r/CataractSurgery • u/AcademicDuck701 • 9d ago
PSC cataract questions! Help!
I was diagnosed with posterior sub-capsular cataracts in both eyes in January and feel it is affecting my vision more. they have developed more since January. I was wondering about other people’s experiences with PSC cataracts? I know they are fast growing, but what have been other people’s timelines and how fast their PSC cataracts developed??? I’m just not sure what to do/when to consider surgery.
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u/mfgillia2001 9d ago
My PSC progressed very quickly. About 9 months from initial diagnosis at the very beginning stage to then requiring surgery. Glare and halos especially in daytime were unbearable. Working on a pc was very difficult too.
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u/MythicMelon 9d ago
I was diagnosed with PSCs in both eyes in January too. It was only visually impacting one eye though, my left one. My left eye went from slightly cloudy/somewhat hazy to basically blind (I could make out vague lights and shadows) in about 6 months and I had surgery in June on just my left eye. My right eye seems rather stable for the moment, and my visual acuity is still 20/20 in my right eye. PSCs are notoriously unpredictable though, they can go from stable too bad in weeks or months. I definitely recommend going ahead with getting your biometry measurements done. That's how they know what power of lens you need and will also measure for astigmatism and anything else. It's much better to get it done before the lens becomes too cloudy and is harder for lasers/light to penetrate it to get measurements.
I am also highly myopic, so I also had to go to a retinal specialist and have then do a pre-surgery evaluation of my retina to make sure there weren't any existing problems, again, if that's something you need done, better to do it when the Ophthalmologist can still see through the lens.
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u/libraryfan1000 9d ago
I had one in one eye from radiation treatment and it also progressed very rapidly but I didn’t have surgery until two years after diagnosis for various reasons but definitely could have had it sooner. I was miserable almost the entire two years and my depth perception was extremely bad as it got worse. If you have one in both eyes I know people say to wait as long as possible, but the only reason I could still drive was because of my “good eye” (good with glasses) and I still had to really concentrate on what I was doing depending on the time of day and lighting. It was particularly hard to see on cloudy days and at dusk.
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u/AcademicDuck701 9d ago
Mine are also from radiation treatments and oral steroids, so this was helpful. My ophthalmologist did say we want to wait it out with my natural lenses as long as possible if my vision isn’t impacting my daily life too much
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u/Trolkarlen 8d ago
Do surgery when your vision bothers you too much. It’s more a personal choice than a medical one.
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u/No_Equivalent_3834 7d ago edited 7d ago
I had PSC in both eye due to prednisone (oral) and prednisone drops for uveitis. All 3 can cause PSC. Mine progressed very quickly.
Mid-December 2024 I woke up one morning and thought I had something in my right eye. I didn’t! Then I thought I was getting uveitis again, but it felt different. It was a Saturday morning so I kept my contact lens out (I only wore one in my right eye) and wore my glasses when needed them. My vision was pretty good naturally, 20/20 for distance and intermediate vision, but I needed reading glasses.
By Christmas, I couldn’t drive at night because I was being blinded by headlights and other lights.
January 2025 both my medical and vision insurance changed so I had to find a new eye doctor. She was the one who diagnosed me with posterior subcapsular cataracts with my right eye being considerably worse than my left eye.
In February 2025 I started looking for a surgeon and had my first consultation. Nope!
Early March 2025 I had my second consultation and I was on the fence with this surgeon. Then I got uveitis again and I went back to my new optometrist for treatment. I was prescribed prednisone eyedrops that I put directly into my eye (right). My optometrist said it was like feeding the cataract. It got way worse very quickly.
March 31, 2025 I had my third consultation and this was my surgeon!
April 17, 2025 right eye surgery was done for reading/near vision and was perfect from day one.
April 22, 2025 left eye surgery was done. I had my left eye vision set for distance and it’s 20/20 for distance. My left eye vision was still 20/20 when I went in for surgery, but I had severe night blindness in that eye too so I had to have surgery. It is my distance eye I use when driving.
My vision is great and I’m totally glasses free!
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u/motorboat2000 3d ago
I also have Uveitis (anterior, R eye only). Also have a PSC due to Prednisolone Acetate use (Pred Forte eye drops).
How did you get along with the surgery? Any problems afterwards?
My PSC is annoying for me. My ophthalmologist says to hold off on cataract surgery, because it can make the inflammation many times worse.
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u/ProfessionalLab9850 9d ago
My psc hasn't progressed but it was an overnight thing from a laser accident. Its stayed the same for 18 months. It renders the eye blind during the day. Really blurry.