Flickering iol=solution

Posted , 6 users are following.

Hello,

this question have been posted several times but there is a turning point. In young patients the zonules (strings that keep the bag steady) are still very elastic and they can move making the bag and the iol inside the bag wobbling. That's why you perceive the flickering effect. Check on youtube "Alcon AcrySof IQ PanOptix IOL - Eye lens flickering after cataract surgery", there is a video about a woman with very obvious lens wobbling called pseudophacodonesis. Try to film your eyes and see if you can perceive this effect too. I did!

2 likes, 22 replies

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  • Posted

    I am not specifically writing about lens wobbling. I am writing about the caution for people planning to undergo cataract operation.

    My sincere suggestion to those planning to undergo cataract operation is that they should keep a gap of at least 4-5 months between 2 surgeries. This would give them an idea of the suitability and acceptability of the iOLs to their body. Finally iOL is a foreign body which needs to be accepted by your body. I had undergone cataract surgeries in November and December 2018 and since then I am suffering from severe photophobia. I have become totally handicapped since the eyes are not able to face strong lights. Going out in sunlight is not possible. Internal lights also give eye pain. I am now 70 and prior to the surgery I was regularly able to drive long distances for the last 50 years. Several eye drops are being tried out but none has given a perceptible improvement. The dryness of eyes has reduced and is now at an acceptable level but its effect on photophobia is almost nil.

    In hindsight (which will always be 6/6), I feel I should have waited for 4-5 months to get into the second cataract surgery which was not that urgent. After my first surgery, I drove about 250 km in a day, 18 days after my first operation. 4-5 months' gap would have given me an idea of how suitable is the iOL to take an appropriate decision. Cataract surgeries do not seem to be that simple as it is projected. May be one out of 1000 persons lands into a problem but for him/her, success ratio of 99.9% cannot be a consolation since he/she lands 100% into the category of problem cases.

    So I would suggest everyone to take adequate care while selecting the time of operation and the type of iOL when going to surgery.

    Shrikant

    • Posted

      Agree if cataract surgery not urgent always better to wait. If both eyes need it though not sure waiting 4 or 5 months would change anything.

      In my case I waited 6 weeks to allow for healing and settling if the IOL.

      But those 6 weeks were hard to adjust to. Went around with a lens poked out of my glasses. Took a week off work but still had to manage 5 weeks.

      Some eyes are more sensitive to light than others. I have blue eyes and always have had to wear sunglasses driving or when outside - even in cloudy conditions.

      Also remember with cataracts there is a film over your eyes - often giving everything a yellowish brown tint (very noticeable after my first surgery and I could compare the 2 eyes). Once cataract is removed everything is very bright. I wore sunglasses even inside for months. I am 18 months out now and although I don't need sunglasses anymore inside my home or office I need them driving or when outside.

      Have you tried purchasing a good pair of sunglasses to see if that would help any?

    • Posted

      Thanks Sue An for the suggestions. My specs are from Hoya with all the technologies built in and I also have polarised sunglasses. For photophobia they say you should use orange glasses which I have not tried. I have tried brown sunglasses which help to some extent. My problem, however, is I still get a burning sensation in the eye inside house.

      Your mail indicates that one must have a lot of patience and I will try to take note of that and not expect some immediate results.

      Thank you so much once again.

      Shrikant

    • Posted

      Thank you so much Sue An for the suggestions. My specs are from Hoya with all the technologies built in and I also have dark polarised sunglasses. However, those do not help much. I understand that one must use orange glasses for photophobia problems. I have not tried that but I tried brown glasses which has helped to some extent.

      I understand from your mail that one needs to have patience and cannot expect immediate results. I will keep that in mind and carry on.

      Thanks a lot again for your suggestions.

      Regards

      Shrikant

    • Posted

      I know it's not easy - particularly with vision (crucial for all aspects of life). And you are right although stats are high this is a successful and routine surgery performed many times over if one falls in the 5% for them it feels like 100% failure.

      Wondering if a cornea or retina specialist could take a second look to see if something else eye related going on: the tear film is often affected by the surgery perhaps dry eye is causing the issue to be more pronounced than it should.

      Getting older and having to put up with things is very difficult. I had tinnitus come upon me a year ago after a flu. No cure I am told just have to live with it but all the same extremely annoying so I can relate to how you must be feeling.

      Hoping with time or with help from a specialist you'll find your answers. Goof luck to you.

    • Posted

      THANK YOU SUE AN FOR YOUR REPLY

      ONE QUESTION DID YOU HAVE LIGHT SENSITIVITY PROBLEM BEFORE CATARACT OR WAS IT ONLY AFTER OPERATION

      SHRIKANT

    • Posted

      shrikant166 Always had it but was worse months following cataract surgery. Would say it's what it was back to before cataracts affected my vision.

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