Experience Glare with Monofocal Acrysoft IQ toric

I Danish,

Happy to meet you again.

nope, I don't use the artificial drops because I'm actually putting antibiotic drops each two hour...

sorry I didn't read good your message.

I will try thanks

I Danish,

I try the eye drops, but still the same.

it was worth a try, thanks

Hi Mirko

If the cornea have dried out, there can be some areas with irregularities that takes some time to heal.

When I was at the 1 day check after second surgery, I was told I needed to use artificial tears at least one time each hour the next couple of days, because of dry eyes, and I did not even feel they were dry.

Dry eyes past surgery is normal, in most cases it goes back to normal when eye heals up, I have no problems with dry eyes any longer.

In any case, best of luck 😃

Thanks Danish,

What I do not understand is how is possible that this happen in about 4 hours... when my dilating drops ends their effect I got this issue...

hello Mirko,

can I ask why do you use dilating drops everyday? everything is new to me. my first eye surgery is in 9 days or so.reading reviews and experiences now with natural lens before they get removed.😟

Hi Mirko

I have no answer to that either, maybe the dilating drops have had this impact on the cornea, that was already dry, so these drops was the straw that broke the camels back.

But I can tell you for sure, that we all are impatient in the days after the surgery, we all question if we made the right choice, we all look for things that could be wrong, and we all want healing to speed up.

It is a mental roller coaster, and right now you are riding it.

It is not uncommon that strange things happens during healing, there will also be days during healing where you wake up in the morning and vision is noticeable worse than the day before. But it will go back to better again, and there really is no good explanation for it, it is just the way it is.

Your brain is working hard right now, your brain has to build new "connections" to learn how to get the best out of the new image that is displayed on your retina. So the next couple of month your brain will adapt and thing will change because of this and in about 6 weeks your eye will heal.

And before it is fully healed, and your brain have had some time to adapt, you really don´t know what you have.

To me your surgeon sounds very thorough, most surgeons do not dilate the pupil at check up after surgery, so to me it sounds like he is taking good care of you.

I know it is really difficult, but try to be patient and relax as much as possible about it, it is still early days after surgery.

Hi

I used that because my pupil remain constricted and so to relax the muscles, but now is good and I'm not using anymore.

Thank you Danish.

I Don

I make a RLE so no cataract.

No the glare that I have is complicate to explain is something similar if you have a not perfect lucid windows that make some oblique lines near the intense lighting source .

The reason why I will have the second eye done one week after is just a routine here... and even more the difference between the two eyes now huge and the discomfort is really big at the moment.

Frankly I was thinking that it was due to the healing of the cornea. I didn't have them before and the vision was perfect.

Now I sent a message to the Dr. I cannot call him today is holiday here.

hello. I am having first eye done in 10 days . I am getting toric monofocals tecnisll. Did you have astigmatism before surgery?

yes I do 1.75

I didnt have surgery but I have so much worse astigmatism. I too chose monofocal because they should have the least night time side effects. Do you have the same at night looking at lights outside? do you have the haloes too?

my dr also does eyes one week apart. I also will have great imbalance because of my bad eyesight

Hi Mirko - may I ask what led you to decide to have your natural lens removed (if no cataract).? Particularly as you mention vision was perfect before this.

Your natural lens will always be better than an artificial one and the younger you are that difference will be more noticeable after surgery (a main reason doctors who perform lasik or clear lens exchange often same day or with very little time between surgeries). It is a personal choice I know - but please do lots of research before proceeding with 2nd eye.

If this is just a RLE then perhaps you should ask to wait for 6 weeks or so until the first eye fully recovers. Then you could also make a decision as to whether or not to go ahead with the second eye.

I have no personal experience, but from what you are describing this may be Positive Dysphotopsia (PD). You may want to Google it and do some research. There seems to be some controversy in how frequently it occurs and what the real cause is. Some report that it occurs initially in up to 50% of IOL surgeries. But others report that in most cases it the effect is reduced over time as the lens bonds to the eye (PCO effect), and those with long term issues are more like 2%.

