Prescription changes 15 months after cataract surgery

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Had an appointment today with the optometrist who diagnosed my cataracts. Saw her 3 months post op to get my prescription. At the time both eyes were plano for distance and i had slight astigmatism in both eyes (RE .25 & LE .50). Although I haven't used readers much I was given a prescription of 1.75.

I had EDOF IOLs (Symfony implanted summer of 2017).

Today from my visit glad to receive the news there is no sign of pco but my prescription changed. For the better in RE see 15/20 in RE and now no astigmatism. LE needs a bit of help at .25 for distance and astigmatism increased to .75

Reading prescription decreased to 1.25 although only time I used them this year was for extended reading or very tiny print.

I was surprised to find out my vision could still keep changing in next few years. Wondering if this is the nature of cataract surgery and IOLs or because I was diagnosed at 53 with cataracts vs the normal age for cataracts. Forgot to inquire with my optometrist.

Anyways wondering if difference between eyes will cause some headaches and RE will be working overtime. It may be helpful if I got glasses to use when driving to reduce the strain.

Anyone else still on the forums a year or more out from surgery experiencing fluctuations in vision?

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  • Posted

    Hi Sue.An

    I recently had a consult with another ophthalmologist regarding my symphony artifacts and to check my un-operated right eye cataract. One conversation we did have was he told me that yes your vision can change through out the day. He told me of a patient of his who complained of vision changes thru the day. Better in the AM and worse in the PM. He kept him in his office for a full day and did pressure checks. As this patient's eye pressure changed thru the day so did his vision. He said this was due to the pressure slightly changing the shape of the eyeball and thus affecting the shape of the cornea. He said former lasik patients are more likely to notice these daily changes due the the flattening of the cornea.

    • Posted

      Very interesting! Quite a specialist that would spend a day with someone yo take all those pressure tests. I am actually glad looking back that I never went through lasik to correct eyesight. Not only have I learned it affects power calculation when it comes to cataract surgery but many of these clients are harder to please after cataract surgery as their demands and expectations are higher.

      So likely yesterday's results fir me ate within normal fluctuations. Although my optometrist did say it will take a few years for vision to stabilize as the brain is learning to adapt. She did show me the scan of area between IOL and back of the capsular bag. This area has a space whereas before natural lens was thicker and took up that space.

  • Posted

    very interesting that your reading prescription went down as your astigmatism increased.

    Do you notice a change in your near vision without glasses? It might be too subtle to notice.

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