Cataracts and AMD

[sophie8196]

Hello everyone,

I have been fortunate in getting my favourite doctor for my last 2 injections, so not too much in the way of after effects. Still convinced that it makes a difference who does the injection.

I have noticed that a number of people with AMD have had cataract surgery. When my optometrist first told me that I had damage to the back of my eye, he said, either age related or done during surgery! A couple of the doctors doing the eye injections have also asked if I have had cataract surgery. I haven't been able to find anything on the internet suggesting that there is any connection. Does anyone else have any thoughts on this subject?

[gilpet]

I haven't heard of cataract surgery causing AMD but I was warned before I had the surgery that it could re-activate stable AMD, in my case I was lucky and it hasn't had any effect. I could be wrong but my impression is that the macular is at the back of the eye and the cataract surgery is at the front (replacing the lens) so I'm not sure how the surgery could cause a problem with the macular. Please remember that is only my impression but I'm sure somebody from the Macular Society will be on to give you a definite answer soon. You should also check with your doctor next time you're at the hospital.

[andy1955 Macular Society]

Hi Sophie,

Gilpet is correct in her summary. A cataract is at the front of the eye and the macular is at the back.

Cataract surgery is usually routine and shouldn't cause problems with the macular.

Historically, there was a school of thought which suggested that cataract surgery could cause wet AMD to occur. There was some statistical analysis carried out in the USA about 5 or 6 years ago which proved that there was not a link between cataract surgery and wet AMD occurring.

The only thing I would say is that a cataract actually gives some protection to the macular from the harmful rays of the sun; UV and blue light. When the cataract is removed, this protection is lost.

Some hospitals fit the new artificial lens with a UV filter, but this may not always be standard practice. You would have to ask. If a lens with a UV filter is not fitted, then it is important to wear good protective eyewear when outside in the sun.

If you would like to see our cataract factsheet, please either call our helpline 0300 30 30 111 (9.00am to 5.00pm Monday to Friday) or alternatively request a copy by emailing the helpline at [e-mail]

Best wishes

Helpline

Macular Society