Continued blurred vision from 2wks to 2months after cataract surgery

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About two weeks after cataract surgery, my vision seemed to get blurrier.  I  assumed it was just taking time for healing.  It's been two months and it is not getting any better.  Initially, my doctor told me to use one drop of the Prednisolone per day when I saw him the day after surgery.  I week later, he says I still have inflammation but should pass - continue with the Prednisolone.  After another week or two he upped the dosage to three times per day.  That didn't work and he switched me to a stronger steroid.  After a couple of weeks, he said the inflammation was gone and my eye pressure was up a bit so he now has me on a decreasing dosage of Prednisolone for three weeks.  My vision has not improved. He says everything looks good.  I'm a bit worried that something is amiss.  Anyone experience the same thing?

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  • Posted

    What other drops did they prescribe?  I was given 3 different drops (Ilevro, Prednisolone and Ocuflox).  For me I take the Prednisolone (steroid) 3x a day for week two, 2x a day for week 3 and on week 4 1x daily.  I do know with the Prednisolone I do see blurry when first putting the drop in but then it clears within a few minutes.  Give it time, it should get better.  I just had my second eye done a week ago today with Symfony multifocal toric lenses. 
    • Posted

      Thanks Maria.  I was on Durezol for a while - but mostly on just Predisolone. I go back to the doctor tomorrow.  I just hope he can explain my situation better.
    • Posted

      Good luck today Terry.  Please keep us updated as to what the doc has to say. 
  • Posted

    Is it blurred for both distance and close vision? Is it blurred like an unfocused camera lens or is it more of a ghosting and double image?
    • Posted

      Hi Lance, it's blurred for both distance and close vision.  Maybe "blurred" isn't the right word.  It's more like "obstructed".  It's like I have globs of sleep in my eye (but I don't) that move around.  When it clears out of the way, I can see - but even when I see, it's somewhat hazy.

    • Posted

      Hi lance. Do you know what causes the difference between the ghosting or double vision and the blurry vision? 
    • Posted

      You have floaters in your vision.  They could be caused by PVD, which is a natural consequence of aging, and may or may not go away.  You could also have lens fragments from your surgery that slipped out of the capsule and are now down in your eye.  My surgeon just was telling me about this the other day- he says most drs don't talk about it but that it happens more than you might think.  You may also have some PCO.  

      The good news to all of this is that there is a one stop solution for all of those problems- the yag laser.  The dr can go in and zap away the back of your capsule and any floaters behind it.  That is what you will want to inquire about.  You do need to make sure there isn't any other problem because once you yag, you can't go back and easily exchange your lens, etc.

    • Posted

      Hi,  the doctor did mention the floaters but I didn't have any before the surgery.  With the info I've been reading, I'm thinking you are right about the lens fragments.  Will those go away eventually?

    • Posted

      I don't know, because I am in the same boat.  I had my right eye done with symfony and it was a long dragged out affair but the end result is 20/20 distance and great reading with no glasses.

      I had my left eye done, and the left eye was the 'better' eye, so I thought I'd have a great outcome, but so far i'm not so sure.  I have the obstructing floaters, they are almost like oil slicks or something.  So I did the yag thursday, and maybe I have some improvement, but not enough.

      When I yagged my right eye, it was like night and day.  Here he confessed he couldn't get all of my floaters so I think I will have a repeat visit.  I do have 20/20 distance and intermediate is fine, but my close vision is pretty poor.  I trust my dr and I think/hope we will come to a good resolution, because I absolutely love the symfony in my right eye.  If the best that can be done in the left is to zap all the floaters but my close vision still isn't that great, well, I guess I would have been just as well of with monofocal in that eye, but time will tell.

    • Posted

      Sounds like you're on your way.  I hope my results will be like yours.  How long after your surgery did you have the yag procedure?  My doctor hasn't mentioned it, yet.  Let me know how your left eye turns out.  I'll keep my fingers crossed!

  • Posted

    My vision in my right eye after cataract surgery had blurry days until after I could stop all the Rx eyedrops after about 6 weeks.

    So the test will come for several weeks after you can stop all the Rx eyedrops.

    If vision doesn't improve after that period, then they should check if your vision can be improved with refraction, if the power is off or there is too much residual astigmatism.  Also should check for clouding of the capsule (PCO).

  • Posted

    What kind of IOL did you have implanted?

    Was it a monofocal or multifocal? Was it a toric?

    • Posted

      Hi, thanks for your replies.  My IOL is monofocal.  Not sure what "toric" is.  Was your post-op eyedrop regimen like mine?  From what I've read on the net, I think it was too conservative.

    • Posted

      The eye surgeon I selected for my right eye cataract surgery was kinda unique in that he did an injection in the eye at the time of surgery with the antibiotics, etc that would last for a few weeks.

      So that minimized the number of Rx eyedrops I had to take daily for a few weeks after the surgery to only 2 types, one drop of each per day (a steroid, and a NSAID).  But even those two eyedrops made my vision blurry, so I didn't get more stable vision until I could stop using them after about 6 weeks.

      Toric is an IOL that corrects for significant astigmatism, regular plain monofocal IOLs only correct for the power (nearsighted or farsighted).  My eyes have a lot of astigmatism and are only very slightly nearsighted, so I went with a toric monofocal for my right eye.  The toric IOLs have to be set at a specific angle, and if it rotates too much the astigmatism correction won't work, so thats an issue with a few percent of the cases.  Fortunately mine hasn't appeared to rotate significantly, and after a few months the chance of it happening after that is very low.

    • Posted

      Thanks for the info.  I'm going to ask my doctor if I should add the NSAIDs.

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