Cataract and I stent

[Bess21]

I have narrow angles immature cataracts already had iridotomy 5 weeks ago.Ystdy pressures still 22 and 23 on 3 types drops have Asthma

Consultant said i need cataract opp and stent fitted at same time.

Anyone else had this done and did it work or will I need more procedures later.

I am at Worcester hospital

[Crafty-gran]

hi

Ive had cataract and I stent done recently

Right eye( better eye) was done first in November and my left eye 2 weeks ago

It was painless and quick procedure.

Im due to see consultant again in April so will know more then

I have NTG so hoping the stents will have slowed the progress down

Good luck

[Bess21 in reply to Crafty-gran]

Thankyou did you use nhs hospital?

[Crafty-gran in reply to Bess21]

Yes I’m under our local NHS hispital and the care is fantastic

I’ve always seen the consultant

[Bess21 in reply to Crafty-gran]

Good hope mine goes well

[PearlCarr]

I had cataracts removed and stents put in 6 months apart in both eyes. Can see much better far distance , also have had 2 check ups for pressure and was told it was an acceptable level for me at 18 and 21. Consultant very pleased with my progress

[Safehaven23 in reply to PearlCarr]

I found the two done - month between each eye...very helpful and beneficial.

[Sorshup]

It is all very simple, and yet not... If info from scanning , VF progression etc indicate glaucoma is getting qorse the only remedies are medication and surger to reduce pressure. The least risky stuff is usually tried first, and cataract ops plus stents are a natual next step. But there can never be a guarantee that furtheer work (trabeculectomy commonLy) won't become necessary. Some authoraties might suggest trabs early on, dependig on age and oteer personal factors. You could enquire the opibion of your consultant. But I agree with others, the cat plus stent procedure should have minimal downsides. Just discuss carefully with your optometrist and consultant the desirable refractive outcome of the intraocular lens which will replcce your own, which what happens in cataract surgery. There are previous post on that subject !

[Bess21 in reply to Sorshup]

I have read so much about everything I think but it's just a worry because my eyesight is so good and because of narrow angles pressures gone up 21 in June and consultant said iridotomy. But November ither said have lens replacement cus immature cataracts so I said ok. Went 12th Dec for assessment and pressures 19 20 but nurse dilated eyes and went to 29 since then been problems. I lost confidence went see private dr and he said needed iridotomy that day 20th Dec. But won't come down on 3 types drops was 22 23 friday so I am very upset and it's making me ill

[Sorshup in reply to Bess21]

Different advice does not necessarily mean other recommendations are invalid. The risk with narrow angles is the acute attack of high pressure, perhaps to level 50 (and sometimes withjout symptoms!). So both iridotomy and the cat and stent approaches help reduce that risk; and hopefully lower pressure anyway. If you are on maximum meds there is no slternative to following the advice of the surgeon.Do try not to worry, it doesn't help !

[Iona57]

I have open angle normal tension glaucoma. Had cataract and hydrus shunt (similar to i-stent) in Dec 22. Cataract op eventually made fantastic difference to my vision. However in the recovery period my eye developed blurriness due to inflammation on two occasions and I had to take courses of anti inflammatory drops. The op didn't make much difference to my eye pressure so I had to go back on drops. By Spring 2024 there was evidence on visual fields tests that the glaucoma was progressing so I had a trabeculectomy in Summer 2024. Pressure is right down now.I still have good central vision thanks to the cataract operation. With glasses I can see to thread a needle, and also read car numberplate at the required distance, so I'm very grateful for that.

[Bess21 in reply to Iona57]

I have very good vision but high pressures and iridotomy just not bought pressures down after dilation send pressures up so now having to go through stuff was probably not necessary.

[CC08]

hi, I am in Worcestershire and I had cataract and eye stent in each eye 2021 & 2022, still on eye drops, pressures around 15/16. They are classed as MIGS and itprobably won’t be the last ops I have but gives me extra time until the next one as I’m in mid-50’s.

[Bess21 in reply to CC08]

I am under worcester nhs hospital

[CC08]

I see Mr Sharma, he is excellent

[Bess21 in reply to CC08]

He is consultant I am under. Do you have narrow angles? Also did it work.

[Bess21 in reply to CC08]

I met Mr sharma first time ystdy very nice man. Said I just need cataract surgery and should bring pressures down and also mentioned SLT maybe later on. How are you now ?

[CC08 in reply to Bess21]

I’m still two years post ops so pressures are 15/6 ❤️

[CC08]

I have open angle. All these procedures are to slow the progress and in some cases stop the progress of glaucoma. I am ok for now two years on but I know that there are more ops on the horizon.

[Bess21 in reply to CC08]

I read istent not for narrow angles

[KieranGlaucomaUK Administrator]

Hello. Cataract surgery is a treatment option for narrow angles. This is also referred to as a clear lens replacement. You might find it helpful to read up about the EAGLE study. iStent is usually done with open angle glaucoma instead of narrow angles. I would recommend asking your eye specialist/consultant why they are doing the stent alongside the cataract surgery as they might be able to give you some more information on this.