Cataract left eye
Posted , 9 users are following.
Had cataract surgery 8/15/19. loi was set at -1.50. My vision is worse than before surgery. i have no close vision, and fuzzy distance vision. I Am currently nearsighted with bifocals. The post op visit yesterday revealed i still had swelling, and the epithelium cells on the cornea was " roughed up" Told it could take 3-5 days for the swelling to go down.
Not even 60 hours from surgery, no excitement of bright , vivid colors.The PVD is worsen. scheduled for right eye on Friday. Will cancel that surgery.
I Thought i did all my research, but no can " see" for you. Support is welcomes. i know i can't undo what has been done.
0 likes, 23 replies
Sue.An2 Mutti3
Posted
Sorry Mutti3 this has not been what you hoped for. It could all be temporary as swelling will cause blurry vision and it could greatly improve once swelling goes down and eye heals.
It is good you put off second surgery as I personally think cataract surgeries shouldn't be done back to back. Even without complications it takes 6 weeks for eye to completely heal and lens to settle.
Did you have cataract surgery due to cataracts or opt for clear lens exchange? When one has cataracts there are no other options but to remove natural lens and replace with an artificial one.
Sometimes a cataract takes a ling time to develop so a person can wait months and often years before surgery is necessary.
Although it cannot be undone there are still options for you, but first thongs first your eye needs to heal. is your surgeon providing follow up? If it is more serious concerns you may want to seek out a retina or cornea specialist.
Guest Mutti3
Posted
Hi
So sorry you are in this situation!
Of course your eye doctor is real the expert, in here we are just amateurs 😃
I have heard swelling can take much longer than that, I have heard of people having this problem for up to a month, with blurry vision and initially a poor result, and then it clears up and ends up just the way it was supposed to.
I think it is still very early on after surgery, I think your result very well can turn out to be perfect.
Just wanted to give my quick opinion, in here Sue is the real expert, I am sure she can explain all this much more detailed than I can 😃
Best of luck!
Guest
Posted
There you see, Sue was even quicker than me 😃
Sue.An2 Mutti3
Posted
Mutti - my apologies I reread your history and see you were diagnosed about a year and a half ago and were here on the forums seeking some input. My original ID got blocked so I created a new one.
Do hope your surgeon is following your situation. Not everyone get clear vision straight away. Some like you experience more trauma to the eye and others find their vision is affected by the drop regiment and only experience clear vision once they are done with the drops.
Don't despair as your situation could very well turn around. As Danish mentioned it really is early days. Just keep checking in with your surgeon if you've any concerns.
Mutti3
Posted
thank you for your quick responses! I also think back to back surgery is too much to tolerate. I forgot to mention i have anterior basement membrane dystrophy. (ABMD). I had cataract surgery. Actually i had diagnosed cataract for 10 years, and finally opted for surgery when my vision could not be corrected better than 20/40.
PATIENCE , is what i need to have. Sue, you are correct, back to back cataract is not the road i will travel. thank you for everyone"s advise.
seeherenow49806 Mutti3
Posted
Yes, the drops caused blurriness for me for about an hour each time I took them, for a month! Patience and optimism can change the world.:)
Sending you best wishes for quick healing and best outcome!
BobDob Mutti3
Posted
I agree with the others that you should wait a bit. If your left eye settles at intermediate range, you can opt for mini-monovision and target either near or distance vision with your right eye. Since you were nearsighted before, you might prefer to target near vision in your right eye unless you are comfortable with needing reading glasses for close-up activities. If you target distance vision in your right eye, you won't see any closer than where your left eye settles, but your blended intermediate-to-distance vision may allow you to go without glasses for most other activities.
soks Mutti3
Posted
does it get clear with glasses? you have chosen intermediate vision with monofocal it seems. is the tv or computer distance clear?
Mutti3
Posted
no , tv distance is not clear yet. , computer distance i will find out tomorrow when i go back to work.
Thank you for all the support.
