Aa
PPC or PSC
I am a 35 year old female ..Was diagnosed with Polar posterior subcapsular senile cataracts in 2013. Went to another doctor for a check-up yesterday and he says its just a posterior subcasular cataract and not polar
Is it easy to confuse between the two? Please advise as polar cataracts are riskier in terms of surgery...
Is it easy to confuse between the two? Please advise as polar cataracts are riskier in terms of surgery...
Thank you for the feedback doctor. Really tense now....its such a difficult decision finding a doctor and the hoping they answer all your questions...the doctor that I met last week was offended my asking him technical questions..he answered them but was angry...but he has 35 years of experience...and he wanted to do hydrodissection which is not a safe route for a polar cataract.
Posterior polar or posterior subcapsular...sometimes you cannot be entirely sure. It is mainly a clinical diagnosis. If it is very dense, an OCT will not show what is happening behind the opacity, ie you still can't tell in such cases with an OCT whether the posterior capsule is intact or whether it is attached to the opacity.
So, just go for a doctor who you trust.
For myself, faced with such a situation (where I was not sure after examining the patient), I would assume it is posterior polar and treat it as such until proven otherwise during the surgery. Don't worry about it so much, just go with a doctor who can deal with any eventuality. What it actually is, is somewhat academic, really.
So, just go for a doctor who you trust.
For myself, faced with such a situation (where I was not sure after examining the patient), I would assume it is posterior polar and treat it as such until proven otherwise during the surgery. Don't worry about it so much, just go with a doctor who can deal with any eventuality. What it actually is, is somewhat academic, really.
one doctor I consulted will only do hydrodissection which I heard is riskier depending on the type of cataract so to determine the doctor, i need a correct diagnosis..
How are you doing with your lens? Are you happy?you are the same age group as me..Did you have a rupture during surgery? I saw that you has some concerns...
How are you doing with your lens? Are you happy?you are the same age group as me..Did you have a rupture during surgery? I saw that you has some concerns...
i believe posterior subcapsular is worse, but I could be wrong. Either way it doesn't matter. Even though riskier its very slightly riskier, and you need to have the surgery anyway, why drive yourself crazy?
CPT code 92136 Ophthalmic biometry is what shows on the insurance claim. This was the doctor who diagnosed the polar cataract.
the other doctor who said it was not polar just did a regular dilated manual exam.
the other doctor who said it was not polar just did a regular dilated manual exam.
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