Thanks so much for your kind comments, and for sharing.
In my own practice, I try to let the clinical symptoms and my exam guide my management of my patients. I am always reluctant to go to the CT scan (although I do it often enough), only because that step seems to lead down the road toward surgery, and I feel that my patient’s symptoms and clinical picture should be the more important guide for the surgery decision.
I will say that, among pediatric boogor docs (ENT’s), chronic and recurrent sinusitis in toddlers and young children is often treated as though it has a component of reflux (gastro-esophageal reflux) as a cause. The majority of these children will improve on a reflux regimen, in addition to remedies that reduce rhinitis and sinusitis. The same is true for chronic otitis (ear infections). Please take a look at this blog site, search “unified airway” and “reflux,” and take a look at those articles. Please let me know if those help, and please visit again and let us know how it is going!
Posterior capsular opacification, also known as after-cataract, is a condition in which months or years after successful cataract surgery, vision deteriorates or problems with glare and light scattering recur, usually due to thickening of the back or posterior capsule surrounding the implanted lens, so-called 'posterior lens capsule opacification'. Growth of natural lens cells remaining after the natural lens was removed may be the cause, and the younger the patient, the greater the chance of this occurring. Management involves cutting a small, circular area in the posterior capsule with targeted beams of energy from a laser, called Nd:YAG laser capsulotomy, after the type of laser used. The laser can be aimed very accurately, and the small part of the capsule which is cut falls harmlessly to the bottom of the inside of the eye. This procedure leaves sufficient capsule to hold the lens in place, but removes enough to allow light to pass directly through to the retina. Serious side effects are rare.  Posterior capsular opacification is common and occurs following up to one in four operations, but these rates are decreasing following the introduction of modern intraocular lenses together with a better understanding of the causes.