Author Topic: Cataract surgery and dry eyes  (Read 574 times)

Cassi307

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Cataract surgery and dry eyes
« on: March 28, 2018, 08:06:32 PM »
 I saw my ophthalmologist last month and he surprised me and told me that I have early cataracts and early onset macular degeneration. As if I didn’t have enough problems with extremely dry eyes.  My eyes have gotten drier despite having plugs. Restasis no longer works for me and Xiidra did not work at all.
So I am just wondering how cataract surgery will work out when someone suffers from severe dryness. I realize it is still early but I would like to hear anyone’s experience on this. I want to be prepared with questions when I go back to my eye doctor in 5 weeks.
Thanks.
Sjogren's, seronegative RA,  ckd, hyperparathyroidism, asthma,  osteoporosis, tremors, macular degeneration. Meds:  cardizem cd, low dose Prednisone, Leflunomide, Rituxan, Preservision, krill oil, calcium with d

Carolina

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Re: Cataract surgery and dry eyes
« Reply #1 on: March 29, 2018, 06:03:55 AM »
Dear Cassi,

I was diagnosed with extremely dry eyes, and as a result had to stop wearing contact lenses. 

I hated to wear glasses, so my ophthalmologist then tested my eyes to see if I would qualify for cataract surgery.  I did, and my ophthalmologist did the cataract surgery, implanting corrective lenses so that I didn't need glasses!

That worked for 8 years, and than I developed astigmatism, and wound up with glasses at the end.

The issue of my dry eyes didn't seem a consideration for the surgery.  I had no problem with cataract surgery.  I was taking Evoxac and using Restasis, but I don't think I used Restasis during recovery.  I don't remember.

Ask your ophthalmologist about this.

Regards, Elaine

Female-76-CVID-pSJS-IC-PN-CAD-Osteoarthritis-COPD-SFN-IBS-Knee/Shoulder Degeneration-SIBO, Intertrigo,Act.Purpura-Anemia-Copper Def-Raynaud's-Meniere's-Hiatal Hernia-Achalasia-IVIG Gamunex-Medrol-Gabapentin-Atenolol-Pilocarpine-LDN-Nasonex-Lipitor-Estrogel-B-12-Iron-D-Mannose-NAC-Co-Q10-D3-FishOil

Cassi307

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Re: Cataract surgery and dry eyes
« Reply #2 on: March 29, 2018, 11:43:39 AM »
 That’s really good to hear Carolina!  Did your dry eye symptoms improve after the surgery or did it remain the same? I already have an astigmatism so I guess that’s one thing I won’t have to worry about.  My situation with my eyes is complicated by the fact that I am borderline glaucoma and early macular degeneration. I hope a good solution is found. Least I have a little while to wait before I have to deal with the cataracts as they are still small.
Sjogren's, seronegative RA,  ckd, hyperparathyroidism, asthma,  osteoporosis, tremors, macular degeneration. Meds:  cardizem cd, low dose Prednisone, Leflunomide, Rituxan, Preservision, krill oil, calcium with d

Maria3667

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Re: Cataract surgery and dry eyes
« Reply #3 on: March 31, 2018, 01:28:16 AM »
Hi Cassi,

That is a big worry for me too in the future, as cataracts are in my family too and I already have bad eyesight in both eyes.

However, I find taking low dose pregnenolone supplements (sublingual) brings back eye moisture. I sometimes even wake up with tears in the morning.

Good luck!
50. Lyme's (1998), Sjogren's (2003), hypothyroidism (2004), osteoarthritis (2016), DES-daughter, GAD. Pilocarpine, natural thyroid hormones, 25mg quetiapine, low dose testosterone, 2.5 mg dhea, supplements. Endometriosis, cherry angiomas, macules. Allergies: nickle, methylisothiazolinone, latex

Carolina

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Re: Cataract surgery and dry eyes
« Reply #4 on: March 31, 2018, 05:35:11 AM »
Hi Casi, your situation is much more complicated than mine was, for sure.  My surgery was 16 years ago and my dry eyes have gotten worse since then, but not related to the surgery at all.

I had that commercial genetic testing recently, and the only 'condition' that my genes show I 'may develop' is Wet Macular Degeneration.  I don't know what that is, for sure.  And I'm 76 now, so I guess it may show up as time goes by.   

I am struggling right now with the Acceptance part of life, for sure.

Hugs and keep us posted, Casi.

