Surgery to Improve Vision with Graves’ Disease and Cataracts

In this week’s episode of Thyroid Thursday, Thyroid Eye Disease expert Dr. Raymond Douglas talks with Ophthalmologist Dr. Neda Shamie about surgery to improve vision with Graves’ disease and cataracts. During the episode they answer the question, “Can people with Graves’ eye disease still have cataract surgery and/or refractive surgery?”

Medicine has become more and more customized and the art of medicine allows us to have a connection with our patients and then apply these incredible advanced technologies so they have the best results. As a cataract surgery and refractive laser surgery (LASIK) specialist, Dr. Shamie shares the new advances for improving vision or returning vision back to normal.

Graves’ Disease and Cataracts – What to do?

Patients with Graves’ disease, prominent eyes or excessive dryness pose a problem when you begin to think about cataract or refractive surgery. In these cases, we need to first address taking care of the surface of the eye (ie. the dry eyes). It is an important factor when we think about cataract surgery because the surface of the eye is where the light hits first. If the surface of the eye is not managed well, then the results of cataract surgery will not be ideal.

Dr. Shamie explains that when she has a patient with Graves’ eye disease and cataracts, the first thing she does is address the ocular surface to optimize that as best as possible. Once the ocular surface is healthy, she will then address cataracts in a safe and effective way.

Surgery to Improve Vision with Graves’ Disease and Cataracts

When you have cataract surgery, the lens of the eye has become cloudy and needs to be replaced with a new lens implant. If Dr. Shamie can optimize the eye surface of a patient with Graves’ disease without too much effort, then that patient can be offered all the great advances of cataract surgery, just like patients who do not have systemic disease. Today we have a whole menu of different type of lenses depending on the needs of the patient. It is just very important for Dr. Shamie to make sure the rest of the eye is optimized before taking full advantage of these new advances.

There are four categories of lenses for patients:

  • Basic lens – Only corrects one distance and the patient may still potentially need glasses for distance, mid-range and near vision.
  • Astigmatism implant – Corrects astigmatism and optimizes distance and near vision.
  • Extended range of vision – Helps improve the sharpness of vision at near, mid-range and far distances.
  • Accommodative lens – Improves vision at varying distances using different points of focus.

What makes Dr. Shamie an excellent eye surgeon is that she listens to her patients’ needs and life demands to figure out what the best lens for them is. Every patient relies on a different type of vision and it is her goal to make sure their surgical results are complementary to their lifestyle needs. So this is why it is so wonderful we have so many different types of lenses today.

If you need surgery to improve your vision with Graves’ disease and cataracts, please contact our office.

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Posted in: Thyroid Eye Disease

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