Cataract Post-Surgery Vision Problem

But, what to do about it???

why is there cloudiness just 2 days after surgery? do they not polish the capsule?

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.

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.

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

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.

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.

What do you plan on doing about it? Anything? Any idea what has caused the black rim to happen?

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.

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?"

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.

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.

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.