Tag Archive for: lens replacement

I Can See Clearly Now

I left you with some questions I had to ponder and have gotten a couple more. Then I’ll leave you with the answer I posed to my ocular surgeon.

Glaucoma

Glaucoma is not just a single ocular disease; there are several types. Some are related to how well the eyes drain fluid; some drain slowly while others seem to get plugged. The key to limiting damage is to get the pressure down by draining excess fluid. While there are still more types, the most important thing is to know your family history. There’s genetic testing available, but it’s not always predictive of what will happen to an individual, because some forms of glaucoma are caused by a combination of genetic factors.

Regular ocular pressure tests are the best way to find out whether the pressure in the eye is normal or not. If I had not gone in to get new glasses, I would not have gotten a diagnosis until later and may have lost even more vision.

Cataracts

There’s really nothing you can do to prevent cataracts because it’s partially a function of aging. However, you can protect your eyes by wearing UV protection sunglasses to reduce the impact of sunlight; it’s always better the earlier you start, so keep that in mind with the kids and grandkids. Other steps we can take are to quit smoking and keep blood sugar under control.

Two questions I’ve gotten are about the types of lenses and the cost. I got the simplest mono-focal intraocular lenses because my distant vision was my primary concern. The glaucoma created the need for reading glasses to balance both eyes.

If you’ve always worn corrective lenses, those issues can be addressed depending on the type of lenses. The person who knows that best would be your ophthalmologist. The cost will vary depending on what you want the lens to do. It also depends on the type of health insurance coverage you have. The American Academy of Ophthalmology has a Q&A on lenses at the link below. It’s obvious to me that eyecare is a good investment because it affects your quality of life and productivity.

The Bottom Line

I asked my surgeon the question about how to prevent cataracts and glaucoma. He thought about it and said prevention can be tenuous, so the best thing to do to keep your vision as long as you can is to get regular eye exams every year; that will protect your vision as well as keeping your glasses up to date to reduce eye strain. That seems like sound advice to me. Just another step to improve our healthspan.

What are you prepared to do today?

        Dr. Chet

Reference: https://www.aao.org/eye-health/tips-prevention/best-artificial-lens-implant-iol-cataract-surgery

My Eyes!

No, it’s not like when Phoebe saw Monica and Chandler kissing on Friends—but it is rather dramatic.

Let me recap my vision story. My dad died at 41, so I have no info from him or his family. My grandmother had cataracts removed when she was about 70. It led to a decline in her health; she never could get used to the glasses with thick lenses that looked like the bottom of Coke bottles. Remember, lens replacement as we have today didn’t become common until the mid-1980s. My mother had glaucoma, which was the genetic factor in my development of glaucoma.

I still remember the exact moment I discovered I needed reading glasses. I had been given a badge to enter campus during an international sport competition, and I couldn’t read the fine print on the badge. My real journey began when I finally had an eye exam about 10 years ago. The ophthalmologist tested me for glaucoma and the numbers were high—over 30 in each eye, and it should be below 8. Prescription eye drops lowered the pressure, but they can’t repair the damage I have in my right eye. Neither the cataract surgery nor the drains can repair it. I consider myself lucky it wasn’t more severe.

As for my vision about a month after the first replacement? I would say it’s excellent—over 18 inches away. I typed this without glasses at all in a 12-point font. I still need glasses for reading to help the eye with the lost vision, but that seems relatively easy.

The questions I have are: what could I have done to prevent either condition? And what should you and I do in the future? I’ll cover that on Saturday.

What are you prepared to do today?

        Dr. Chet