Cateract Surgery with Toric Lenses

Posted , 5 users are following.

I was recomended the Tori Lense. I could see after surgery, now it is 3 1/2 weeks and vision is more blurrey. How long does it take to be more clear?

0 likes, 13 replies

13 Replies

  • Posted

    I you could see well after surgery, but less well now, then obviously something has changed.  Sometimes toric lenses rotate after surgery before healing is complete, which changes their power and can make vision worse. You should be sure to have your doctor check to see what is going on in case the lens needs to be rotated back. That is the most likely issue and there is a good chance they can fix it. Unfortunately also any IOL can move slightly after surgery, further forward or backward, which changes their focal point and either improves vision or makes it worse, making you perhaps slightly myopic or hyperopic That is part of why they typically wait a few weeks after surgery for your vision to stabilize before considering whether to prescribe contacts/glasses. The formulas to determine lens power aren't exact, parlty since they can't predict exactly how the lens will settle after surgery, so although they are usually accurate, occasionally someone will need a slight bit of correction.

    Another possibility a small percentage of people experience is PCO, posterior capsular opacification, which is a clouding of the lens by cells growing over top of it and causing vision to be clouded. A minor laser procedure, a YAG treatment, usually clears that up easily.

     Also you are still   in the intial healing period so you should have the doctor check to be sure there isn't some sort of complication like swelling. 

  • Posted

    I had torics implanted 9 and 7 weeks ago and dealt with a film over my eye (just one) until about 2-3 weeks ago....using lubricating eyedrops helped me....patience was the eye to dealing with a variety of unexpected conditions, all of which have disappeared by now.
    • Posted

      Thank you, very helpful, and I have used some sterile drops. It is still early, and I know it takes some time, I will be patient. I get other Eye done Monday, and see Dr. Tuesday.

      I'll know alit more!!!

  • Posted

    Just to clarify....my doc added I could use lube drops (pref. preservative-free) up to about 4 times a day but that I should wait about 10 minutes until before or after using the RX drops.  I had a good outcome...hope you do, too.
    • Posted

      Thanks for the clairifacation. I have only used a drop of saline.
  • Posted

    Dear Cathy,

    I had a similar situation as you. I had a toric lens implanted when they did the cataract surgery. The only difference is ,prior to the cataract surgery I had what's called an epi-retinal membrane pucker. That's in the back of your eye by the retina and the macular .over the years some scarring had occurred when I had some floaters and flashing lights in that Eye. It didn't bother me prior to the cataract surgery. Apparently sometimes it gets worse after cataract surgery. When they remove the fluid from eye to do the cataract surgery that often makes that membrane pucker more. It was very obvious to see in the pictures of My eye when they did some diagnostics. I could see how it changed from before the cataract surgery and after the cataract surgery. This is remedied by having that membrane peeled off. I know it sounds very involved and scary but, apparently it's a pretty common surgery. I've just had it done two weeks ago. And while there is a lot of swelling in my eye I and my vision isn't great yet I can see every day a little bit of improvement.

    I joined this forum with a problem similar to yours and I've updated a few times as to my situation. This is the first time I'm writing on the forum about what I've had done.

    The Doctor Who did my cataracts over and over again kept saying use the drops it's just swelling etc. etc. if I had listened to him I would still be waiting for some improvement without getting any. I finally went for a second opinion to another cataract man who mentioned that the problem was not the swelling from the cataracts but this epiretinal membrane pucker. He recommended a very renowned retinal specialist for me to see and as I said. I had the surgery two weeks ago.

    While my vision is a great yet I can see a difference. As mentioned the pictures of my I showed a lot of swelling which the doctor said is very unusual so I can understand why my vision isn't as good as I was hoping. But at least I am seeing improvement even if a little day by day.

    My suggestion to you is go to your eye doctor or retinal specialist have him take some diagnostics of the retina and the macula and see if the situation exists for you.

    I know how difficult situation like this can be and I hope that all of these people who have replied have given you some way to check out what's going on with your eye. Good luck.

    • Posted

      Thank you Linda. Good info, sounds like going to the retina Dr. was a great move. I'll let them know Monday, that the eye has changed and is a little more blurry. I am using the predisone twice a day, makes me wonder if it doesn't still have some inflamation.

      Hope your eye is doing better, and all is well. I'll know more after other eye is done Monday and I see him in office Tuesday. Hoping it is common and gets better in time. In the surgeons office, there is office a Retina Specialist--so I feel I am in good hands. Thanks again.

    • Posted

      I don't know where you live but if you live in the New York metropolitan area I can give you the name of the doctor that did my surgery
    • Posted

      Thanks Linda, I live in Wichita, Ks. My Surgeon is one of the best in most of KS, there are excellent ones in Kansas City, if I need to go out of the area.

      I have confidence in this Surgeon, I think it so soon and It might be a few weeks until complete healing!!!Thank You!!!

    • Posted

      It is true that sometimes when a natural lens cloudy from a cataract is removed that it uncovers other underlying eye problems the person merley wasn't able to notice while the cataract was there. Or as in that poster's case something about the surgery aggravates the existing condition. In your case the fact that you had better vision right after surgery suggests the odds are it wasn't a pre-existing eye problem, and is likely something minor and treatable,  so I wouldn't worry too much.

      It is still possible of course that  it is a pre-existing problem  the surgery aggravated that just took some time to develop. I'm just suggesting its not something to be too worried about since the odds are low, merely something to be aware of. So its important to have the doctor confirm what the issue is for sure if possible (rather than just guessing that its just swelling), or to seek other doctors if yours can't, and to keep checking if the situation doesn't improve.

      Someone mentioned lubricating drops. Sometimes dry eye is a side effect of surgery and can cause vision to be  blurred. Unless you were using lubricating drops at first and then cut back on them that doesn't seem to be the likely cause of a change, unless other factors changed (like say if you have allergies and early allergy season had started since allergy medicines or allergies sometimes aggravate dry eyes, or if the weather had changed to be drier, or your use of heat or A/C had changed and lead indoor air to be drier). 

  • Posted

    I had a toric lens implanted in my right eye in February and my left eye in March. I developed PCOs after about 4 weeks in each eye and had to have YAG laser surgery twice in one and once in the other,
    • Posted

      Thanks, I have read about that Yag that occurs. Glad they will know what to do!!

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