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Post Info TOPIC: can X-linking cause cataracts?


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Date: Fri Sep 11 2:14 AM, 2015
can X-linking cause cataracts?
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Hey,

Just had my year checkup after x-linking (epi-off). Good news is the ectasia is stable. Bad news is I have developed cataracts. Being only 48, I'm thinking, hmm... UV rays cause cataracts... OH No what did I DO.. Well, the eye doc said the cataracts were coincidentally caused by the Hydrocortizone steroid face cream I was taking, NOT x-linking. To his credit I can find no correlation between x-linking and cataracts. But this is quite an unlucky coincidence. My vision deteriorates now for a different reason.

 

Being still a bit skeptical, I just wondered if honestly, any body heard of cataracts developing after x-linking. Well have a good day.



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Deb


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Date: Fri Sep 11 5:27 AM, 2015
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Hello Jimmy,

Your gut feeling is right. This is because any surgery to the eye...indeed anything which touches the internal lens, can cause a cataract, however it is rare and in Crosslinking its not heard off or is extremely extremely rare, that its not worth worring about when dealing at first hand KC is more important and timely done.

The cause of a cataract is not a precise science either.

The good news is with a cataract operation is it may well (if expertly done and the right lens picked), be possible to gain back the vision loss not only of the cataract but also your existing refractive error caused by KC.

Stay well smile



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Member

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Date: Fri Sep 11 2:03 PM, 2015
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Hey Deb, you sound like a doctor. You're right the KC was more important.

"Extremely rare" cataracts may just be my forte since I already managed to get ectasia. 

Looks like another surgery throwing good money after bad.  Wish I never had lasik.

Can irregular astigmatism be fixed with cataract surgery? I didn't think lenses could do that.

 



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Date: Mon Sep 14 2:17 AM, 2015
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It depends where you live on the range of IOL's available and approved for the use to treat astigmatism as well as the cataract (the level of astigmatic correction needed matters too ) http://www.eyeworld.org/article-experts-differ-on-corneal-astigmatism-correction-in-cataract-surgery

With IOL toric implantation, it might be more difficult to wear toric contact lenses if ever needed to. 



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Member

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Date: Mon Sep 14 2:34 PM, 2015
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Thanks for the link. I think they are talking about regular astigmatism. From what I understand ectasia from lasik forms an irregular cornea surface which is not correctable with lenses. I'm guessing it's more like a "pitted" surface.



-- Edited by jimmy manthey on Monday 14th of September 2015 02:36:12 PM



-- Edited by jimmy manthey on Monday 14th of September 2015 03:04:45 PM

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Veteran Member

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Date: Mon Sep 14 11:13 PM, 2015
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It does depend on the level of irregularity of the cornea there is.

Its not unheard of creating a more regular cornea with the use of PRK after ectasia (whilst crosslinking is also used in combination)

PRK after Lasik is done if there is enough corneal thickness with the flap, and the Dr is confident, because its only a very minimal treatment, to on the other hand, reap the required results for your visual goal.

In much the same way as in a "normal" eye that has a cataract operation, because usually there will be some residue refractive error left (be it only small). In these cases people do have a little bit of laser surgery to fine tune the overall refraction.

Still though, take the advice of your own medical team, but do seek opinions with Drs up to date on the treatment options, so you do not miss out (if ever or possibly!).

Best of Luck



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Member

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Date: Wed Sep 16 5:32 PM, 2015
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I will probably not go under a laser again but yes it's worth asking about. thanks.

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Veteran Member

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Date: Wed Sep 30 10:57 PM, 2015
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Jimmy,

If someone did Lasik without ruling out keratoconus, that was a huge blunder. I'd stay as far away from those people as I could going forward.

I recently had cataract surgery due to hyperchronicity (getting old). My cataract surgeon, who is also a leading KC expert, implanted toric lenses, which is NOT recommended by the lens maker. It worked really well in one eye, the one with the less severe KC. I think it might have worked pretty well in the other eye but the power of the lens was way off. It is hard to measure a KC eye to determine the power of lens that needs to be implanted. I now wear a contact lens to correct for the IOL power error. The interesting thing is that I was fit with a Kersoft IC lens and it has almost no toric power. My guess is that the toric IOL corrected the irregular astigmatism and that I would not need glasses for distance if the spherical power had been right. I do think that I get better vision with the Kerasoft lens than I would have had with an IOL of the right power.

The cataract surgery will improve your vision dramatically. But find a surgeon with as much experience in dealing with KC patients as possible. The surgery itself isn't made too much more difficult by the KC, although I'd want someone skillful to deal with your doubly compromised corneas. But figuring out the right IOL to use is going to be a real challenge in your case.

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