Can Cataract Surgery Cause Vitreous Detachment?

“What we know clinically is that it is pretty typical for some 50% or more of patients undergoing cataract surgery to experience a Posterior Vitreous Detachment (PVD), with some patients noticing visual symptoms including a “cobweb” or some floaters,” explained Northwest Indiana Eye & Laser Center Cataract Surgeon Scott Buck, M.D. “Posterior Vitreous Detachment (PVD) does indeed appear to be more common in individuals who have had cataract surgery. There may not be an obvious "cause and effect" relationship but there are a number of possible factors that contribute to this.” 

• The vitreous changes that lead to vitreous liquefication and instability and ultimately PVD are age-related, as are cataracts and the need for cataract surgery.
• Removal of a cataract can allow mechanical space shifts in the vitreous gel and perhaps increase the odds of PVD.
• Biochemical changes actually occur following cataract surgery and these appear to increase the likelihood of PVD, particularly if the posterior lens capsule is opened.
• Unusual complications of cataract surgery can disrupt the integrity of the vitreous gel and increase the odds of PVD.

“If the visual symptoms become excessive or are accompanied by a curtain or veil in your vision, or perhaps distortion of your vision, we want to hear from you immediately,” explained Dr. Buck

If you or someone you know has a question or concerns about cataracts, cataract surgery or Posterior Vitreous detachment (PVD) please feel free to call Northwest Indiana Eye & Laser Center at 219-464-8223, or visit Northwest Indiana Eye & Laser Center or facebook.com/nwindianaeyeandlaser. 

Northwest Indiana Eye & Laser Center, 502 Marquette Street, Valparaiso, Indiana 46383 and 1001 South Edgewood Drive, Knox, Indiana 46354 is staffed by a team of Ophthalmologists, Optometrists, Opticians, technical and administrative staff who provide eye examinations for adults and children, cataract surgery and intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of diseases of the retina including diabetes and age related macular degeneration and diagnosis and treatment of glaucoma as well as contact lenses, eyeglasses, eyewear and optical services. We are conveniently located for patients seeking eye care from throughout northern Indiana including La Porte, Mishawaka, South Bend, Michigan City, Crown Point, Merrillville, Chesterton, South Haven, Westville, Hebron, Lowell, Valparaiso and Walkerton as well as Chicago, Illinois suburban areas of Frankfurt, Calumet City, Monee and Crete.

Can You Wait Too Long for Cataract Surgery?

“Dr. Buck, what if I wait too long to have cataract surgery-can that be a problem?” is a question posed to Northwest Indiana Eye & Laser Center Cataract Surgeon Scott Buck, M.D. “making the decision when to have a cataract removed and replaced with lens implants is really a very individual and personal decision,” said Dr. Buck. “Some patients are really bothered by the slightest degree of blurry vision or glare sensitivity, whereas others surprise me with how tolerant they are. So, I generally tell patients that their cataracts should be removed when they feel that they have visual discomfort or inconvenience-or any safety issues with navigating each day’s activities with confidence,” Dr. Buck explained. 

What patients should know though is that waiting too long for cataract surgery can result is some unintended consequences and possible risks. “For example, as a cataract matures, it does become denser and somewhat more difficult to remove. This requires more energy and may lead to prolonged inflammation or even intraoperative complications,” stated Dr. Buck. “For certain we don’t want the cataract to become so dense, swollen and cloudy that it causes a type of glaucoma or impair our view of the retina,” Dr. NAME stressed. “In these instances your cataract surgeon is likely to recommend proceeding with cataract removal even though you may not think you are quite ready.”

If you or someone you know has a cataract or is need of cataract surgery and lens implants please call Northwest Indiana Eye & Laser Center at 219-464-8223, or visit Northwest Indiana Eye & Laser Center or facebook.com/nwindianaeyeandlaser. 

Northwest Indiana Eye & Laser Center in Valparaiso, IN is staffed by a team of Ophthalmologists, Optometrists, Opticians, technical and administrative staff who provide eye examinations for adults and children, cataract surgery and intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of diseases of the retina including diabetes and age related macular degeneration and diagnosis and treatment of glaucoma as well as contact lenses, eyeglasses, eyewear and optical services. We are conveniently located for patients seeking eye care from throughout northern Indiana including La Porte, Mishawaka, South Bend, Michigan City, Crown Point, Merrillville, Chesterton, South Haven, Westville, Hebron, Lowell, Valparaiso and Walkerton as well as Chicago, Illinois suburban areas of Frankfurt, Calumet City, Monee and Crete.

Can Cataract Surgery Prevent Hip Fracture?

“What does cataract surgery have to do with preventing hip fractures?,” asked Indiana Cataract Surgeon Scott Buck, M.D. “What we know from recent studies is that cataract surgery may offer patients with cataracts a distinct advantage in preventing hip fractures according to a report published in the Journal of the American Medical Association,” stated Dr. Buck of Northwest Indiana Eye & Laser Center in Valparaiso, IN.

