Posterior Vitreous Detachment (PVD) is more common in individuals who have had cataract surgery. While there may not be an obvious “cause and effect” relationship but there are a number of possible factors may contribute to this. Cataract Surgeon Dr. Da-Thuy explained why cataract surgery patients often experience Posterior Vitreous Detachment (PVD) after a cataract operation.

  • 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.

“What we know clinically as a practical matter 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 Dr. Van. “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.”

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 The Eye Clinic of Texas at 800-423-3937, visit The Eye Clinic of Texas or facebook.com/ecot.lasik to schedule an appointment.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City area that provides all aspects of general, medical, surgical, laser and optical eye care services. Our Board Certified Ophthalmologists perform Laser Eye Surgery such as LASIK, Cataract Surgery & Lens Implants using advanced technology IOLs to correct complex problems such as astigmatism and near vision focusing problems including presbyopia, diagnosis and management of glaucoma, diagnosis and management of diabetic retinopathy, diagnosis and management of Age Related Macular Degeneration (AMD) and Pediatric Ophthalmology. Texas EyeWear at The Eye Clinic of Texas provides personalized consultation and fitting of eyeglasses and eyeglass lenses for greater Houston, Galveston, League City and Texas City area patients.

Patients having cataract surgery at The Eye Clinic of Texas don’t have to be concerned with undue restrictions on leaving Houston and flying and air travel after their cataract operation. “Having cataract surgery doesn’t need t present a major barrier to air travel of flying,” stated Bernard Milstein, M.D. “My cataract patients-especially as they seem to be getting younger-are continuing very active lifestyles. Often they need to get on an airplane or take advantage of air travel arrangements after cataract surgery and don’t want to be hindered.”

Most cataract surgeons require their patients to be examined the first day after cataract surgery and again at about 5-8 days after a cataract operation. This is the period of time where rare, but potentially serious, complications would likely be detected, if they were to occur. Beyond this period of time it is more a matter of making sure that you have access to continued follow up care at your cataract surgeon’s direction. If you are contemplating a trip after your cataract surgery you should discuss this with your cataract surgeon and we can give you any additional advice you might need regarding air travel as it would apply to your post operative instructions.

If you or someone you know has questions or concerns about cataract surgery, air travel and flying please feel free to call The Eye Clinic of Texas at 800-423-3937, visit The Eye Clinic of Texas or facebook.com/ecot.lasik to schedule an appointment.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City area that provides all aspects of general, medical, surgical, laser and optical eye care services. Our Board Certified Ophthalmologists perform Laser Eye Surgery such as LASIK, Cataract Surgery & Lens Implants using advanced technology IOLs to correct complex problems such as astigmatism and near vision focusing problems including presbyopia, diagnosis and management of glaucoma, diagnosis and management of diabetic retinopathy, diagnosis and management of Age Related Macular Degeneration (AMD) and Pediatric Ophthalmology. Texas EyeWear at The Eye Clinic of Texas provides personalized consultation and fitting of eyeglasses and eyeglass lenses for greater Houston, Galveston, League City and Texas City area patients.

Houston Cataract Surgeon Bernard Milstein, M.D. reflected on a not infrequent question posed by cataract patients about waiting too long for cataract surgery. “Dr. Milstein-what happens if I wait too long for my cataract surgery-can that be a problem?” Dr. Milstein advised, “The decision of when to have a cataract removed and replaced with lens implants is really a very personal decision. Some patients are simply not comfortable with 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.”

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 from the instruments we use to break up or fragment the cataract and may lead to prolonged inflammation or even intraoperative complications,” stated Dr. Milstein.  “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. Milstein 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 and might be concerned about waiting too long for surgery please feel free to call The Eye Clinic of Texas at 800-423-3937, visit The Eye Clinic of Texas or facebook.com/ecot.lasik to schedule an appointment.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City area that provides all aspects of general, medical, surgical, laser and optical eye care services. Our Board Certified Ophthalmologists perform Laser Eye Surgery such as LASIK, Cataract Surgery & Lens Implants using advanced technology IOLs to correct complex problems such as astigmatism and near vision focusing problems including presbyopia, diagnosis and management of glaucoma, diagnosis and management of diabetic retinopathy, diagnosis and management of Age Related Macular Degeneration (AMD) and Pediatric Ophthalmology. Texas EyeWear at The Eye Clinic of Texas provides personalized consultation and fitting of eyeglasses and eyeglass lenses for greater Houston, Galveston, League City and Texas City area patients.

Houston Cataract Surgeon Bernard Milstein, M.D. explained about correcting astigmatism after cataract surgery with toric lens implants. “Most cataract patients know from their eye exams or eyeglass prescriptions that they have some amount of astigmatism. However, sometimes they don’t realize that it is important for their cataract surgeon to correct that astigmatism in order to get the best visual results after cataract surgery,” explained Dr. Milstein of The Eye Clinic of Texas serving greater Houston & Galveston, TX.

BernardAMilsteinMDphotoAstigmatism is a common refractive eye condition that that is most often due to an uneven curvature of the cornea. If the cornea were perfectly shaped, it would have a spherical round even shape, like a basketball. In eyes that have astigmatism, the cornea is typically curved more like an oblong, football-like shape, similar to the shape of the back of a teaspoon.

“Depending on the degree and orientation of the unequal curvatures, astigmatism can cause mild or even severe blurry vision,” explained Dr. Milstein. 

Patients with cataracts and who are in need of cataract surgery have three choices when considering how to correct their astigmatism. First, patients can simply choose to be dependent on wearing eyeglasses after cataract surgery in order to correct astigmatism. Second, if appropriate, some patients may opt to have an additional surgical procedure called Limbal Relaxing Incisions (LRI) or third, patients can elect have an astigmatism correcting toric lens implant in which the astigmatism correction is incorporated into the lens prescription just as in eyeglasses. “Toric lens implants are placed in the eye in exactly the same manner as ordinary lens implants at the time of cataract surgery and correct the astigmatism as part of the cataract surgery operation,” further explained Dr. Milstein.

If you or someone you know has cataracts or is considering cataract surgery, and has astigmatism please feel free to learn more about astigmatism correction after cataract surgery by calling  The Eye Clinic of Texas at 800-423-3937, visiting The Eye Clinic of Texas or facebook.com/ecot.lasik to schedule an appointment.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City area that provides all aspects of general, medical, surgical, laser and optical eye care services. Our Board Certified Ophthalmologists perform Laser Eye Surgery such as LASIK, Cataract Surgery & Lens Implants using advanced technology IOLs to correct complex problems such as astigmatism and near vision focusing problems including presbyopia, diagnosis and management of glaucoma, diagnosis and management of diabetic retinopathy, diagnosis and management of Age Related Macular Degeneration (AMD) and Pediatric Ophthalmology. Texas EyeWear at The Eye Clinic of Texas provides personalized consultation and fitting of eyeglasses and eyeglass lenses for greater Houston, Galveston, League City and Texas City area patients.