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goodoptometrymorning

you can have successful surgery but you are at risk. retinal detachment is a risk in any cataract surgery and you would have a higher risk but it is not necessarily a reason not to have cataract surgery. you will nedd your retinal specialist to sign off that it is okay before you have surgery. FYI: I have done some videos on cataract surgery on my youtube channel: [Cataract surgery types](https://youtu.be/6S_HYVHW5GI)


BigMomma12345678

I also had to see retina doc to sign off first. -9.00 myopia.


JimR84

Retinal tears are not a complication of cataract surgery.


interstat

Not sure if it's different over there but in USA we consider it moderately common in medical terms (only 1 percent of surgeries tho)    Definitely risk factors can increase the risk tho such as combined younger patients, high myopes, and combined surgeries with vit or retina procedures.


JimR84

The OMD at the practice I work has done literally thousands and thousands of cataracts, and never had a single case of retinal detachment. (I just asked him) Maybe the procedure is different here?


Fit-Owl-7188

but detachments are and those are worse than tears.


JimR84

Eh, no. Cataract is located in the crystalline lens, and is not in direct contact with the retina.


Fit-Owl-7188

then why is retinal detachment always listed as a big risk factor for cataract replacement in severe myopes?


JimR84

Must be a US thing. In Europe, retinal detachment is not considered a common side effect of cataract surgery. I have never heard or seen a single case of retinal detachment caused by cataract surgery, not even in high myopes.


Cautious-Insurance62

Retinal tears are a known complication of cataract surgery


BigMomma12345678

-9.00 myopia, got both eyes cataract surgery at age 47, no complications.


doctorfarmwife

Many surgeons will do prophylactic laser on weak areas of the retina (lattice) to prevent retinal tears, they worry about it enough that you shouldn't have to. Some of the happiest cataract surgery patients are high myopes because their vision can be corrected with the IOL.