Cataracts

[Spiker]

I'm scheduled for assessment and possible surgery in 3 weeks. Surgery has been deferred once due to poor HBA1C and poor blood sugar stability (the risk is that unstable blood sugar causes the eyes to change shape before and/or after surgery).

Should I hold out to improve my HBA1C further, and get cataract remission without surgery? What are the odds? The degeneration was initially very slow but accelerated in the last few years and even the last few months.

 

[PaulinaB]

Should I hold out to improve my HBA1C further, and get cataract remission without surgery? What are the odds? The degeneration was initially very slow but accelerated in the last few years and even the last few months.

Well, you should probably ask your doc about it. I think the chance for remission depends on the time - since they're fluid, it may be "flushed out", but this fluid gets more and more solid with time, so the chance of "flushing out" gets smaller. At least that's how I understand ti
My vision was perfect up until 2 months after diagnosis, when I was switched to basal/bolus from novomix and (ironically) my bg started getting better. I seems like, the better it is, the worse my eyes get

 

[Flowerpot]

Spiker, I agree with Paulina , the chances of any remission/reverting the opaqueness are dependent on the length of time since diagnosis and length of time of the cataract formation. When I had my cataract removed I had to get my HbA1c to 7 before they would consider doing it so that delayed surgery by quite a time. I did have proliferative retinopathy too so one of the main risks was the greater chance of a bleed following surgery.

It's a hard call as obviously you want the best sight possible but also you really don't want to increase the risks of any complications with a non optimal HbA1c.