Cateracts & crohn's

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crohnielass
Veteran Member


Date Joined Mar 2009
Total Posts : 1117
   Posted 6/12/2013 11:05 AM (GMT -6)   
Hi All,
 I know Crohns can cause problems with your eyes but can it cause Cateracts? The reason I ask is  I recently had an eye test done and was told I had Cateracts in both eyes. When I asked how come I have got them when I'm only 46 and nobody in my family have ever had them( including my Grandparents on both sides.)
The Optician said had I been on long term Steriods as this could be the reason for it. I have been on Pred in the past but only for 8 weeks and a low dose.
So is there anyone out there  who is or has been on pred and been told they have Cateracts? All my previous eye tests had beem fine. So it looks like I need to get them done now, if its not one thing its another lol!!! wink   x  
Diagnosed with crohns at 13, right Hemicolectomy in 93, remmision till sept 08, small bowel resections & Entercantaneous fistula excised, along with temp stoma in 09 stoma reversed Apr 2010. 2011 3 more fistula's to deal with!!
Major surgery Jan 2013 had all fistula's, Gallbladder & sections of small bowel removed permenant ileostomy given.

gumby44
Veteran Member


Date Joined Nov 2007
Total Posts : 2819
   Posted 6/12/2013 12:56 PM (GMT -6)   
Hi. I just had an eye exam a couple of days ago, and I was also told that Prednisone can cause early cataract formation. 8 weeks doesn't sound like a super long time, but maybe you are very sensitive to steroids. I don't know if Crohn's disease itself can affect cataracts, but it wouldn't surprise me. Sorry you are going through this!
54 yr. old female, diagnosed with Crohn's in terminal ileum Sept-Oct. 2007. Also have GERD and IBS, gastroparesis (Dx. with c.difficile 1/12- now resolved)

MEDS: Pentasa- 6 500mg pills per day, Dexilant, Metamucil, colace, miralax as needed, Culturelle probiotics .25 xanax for sleep prn

nenagirl
Regular Member


Date Joined Nov 2005
Total Posts : 133
   Posted 6/12/2013 1:27 PM (GMT -6)   
I had cataract surgery in both eyes when I was 37, but I had been on/off prednisone for 18 years at that time.

Cataracts caused by steroid use develop differently (the lens hardens/vision becomes blurry beginning in the center of the lens and growing outward) than other types of cataracts (age or premature age-related cataracts = the lens begins hardening on the outer edge and continues toward the center). At least that is how my dr. explained it to me.

Did your optician specifically say where he saw the cataract/hardening of the lens? Was it already throughout the entire lens?

My optician caught mine very early - and I subsequently had regular (every other month) appts. w/an Ophthalmologist to follow the progression. In a matter of just one month, I went from not 'needing surgery yet' to needing it ASAP.

Best of luck with your situation, crohnielass.

crohnielass
Veteran Member


Date Joined Mar 2009
Total Posts : 1117
   Posted 6/14/2013 12:29 PM (GMT -6)   
Thanks Gumby44 & nenagirl,
The optician said the left eye was worse and has a strip right down the middle It is starting to get worse as the weeks go on. Gumby, what was the surgery like? was you put to sleep or awake when they did it? how long does it take to do it? any info would help thanks again to you both xx
Diagnosed with crohns at 13, right Hemicolectomy in 93, remmision till sept 08, small bowel resections & Entercantaneous fistula excised, along with temp stoma in 09 stoma reversed Apr 2010. 2011 3 more fistula's to deal with!!
Major surgery Jan 2013 had all fistula's, Gallbladder & sections of small bowel removed permenant ileostomy given.

gumby44
Veteran Member


Date Joined Nov 2007
Total Posts : 2819
   Posted 6/14/2013 2:36 PM (GMT -6)   
Hi Chronielass,
It looks like nenagirl is the one who had the surgery...not me. My eyes were fine, she was just telling me that if I take Pred, I need my eyes checked every year.
54 yr. old female, diagnosed with Crohn's in terminal ileum Sept-Oct. 2007. Also have GERD and IBS, gastroparesis (Dx. with c.difficile 1/12- now resolved)

