Post Cataract ghosting/Double vision

sadly, they did not ask me to leave contacts out at all before measurements. I am at a large well respected clinic in the Chicago burbs and second guessing my choice of surgeons.

any thoughts on the ghosting issue?

yes very possible

i have only one iol and the imbalance that u talk about is called anisometropia. my other eye is -2.5 so the imbalance is not too bad.

i have ghosting on tv subtitles but my main problem is positive dysphotopsia.

yes tv subtitles and for me some lit things like alarm clock numbers. what will happen when we get the other eye done? So sorry you have positive dysphotopsia. what IOL do you have? Was it a toric?

No mine was not toric. But it was a Symfony. Once the other eye is done the imbalance will go away.

My fear is that if I get dysphotopsia with the other eye too, then will I see a cross or two arcs crossing each other. Right now there are just arcs from one eye.

i understand your fear. i am fearful of doing the other eye too and putting it off for as long as possible.

Wondering if surgeon confirms it's due to eye dilating beyond IOL. If so may be a time thing and resolve itself. Would be nice if it resolved itself before 2nd surgery.

time thing as in getting older? 😃

I am putting off too but the cataract has entered my line of vision. Still correctable to 20/40.

DANG, that is not good. i'm still correctable to 20/20 in my non surgical eye. i was only at 20/25 in my surgery eye and regret doing it. i saw better before. will not do my left eye until it is really, really bad. 20/40 is getting there:(

Yes - not that there are many benefits to getting older - lol. But that may be one!

Hudsongrl - really surprised any optometrist or surgeon recommended cararact surgery if you could see 20/25 with glasses. Here in Canada that wouldn't be covered by our medicare system. Eyesight has to be 20/40 or worse (benchmark for passing vision test for driving lic).

I think my lens s not centered after constriction. I say that because I can see the concentric rings if I want to. The way to see them is: put a drop of water on the glasses and then look at a light. I see the lens and the concentric rings on it. now the concentric rings should be concentric to the constricted pupil and I don't think mine are. especially in the area where i see the arcs.

It is also possible that the pupil is not exactly circular but there must be some way to push the lens upward in that direction and my issue should get resolved.

just sent you a pm with link to article. An update on Symfony. What you mention about lens centering is mention by one of the surgeons.

The 4 doctors I have seen post-op say the lens is centered perfectly. I think they are wrong though. There is some centration along visual axis that needs to be measured.

Really hoping you can find an ethical doc. Hard to know who to trust. Do all 4 work in same office/company (any affiliation). They likely cover for each other if so.

Not sure where julielyn's doctor is but he might be someone to see. Found her lens wasn't properly implanted (haptic outside the bag).

2 of them are each other's friends but the other 2 were independent.

What were julielyn's symptoms or how do I search her thread?

her thread is entitled IOL exchange. If you go to search on cataract forums her last reply on her thread was 1 day ago.

it's a cataract surgeon that recommended it. he said the cataract was really dense and best to get it out. i did have lots of glare. but, my gut told me to wait.

I am not an expert but seems to me if you could still see 20/25 the cataract couldn't have been dense.

Do know not a surgeons are ethical. Did you have to pat out of picket or was it covered?

we have a $1700 deductible. part covered. i should have waited.

wait before doing 2nd eye and if it were me I would seek out another surgeon (several for opinions) before settling on one.

oh i am waiting on my other eye. i have a history of uveitis and my regular uveitis specialist sent her own mom to this cataract guy. That's why I chose him. I love her...she saved my sight 4 years ago. but, i hear what you are saying.

Each have their specialties. My own surgeon said before my cataract surgeries that if I wanted an exchange he would not do them. Took that to mean it is not his area of expertise. Given your history he likely should have referred you to another expert to do further assessments before cataract surgery - especially in your case where eyesight was still at 20/25 and not necessary st that time.

the Clinic i go to has 40 docs. each has a specialty. his is cataracts. he has 18 years experience. i'm not sure he did anything wrong besides slightly undercorrect me by -.50. i have been extremely nearsighted my entire life and high myopes are harder to correct perfectly. yesterday I

had no ghosting. wondering if maybe my brain is adjusting to the new vision? i see my uveitis doc friday and will discuss all this with her.

OK the over or under correction thing is within norm. The IOL as it heals shifts back and forth till it settles do eyesight can be slightly near or far sighted from target. Dr tend to target slightly near sighted by .25 diopter as it is worse to be far sighted than near. IOL is much thinner than natural lens which causes the IOL to shift back and forth till it settles and adheres.

yes the -.50 is within norm. i am hoping as more time passes it will get even better. plus i am still on steroid drops every other day due to my history of uveitis. those blur vision a bit. my main concern was the ghosting. my theory is i am rt. eye dominate, but when cataract caused so much glare, i had to use my left eye for distance. now, with contact in my right eye and cataract gone right is better than my left. like 20/15. so, my right eye should be dominate again , but a bit lazy. i think this might be why i get ghosting in certain light? Rivalry between the two eyes. if that is the case, it should improve as brain adjusts.