cateract surgery

[Ep0522]

Hello:

I’m a little worried about having cateract surgery as I like most have tremor or dyskinesia. The doctor asked could I be still. Funny. Anyone experience this? Any thoughts? Thanks.

[redhawk1]

Hi Ep . . . had cataract procedure performed on both eyes (within 2 months of the other) while sedated. Surgeon completed both operations without an issue.

[Ep0522 in reply to redhawk1]

Thanks RedHawks! I think the surgeon made me a little uncomfortable when he asked if I could be still.

[Nitro53 in reply to redhawk1]

Same for me.

[Gymsack]

I had cataract surgery on both eyes 2 months apart about 8 months ago. I was awake through it all (I think ) , no problems , all is well. The colors are incredible, blurriness gone and the world is full of light. My optometrist says that my vision is now perfect except my eyes still do not have the same phocal length which is caused by Parkinsons so I have glasses with prisoms and that problem is gone.

The only problem you may encounter is I could not put the eyedrops in my self before and after surgery and needed my wife to do it and there are a lot of different kinds of eye drops required many times a day, for many days.

good luck many hundreds maybe thousands of older people get this done every week many with PD.

[Ep0522 in reply to Gymsack]

Thanks. I am more encouraged!

[Ep0522 in reply to Gymsack]

Gymsack: Noticed on your bio that you have ha pd for 20 years. I’m looking at 23.

[WinnieThePoo in reply to Gymsack]

For what little it's worth, the prisms won't be to do with focal length, but correcting a squint, which will be due to one eye getting "lazy". It will help your brain see a single 3d image instead of 2 very confusing imagesAnd the focal length thing has nothing to do with PD. Our eyes use a 2 lens system to focus. A big fixed focus lens on the front called the cornea. And a smaller adjustable focus lens about 1 /4 way between the cornea and retina. It's the little lens which goes cloudy as a cateract and is removed and replaced with a fixed focus plastic lens. You then news varifocal specs to cope with the inability to "auto focus"

Before surgery they measure the focal length of your own frosty lens and make sure the plastic one they fit is a close match so the spectacles you need are not too thick

[Gymsack in reply to WinnieThePoo]

Winnie, I am listening to old records now , Catch you on the flip side

[WinnieThePoo in reply to Gymsack]

Lucky you. I love listening to records but it's not compatible with 2 hour glove sessions. This is my custom designed and built record player

Original pink triangle turntable, heavily modified

[MarionP in reply to WinnieThePoo]

Amazing stuff Winnie

[Youngoma in reply to Gymsack]

My husband had cataract surgery without having to use eyedrops. He received antibiotic injections into the eye instead

[Gymsack]

Only the good die young. I expect to carry this indignity called Parkinson's into my 90"s and then just as a cure is found be run over by a bus.

I have all the necessary genes to do it. my neuro said he thinks I no longer make my own Levodopa so this is as bad as it gets , I guess.

Be happy

[Ep0522 in reply to Gymsack]

🙃 At least you still have a funny bone. Made me smile!

[MarionP in reply to Gymsack]

Great attitude, I once heard the same thing about prostate cancer, which is if you're old enough to die from prostate cancer, you've probably got more use out of it then you deserve.

[Gymsack]

Lately it is the only way to cope, but then you probably already knew that.

I would often drop a song into the thead , but I cant find anything appropriate;

I found one , It has no relevance what so ever

I just like the picture on the cover

google.com/search?q=music+f...

JUST KEEP CLICKING SKIP THE ADS

I am too cheap to pay so that I dont have to click. Drag the red progress button to the right to the yellow dots to hear the other songs. I could play with this stuff all day . I hope its available to you.

[Boscoejean]

One thing you might want to find out about prior to having the surgery is how well your eyes will dilate. My husband had two cataract surgeries about a month and a half apart. The doctor had a great deal of trouble getting his eyes to dilate to the point where they could do the surgery. Of course I was there with him and was the driver but after the procedures his eyes were dilated until the evening of the second day making it even more difficult to see in spite of the fact they were only doing one eye at a time. The doctor and nurse had to administer several doses. The surgeon seemed to think that it was a little difficult to do the procedure even after the preparation but at least things went okay and no complications afterward. Another problem was that he was given the wrong prescription after the surgeries. I guess the typical approach is to re-test the eyes about a month after the second procedure but this was too soon so after several months of having very bad correction he had to go back and get an entirely different prescription. Unfortunately in his case the cataract surgery was no miracle because he also has macular puckers in both eyes which leaves me wondering if the macular puckers are also the result of Parkinson's

[Gymsack in reply to Boscoejean]

yes I completely forgot. One of the Parkinson's medications inhibits the dilation and makes surgery very difficult if you have taken it just before surgery .

But I cant remember which one sorry

[Boscoejean in reply to Gymsack]

my husband does not take levodopa/carbidopa and he was not taking it in 2018 when he had these surgeries

[MarionP in reply to Boscoejean]

God more fascinating stuff, I love this conversation.

[Zella23]

My HWP had Cataract surgery on both eyes 6 weeks apart. Was awake with mild sedation. No problem with either procedure!

So many eye drops he did manage them by himself. Good Luck with your procedure.

[jrmds21]

I had cataract and epiretinal surgery with General (encouraged to not discouraged from) and came away with a catheter because of my age.... and still struggling to accept the new "life style". There is hope of a return to "normalcy for next eye...

[cgreg]

The best advice on whether or not you can undergo cataract surgery will come from your MDS doctor. If he gives the green light, then you have little to worry about. I just had my cataract surgery a few months ago and it turned out a lot easier than I imagined.

[lingfield222]

Hi, just echoing others here, my husband with PD (very tremor dominant) had both cataracts done at the same time, he was semi sedated which helped with the tremor and had no problems. As another posted has said there is quite a regime with eye drops for several days after which I did!

[crewmanwhite]

If you are worried about involuntary movment, ask the doctor for "twilight sedation" (very light). Many of my patients have found that helpful.

[Ep0522 in reply to crewmanwhite]

Thank you. I probably will do that.

[Softballman]

Had the surgery 6 months ago. Everything went well except my eyes wouldn’t dilate.

[MarionP in reply to Softballman]

Do they now???

[Lyricist]

I am in the early stages of cataracts but my ophthalmologist advises that I wait as long as possible before surgery as I have glaucoma (long-standing over last 20 years) and he is concerned that the surgery may adversely affect the glaucoma. Does anyone know which Parkinsons meds affect pupil dilation and whether any are contra-indicated for cateract surgery?

[telepicker]

Had both eyes done with no issues. Had the same anxiety as you but there wee no issues with the process for me. Good luck!!

[MarionP]

I'm going to have cataract surgery in about a year. And I plan to tell the surgeon no I cannot be fully or sufficiently still, so can you operate with me under proper sedation? And if the answer is no, THEN A FOLLOW-UP QUESTION IS NEEDED: "is that because no surgeon could (or should) do so or because it's not something you want to do but another surgeon would?" Then I'd get a referral.

[Ksbhutani12]

I went to 2 eye surgeons in the past week and one doctor shared the same concerns that your doctor had. The other one said he could do it under sedation similar to what they give you when you get a colonoscopy.

[MarionP in reply to Ksbhutani12]

Tell that doctor he has a gift...

[Ep0522]

Had first eye done 10 days ago. Had to be sedated with Propofol, Not sure if’s a drug reaction or stress, but parkinson symptoms are much worse. Balance is terrible. Have a neuro appointment next week.