When looking at the risk of hip fracture among more than 1 million people on Medicare aged 65 with cataracts, researchers found people who had cataract surgery had a 16% lower risk of hip fracture one year after the procedure. Visual impairment from cataracts-whether from blurry vision, glare, halos or decreased contrast-is a known risk factor for falls. Thus, when we improve vision for patients with cataracts, their mobility is typically improved as well as their confidence and the safety with which they navigate. A hip or pelvis fracture is the sentinel event that leads to a progressive decline in quality of life and usually signifies increased mortality and morbidity.

Accidental falls and the resulting bone fractures are a major cause of disability and death among the elderly. “The key here is that there is a demonstrated need for timely cataract surgery for seniors in order to manage the risk of challenged mobility with resulting fractures. We are quite fortunate-and it is really rewarding-to be able to provide cataract patients with modern patient friendly cataract surgery on an outpatient basis that utilizes tiny incisions, eye drops for anesthesia and a quick visual recovery,” summarized Dr. Buck.

If you or someone you know has questions about cataract, cataract surgery, lens implants or hip fracture prevention please feel free to call Northwest Indiana Eye & Laser Center at 219-464-8223, or visit Northwest Indiana Eye & Laser Center or facebook.com/nwindianaeyeandlaser. 

Northwest Indiana Eye & Laser Center in Valparaiso, IN is staffed by a team of Ophthalmologists, Optometrists, Opticians, technical and administrative staff who provide eye examinations for adults and children, cataract surgery and intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of diseases of the retina including diabetes and age related macular degeneration and diagnosis and treatment of glaucoma as well as contact lenses, eyeglasses, eyewear and optical services. We are conveniently located for patients seeking eye care from throughout northern Indiana including La Porte, Mishawaka, South Bend, Michigan City, Crown Point, Merrillville, Chesterton, South Haven, Westville, Hebron, Lowell, Valparaiso and Walkerton as well as Chicago, Illinois suburban areas of Frankfurt, Calumet City, Monee and Crete.

Indiana Cataract Awareness in Valparaiso

Northwest Indiana Eye & Laser Center Cataract Surgeon Scott Buck, M.D. reminded patients about cataracts by sharing cataract surgery and lens implant information that is important for everyone, especially seniors, to know more about. “It seems as if everyone I speak to knows someone or has a friend or relative who has a cataract or has had cataract surgery and lens implants,” noted Dr. Buck. “The U.S. data on cataracts suggests that some 25 million Americans over the age of 40 have cataracts and more than half of all Americans over 65 years of age have some degree of cataract development. In fact cataracts are a leading cause of vision loss among seniors,” said Dr. Buck.

Even with this significant growth of people who suffer from cataracts, many are unknowing and don’t realize that a cataract is not a film over the eye but is a clouding of the crystalline lens preventing light rays from passing through it easily. This results in a dimming and blurring of vision. For many patients cataracts start out slowly and have little effect on vision at first. But, as the cataract becomes denser, so does the impact on vision. The most common symptoms that bother patients with cataracts can include blurring of vision, sensitivity to light and glare, double vision in one eye, poor night vision, fading or yellowing of colors and frequent changes in glasses or contact lens prescriptions.

“What many people do not realize is that the poor vision in seniors is often associated with premature or accelerated mental decline. Further, the challenges reduced vision creates in terms of mobility and safety can also put patients at increased risk for orthopedic injury-especially hip fracture. So, helping seniors restore vision with cataract surgery has an important place in securing senior health, well being, mobility, safety and mental state,” said Dr. Buck.

“When cataracts begin to interfere with daily activities or with patient comfort, mobility and safety, they can be treated surgically. Cataract surgery is one of the safest and most frequently performed surgeries in the United States. Today, we have a full range of lens implants available that allow us to correct nearsightedness, farsightedness, astigmatism and even near vision problems after cataract surgery, as well as distance vision, without requiring bifocals or reading glasses for the vast majority of patients,”, said Valparaiso Cataract Surgeon Scott Buck, M.D.

If you or someone you know has questions about cataract, cataract surgery or lens implants please feel free to call Northwest Indiana Eye & Laser Center at 219-464-8223, or visit Northwest Indiana Eye & Laser Center or facebook.com/nwindianaeyeandlaser. 

Northwest Indiana Eye & Laser Center in Valparaiso, IN is staffed by a team of Ophthalmologists, Optometrists, Opticians, technical and administrative staff who provide eye examinations for adults and children, cataract surgery and intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of diseases of the retina including diabetes and age related macular degeneration and diagnosis and treatment of glaucoma as well as contact lenses, eyeglasses, eyewear and optical services. We are conveniently located for patients seeking eye care from throughout northern Indiana including La Porte, Mishawaka, South Bend, Michigan City, Crown Point, Merrillville, Chesterton, South Haven, Westville, Hebron, Lowell, Valparaiso and Walkerton as well as Chicago, Illinois suburban areas of Frankfurt, Calumet City, Monee and Crete.