Elaine

Female-76-CVID-pSJS-IC-PN-CAD-Osteoarthritis-COPD-SFN-IBS-Knee/Shoulder Degeneration-SIBO, Intertrigo,Act.Purpura-Anemia-Copper Def-Raynaud's-Meniere's-Hiatal Hernia-Achalasia-IVIG Gamunex-Medrol-Gabapentin-Atenolol-Pilocarpine-LDN-Nasonex-Lipitor-Estrogel-B-12-Iron-D-Mannose-NAC-Co-Q10-D3-FishOil

Ohiocat

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Re: Cataract surgery and dry eyes
« Reply #5 on: March 31, 2018, 08:27:24 AM »
I recently had cataract surgery.  They had issues getting readings on some of their machines both due to my dry eyes and the fact that I had previously had laser surgery

I had to work with a dry eye specialist for a few weeks until they were able to finally get the readings they needed.   As far as the surgery -- it worked out well and in addition to see so much better -- the colors have become much better.  I Guess seeing through cataracts messes up what colors you see
female 50+, no thyroid - levthyroxin 125mcg; Primary Sjogrens:  Dry mouth; Dry eyes-thera tears, Restasis twice daily;

Carolina

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Re: Cataract surgery and dry eyes
« Reply #6 on: March 31, 2018, 08:46:00 AM »
oh yes, Ohiocat,

There is an interesting study of works by Monet.  He painted many of the same things as a young man, that he painted when he was older.  He used much 'muddier' colors in his old age, because of the changes brought on by cataracts.

To me, and only to me, cataract surgery and carpal tunnel surgery are so life improving that I don't understand why people postpone and fear them.  But I am unusual in that I am so optimistic I forget the risks.  Except I do always buckle my seat belt.  After all, the MOST DANGEROUS thing we do is drive/ride in a car.

Glad the surgery was successful for you.

Regards, Elaine
Female-76-CVID-pSJS-IC-PN-CAD-Osteoarthritis-COPD-SFN-IBS-Knee/Shoulder Degeneration-SIBO, Intertrigo,Act.Purpura-Anemia-Copper Def-Raynaud's-Meniere's-Hiatal Hernia-Achalasia-IVIG Gamunex-Medrol-Gabapentin-Atenolol-Pilocarpine-LDN-Nasonex-Lipitor-Estrogel-B-12-Iron-D-Mannose-NAC-Co-Q10-D3-FishOil

SjoGirl

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Re: Cataract surgery and dry eyes
« Reply #7 on: March 31, 2018, 04:34:41 PM »
I have had both eyes done, zero problems.

FYI steroid use can cause cataracts to come on earlier than usual.
Raynauds, sero-negative RA, Primary SjS, osteopenia, degenerative disc disease, disc protrusions,stenosis, Carpal tunnel,  poly neuropathy, myoclonus, hiatal hernia, esophagitis, viral infection, Leukopenia. Restasis, Vitamin D, B12, Evoxac, Lanzoprezole, calcium acetaminophen.

Cassi307

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Re: Cataract surgery and dry eyes
« Reply #8 on: April 01, 2018, 12:24:18 PM »
Thanks everyone for your encouragement and feedback!
Sjogren's, seronegative RA,  ckd, hyperparathyroidism, asthma,  osteoporosis, tremors, macular degeneration. Meds:  cardizem cd, low dose Prednisone, Leflunomide, Rituxan, Preservision, krill oil, calcium with d

Sweetcheex76

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Re: Cataract surgery and dry eyes
« Reply #9 on: April 07, 2018, 11:27:40 AM »
I had congenital cataracts that exploded rapidly in little dots all over both eyes about 4 years ago. I didn't have them in October at my regular eye exam but by January, they had covered my eyes. I was 51/52 at the time and was in the middle of being tested for autoimmune diseases. When the testing  doctor said my tests were negative and there was nothing wrong with me, it was my eye surgeon who said to see another rheumatologist because he was sure I had Sjogrens. (I get 0's in both eyes on the Schirmers test).

i didn't have any problems with having the cataract surgery or recovery but one problem I have is that the dryness can cause ocular scratching and corneal abrasions. It clouds the lenses so I use drops often. I've YAG procedures done on both lenses to get rid of the cloudiness. It helps but it does return. I've also had a tiny bit of shrinkage of one of my corneas which may have led to me not seeing not perfectly out of one eye like I did after surgery. My doctor thinks it may have something to do with the Sjogrens. Overall, the cataract surgery improved my vision and I haven't had to many problems. Good luck to you!
Sjogren's, Trigeminal Neuralgia, Reynaud's, Fibromyalgia, osteoarthritis, ocular rosacea, rosacea, endometriosis, ADHD, anxiety, depression, pre-diabetes.

