Post-op vision worse than pre-op vision 2 months after cataract surgery. Need help!!!

But since your right eye never improved you may have IOL with incorrect power. Did they use ORA during surgery. It is recommended if you have had lasik previously to calculate / confirm the IOL power. 

At 49 you are a young patient. Did you have posterior sub capsular cataracts?  

Thanks for sharing. Sorry you are going to have to go through this and good luck in your journey. 

Good luck and wish wish you the best,

Welcome to the forum, you are not alone in your complaints, although I never had any lasik treatment for my eyes ( luckily I had 20/20 vision until I hit my mid forties), I did develope some astigmatism in both eyes one more than the other and of course the need for reading glasses which comes with the aging process. Then along came cataracts in both eyes one more than the other. I stopped driving at night unless I was very familiar and the road was well lighted. I decided to have the cataract surgery this year one eye done in April and the other in May. I came to this forum after my surgeries and I started the discussion " Double vision after Cataract surgery" although double vision wasn't my only complaint, I also had burning eyes and blurry vision, over the past few months my vision has deteriorated. However I've learned a great deal from other people's post which has helped me in dealing with my surgeon. I've also done some research albeit after the fact it still helpful. I was prescribed steroids & antibiotics for both before and after the surgeries. I recently looked up the side effects of this steroid and wouldn't you know it, it's exactly what I am experiencing and it sounds very similar to what you have posted. My last conversation with my surgeons they indicated that I had mild PCO which conflicts somewhat with what the retina specialist that they sent me to told me. So I will need to follow up with them to see if this mild cloudiness is what's causing all my problems or is it a combination of mild PCO and adverse reaction to those steroids. I would suggest you Google "side effects of steroid eyedrops" or better yet if you remember the name use it in the search engine. Good luck!

Since you have significant amount of the needed spherical and cylindrical corrections, the IOL prescriptions were not correct. Moreover, since the vision became worse with time, the toric lenses may have rotated from  the installed position. Personally, I would strongly prefer a LASIK enhancement to having the lenses re-done. I chose to have a LASIK enhancement done for my right eye due to the toric lens rotation from the installed position. Fortunately for me, my surgeon was willing to do the LASIK enhancement as well as  re-positioning of the lens at no charge (that was part of his premium lens cost package).

However, before you have LASIK enhancement, you should take care of the PCO (if significant) by the YAG laser, if needed. Otherwise, the PCO could make the correct LASIK enhancement harder.

Making sure that your eyes are not dry is a good idea irrespective of whether your IOL prescription is off or you need to get rid of the PCO. Good eye drops and/or supplements such as Fish Oil capsules can help reduce the eye dryness.

I am going through the same situation as you,the day after surgery (follow -up) after having my right eye done I was happy as a lark nearly 20/20 vision.Approximately a week later I developed this cloudiness in my right eye.

I contacted the surgeons office and they scheduled an appointment for me and was told I need YAG to clear it up.He didn't mention of any risk involved or that I would not be able to have the lens implant changed it need down the road.

At that time I was scheduled to have my left eye done 3 weeks after the right eye.At that time he told me that he would set up an appointment to have the YAg treatment performed ,once the three weeks surgery on my left eye had passed.

Sorry to disappoint you,but after the YAG treatment I didn't get any better results ,only it got worst.Upon my follow -up appointment he told be both lens were fine.So I had several questions for him,one included,so if my eyes are fine why is it that my eyes are even worst than even before the lens implants were installed,I can't read the first line on the eye chart now,but before any eyes had implants ,I could read three lines on the chart.I guess he the( surgeon),didn't like my questions and said to speak with my regular eye Doctor and have my reading glasses upgraded.If the cloudiness in my left eye drove me nuts,you can think about having  YAG done on it.So if the first YAG treatment on my right eye made it worst ,I am definitely not going to have the left eye done and have no option of having the lens replaced ,which certainly looks like it may have to because of the dark/shadow and the flashes of light I see in the dark.Also when I go to a store with bright lights I have to wear sunglasses,everything looks hazy/foggy.I just hope it works out OK for you but I feel sorry for patients that may have experienced the problems those implants have caused me.I was told I had two options on the lens,the hard type lens versus the soft lens which was suppose to be a better choice,which is what I went with.Good luck with your decision on whether to get YAG treatment,get all the info. and advice you can. 

I also wanted to add that the doctor swears that the Toric IOL is in the same position and hasn't shifted so apparently that's not the problem.  He also stated that the 'calculations were and are still correct' though I'm not so confident with that response.  So I guess I will get the second opinion (though my HMO probably will not have an appointment for me for a few months since they are booked solid).  Thank you so much for all of your insight, I truly appreciate it!

Good Morning

When I did get to see my regular eye doctor for a second opinion,he agreed that back of my lens were very cloudy and I should proceed with the YAG treatment.I questioned him on what if I need to have the lens replaced, his response was why would you want to replace the lens?I responded by saying if the lens was defective or becomes an issue.He said the lens was in place and the only issue was the cloudiness.

So a long story short I proceeded with the YAG treatment and the results in my condition made it worst.Mabye I was just one of the unlucky ones who has this treatment that didn't benefit from it and now I will have to go with full-time glasses rather than just reading glasses that I was previously using.I hope all goes well for you and you get better results than I did,have a great day.   

My first iol was installed December 2017 and was “the wrong power” the second eye was the following week and the sr assured me that he knew what to do on the second eye. 

End of April we exchanged the iol from a 20.5d 2.5 restor multifocal toric to a 22.0 2.5 multifocal toric and I’m still having problems. The exchange surgery was very stressful because my dr had only done a few and took his time, the ORA miscalculated once again and the dr stepped away from the operating table to refer to my chart and went back and forth with some numbers and finally decided on the lens I have. Also the ORA said to put the toric in another position...my current prescription is still not revealed to me. I’ve asked for my records to be sent to me, as I will be consulting yet another second opinion. “ we got you as close as humanly possible” was the dr comment. I can read 20/20 distance with a shadow effect in the 2 o’clock position. This is worse that what I had prior to cataract surgery. As for the left eye. I’m .75 off with an astigmatism of 1.25. When I never had an astigmatism in the first place. There is always an astigmatism after surgery of @ .50. Not 1.25!! So my left eye is also worse after cataract surgery. 

I’m also a lasik patient of 2001 who had her records. 

Yag has been suggested for next week for the left eye. I told dr I’d get back to him. For right now, I’m not willing to accept this left lens. I don’t believe he corrected it properly and is afraid to do another exchange because of his inexperience. I will be going to another cataract surgeon to see if they are able to correct with just a lens and not lasik/PRK follow up. My dr isn’t willing to answer my direct questions. And only answers with “pamphlet information”. I’m beyond frustrated because I’ve also said the same thing...why would I pay for prescription lenses only to wear glasses as a final result? Totally feel mislead and taken advantage of. 

Hang in there. And please get another opinion before yag as its setting that lens as a permanent solution.