4 weeks since multifocal. Left eye not so great

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Hi everyone. So great to read all about the experiences although not always good. I'm from the England and the only site I can find with reviews of the lens replacement surgery are mostly raving about how fantastic it is. Well my experience so far is not so.

I ll start by saying I'm a train driver. The reason I chosee to have surgery was to ensure my sight was kept at a constant level,as I was on the limit of what the railway allow for its drivers. So I would lose my job should my vision deteriorate any more.

I had choice of monofocal or multifocal. I opted for multifocal as I was told the low ad lense would be good for me correcting all vision both near and distance.

Well 4 weeks later....right eye great meets in facts exceeds railway standard, but left eye does not meet standard. I was told I'm reading one line lower than the minimum standard required. I'm assured it will be ok in time. Or if not that laser yag would be an option to rectify.

It's very worrying time as I'm now off work until this left eye improves. My question is will it? Very scared as iv paid a lot of money and I feel iv put myself out of much loved job. Am I panicking too soon?

I also find by evening my eyes go fuzzy round the edges not focus properly. I find I need go bed very early as what's point of staying up if can't see properly.

I now need to sit much closer to the TV than before. MY near vision is amazing but I feel everything else is very poor.

Has anyone had this yag laser? Was it sucessful? As I'm concerned about having more done. Look forward to any replys

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9 Replies

  • Posted

    Sorry to hear about your problem. I had multifocals both eyes. Neither one worked, I have to wear glasses. The right eye developed PCO only 6 weeks after surgery, had Yag done, made it worse, I have a cloud that goes across my vision every time I move my eyes ( in my right eye) I also see all strange lights, that are worse in bright light & when I get up in the morning. I also have a black curtain that comes down from the top that I can see, it's very annoying & worries me that it will keep going down more & more. Also blurry all the time. Hard to do my crafts & watching TV. But I have to get used to it. I also got demanded my money back because he didn't do the job right. I'm waiting to see another specialist. May need surgery on the right eye. Wishing you luck, you do need your job. Hope it works out for you.

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    • Posted

      Hi there, sorry to hear. Did you ever consider a lens exchange? Also which multifocal did you end up getting? I'm hestitating on whether I should get a multifocal done in one eye as well. Thanks.

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    • Posted

      Thankyou for your reply. Oh my goodness reading your problems your suffering I'm astounded. To have both your multifocal be unsuccessful I can't imagine how gutted you must feel. MY vision is all clear mostly. They do seem to blur up in the evenings which is strange. It's like my eyes had enough for one day. For myself it's all about my job and my vision having to meet a required standard. Any regular job and I'd be back doing it.

      But I do wonder myself bout further yag laser tweek as my surgeon puts it..... or should I just go with glasses again. I know everyone is individual and there are successful eye surgerys but I will think long n hard before agreeing to further surgery. It's only worth it if it works. But no guarantee as reading the many story's on this site. I wish you all the very best and I'm so sorry for you

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  • Posted

    First of all sorry to hear that. Which multifocal did you get? YAG is usually a coin toss and it varies among each individual. One thing for certain is that it is not recommended to get YAG if you have decide to get a lens exchange as it will increase your risks of complications.
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  • Posted

    You don't give enough details to be sure what the issue is with your left eye in terms of not meeting the standard. 

    Is the issue deifinitely PCO? That is  a clouding of the lens that happens in a minority of cases due to cells growing over the lens. If so then that will only get worse and the standard treatment is a YAG. PCO can happen with a monofocal or multifocal, the optics of the lens has nothing to do with it (the issue seems to be some combination of the material, shape of the edges of the lens, how well the surgeon cleared out the lens capsule, and luck). As someone noted, a YAG makes a lens exchange more of a problem since its likely the capsule will tear when they remove the old lens, so the new lens will need to be one that goes at least partly outside the capsule, which is a 3 piece lens rather than the usual 1 piece lens for placement inside the lens capsule. Most 3 piece lenses are monofocals (though I think there may be some multifocal options, I'm not positive, most premium lenses are 1 piece).

    If they haven't said it is PCO for sure, then the question is whether they got the lens power right. The lens power isn't determined by an exact formula, they use your eye measurements and statistics based on prior patients to estimate the lens power. For most people, the power will be fairly accurate, but there is some chance an eye might be left slightly myopic or hyperopic (farsighted or nearsighted), which is more of a risk with people who had high prescriptions before surgery. If that is the issue   your left eye's vision might need correction (via glasses, contacts,or laser surgery like LASIK or PRK). Another possibility is residual astigmatism that wasn't corrected by surgery which could be corrected via an incision or laser (or glasses or contacts).

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    • Posted

      Hi the standard I mentioned.... I need 6/9 in better eye and 6/12 other. So its the 6/12 standard which my left eye is not meeting. This is imperitve for me to do my job. I don't have any other major issues other than miss matched vision. Am I just panicing as it's only been 4 weeks since op. Is it likely 4 my vision to improve/change in coming weeks? Am I expecting too much too soon?

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    • Posted

      P's I did have an astigmatism and also a high prescription as you mentioned. Surgeon said he would fix the astigmatism. I'm going 4 check up wed so I will be asking more questions.

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    • Posted

      Mentioning the numbers doesn't provide more information. The issue is whehter your eye doesn't meant the standard because it was left myopic (or hyperopic, though that seems less likely since it'd have to be way off), or because its clouded due to PCO. The issue is the "best corrected acuity", not just the acuity without wearing glasses/contacts. 

      As to whether your vision will improve, it depends on what the reason for the issue is. With some people the eye can take a few weeks to heal, even if most have good vision within a few days. If the eye is taking longer to heal, its also possible that if you are myopic that you will become less so as it finishes healing (or possible you'll become more myopic, it can go either way).  If the issue is PCO (which is what a YAG is used to treat) then it won't get better on its own and will only get worse. 

       

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  • Posted

    Hi Wendy. I have read all the comments pertaining to your questions. My eye issues are different than yours but all the articles on dysphotopsias available online will help you understand that your issues are not unusual. Please do not have Yag laser until you are sure it is PCO. Healing can takes several months so don't lose hope. My lenses are monofocal since I need a prism and my dysphotopsias are foggy haze in dim light and bright glare over visual field once I am in well lit room or outside. I see shimmering rings of light in both eyes which are probably specific to the brand of lens that was implanted (see ozziegirl or Eugene for their comments). You may need a lens exchange so do not have yag done! If your vision does not improve naturally, can you use glasses to correct your remaining deficit?

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