Plaquenil, Cevimeline, Tegretol, Restasis, Metformin,  Vyvanse, Xiidra, Vitamin D

cccourt1942

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Cataract surgery and dry eyes
« Reply #10 on: September 13, 2018, 09:46:09 AM »
I did a search for cataract surgery on this forum and was directed to start a new topic.  This is really for Ohio Cat and Sjogirl.  I have had my first eye done...will have other done next week.  In the "new" lens eye, I have a "blob" which comes and goes.  It's been two weeks.  Last week (@ one week check up) he said it was the dryness.  I explained I was using (to me) excessive OTC drops.  He said (as he always had) to use them as necessary.  I've been on Restasis for nearly 4 years...good results.  I'm one with atrophied lacrimal glands.

I am worried about the OTHER eye.  If I have blobs in both eyes, or Lordy.  I have worn glasses for distance since I was 14.  My close vision was added to varilux lenses about 15 years ago.  That original (weak correction) has never changed.  Before surgery the doctor (supposedly a SjS specialist) told me it was likely i'd need cheaters after the surgery.  The reason:  due to SjS (and maybe plaquenil) my retinas (both) are very thin.  Due to this, I could not get the type of lens which does everything: astigmatism, bi focal, etc, etc.  I was all jazzed (though the cost was going to be a tidy sum) as I hadn't a clue such improvements were out there.  Anyway, there was not an elaborate explanation as to why the thin retina couldn't take the "bionic" lens more than this: It makes it more likely that I have a) macular degeneration and/or b) detached retina.  To me...anytime they are going to do this surgery...and my retina is "thin"...any trauma would make it likely for a subject to have detached retina.  I didn't ask more---as I was in shock.  I dived in and had it done as my left eye was not only cloudy, but it had become so in a rather rapid time period.  BTW: I DID choose to have the Laser surgery as opposed to surgeon's cut. 

Now then: My question:  Have any of you had these types of issues mentioned to you?  Most of you are too young for this surgery.  I am 76.  Truth is, I have expected it within the last decade.  What upset me most is AFTER the 1st one, the dr. informed me I would have to wear glasses (varilux) for close AND far!  I couldn't believe it.  We both knew I needed the bionic eye...but couldn't---uh?  tolerate it?  Don't know proper terminology. 

I'm just wondering if this is something common amongst you Sjoggies….even tho (as already said) you aren't the population old enough to have this experience.  Please reply.  :)

ccc
« Last Edit: September 13, 2018, 09:49:44 AM by cccourt1942 »
Sjogren's, Psoriasis, Hashimoto's, Osteoporosis, Osteoarthritis, Cold hands/feet,  fatigue,  pilocarpine-25 mg , Restasis, Plaquenil, Low dose Prednisone (2-3 mg daily) Xylimelt, Citrucel, Alcon-Naturale, Tears,Omega 3, Vit.D, Caltrate+D3, Fosamax, CoQ10, Zinc, Oxtellar. Levothyroxene

SjoGirl

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Re: Cataract surgery and dry eyes
« Reply #11 on: September 15, 2018, 02:19:38 PM »
Cassi I had a similar experience in that I developed cataracts at a very young age. I have had both done, I had no issues with either surgery. That said Restasis works for me (I tried Xidra it made my eyes burn  terribly).
Raynauds, sero-negative RA, Primary SjS, osteopenia, degenerative disc disease, disc protrusions,stenosis, Carpal tunnel,  poly neuropathy, myoclonus, hiatal hernia, esophagitis, viral infection, Leukopenia. Restasis, Vitamin D, B12, Evoxac, Lanzoprezole, calcium acetaminophen.

irish

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Re: Cataract surgery and dry eyes
« Reply #12 on: September 16, 2018, 09:55:59 AM »
I just had my yearly eye exam and my DIL optometrist has been tracking my cataracts for many years. She says that I have 3 different kinds of cataracts in each eye and that are the slowest growing ones she has ever seen. It is now getting to the stage where I will have to have the surgery in the next year after I get another health issue taken care of and another carpal tunnel surgery done.

She has not voiced concern about dryness as mine is not terrible and I have been lucky to not have glaucoma or macular degeneration...my sister has those. She did say that in past years people would wait and the average age for the eye surgery was around 70 years. Nowadays she says a lot of people are having it done around age 50. They may be smart as the cataracts are probably less difficult to remove and healing is probably faster. Good luck. Irish