Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Is Macular Edema And Cornea Swelling Be Normal During Cataract Surgery?

On April 23, 2015 I had cataract surgery on my left eye. When my vitals were taken before surgery I expressed concern to the nurse that my blood pressure (164/84) was too high for me but I was told it would monitored. During surgery I heard discussion and someone was concerned that something was going on. The doctor said he thought I was just feeling the water. I knew this surgery was different from my right eye surgery 3 weeks prior because during the surgery everything was black as opposed to the brightness I experienced during the right eye surgery. When the patch was removed everything black. The next day it was solid gray and I could not see the eye chart or the doctor standing before me holding up his fingers. At that time I had cornea swelling, macular edema, a cherry red spot in the back of the eye, and a central branch artery occlusion. I was told it was as if I had a heart attack or stroke in my eye. At this time, I have peripheral vision and central vision has gone from black to a light gray with a lacey effect which allows light and color to come through. Depending on the distance, I can see the number of fingers being held up; when I look at TV (some 10 feet away) I can see images and color through the laciness but not a clear picture; I can tell there is a person there but not who the person is. I was referred to a retina specialist who performed an Angiogram of the eye and it showed no blockages. Carotid artery ultrasound was, as my doctor said, whistle clean . Although the cornea is now clean, macular edema is resolved, the cherry red spot in the back of the eye is gone, and the arteries are open, the retinal specialist says it will take several months to heal but not to expect a full recovery. How common is this occurrence? How much vision can I expect to return?
Fri, 11 Dec 2020
Report Abuse
Diabetologist 's  Response
Hello,

The problem of macular edema is uncommon in cataract surgery. As that surgery does not have any relation to retina or retinal arteries. The problem stated seems to have occurred due to high BP possibly. If everything has cleared then central vision will be slowly restored. However, it is essential to get your retina and macula particularly reexamined by a retina specialist. Do you have diabetes or hypertension which have been not well treated? It is essential to maintain strict glucose levels and BP also in normal range.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Prabhakar Laxman Jathar, Diabetologist
I find this answer helpful

Note: For further follow up on related General & Family Physician Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 
Loading Online Doctors....
Is Macular Edema And Cornea Swelling Be Normal During Cataract Surgery?

Hello, The problem of macular edema is uncommon in cataract surgery. As that surgery does not have any relation to retina or retinal arteries. The problem stated seems to have occurred due to high BP possibly. If everything has cleared then central vision will be slowly restored. However, it is essential to get your retina and macula particularly reexamined by a retina specialist. Do you have diabetes or hypertension which have been not well treated? It is essential to maintain strict glucose levels and BP also in normal range. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Prabhakar Laxman Jathar, Diabetologist