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It may be that a causal relationship be?tween uncomplicated cataract surgery and optic neuropathy will not be con?clusively established in the literature, said Dr. Bhatti. However, the experts said, there¡¯s enough evidence to justify proceeding with caution as well as to support counseling prospective patients with a history of optic neuropathy who are electing to undergo cataract surgery in the fellow eye.
As Dr. Bhatti noted, ¡°Thankfully, optic neuropathy following cataract surgery is relatively uncommon¡ªagain, [the incidence is] in that 1 in 1,000 to 3,000 range. But if patients have previ?ously experienced either garden-variety spontaneous NAION or PCSON in one eye and they¡¯re considering cataract surgery in the other, it¡¯s important for the surgeon to provide full disclosure and counsel them on the possible in?crease of risk in that fellow eye.¡±
