Chronic eye pain following cataract surgry

Posted , 10 users are following.

Hello,

it's been 1.5 years since surgery and beside positive dysphotopsia, I am suffering from chronic eye pain. There's no dry eye syndrome. No other objective reasons. I just feel constant pain in that eye, I do "feel" the IOL inside and it's a kind of constant preassure or tickling. Or just pain to make it simple. Any thoughts?

0 likes, 11 replies

11 Replies

  • Posted

    Have you been to your optometrist and what is the assessment? My guess is that you have a scratch on the cornea. This can be quite painful, but it is treatable.

    • Posted

      Obviously I've been to many opthalmologists and there s no scratch or any other objective reason.

  • Posted

    I am very sorry you have this horrible experience. Please could you tell which IOL was implanted.

    • Posted

      My eye surgeon in UK told me that for example one piece iol ST LUCIA by Zeiss was not well tolerated by patients, nd some of the complaints were about constant feel of the iol. He thought that it was due to a thicker, rigid construction, and not being as flexible as the other IOLs. The patient had his lens exchange for free... In any case it is not right for anyone to experience such problems. Please have several opinions, and best of luck!!

  • Posted

    It's good that you've gotten second, third opinions. But it must be so frustrating feeling pain that they cannot see! Have any of your doctors offered any suggestions for relief?

  • Posted

    Aside from my deepest heart-felt sympathies I really would not know what to suggest. After 1.5 years my feeling is it won't simply go away. Any good suggestions from a specialist? Perhaps lens itself is not tolerated an an exchange might be best course of action bug need to find right specialist. We are all patients here like you and haven't a lot to offer.

  • Posted

    Hi

    I don´t have that problem, and I guess I can only try to understand how frustrating it must be.

    By some odd coincidence I have heard of a story about chronic eye pain before.

    I was talking to a doctor, who is practicing medicine at a "pain clinic" where people come with chronic pains.

    By a coincidence I told him I had iols implanted, and he told me a story of a young women in his clinic, that came to him with chronic eye pain after having iols implanted. Before the iols she had no pain.

    He said no eye doctor could find anything wrong about the implants, and everything looked perfect, but she had chronic pain, that was disabling for her.

    At some point she had both iols removed again, but pain was still there, and no eye doctor could find anything wrong.

    At the pain clinic they often simply adjust pain medicine up or down, but this doctor I talked to is also using hypnosis in his practice, and for some patients (about 20%) it worked better than medicine.

    He had recently tried hypnosis with this young woman as well, it gave her relief for some time, but she came back with pain again, so he would try giving her more sessions with hypnosis. I have not talked with him since that.

    I know your story and her story probably have nothing to do with each other, and I have no opinion about hypnosis as pain relief, but at least it shows that others are experiencing eye pain as well, even when doctors can find nothing wrong.

    I wish you the best of luck!

  • Posted

    I have technis and feel a pressure if my head is below my heart for several breaths. I dont feel pain. Pain is a real thing for the beholder and I hope you can find the source or relief. Your special anatomy of physiology might make you more susceptible to nuances and dont give up researching it. Has anyone done an MRI of your eye orbit or sinuses?

    • Posted

      I should clarify by "special" I mean unique, as in each of us have a unique cellular etc makeup although in general terms we are alike.

  • Posted

    I'm sorry you are having to deal with chronic pain with no good explanation.

    Search for article When Routine Eye Surgery Leads to Debilitating Pain

    "The cornea has a higher density of nerves than any other tissue in the body. Nerve damage can lead to a debilitating condition known as neuropathic corneal pain."

    This has been a particular issue with LASIK eye surgery which actually destroys a portion of the cornea as it reshapes it.But less severe form of ocular neuropathic can result from cataract surgery.

    Also search for article: Corneal neuropathic pain: a complex, often misdiagnosed and difficult-to-manage clinical entity

    “A lot of patients are misdiagnosed as having dry eye, but when they are examined, they have very minimal or no sign of dry eye,” Pflugfelder said. A decade ago, patients were thought to have some psychological overlay, hysterical pain and hypochondria, and suffered the additional frustration of not being believed and understood. Now this problem is common enough that most physicians, especially cornea specialists, have seen it and know how to approach it. Causes of corneal neuropathic pain may stem from corneal nerve damage, surgical trauma (most commonly LASIK) and abnormal healing,

Report or request deletion

Thanks for your help!

We want the community to be a useful resource for our users but it is important to remember that the community are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the community is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.