Ambylopia and cataracts

I just discovered this site after reading Susan Barry's book.  I would like to know what people's experience has been with situations where not only is there ambylopia, but the eye has cataracts, and even before they developed was evaluated at 20/100.  Is cataract surgery a prerequisite to starting vision thereapy?  In this situation, are the expectations for progress limited?  Any other words of advice?  (P.S.  I'm 66 years old)

Rick Tejada-Flores

Tags: caataracts

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Permalink Reply by Dr. Dan L. Fortenbacher on April 11, 2011 at 6:00pm

Hi Rick,

I have a patient who just started with us a couple weeks ago in vision therapy with a similar history. She is 65 years old and came in for an evaluation for her strabismus and amblyopia. She also had a fairly dense cataract in the turned eye which had to be addressed before I could advise her about vision therapy treatment. So yes, she had the cataract operation which was very successful. We expect that she will now be able to respond to treatment now that she has a clear "optical system" (her eye with the intraocular lens). I have worked with hundreds of adult patients in vision therapy over the years and they are usually my best patients.

Therefore, yes, it is important that you have your cataract removed as a prerequisite to doing vision therapy. My other advice is to see a doctor who has a lot of experience in providing vision therapy and who preferably is Board Certified by COVD.

Dr. F.

Permalink Reply by Rick Tejada-Flores on April 11, 2011 at 7:41pm
Thanks so much.  I will be meeting with Dr. Carole Hong for an evaluation.
Permalink Reply by Rick Tejada-Flores on June 1, 2011 at 12:35pm
Another issue that I've been wondering about is whether the vision therapy process will address the situation where when I look through my good eye my brain discards the image from my other eye....  in other words, I can switch back and forth between the two eyes, but can't keep looking with them both at the same time, except by using my peripheral vision.

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