Flickering sensation after cataract surgery

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I got surgery on both my eyes one week back, I am delighted with my distance vision, though I need glasses for reading which is not comfortable because everything seems larger & while reading the paper or looking at a white surface my peripheral (outer) area of vision seems to flicker or quiver with every movement of the eyeball. my eye surgeon could not give a satisfactory explanation, he just said that this will go away. can anyone explain?

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  • Posted

    Hello, everyone!

    I'm happy (not the right word) to see this thread. I had the Synergy lens put in my right eye yesterday and so many things they don't tell you. I realize it's early days, but I have what I call the wobblies on the outer lower edge of my vision. I'm sure it's the same thing. I wore contact lenses for 20 years and it reminds me of when the lens would get stuck or shift and you could see it's edge. Not thrilled to know it could take a year to disappear, but I'm only one day in and just trying to learn what to expect.

  • Posted

    Shannon Wong posted a video 2 days ago on YouTube related to this issue and surgical correction via reverse optic capture. Search for "How to get rid of the shadow I see after cataract surgery. Treatment of negative dysphotopsia."

  • Posted

    I had cataract surgery three months ago and had the premium AcrySof Alcon lens implanted. Right away the day after the surgery I started having a flickering in my eye. It is like a fluorescent light flickering when it needs replacement! It flickers constantly! My far vision has to be corrected with a -1.25 soft contact and my near vision is horrible! I cannot read anything close at all. My far vision is good to about 20 feet and that's it. I can barely read street signs or billboards. The medication he implanted is still in the bottom of my eye, but fades a little more every week.

    When I am in a dark room barely lit like with a nightlight, I get a large black almond shaped orb that covers the whole eye and blocks my vision. In the morning when I get up I can still see that orb but it is red and patchy like a blood spot would be. By the time I am in regular light that goes away and it turns to a yellow very faint orb in my eye.

    I am so sorry I had this done. Oh, my pupil is still full dilated even this long after the surgery! I am so upset and truly regret letting anyone touch my eye! The surgeon when questioned asked me if I had a psychiatrist. I asked him why I would need one. He said obviously the symptoms I am having, I am imagining them. Can you imagine a doctor dismissing symptoms like this and saying it is all in my imagination? I was stunned when he even said that. These symptoms are real and now looking for another opthamologist to assess this eye.

  • Posted

    Its been a month since my surgery. I just started getting flickering in my one eye only in the morning. i had what i thought was either an eye infection or migrane 2 weekends ago cause i had sensitivity to light. i put one of my previous eye drops in my eye again since i had just finished my rounds with them and it stopped almost immediately. now i have the flickering. it goes away when i brush my teeth with the electric tooth brush. very strange. i didnt know that this was a side effect of having the surgery. i go in two weeks for my other eye. I will talk to my doctor then. I have 20/30 vision now in my right eye. Its great!

    • Posted

      Is the flickering in the center of your field of vision, or does it seem to be coming from the periphery? I just read through this thread (old!), and it seems for most folks the flickering is peripheral. I'm trying to figure out what's going on with my operated eye. For me, the strobe effect is in the center of whatever I'm looking at. For instance, when looking at a standard-size wall clock (about 9-10 inches across) from about 5 ft away, the rapid flickering takes up about the center 3rd of the clock face. So it's relatively small. The distraction is not small though 😃

  • Edited

    Hello and first I want to say that I'm sorry so many are having this similar annoying constant light show. I am going on almost 5 months post surgery from my second eye and the flickering, mostly when indoors around artificial light has not resolved. I did get a second opinion and he said it is positive Disphotopsia and that if neuroadaption doesn't happen in 3 months then a ROC o IOL exchnage is the solution. My ophthamologist said yesterday that I could try ROC (reverse optic capture) and it that doesn't work do a lens exchange. I am fine outdoors. I need to figure out this flickering first because my doctor also wants to make sure the lens is not moving (Phacodonesis). His exam and another DR. say it is not but the video I have looks like it is or is it just a refection of light bouncing off the square edge of the Panoptix lens? This link shows what I see when looking at my eyes.

    https://lottemeiners1.wixsite.com/my-site-2

    If It just takes time to resolve than I am willing to do that vs any interventions but also am sensitive to the optimal timing to do any surgery, especially an IOL exchange. My Dr. says that needs to happen sooner than later.

    Please respond with if the flickering, pulsating vision in peripheral eventually resolved and how long it took for you? Would also like to know what others have heard about how long I can wait to do a lens exchange? I have read that this flicker vision could take a year to go away. If it doesn't at 12 months is that to late to do a lIOL lens exchange?

    BTW I have Panoptix In both eyes, with a toric lens in LE only.

  • Posted

    I am so glad i found this site!

    i have angle closure gloucoma and Moorefields eye hospital told me to have lens replacement surgery to help keep pressures down.

    My sight was great before, now a month after, I still have flickering and bad blur on the outer edge and bottom of my eye , it hasn't subsided.

    the hospital say its negative dysphotopsia and that it may not get better. Its like looking through jelly over half my eye . Blur and flickering , , not getting any better after a month.

    I'm so upset that I'm in tears every night . I struggle to get my eyes to work together , like blurry double vision sometimes.

    I'm self funding to go and see a private specialist tomorrow , which i cant afford, but I'm desperate for some answers and hope as I cant live like this, its so distressing. I wish id never had it done. ..... and they want me to have the right eye done .

    Has anyone experienced the same??

    • Posted

      Did your flickering ever go away? I had catararact surgery 5 months ago and am still experiencing the flickering. It is very upsetting, to say the least!

  • Edited

    I had flickering in my eyes after surgery and the surgeon explained to me that this is normal and continues for a while until the new IOL settles into the eye. I described myself to my doctor as "Mad Eye Moody" from Harry Potter (the guy whose eye twirled around in its socket).

    It was distracting, but anyhow the flickering settled down within a few weeks and now that I am two months out, I have no flickering in either eye.

  • Posted

    My cataract surgery was almost 2 years ago. I still have the flickering/shimmering lights! My doctor insists that it's ocular migraines-but it's NOT!!!

    I've been to a retinologist, neurologist, neuro ophthalmologist. They've all had me go for tests & done what testing they could, in their offices. None of them found anything wrong, but all agreed that it wasn't ocular migraines!

    Unfortunately, no one has been able to help.

    So, I'm back where I started, with no answers & no relief.

    I hope yours resolves, soon!

    Good Luck!

    • Posted

      Hi Sue,

      I had suffered the flickering / shimmering lights after Cataract Surgery in both eyes, went for various tests & appointments etc., after 1.5 years with no luck i was feeling very depressed. i read that some patients had success with using a piggyback lens in the sulcus to assist with the flickering, but my doctors recommended not to proceed with additional surgery as they said i could have further complications. I was at my wits end and felt i had no choice. So, I went ahead and had my op in November 2022. They inserted a Rayner Sulcoflex piggyback lens in each eye, i had a refractive error from the original left eye surgery, so they corrected that was well and inserted a Plano lens in the right. Best decision i made!! Its made such a difference with the flickering and other Disphotopsia's i was experiencing.

      Good luck for the future, i hope this helps you.

      regards

      Shaun

    • Edited

      I have heard of the piggyback option but not heard from anyone that has done it. I found this article on a quick search which talks about it and gives some examples as to where it has been used. In this article it seems to be used mainly to address refractive and cylinder surprises, as well as for those that post op decide they want a multifocal correction.

      .

      Refractive Surgery Piggybacking With the Sulcoflex BY MOHAMMAD I. KHAN, MRCOPHTH; AND MOHAMMED MUHTASEB, FRCOPHTH

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