In a previous thread, Dr. Trattler said in regards to cataract surgery following retinal detachments: "depending on the method of the retinal detachment repair the risk [of cataract surgery] may not be that high".

I'm very curious, what type of retinal detachment repair poses less/more risk for cataract surgery?

OS eye had a scleral buckle 10 repair years ago. 4 years ago the buckle was removed as the sponge had become visible above my lower lid. This scleral buckle removal surgery induced the traumatic cataract. The cataract is still small and causes distortion in my nasal peripheral vision but appears to have minimal impact on my central vision.

I'm 37 years old. Dominant eye Rx is -11.75+1.50x131. Vision is currently ~20/40 but without astigmatism correction in my contact. With my high myopia, RD history, cataract, 575um corneal thickness, bad night vision now (glare, starburst, haloes), what recommendations could you make for me?

My other eye (post-LASIK) is +0.5+0.75 with significant GASH (multiple ghosts, starbursts, haloes). The extreme different between my eyes is problematic. Luckily, I still tolerate a contact in that eye 18 hours per day. I cannot function with both eyes open and no contact.

I'm looking for any information which might aid in my research,

Jan R

There is a risk of retinal detachment following cataract surgery. People with a previous retinal detachment can be at risk for a second retinal detachment in the same eye either spontaneously, following trauma, or following intraocular surgery.
A scleral buckle is a method for repairing a retinal detachment, which works by supporting the retina. It is my understanding that the risk of a re-detachment following cataract surgery would be lower in a patient with a scleral buckle in place than for a person who had their retina previously repaired in a different way (the other common way to fix retinal detachments is the use of an injection of gas).
Since I am not a retinal specialist - I would ask that you discuss this carefully with your own doctor/surgeon. As well - Dr. Louis Kasner is a retina specialist at AskPhysicians.com who may be able to answer your question. (AskPhysicians.com is a similar web site to this one).

I hope this helps

Bill Trattler, MD
Miami, FL