Cataract Post-Surgery Vision Problem

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Had laser assisted surgery on left eye two months ago and right eye a month and a half ago. Both my OD and surgeon tell me that I now have 20/20 in left eye and 20/25 in right.

However, I sometimes (intermittently) see a black vertical line to the temple side of each eye. Sort of like horse blinders. Doing online research, this could be a retina problem and/or droopy eyelid problem. The "droopy eye" problem is due to the clamp that was used to keep the eyelid open for eye surgery. Also read something about negative dysphotopsia (black line/cresent).

Am wondering, if it is due to "droopy eye", if a eyelid tightening serum would work. If it's a retina problem????

Comments, please.

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  • Posted

    I had both eyes done in June 2018 ,upon my follow visit on my first eye I was told I had 20/20 ,two days later I had cloudiness in my eye and was told I needed YAG to clean it up,which I did get.Saw a little improvement but ,nothing to excited about and then experienced double vision after the YAG treatment.

    I had my left eye done 6 weeks after,it turned out worst than my right eye ,cloudiness/blurriness a plus I had a black rim in the corner of my eye which is very disturbing and annoying.The surgeon said it would go away within 4 weeks once my brain adjusted to the lens implant.I still waiting for this to happen and hasn't seen any change since my surgery.

    My family eye Dr. tells me I should have YAG performed on my left eye,which I am skeptical of getting done.Has for the black rim I thought I had a retina detachment ,but after getting it checked out they told everything was fine.

    I thought having cataracts removed was a simple procedure,but after seeing all the problems people is experiencing here,makes you think twice before having this done.

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    • Posted

      The surgeon/family eye doctor told me, if they don't get all the cataract removed,there is a chance that left over cataract, on the outer edges could migrate over the new lens causing the cloudiness/blurriness,which it did in my case. That's when they have to perform YAG treatment ,which is what they did to my right eye with very little change.My left eye also have cloudiness,which they are suggesting ,I have YAG done on it also ,but I rather have the lens replaced,but I am still deciding, if I should go along with them and have the YAG treatment done,because once you have it done it's very difficult to replace the lens.

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    • Posted

      Hi freeman wondering if you saw my recent link to an article I read. Many doctors weighed in on pco some saying surgeons too quick to diagnose early on cloudiness as when culprit is negative or positive dysphotopsia. Given anyone experiencing those symptoms several months might prefer a lens exchange surgeons should take the time to do a closer examination. Doing a yag prevents (or at least tenders more difficult) a lens exchange.

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  • Posted

    Hi Trooper - What type of lens you have placed in your eye? I've read that some multi-focal lenses cause people to see a black line at the side of their sight. Have you been back to your surgeon yet? That would be the best thing you could do though I'm sure you're frustrated with the current results of your surgery. Hopefully, everything will sort itself out.

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    • Posted

      And if I could edit my posts, I'd fix the spelling to TRoper... sorry about that!

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    • Posted

      Ok, this is what I had: Astigmatism Lens with Femto Laser ($1,900 each eye cost to us).

      Actual description of lens:

      ACRYSof by Alcon

      ASPHERIC UV Absorbing IOL

      Model SA60WF

      Power 21.0 D

      Length: 13.0mm

      Optic: 6.0mm

      As I'm writing this, I can see a black vertical arc on each end of my eyes (temple side). After a short time, both go away, but do return.

      Actually, I told my OD, that I had a post-surgery appointment with again, this last Tuesday, and he basically said nothing concerning the "drooping eyelid" and/or the arc's I see. He acted like OD's don't learn about these post-surgery things, only the surgeon's do. He did check my retina and told me he could see a very, very small detachment of it., but it was extremely small. He was suppose to contact my surgeon, but haven't heard anything. I sent my Surgery Consultant an e-mail this AM about the eyelid and arcs. She replied and told me she would check it out. Haven't heard back from her yet.

      I read about using an eyepatch over the good eye for a couple of hours a day to possibly get rid of the arcs.

      So, as of right now, don't know if this is an eyelid problem or a retina problem.

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    • Posted

      mjcg I have the multi-focal lenses and have a black rim in the corner of my eye,surgeon said it would go away over time ,but I haven't seem any change or improvement since the surgery.

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    • Posted

      From what the surgeon told me it's light reflecting of the edge of the lens.At first I thought maybe the lens wasn't correctly position.I went to my family eye specialists and he confirmed that the lens where positioned correctly.However he or the surgeon never gave me an answer to why this can happen,or they did tell me it will go away once your brain adjusts to the new lens,which I am very skeptical off.

      The black rim is very annoying,I'm always rubbing it thinking there is something in the corner of my eye.Not much I can do about it ,but live with it and hope they are correct in saying it will disappear with time.

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    • Posted

      I did read something about the "light reflecting" thing.

      Reason I really wondering about "droopy eyelids", no matter what the surgeon told me, is........when I see the black vertical bar by each eye, I will take my fingers and gently pull back on the corner of the eyes and low and behold, those two black vertical bars disappear.

      So, you only have one black rim (vertical bar)?

      I really, really want to know more, than what I was told, about this black vertical bar I'm sometimes see. My vision in each eye is now very good/excellent, but these two bars are really annoying when they show up.

      Now, when I think about it, seems like both my surgeon and my OD are saying to me "hey, you now have great vision, what more do you want?"

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    • Posted

      Hi Freeman - reason this can occur is fur to square edge of IOL. Square edge IOLs do better job of preventing PCO but light can reflect or catch the edge. Given time the edge becomes opaque and it will be less noticeable. Edge glare doesn't generally occur with round edge IOLs but PCO happens sooner and more frequently.

      once again choose your compromise. No fun aging and dealing with cataracts. And likely I have said more than a few times this is not a solution to off one's glasses and do a clear lens exchange. Not until there is a far better lens option and for me any surgery is too risky if you don't need it.

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    • Posted

      Well, one thing for sure........I definitely needed the cataract surgery in both eyes, of which I got. My left eye was very bad and getting worse and right eye was starting to tag along.

      From looking at the ID Card of my IOL, my IOL is round.

      Thing is, neither my surgeon or OD are very concerned about the black vertical rim that appears at times on each end of my eyes. That really sort of bothers me.

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    • Posted

      Can relate - could not delay surgeries any more. Seeing much better now than prior thankfully.

      If you've had your surgeon examine it and retina specialist then this sounds like a case of what is called negative dysphotopsia.

      Negative dysphotopsia appears in patients as a temporal crescent-shaped shadow after in-the-bag IOL implantation following cataract surgery.

      Many say this gets better with time others will say it still bothers them. Hard to know who experiences this ahead of time.

      I had much stronger glare in first several months than I do now (not zero glare but diminished enough that night driving is now possible).

      Most of the reading I have done suggests 6 months for people to adapt.

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