Blurry Vision After Cataract Surgery: Macular Degeneration Insights - Ophthalmology

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Blurred vision after cataract surgery?


One week after cataract surgery, my father’s eyes are brighter, but his vision is still blurry.
When I asked the doctor, he mentioned that the improvement in brightness is a good sign, but when I inquired about his vision acuity, the doctor said it would be monitored later.
Can you tell me if vision acuity cannot be measured in cases of macular degeneration, or if it needs to be assessed after the cataract surgery recovery? Is there a possibility for macular degeneration to be treated effectively? Thank you.

Yueyue, 40~49 year old female. Ask Date: 2022/02/17

Dr. He Jianxian reply Ophthalmology


Macular degeneration can indeed affect visual acuity, but the extent of the impact really depends on the condition of the macula and cannot be generalized.
As for the possibility of treatment, it also varies from person to person.
- Dr.
He Jianxian, Ophthalmology Department, Nantou Hospital.

Reply Date: 2022/02/17

More Info


After cataract surgery, it is not uncommon for patients to experience blurry vision, especially if there is a pre-existing condition such as macular degeneration. In your father's case, the fact that he has noticed an increase in brightness is a positive sign, but the persistent blurriness when reading is understandably concerning.

Macular degeneration, particularly the wet form, can significantly affect central vision, which is crucial for tasks like reading. The surgery may have improved the overall clarity of vision by removing the cloudy lens (cataract), but it does not directly address the underlying issues caused by macular degeneration. This condition can lead to distortions in vision, such as blurriness or wavy lines, and may not improve with cataract surgery alone.

Regarding the measurement of visual acuity, it is essential to understand that the presence of macular degeneration can complicate the assessment of vision. If the macula—the central part of the retina responsible for sharp vision—is affected, it may not provide an accurate representation of visual acuity immediately after surgery. Doctors often prefer to wait until the eye has stabilized post-surgery before conducting a thorough evaluation of visual acuity. This is because the eye may still be healing, and any inflammation or changes in the eye's structure can temporarily affect vision.

As for the treatment of macular degeneration, it largely depends on the type and severity of the condition. For dry macular degeneration, there is currently no cure, but certain lifestyle changes, dietary supplements, and regular monitoring can help slow its progression. On the other hand, wet macular degeneration can be treated with anti-VEGF injections, laser therapy, or photodynamic therapy, which can help reduce fluid leakage and preserve vision.

In your father's case, it is crucial to have ongoing follow-ups with his ophthalmologist to monitor his condition. The doctor may recommend additional treatments or interventions based on the progression of the macular degeneration and the overall health of his eyes. It is also essential to maintain a healthy lifestyle, including a balanced diet rich in antioxidants, regular exercise, and avoiding smoking, as these factors can influence the progression of macular degeneration.

In summary, while cataract surgery can improve vision by addressing the cataract itself, it does not cure underlying conditions like macular degeneration. Continuous monitoring and appropriate treatment are vital for managing vision changes and maintaining the best possible visual function. If your father continues to experience significant blurriness or other visual disturbances, it is essential to communicate these concerns with his healthcare provider for further evaluation and management.

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