MEDS: Pentasa- 6 500mg pills per day, Dexilant, Metamucil, colace, miralax as needed, Culturelle probiotics .25 xanax for sleep prn

JaSanne
Veteran Member


Date Joined Oct 2006
Total Posts : 1393
   Posted 6/14/2013 6:00 PM (GMT -6)   
Sorry to hear your news. When I started reading your post the first thing I thought of was steroids. If you've taken them in the past, it may be cumulative but I don't know. And steroids come in other forms so I know for myself I've had a lot over the years aside from prednisone: cortenemas, Entocort, Otic steroids, etc.
52 yr. old. Ileocolitis. Hemicolectomy-left side in 2001. Severe chronic pain due to enteropathic arthritis, spinal chord injury, sciatica, and scoliosis. History of endometriosis. Severe depression 4yr.

nenagirl
Regular Member


Date Joined Nov 2005
Total Posts : 133
   Posted 6/15/2013 12:16 AM (GMT -6)   
The surgery was a breeze! :-)

Topical (in the form of eye drops) and local anesthesia was used for my surgeries as well as light sedation via IV (versed/midazolam). My surgery was scheduled for 8:00 am (had to be there at 6:30 am for anesthesia prep) and I was on my way home by 10:45 am. I do remember hearing the dr. talking to her assistant during the surgery but never felt a thing. I was very relaxed.

Typically, the dr. will have you come back the next a.m. to make sure the pressure in the eye is stable, remove the bandage and check your vision. I had to use a couple different eye drops for a few weeks as the eye healed. For the first week or so they had me wear a hard plastic eye patch at night only to protect the eye. I was also advised, in those first couple weeks, not to allow my head to be lower than my heart (like bending over and looking under a table, for example) as that increases eye pressure.

I had both of my surgeries on a Thursday and was back at work as usual on Monday (accounting/office work).

Tracym
New Member


Date Joined Jun 2013
Total Posts : 4
   Posted 6/19/2013 8:24 PM (GMT -6)   
I was on and off Prednisone for approx 8 years (bad idea!). I too haf cateracts in both eyes and have been told they are steroid induced. Will probably need surgery at some point but just putting it off?   :)
 

Ulcerative Colitis 1978, J-Pouch 1994, Non-healing fistula, Crohns 1997; Hydrocortizone Enemas, Pentasa, Rowasa, Asacol, Sulfasalazine, Cipro, Flagyl, Predinisone, 6-MP

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4784
   Posted 6/19/2013 8:40 PM (GMT -6)   
crohnielass

I had cataract surgery last Nov. and Dec. for the same type you have. I was 41 and they think it was from me taking Seroquel, but said steroids can do the same.

Surgery was a breeze. Numbed my eye with a gel and waited for it to dilate and then numbed some more in the OR. Since I caught mine early they weren't very hard and the surgery took about 15 minutes each eye.
I opted for the mono vision where my left eye is for reading and my right is for distance. I only need reading glasses for small print.

Take care,
Bill

Ps. They also said some antibiotics can do this too.
opnwhl4
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09
#3 on 8/24/11

dorri
Veteran Member


Date Joined Feb 2003
Total Posts : 1625
   Posted 7/2/2013 11:59 PM (GMT -6)   
I was told the very same thing. My eye doctor blames it on steroids that was used to treat the crohn's. I was diagnosed with cataracts in both eyes, but they were in the beginning stages. He is waiting for them to ripen as he put it, and then said he will send me to a surgeon. I have my annual appointment within a few weeks. Don't know what he will tell me this time? Hopefully they went away and I won't need the surgery?
Also my GI said that I should be tested for glucoma regularily since crohn's puts one at higher risk.
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