”cells” Recent check up post lens replacement

[Martyn321]

Hi can anyone help me understand what would be meant by “ a few cells” when I had a recent examination.

My doctor has said this on a couple of occasions as it’s taken a few months for my sight to clear post lens replacement surgery.

I kept meaning to ask but had a list of questions so thought I would see if anyone on here would know?

[Trish_GlaucomaUK Partner]

Hello Martyn321

After lens replacement surgery, lens epithelial cells (LECs) can form. A film forms over the lens.

If there are signs of the cell, they can travel to the posterior capsule, where the lens sits and cause it to become cloudy. The cloudiness is called posterior capsular opacification (PCO)

If this happens, the problem is easily remedied by YAG laser which breaks up the cloudiness and clears the vision back to how it was after the initial cataract surgery.

It can reoccur but this this is extremely rare and YAG laser will need to be repeated.

[Martyn321 in reply to Trish_GlaucomaUK]

Great, thanks for explaining.

I was aware of the film but didn’t realise that this was related to the Cells comment.

They didn’t mention any remedy in terms of the laser? In fact they explained that they would not touch that eye again for months. Could it be possible that these cells cause no issue?

[Trish_GlaucomaUK Partner in reply to Martyn321]

They can see a few there, but there is no need for any intervention. It may not progress to PCO, but there is a chance it may do in the future.

[Bess21]

How are you now did the narrow angles open

[Martyn321]

I had a check up 2 weeks ago where they agreed to taper me off all my eye drops. Then I’m back again in 6 months to hopefully decide on the lens opacification and if it’s worth getting that done.

Overall they are really pleased, pressure is good and as my operation was considered preemptive and a success I don’t need to disclose any Glaucoma diagnosis and will be officially discharged.

[Bess21]

Did the pressures come down after lens replacement

[Martyn321 in reply to Bess21]

Hi, I unfortunately had two “events” that peaked my eye pressure to 70. However, this was not a constant, as you probably appreciate having narrow lens means that you are more likely to have these episodes.

My pressure is stable around 14 now but the good news is that I won’t be at risk of these events.

I assume this is an operation that you are considering?

[Bess21 in reply to Martyn321]

Had iridotomy opened narrow angle from 1 to 2/3 but on 3 types drops now and pressures 22 23 . Said I need immature cataracts removed and hudrus stent but don't want stent. Hopefully pressures will come down after lens done

[Martyn321]

Whilst there are people on this forum that will argue the opposite I must admit I found the lens replacement hard to adjust.

Not sure how old you are, I’m 45 but my eye sight was really good and I’m now long sighted, it was expected but just a bit tough to adjust one eye at a time and keep having to take glasses on and off.

It’s a small price to pay though considering preservation of my sight and now it’s all done I’m happy and can adjust.

Hope it goes well!

[Bess21 in reply to Martyn321]

66 eyesight very good only used glasses tiny print. Thought lenses for long distance probably best.