astigmatism unchanged after toric lens inplant

Thanks for your reply. The Surgeon did say the lens was in place the day after my surgery. Was very careful after my surgery,so very surprised that my prescription for astigmatism had not changed in my right eye. Also had my left eye done a little less then 2 weeks prior to the right and my prescription for astigmatism went from -200 to -050 in my left eye.

Oh geez sorry several others have asked same question 

It's a good question, and yes I was lgiven a card listing that I had a toric lens. Thanks julielyn

If a toric lens has been implanted you should have the surgeon check to see if it has rotated from it’s position.

Interesting!  I didn’t know astigmatism could result from anything other than cornea or posterior capsule imperfections.  Thanks for sharing.

Thank you very much for replying to me at201. My astigmatism in my right eye has been the same -125  under cylinder per my optometrists before I began having a steady deterioration in my vision as well as recently before my cataract surgery. My optometrist post op wrote -125 on my prescription under cylinder. 

Would you know what could be surmised or known about a lens implant by an examination by an  ophthalmologist?     

 

Sorry about the unclear question at201. Would you know what could be surmised or known about the lens implants type by an examination by an  ophthalmologist?

There are probably some slight visual differences between the different toric and non-toric monofocal lenses, which an experienced ophthalmologist can detect, but these may not be obvious.

If the surgeon thought that the optometrist latest prescription was bad, why did he not check or have someone in his office check what the new prescription is? I takes less than 5 minutes to do it?

Cheryl- when you were at your optometrist did you note a difference when reading the chart with various lenses?   Seems odd your surgeon would discount that prescription.  

Thanks for your reply Sue.An

My optometrist did the what looks better one or two with the lenses.  The surgeon office staff checked my eyes they just used a chart and I covered one eye.  The surgeon told me my right eye was 20/15. Originally the surgeon told me I might need glasses to drive but after his staff checked my eyes he said I just need dime store readers.  The surgeons explanation was that optometrist are perfectionist. In the mean time I don't who to believe. 

Thanks for your reply at201

The surgeon had both a copy of my latest prescription and the prescription before I had my cataracts done. The staff also checked me with a machine you rest your chin on and look at a light one eye at a time and then they wrote down some numbers. Also the surgeon dilated my eyes and examined them and then tested my eye pressure. I have a return visit with the surgeon in a year and another appointment with the optometrist in 6 months. I also have an appointment with a retina specialist due to a macular pucker and vitious detachment in my left eye I had prior to my cataract removal in that eye. Both the retina specialist and the optometrist send and get reports from the surgeon. 

In my opinion covering one eye and reading a chart although a test - doesn’t provide the most accurate prescription.   Did his office staff do same kind of tests (going through lenses) as the optometrist did?   Actually most optometrists already can tell your prescription from the machines they have.  They go through the whole which lens is better to confirm that reading. I find the comment of your surgeon condescending about optometrists being perfectionists.   If it were me I would believe the optometrist when it comes to exact prescription.

If you are doubting the optometrist- then see another one for confirmation.  

Welcome back Sue.An from your holiday (some place exotic).

One is in the business of selling Rx glasses, while the other one is promoting glasses-free. LOL

Normally, if astigmatism is causing a problem with your vision, then you need glasses. Otherwise a lot of people don't bother if it is insignificant.  Was it "lin" or "andi" ... cautioned irregular astigmatism after ex-lasik, and yet is glasses-free after cataract surgery(ies). [Thank you, "andi" for sharing that piece of useful info.]

@cheryl05322, you are only about 5+ weeks post-Op. When you are completely healed, PRK can be used to treat the residual astigmatism. So there is no urgency to get a Rx glasses now until you decide what to do next.

Thanks Sue.An

His answer about optometrist did not sit well with me either. I have another appointment with the optometrist in six months. Hopefully after the optometrist gets the surgeons report he will be able to explain things more fully to me. Surgeon seems to want to operate and wants to leave the explaining and teaching to other. In the mean time I am seeing  better then I did with my contacts in before my surgery.  

Hi jantje32476

Yes back - but didn’t go anywhere exotic.  Tend to do that other times of the year as our summers are beautiful here in Atlantic.  Been having one of the warmest summers here - great beach weather.

Been off visiting universities and doing campus tours with our daughter.  She will be applying this fall/winter.  Took the chance to visit family in Quebec too.  Everyone so used to seeing me with glasses so lots of questions about artificial lenses! 

Thanks for your reply jantje32476

I agree no need to rush.

 

Glad you are seeing better Cheryl.  Hopefully things will continue to improve.  If anything doesn’t sit well keep digging for answers.  

Thanks Sue.An,I will