Cataract Surgery Incision and Post-Op Antibiotics/Steroids

The incision is within the colored part of the eye.

My right eye after surgery even the day after wasn't sore or sensitive at all!

I also looked closely at the eye in the mirror with a flashlight and a magnifying glass and I couldn't see any sign of the incision.

Nobody I've asked to look at my two eyes could see any obvious difference between them either.

Now 4 weeks after the cataract surgery on my right eye I had an optometrist eye exam today to get a new eyeglasses Rx and see where the right eye ended up.  Of course the right eye could still change a bit over the coming weeks and months, but one month after surgery was recommended as when I could get a new eyeglasses Rx.

The diopter step is 0.25D between each lens the optometrist uses in the refraction process where they switch between two lenses and ask you which one is better or worse or about the same.  This means there is going to be +/-0.25D accuracy at best and some of it is subjective based on your own choice too.

The final eyeglasses Rx for my right eye (with the toric monofocal IOL) she came up with was:

 sph= Plano(0.00D)  cyl = -1.00D axis=115

She mentioned that I thought the vision with the astigmatism cylinder value of -1.00D and -0.75D was virtually the same, and I picked the -1.00D as better, but I recall some of my choices were really like a coin toss, so -0.75D cylinder might be close to the actual residual astigmatism.  I believe the surgeon was shooting for around -0.50D cylinder since he said he leaves a little due to as the eye ages it will tend to reduce the cylinder, so that means it ended up within the expected range, within 0.50D of the target.

The target sph power for my right eye was -0.25D and so it ended up right on or very close since the refraction test error is at least 0.25D, and the IOL steps are 0.50D giving at best +/-0.25D accuracy as well.

This does make sense since I suspected some residual astigmatism was causing  a little blurriness at all distances compared to my well corrected with eyeglasses left eye. I'll find out how close this Rx ends up working with real eyeglasses that I will order this week, probably get them within 2 weeks from now. At the eye doctor exam with the final lenses that you look thru for the testing both eyes seemed very close and reading the 20/20 line well, so thats what I'd expect with the new eyeglasses.

Yeah the results were very close to what I expected, maybe just slightly more residual astigmatism (0.75 to 1.00 vs my expected 0.50) and the axis was different then it was before, don't know why that is.  Anyway the result seems to confirm that the toric IOL has not rotated significantly in one month and thats the critical period - statistics I've read indicate the risk of rotation shrinks dramatically in the months after that.

I was slightly surprised by the "plano" power result since I was expecting a little nearsighted -0.25D to -0.50D, but perhaps the slightly higher astigmatism than I expected is acting like nearsightedness plus some general blur as well.  Kind of nice to hear I now have an eye thats perfectly corrected (PLANO) at least for the power part, the surgeon sure hit a bullseye for that part!

On my past eyeglasses orders from the online vendor, the delivery time has been typically one to two weeks.  I think progressive pairs take a few days longer than simpler single vision pairs.  I'll probably just order a progressive pair and a computer vision pair to make sure the new Rx works OK. They have a 30day return period for any issues, can get 100% credit to reorder if I need to tweak the Rx slightly or a frame doesn't fit well or similar thing.  I'll probably do a follow up order a few weeks later if the Rx is fine, to get a distance only pair and a reading glasses pair I sometimes like to use separately from the progressive pair.  Also a second/backup progressive pair  in a different frame for working around the house.

The final view at the optometrist looking thru the effective Rx lenses gave me an almost exact match view of the 20/20 line between both eyes that appeared very stable.  If I get that vision in both eyes with new eyeglasses I would be very happy, plus my right eye at 20/30 or so typically uncorrected is fine for getting around without glasses when desired like casual TV watching from 6feet away or so.

Glad your eye is now stable.  Amazed at how varied it is for people having same surgery 

Actually for my right eye, the eyeglasses will have zero power but 1D cylinder to hopefully compensate for the residual astigmatism that causes blurring.

I suspect that the astigmatism in my right eye is varying, over minutes and between days, though its not varying as much as did in previous weeks.  Today vision in my right eye is still good in the morning it was 20/25 and nearly 20/20, but in the afternoon drops to 20/30 or so.  Probably the astigmatism is varying between as low as 0.5D and up to 1.0D or so - perhaps that variation will reduce further in the coming weeks and months, its reduced from how much it varied a couple weeks ago.

New eyeglasses I ordered yesterday using the 1D cylinder may end up overcorrecting in the near future. I  might get a better result with a little smaller cylinder like 0.75D or 0.50D, trying to get near the center of the variation. I'll evaluate this with the new eyeglasses when I get them in a couple weeks hopefully. But it should at least move the variation to perhaps 0 to 0.50D cylinder instead of 0.50D to 1.0D, which should move the variation to maybe 20/15 to 20/25 or better, thats my goal.