment she was taking. After much investigation, it was concluded that the problem was Elmiron, part of the treatment for bladder. I was shocked to find out and searched on https://www.drugwatcher.org/elmiron-lawsuit/ to understand everything about it. I pry everything will be fine.

  • 5 years ago
    last modified: 5 years ago

    I was surprised to see my topic resurrected. I had the cataract surgeries last August and September. Everything went great! After 63 years of wearing glasses, I now only use readers. I don't need glasses to drive, watch TV, or even to use my laptop computer. (I do need the readers for my phone and ipad, and any other close reading). I only wish it had happened sooner!


    Good luck, Andrea.

Sponsored
Industry Leading General Contractors in Franklin County, Ohio