One done July 11, one to go

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Right eye cataract was replaced with distance only Tecnis Aspherical lense.  Surgery was painless as is recovery.  It has only been 3 days and distance vision is fair at about 20/40 in right eye.   Will this sharpen up?  How long before I'll know of lens Rx was correct?

I'm 66 with previous Autograph II progressive lenses at -4.5 + 2.25 in both eyes.   New lens was +13.0...whatever that means. No astigmatism. 

2nd surgery is scheduled for July 24....imbalance in eyes is difficult now.

 

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6 Replies

  • Posted

    Did your eye surgeon use ORA to check the actual refractive results in your eye in real time during the surgery?

    If not, the power could be off, but they probably wait a month or two before determining the final result.

    • Posted

      Not sure what ORA is.  Can you explain a bit?  Maybe I can ask about this for 2nd eye.  

      Vision is slightly better day 5, maybe 20/30 to 20/40. 

      Thanks.

       

    • Posted

      ORA is newer technology some eye surgeons use during cataract surgery to confirm the refraction in real time.

      ORA is short for "Optiwave Refractive Analysis" - you can do an internet search on that for more info.

      Not all eye surgeons have the ORA equipment, just like not all have femtolaser equipment.

  • Posted

    Sorry to learn that the results of your surgery don't look good at this time.

    While you doctor and you are trying to figure out the reason, I strongly suggest that you postpone your second surgery. The best target vision for the second eye will depend on the prescription, you end up with for the first eye and you do not know that right now.

    Now about your first eye:

    1. There is often an error in the spherical power of the lens installed in the eye (the power of the new lens, 13.0, is always vastly different from the glasses you may have been wearing).  Use of OTR helps, but even that is not perfect. Also, even more importantly, if I am reading you correctly, inspite of the fact that you have a high amount of astigmatism, you did not get a toric lens to correct for that. If that is true, your vision is never going to be that good in that eye unless you go through another procedure, such as LASIK enhancement, to correct that astigmatism or you wear glasses all the time.

    2. You will probably have a vision check a week after the first surgery. The vision will keep on changing some more for a few months, but the changes will not be that much after the first week. If you can share the findings on your corrected vision and the spherical / cylinderical correction required to achieve that, then we will have a better idea of where you are, what may be the best thing to do for the first eye, and what can be done for the second eye to complement / work-together with the first eye to achieve the best overall vision.

    • Posted

      Thanks for taking time.   Not sure what OTR is maybe give me a quick comment about that.  I'll ask Dr.

      1. I don't have astigmatism.  I had a R = -4.5 distance correction and a +2.25 for reading in my progressives.  No correction was needed on old glasses for astitmatism. 

      2.  Good idea.  I see Dr tomorrow re how new lens and vision is coming.  Should help with 2nd eye decision.  Right now it is another distance correction using the Tecnis lense.  I don't know power yet but likely a bit less as left Eye was a -4.0 correction for distance and +2.25 for reading.  

       

    • Posted

      1. Sorry about causing confusion by using the wrong abbreviation OTR instead of the correct one, ORA (same one as used by Night-hawk). Sometimes, the hospitals charge extra (about $700) for the use of the equipment requiired for ORA. Also, it will be beneficial only if they have the lenses with vaious powers at hand as they are in the middle of a surgery.

      2. Sorry also about misreading the value of 2.25 in your prescription as the cylinderical correction. It is great that you did not have any astigmatism before the surgery. Hopefully, the eye examination will confirm that the astigmatism is still very small, if any, after the surgery.

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