jakemoore wrote: ↑
Tue Jun 25, 2019 7:33 am
I think the cataract ops without stitches suck as there is now data that about 30 or 40% (AFAICR) of eyes leak via the incision which probably result in more severe vitrious body detachments and more danger.
Wound leaks are a risk for infection which is a path to a glass eye but not RD. I do about 1000/yr and suture about 20 clear corneal incisions every year. Most are because the patient has a planned retina surgery that might challenge the incision. Invariably there are some wound leaks. I check the integrity of the incisions meticulously and suture if needed. Sutures themselves are a risk for infection I treated a patient with a suture abscess this year. The original surgery was elsewhere. He did well. Even when sutures don’t cause any problems at all it still feels like a grain of sand. There is no doubt a leaking wound needs a suture. But most of the time a properly constructed incision is water tight. Nobody wants sutures.
Thanks. How do you check for leaks? I M pretty sure I had multiple leaks after a cataract surgery and they just could not see them? One problem seems to be that leaks a temporary and close in hours and in my case were happenning during exersize. Also leaking fluid is tear like so one can't really see it, I understand?
In my case I had blood condition caused by 0 vitamin B12 so healing was not going well as a result, but there is a research paper which states that something like 30% current cataract ops leak - unnoticed.
I can't understand why people are told they can exersize in 2 weeks either. My eye was hurting for 6 month, for example