Is cataract surgery required for APD?
APD would not be corrected after cataract surgery.
APD called afferent pupillary defect is not corrected with cataract surgery. APD mainly because of optic nerve defect or optical tract lesions.
There can be severe retinal lesion as well. whereas cataract is opacity in lens. so in cataract surgery retina is not repaired or optic nerve touched to correct APD.
Your lutein supplements are mainly for retinal or optic nerve lesions, so you still can take lutein supplements.
Please confirm with your doctor if vision improves with cataract surgery in spite of APD. in my opinion APD wouldn't affect vision unless retina is involved severely.
Hope I have answered your query. Let me know if I can assist you further.
I am dismayed to find that the cataract surgery does not help with the APD. I must have misunderstood.
What exactly will I be asking an opthamologist to do for me after my surgeries and follow ups are over?
Thank you so much. XXXXXXX XXXXXXX
My surgeon may have meant that he could not determine next steps for retina until large cataract is removed.
you should see an Ophthalmologist for sure. They are going to operate on and see the retina behind the lens.
Even before surgery, I suggest seeing an Ophthalmologist ensure there would be vision difference before and after surgery.
Check if he can see behind the lens at the retina(sometimes they cannot if it is mature cataract).
Hope I have answered your query.
Dr Suma Parinam, General & Family Physician
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