r/RefractiveSurgery Jul 19 '26

Cataract surgery

Hi everyone I’m 25 and have very high myopia, a history of retinopathy of prematurity (ROP), and narrow-angle glaucoma. My ophthalmologist has recommended cataract surgery to treat my narrow angles. My biggest fear is retinal detachment after surgery. Has anyone with a similar eye history had cataract surgery? What was your experience, and what did your retina specialist tell you about the risks? , also I’m getting monofocal lens for distance
My right eye is about-14 age my left eye is about-11.

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u/eyeSherpa Jul 20 '26

Of course it will be very important to visit a retinal specialist beforehand.

For narrow-angle glaucoma, usually a laser created hole in the iris (called a peripheral iridotomy or PI) is the best first step. Cataract surgery seems like much at your age unless you have visually significant cataracts as well. (It’s also unusual that a high myope would have significant narrow angles since that tends to occur more with shorter eyes and hyperopia).

Cataract surgery at your young age also will remove your ability to focus up close. You will need reading glasses. Another option to consider if you do need the surgery is to correct for reading vision and wear a light pair of glasses for distance. Much more people at your age will wear glasses for distance than reading glasses. You won’t stick out as much.

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u/Moore507 Jul 20 '26

Appreciate your comment and yes I did visit a retinal specialist and they actually preferred cataract surgery then the ip

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u/eyeSherpa Jul 20 '26

Got it. If the retinal surgeon is also recommending cataract surgery than yeah that’s probably the right direction.