Cataract Case Study
Mrs Patricia Davies is a 76 year retired female. She enjoys dancing, table tennis and gardening. She developed pneumonia as a baby which left her with a nystagmus and bilateral ambylopia. She was in and out of spectacles as a child but for the last 40 years was wearing a correction full time. She wore soft daily disposable lenses every day. The patient was referred to us by her optometrist because she was developing a cataract in her left eye.
Her refraction was as follows:
| Unaided | Sph | Cyl | Axis | VA | Add | VA | |
| RE | >6/120 | -8.00 | -1.00 | 75 | 6/10+ | +1.75 | N5 |
| LE | >6/120 | -7.00 | -1.25 | 105 | 6/10+2 | +1.75 | N6 |
Ocular Examinations
| Right | Left | |
| 514 | Corneal Pachymetry (µm) | 524 |
| 4.5 | Colvard Pupil Diameter (mm) | 4.5 |
| 16 | Goldmann Contact Tonometry (mmHg) | 16 |
| 42.8 @ 78, 41.6 @ 168 | Orbscan keratometry (D) | 42.9 @ 100, 41.8 @ 10 |
| 2.37 | Anterior Chamber Depth (mm) | 2.30 |
| Normal | Anterior Segment Evaluation | Normal |
| Cortical opacities and nuclear sclerosis | Crystaline Lens | Cortical opacities and nuclear sclerosis |
| Unremarkable | Opthalmoscopy | Unremarkable |
Treatment plan
Dr Pillai decided bilateral cataract surgery with monofocal intraocular lenses would be the best option due to her cataracts and bilateral amblyopia. The patient did not want glare and was happy to wear reading spectacles.
Surgery notes
The right eye was operated on 11.03.2015 and the left eye the next day with limbal relaxing incisions. Both went without complication.
RE 2 day and LE 1 Post-op
RE 6/7.5 LE 6/7.5 BE 6/7.5
The patient was overwhelmed by the clarity of her vision.
2 Week Post-op
RE 6/7.5- LE 6/7.5- BE 6/7.5
3 month Post-op
RE 6/7.5 LE 6/7.5+ BE 6/6 (Just) N8-N6
Patient is extremely delighted. She has never seen as clearly as she does now. She can even read during the day and only reaches for her reading spectacles at night. She loves dancing freely without need of annoying contact lenses!
Interested in Cataract Surgery?
If you would like to find out more about cataract surgery at Advanced Vision Care and what it can do for your eyesight, then why not call AVC TODAY on 0800 652 4878 and request your free information pack or book your consultation to find out how we can help you.
