Avatar universal

Epiretinal membrane following cataract surgery

I had cataract surgery 9 months ago. My vision was good before the surgery, but had extreme light sensitivity and poor night vision.  An istent was also placed to help with pressure problems (glaucoma). Since the surgery, I've had a series of complications which I was not warned about. My vision never did return to normal.
The first complication was dry eye syndrome complicated with blepharitis (I've finally got this to go away).  The second was scar tissue forming on the back of the lens compartment (had a window lased), and now the third is an epiretinal wrinkle.  This last has destroyed the vision in my left eye.
In my career, I was a research biologist, so in an attempt to figure out what was happening to me, I look at the Medline literature regarding inflammation of the retina following cataract surgery.  There is significant evidence that cataract surgery can trigger an immune response in the retina, resulting in epiretinal wrinkles, macular cysts, and possible retinal detachment.  I have a strong family history of retinal problems and wonder why no attention was paid to this before my surgery.  
I am being treated with non-steroidal anti-inflammatories and have been advised to wait a couple of months before deciding on the vitriectomy to correct the damage. At this point, I'm afraid of making it worse, since this could be a result of a "wound response" to the eye, and further surgeries could make it worse.  I  am following my own progress by looking at the progression of OCT photos over time.
Comments?  SBnatural

2 Responses
Sort by: Helpful Oldest Newest
2078052 tn?1331933100
Epiretinal membranes can occur even in the absence of cataract surgery, and fortunately can be treated with a vitrectomy and membrane peeling.  If the vision in the eye is very poor because of the macular distortion, and you are not able to function because of it, I think the vitrectomy is worth considering.  You need to see a retinal specialist for an evaluation.
Helpful - 1
7439659 tn?1390838706
A related discussion, Should I change my IOL because of epiretinal membrane was started.
Helpful - 0

You are reading content posted in the Eye Care Forum

Popular Resources
Find out how beta-blocker eye drops show promising results for acute migraine relief.
Eye whitening, iris color change, and eyeball "bling." Eye expert Dr. John Hagan warns of the dangers from these unnecessary surgeries.
Eye expert John Hagan, MD, FACS, FAAO discusses factors to consider and discuss with your eye care team before embarking on cataract surgery.
Is treating glaucoma with marijuana all hype, or can hemp actually help?
Protect against the leading cause of blindness in older adults
Got dry eyes? Eye drops aren't the only option! Ophthalmologist John C. Hagan III, MD explains other possible treatments.