Hudsongrl Mutti3
Posted
hi there. i had cataract surgery in feb. on my right eye and for 4 days could not even see my hand in front of my face. i had corneal swelling too. then swelling started to resolve and the fog lifted
i am now still slightly undercorrected for distance at -.75 . I 'm wearing a contact lens for distance and readers for close. i suspect once your swelling subsides your vision will improve. like you, i was very disappointed in outcome and will not do my ofher eye until i absolutely must. what does your surgeon say?
Mutti3
Posted
thanks to the good advise received, i postpone the right eye until the end of next month. i feel like i still have someone's else vision. My prescription glasses don't " fit" my eye! Go back to Saturday for my second post op visit.
Mutti3
Posted
Have a question , looking for direction. My left eye is set at 1.50 the iol strength id 16.0 D . I have decent distance so far. Can watch TV, but my close vision is not what i expected. I AM 15 days post op on left. I am scheduled to have the same iol on the right. What suggestion can any one give me for the right eye? Same iol strength? increased distance ( monovision) ? OR shoot for more closer vision,? I AM right eye dominate.
my lens has settled down quite a bit, at one week post op i was seeing 20/40. my current glasses are useless. i am nearsighted / and of course age related far sighted.
any suggestion are up for discussion! THANK you in advance!
W-H Mutti3
Posted
Is that plus or minus 1.50 in your left eye? From what I understand anything over 0.00 is wasted range? If your left eye post cataract surgery is really at + 1.5 then I don't now what you can do!
On the other hand if your left eyes is at -1.50. Then right eye you could do near to 0.00. for example -0.25 or -0.5 or something similar depending on the readings.
What does the surgeon say? I am not qualified just a wannabe Google eye surgeon 😃
Mutti3
Posted
-1.50
just getting opinions!
Guest Mutti3
Posted
Hi
I understand your dilemma, and it is not easy.
I came across a surgeon, that explained it very simple.
He explained that you could say there are 3 distances, far, intermediate and near.
One monofocal can cover one of the three distances, two eyes with monofocals can cover two of the three distances.
Now you have a monofocal set for intermediate range, this is why you can watch TV, but near and far are not that good.
In most cases the surgeon will aim your dominant eye for far vision, leaving you with good vision far and intermediate, but with use of reading glasses for the smaller stuff.
And even that the two monofocals cover each their own range, vision will get better in all ranges when you are having the second eye done, if your cataracts are dense, so no matter what you choose, you will probably have slightly better vision than now in all ranges.
But if the second eye is set for far vision, you will still need reading glasses, because near range is not covered by any of the lenses.
If second eye is set for near, you will need glasses for far, if you want better far vision than you have now.
It is a matter of personal opinion, if glasses for near or far would be preferred, but I think most people prefer glasses for near over glasses for far, and this is probably why the surgeon have taken this approach.
And this dilemma is the reason that some of us choose premium lenses, that have visual side effects, but cover more than one range with each lens, so all ranges can be fully covered.
I don´t know if you have the opportunity to go for a premium lens in you second eye, a bifocal or a trifocal could give you both ranges you don´t have now, but premium lenses comes with trade offs in terms of visual side effects, and of course price, but maybe you should discuss this with your surgeon, if you don´t feel you can get satisfied with the options that are left with an additional monofocal.
And by the way, your current nearsightedness and age related presbyopia will be "eliminated" with the iols, it has no influence on your choice or outcome.
You could say that the surgery gives you 100% presbyopia, this is the downside iol exchange, and your nearsightedness will have no influence, your vision will end up where the iol is targeted.
I wish you the best of luck.
Mutti3 Guest
Posted
your explanation is perfect! I can' t have premium lens because i have ( ABMD) cornea problem. My only option is monofocal.
Sue.An2 Guest
Posted
Danish whether just an opinion given or some backing to it I was told (Canada) that they target best distance so that you pass the driving test as that is major reason cataract surgery is covered under our national medicare system. Of course that can be obtained with glasses but that is reason I was given for why surgeons target distance.
W-H Sue.An2
Posted
Also keep in mind (I have read upto difference of 2.00 diopter too but 1.50 is my limit)
**Where there is a difference of more than 1.50 diopters between the eyes post operatively glasses are often difficult or impossible to adjust to. **