Thank you for that extra information. I actually did research on pseudoexfoliation syndrome and the secondary glaucoma it can cause when I was a resident. As you already know, this is a very serious type of glaucoma and can be difficult to treat.
To directly answer your question, I do not believe that your vision loss is secondary to any sort of "humor opacity" such as clouding of the cornea, lens
(yours was removed) or vitreous
. Any such opacities would be instantly apparent to your ophthalmologist
I feel, from what you have posted, that your visual problems are do to your glaucoma. I think that the pressure spike you experienced caused more damage to your optic nerve but, fortunately, your optic nerve is recovering somewhat and your sight is improving. I must tell you that you are fortunate that your vision is getting better as it is not common for a stressed/optic nerve to improve after any insult.
So. What is the take home message? From what you have posted, I agree with your surgeon: Your vision loss is due to severe damage to your optic nerve secondary to your glaucoma and the stresses of cataract surgery on your eye. It is good that some vision is returning over time but you should think of this as "bonus vision" that the majority of patients in your situation do not get.
Does this make sense to you.
I hope this information was helpful for you. But I do work for tips so I want to make sure you are happy with me before rating me. If you have another question on this or a related issue feel free to fire away. You may also receive an email survey after our chat, if you don’t feel that I have earned a “10” rating in all areas, please let me know what I can do to meet your expectations.
Thanks in advance,
Dr. Rick MD FACS