After cataract surgery
Posted , 6 users are following.
I had cataract surgery on my right eye 10 weeks ago. I now suffer ghosting and some blurring with distance vision. I also suffer from a constant headache. I have spoken to a consultant and he says the surgery was healing fine and my eye is very healthy. He has said I have some viscoelastic material behind the implant which is normally absorbed by the body and this may be the cause of my problems. He has suggested a YAG capsulotomy to possibly get rid of it. He has warned me of the risks and said my vision could even worsen.
Has anyone had this laser for this reason? I can only find examples of it being used for clouding of the lens. I would really appreciate comments - thank you.
0 likes, 18 replies
soks valerie_47857
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valerie_47857 soks
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Thank you for responding. Yes, I have bought glasses (didn't wear glasses before) and they are reasonably successful but I still have this constant headache. The laser I was hoping might cure this but I am very reluctant to ahead without knowledge from someone who may have had it for the same reason.
soks valerie_47857
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It is good that glasses are reducing the blurring and ghosting but if the headache is persisting then your eye must be getting strained.
I don't know much about PCO but hope everything works out good for you.
valerie_47857 soks
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at201 valerie_47857
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YAG capsulotomy is for the specific purpose of removing the posterior capsule if the problem is Posterior Capsule Opaqueness, PCO. If you don't have PCO, I am not sure if YAG capsulotomy will help.
There is normally no reason for a viscoelastic material to end up being between the lens and the Posterior Capsule. How did it get there?
valerie_47857 at201
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How did it get there? Your guess is as good as mine but I believe this material is always used and normally absorbed by the body. Unfortunately in my case this hasn't happened. Thank you
at201 valerie_47857
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I am just conjecturing at this stage.
I don't believe that after they remove the old lens nucleus after breaking it with the Phacoemulsify process and then removing it in small pieces, they put any material in the eye before putting in the new lens in place. Of course, they do have to clean the area (including the cortex between the cornea and the natural lens). If too much of the cortex material is left behind before the new lens is inserted, that may cause symptoms similar to PCO.
valerie_47857 at201
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Unfortunately I am not sufficiently knowledgeable of the actual procedure , I am just repeating what the consultant told me. As I've previously stated I really would like to hear from someone who has had this laser treatment for my condition rather than for the usual. Thank you so much for taking the time to reply to me.
Susie91820 valerie_47857
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I had the same issue and as suggested by my doctor I had the YAG laser. What she did not tell me is that once it is lasered it is very risky to remove the lens if the laser doesn't work. The surgery was on my left (dominant) eye. I had a multifocal lens implanted and cannot see at a distance out of that eye. My only distance thats good in that eye is midrange. I still need reading glasses.
I went to a big medical center to have my other eye done and they had to put in a lens that would work with the existing lens. This has turned out to be a nightmare for me...my depth perception is off and the halos around lights is really distracting making driving at night a chore. I am an avid tennis player and this change in my vision has had a profound affect because of the depth perception and not being able to see the ball from the opposing baseline.
soks Susie91820
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Also what was the medical center you went to? I was thinking of going to Wills eye hospital but was told not to go big academic places and go to private practice as resident may do the surgery.
valerie_47857 Susie91820
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Can I just ask please, the same issues you say you have as I have - is this with the retained viscoelastic material or the constant headache or both?
Sue.An valerie_47857
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You also mentioned not wearing glasses prior to cataract surgery. Did your cataracts happen at a young age?
valerie_47857 Sue.An
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Sue.An valerie_47857
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Your constant headaches could be due to blurred vision or each eye seeing differently. Blurred vision can be caused a number of things including g the material or PCO or even the lens power being off (do glasses help)?
But it is certainly worth hearing what another expert has to say - and if it were me that’s what I would do before going ahead with a YAG. Especially if you end up wanting to exchange the lenses. Do you know if you have multifocal or monofocal lenses?
valerie_47857 Sue.An
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Thank you so much for your advice, I am working on getting a second opinion. Also Susie's information regarding replacement lens after having YAG laser is something I didn't know about. So that is very important to know. Thank you both so much.
Sue.An valerie_47857
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Again hoping the best for you.
valerie_47857 Sue.An
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Sue.An valerie_47857
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But what surprises me is they do not discuss what focal point you want to see well (distance or intermediate). Do you see well at one distance or do you see better at one distance with one eye vsvthe other?
I live in Canada and if I hadn’t inquired about options I wouldn’t have been told anything either. Only difference in Canada vs UK is that the surgery is covered even if you choose another lens. You pay just for premium lens - surgery is covered. In UK surgery is not covered with premiums lens you pay for that once you go private.