Eye even more blurry after YAG procedure

Posted , 6 users are following.

I won't go on much about my over two-year IOL history. Just look up my old posts. Pardon any typos as my vision sucks.

Long story short, I hated the PanOptix lens that was implanted in my right eye. I had a major crescent shadow on the side of my vision. Plus, the vision wasn't that great. And, it got blurry within weeks. So, almost two years later, I went to a new surgeon and I had it replaced with a Baush & Lomb monovision for distance. Then, a few months ago, I had YAG procedure for the PCO from the first surgery.

My vision is still blurry and has more floaters in the way. I have double vision in that eye. I went to a partner of the ophthalmologist who did the surgery to get new glasses. He refused to give me a prescription due to my having dry eye. He wanted me to use one of those nighttime ointments for three weeks. I must be allergic to something in the ointments as my eyelids became itchy and peeled.

I have a follow up with the ophthalmologist who did the surgery in May. I can't say I'd want to risk a repeat YAG procedure. I've kind of given up on ever seeing well with the operated eye. I just wish someone would give me a glasses prescription so I can see better with my unoperated eye.

I thank heaven every day that I didn't have the left eye done as had been scheduled. This has been a nightmare for years.

And, If I had a dollar for everyone who jauntily says that cataract surgery is "a piece of cake" I could buy a mansion!

0 likes, 7 replies

7 Replies

  • Edited

    One possible cause of double vision and a somewhat less sharp image can be astigmatism. When you replaced the PanOptix with the B+L monofocal was there any discussion about needing a toric lens?

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    And if you can get good distance vision in the B+L eye you could target -1.5 D in the left eye with another monofocal to get good near vision. The B+L enVista is a good lens to do mini-monovision with.

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    But, it would be a good idea to get the first eye vision resolved first before jumping into doing the second eye. A priority would be to get the refraction (eyeglass prescription) for the first eye done so you know where you stand with it. Getting this done by an ophthalmologist clinic may not be the best way to do that. Going to an optometrist in another clinic is probably the best way to get an independent evaluation of that eye. They should also be able to give you an opinion on the PCO status.

    Once you get to the bottom of the refraction status, then Lasik may be an option for correction of any residual sphere and cylinder (astigmatism).

    • Posted

      Thanks, for the replies!

      Ron, the new implanted lens is a Toric - MX60ET. I agree that I should go elsewhere to get an objective opinion about the status of my eye. I think I will return to the optometrist at the Stein Eye Clinic. I had seen him after the PanOptix was implanted. He was professional and kind.

      Lasik is an option that I can consider after I get more information.

      Believe me, I have no interest in doing my other eye - ever!

    • Posted

      I think that is a good lens and it has a wide depth of focus similar to the Eyhance.

    • Posted

      This is an article about YAG Complications, including some new complications.

      "YAG capsulotomy complications NYC eye doctor"

    • Posted

      Thank you for the article. I've added it to my collection... I started out thinking they were understating the risks of YAG, but then concluded they were overstating them by saying that retinal detachment risk was 2% which is 1 in 50. The surgeon who did my cataract surgery has contributed to a paper that claimed a more realistic risk was 0.5% or 1 in 200. In any case this statement in the article caught my eye.

      "In many cases, eye doctors don’t even wait for opacification to happen; they bring the YAG very shortly after performing the cataract removal and the placement of the new lens."

      This along with other reports concerns me that YAG is being done when it is not even necessary. I think I will feel more comfortable about doing it when I can see it affecting my vision. So far, I am not sure that it is.

  • Posted

    Sorry about the problems you are having. Most cataract surgeries go well, but not all, and no surgery is a "piece of cake." If you are in the USA, I would see one or two other cataract surgeons. Try to find one who is a cornea and anterior segment specialist. They are ophthalmologists who have an extra year of training in cataract surgery and diseases of the cornea. You can google search that information. If you live near medical school or one of the big eye hospitals, all the better. We have had posters here with problems after having the YAG. I wish you well.

  • Posted

    I am sad too that YAG made things worse. I too have double vision and hazy borders around letters and lights have glint and glare w my Vivity but they say I have 20/20 so there's no fix now that they tried YAG and it failed to help. Sorry you have had a tough road.

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