Do measurements for surgery/IOL need to be done again?
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Hi! I had my measurements for cataract surgery done in November 2018. I left my contacts out for two weeks...15 days for good measure...and endured the extensive measuring by a highly rated surgeon I plan to use in the Philadelphia area. I say endured bc the bright lights for a few of the tests were honestly painful. I have very light sensitive eyes and my pupils dilate very easy. I put off surgery for a few reasons - and upcoming vacation, then the surgeon had a change in schedule that didn't fit mine, and then in August I decided to wait for Panoptix, Now my LE is getting pretty cloudy and I'm trying to get the nerve to do the surgery.
My surgeon said the measurements from 2018 are still good and I don't need to re-do them. Anyone know? Is there a benefit to do them again? My vision hasn't changed other than the cataracts.
BTW - my glasses script is -9.0. Contacts -7.5.
Thanks in advance for your expert opinions 😃
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Chris53317 crista83503
Posted
Hi Christa, I am in Ontario, Canada.
My surgery was done 5 months ago, right eye first and left eye two days later, both with PanOptix trifocal IOLs. Laser assisted surgery, IOL correction of -11.0D & -13.0D, and no astigmatism correction. A couple of days later RE was 20/25 and LE was 20/30. No change at the one month checkup and astigmatism was 1.0D in both eyes. At the two months checkup the astigmatism was back to pre surgery measurement of 0.25D & 0.75D. There was also some cloudiness observed by the optician and I was referred for YAG laser treatment. This was done 6 weeks later on both eyes. There were no floater observed after the procedure - unusual, but great. Two weeks after that both eyes were measured at 20/20.
The next checkup is at 7 months which coincides with my regular annual checkup. At that point I will have another discussion about possible correction of the minor astigmatism.
My near vision was good within a day of surgery, intermediate was reasonable, but distance was fuzzy. Driving at night after a week was OK but there were halos/glare from lights. The glare was/is not blinding.
Currently at night, in addition to the halos/glare there is a fine light beacon with the RE from bright lights, but none with the LE. I suspect that this is from the 0.75D astigmatism.
One interesting point: prior to surgery my LE required a stronger prescription, but the IOL Master worked its magic and predicted a lower correction. At one of the post op checkups my optician suggested that the LE was slightly under corrected, but it seems fine to me.
In summary I am a happy camper and my objectives have been met for not needing glasses for anything - after 50 years of glasses (but use sunglasses in bright daylight). My distance vision, in bright lighting conditions, is not as sharp as I would like, but acceptable. Maybe it is slightly better with sunglasses. I put this down to effects from the trifocals. Face clarity over 20-30' is not as good as I would like, but acceptable. The lack of clarity may also be due to the trifocals, and/or minor astigmatism. There are are suggestions that additional neuroadaptation over time may help.
Hope this summary helps.