Question. I am 68 years old and have myopia from birth. In 1995 they discovered that I had glaucoma and have been treated and monitored ever since. In 2018 I had a cataract surgery and the problems started. The right eye has lost sight from maculopathy and now the vision of the left eye is slowly disappearing. Can at least this eye be saved? Is there a cure?
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Answer. From his brief information it would seem that at least three alterations have been added to his eyes: myopia (possibly high), glaucomatous disease and cataracts. It is not clear, not having more precise information, whether his maculopathy is linked to myopia or age (age-related macular degeneration). Glaucoma in a myopic eye is more difficult to treat and control than in the non-myopic eye. She reports that the visual loss began after the cataract surgery. However, assuming that such surgery has occurred regularly, it is more likely that the visual loss depends on the progression of glaucoma or that of maculopathy. In the case of damage evolved from glaucoma it is very important to check the best eye well, acting to prevent any further progression. If maculopathy is responsible, there are different and usually effective treatments for it. In conclusion, it is necessary to identify with certainty the root cause of his visual state and act accordingly.
* Edoardo Midena, Director of the Ophthalmology Clinic and the School of Specialization in Ophthalmology of the University of Padua
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