I have lattice degeneration, macular degeneration &cataracts. I am told that if I have cataract surgery I have a greater risk of retinal detachment for a year and a half after surgery. Can things like excersise, strain to pick up heavy object or having sex be enough to create detachment? I am 48 years old and in very good physical shape. I do not sit often. Do you have be immobile to prevent a tear?

These are good questions. Retinal detachment is one of many possible and relatively uncommon complications of cataract surgery. If it is going to happen, it usually happens early on, but you are right that it can happen several months after the procedure, as well. That said, most patients can resume full regular physical activity within a month or so after a cataract surgery.

However, you in particular may have some special circumstances which would cause your doctors to tell you to be more cautious -- especially since you have more than on type of ocular condition. As a primary care doctor giving advice over the internet, I really can't give you information that is specifically geared to your own personal situation.

Therefore, I very much recommend that you that you have a detailed discussion with your eye doctor about this so you can know what's best for your own chances of a good recovery. In particular, you might want to ask why they think you are at greater than average risk for retinal detachment after cataract surgery.

Thanks for asking. I hope all goes well with you. Somehow, I feel certain that, even if some activities are to be off limits for you in the short run, you should be able to do several activities that will allow you to remain in good physical condition.

Dr. Mike Potter

-- Michael Potter, MD, is an associate professor at the University of California at San Francisco Medical Center.

First published March 30, 2005
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