The most frequently reported cause is the use of a square edged lens design. The square edge is blamed for the reflections. The AcrySof lens you have has a square edge design. The reason it is used is that the square edge prevents another much more likely problem called posterior capsule opacification (PCO). This is a cell build up on the posterior side of the lens, and occurs over time. The square edge design of the AcrySof lens along with the specific material used makes it one of the more PCO resistant designs. Lenses with round edges are likely to reduce the effect of PD, but greatly increase the chances of PCO. So, you really have two issues with conflicting design requirements to control them. There are other round edge lenses which are more resistant to PD, but then they are at higher risk of PCO... Double edged sword.

As I suggested earlier, I think it would be wise to delay the second eye to see how much the first eye improves over time, and whether or not you are tolerant of the effects. Then you can make a more informed decision on the second eye. You should also ask your surgeon about other issues which may be aggravating the PD potential. They would include damage to the cornea and issues caused by previous Lasik or surgical refractive surgeries.

Well Mirko, as you can see, mentioning RLE in this forum is asking for trouble 😃

Mirko have good reasons for the RLE, even that I somehow unintentionally managed to scare Mirko away from premium lenses 😃

I really think/hope the issue is a healing related problem, it is very early after surgery, it is not uncommon with different weird stuff happening in the early days after surgery.

Especially dry eyes can make all sorts of crazy symptoms.

wow.Thank you for posting that info. you have great info that the acrysoft is square..didnt know that nor that it may cause that issue.

I'm going with the brand new tecnis ll toric..

I have cataracts..high astigmatism..and bad eyesight. first eye in 10 days. second will b week later. these new tecnis ll toric are designed to cause more stability of the lens. natural lens if you can keep them plz stay with them. I'm reading that iol is a whole different world of sight...mostly with more problems..

I believe the new and just approved Tecnis II Toric lenses have been designed to address two potential issues. The Tecnis lenses are made from a slightly different material than the AcrySoft. They are both hydrophobic acrylic, but the AcrySof lenses bond better to the capsule. This helps to prevent PCO and lens movement. The Tecnis lens material has had more problems with movement in the eye. That is bad for toric lenses which need to be kept within a 3 deg error for alignment. They seem to have kept the same material for the Tecnis II lens but are now texturing or frosting the edges of the lens. The idea is to help them bond better, and potentially also stop some of the reflections which cause PD. I hope it works. To my knowledge, they are not available in Canada, and are not currently a choice for me.

Dear Sue.

maybe you are in right. I make myself the same question every moment, but know I'm in the condition that do the second is a kind of compulsory.... the correction lens on the right eye is very strong +8 and it create an enlarged image that put my brain in tilt; I'm using a frame with a plano lens on the LE and +8 on the RE and it is very difficult...

I was hoping that someone here could give me some serenity by saying that everything was normal and that it had happened to them too and that it is only a matter of time.

The outcomes is not bad honestly but this glares are bothering me.

Dr. said that everything is normal at the moment, I just have to give time to finally heal the eye after the surgery.

I hope too, and thanks Danish.

Frankly, without this inconvenient my new sight is good, I was able to read 20/20 without correction...

I will ask the Dr. if I can use the artificial tears and I will try.

In effect I have I kind of feeling that my eye is dry, but I think is more related at the surgery and therefore to the not fully healed eye.

My sensation is like if I wear a contact lens...

Curious why you think 2nd eye is compulsory? I really feel for your situation. And doctors pushing this surgery (for patients with no cataracts) ate often in this for profit. Please do wait it out before deciding on 2nd eye.

Given your age the glare could be related to that vs the lens. But time does make glare better - give that 6 months.

Hi Sue,

I think you are right.. but the discomfort due to the two vision is really high...

I will try to go to the doctor this morning and check if the lens is in position again, if it is I will probably wait some times more.

I'm so confused and I fell so stupid...

tks

Don't feel stupid - many surgeons convince their patients to have this done.

I am glad your daytime vision is good - far worse if it wasn't. The nighttime halos and glare in my experience get better. It helps to to come to terms with it and accept. I used to think about it every time i drove at night and now this is my new normal. I do see better than when i had cataracts at night.