Severe monocular double vision after cataract surgery!
Posted , 4 users are following.
I don;t know what to do, I'm shocked.
Almost one year ago I've noticed mild double vision with no significant reason.
I've tried to use toric lenses but it didn't worked.
Then some halos and "fog" around light sources appeared.
I was eventually told that my double vision was caused by cataract and would disappear after surgery.
I was afraid because I'm 32 years old single eye person after retinopathy of prematurity with nystagmus. I had always poor visual acuity (0,1-0,05 for distance and don't know how much for near but I read 10-11 pt print form distance of ~15 cm (6 in).
My doctor said that monofocal IOL would be the best. I wasn't sure because I wanted to see text on my TV screen from about 60 cm as I used to, so I thought about EDOF Zeiss AT Lara set for range from -2D to -4D but eventually agreed to monofocal because everybody told me that I had to do it i hospital, not as a one-day surgery procedure and it's hard to find commercial ophthalmology hospital in my country.
Now after surgery - which, as my doctor claims, was fine - my double vision is 10 times worse! I can't watch TV, I can't play computer games or even use some software because everything placed further than 10 cm from my eye starts to be duplicated!
I'm single eye person end everything supposed to be fine. And I admit - halos are gone, "fog" is gone, close text is sharper, but what about my main problem, double vision!
BTW my doctor spilled much of trypan blue into my eye so now everything is blue, but he claims it will disappear after 10 days. I'm afraid that it's toxic for the retina but some JAMA article states that only for rats and rabbits cells (in vitro tests)... 😦
Some suggestions? Advice? Please help me, the surgeon I chose supposed to be extremely experienced and everyone recommended him!
Now my whole life means nothing, I know how complicated is IOL replacement, I don't expect than anyone would do it in such complicated eye as mine...
0 likes, 4 replies
peter32467
Edited
Now I've discovered some article about trypan blue dyed IOL causing double vision but my doctor said that IOL is OK and the dye is somewhere in the vitreous body as far as I remember... Could it cause the same effect?
BTW - doubled images are placed in the same axis as there were before the surgery (but were less severe)
I wasn't informed abut the material of my lens so I don't know whether is hydrophilic acrylic.
janus381 peter32467
Posted
Forgot this site doesn't like links (as I haven't posted in awhile).
I just posted that while many of the posters here are knowledgable, I don't think any of us are experts or ophthalmologist.
Certain if "trypan blue was spilled" into your eye during surgery, that could have something to do with it. Being curious, I found an article titled "Inadvertent vitrous staining by trypan blue...".You may have found that article too. I guess the good news in that article is that the problems were solved though a course of eye drops.
If your surgeon is highly experienced and highly recommended, I think all you can do is get informed so that you can ask the right questions. But you will need to trust your surgeon to help solve the issues you are seeing.
RonAKA peter32467
Posted
I had one eye done about 6 weeks ago. With the cataract I was having double vision in that eye. It was not crisp double visions but there was one fairly clear image and then a somewhat fuzzy second image. With the lens removal and IOL implant the double vision is totally gone.
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From what you describe I can only think that your double vision was not being caused by the cataract. There are a number of other causes of double vision. You really need to go back to the surgeon for further diagnosis. If you google the following phrase you can get some information on it.
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Stanford Health Care Diagnosing Double Vision
janus381 peter32467
Edited
Peter, sorry to read about your troubles.I think while many of the people who post here have more knowledge than the average person (because we have had to deal with cataracts, and I think most of us want to be informed), but none of the regular posters would be ophthalmologists.
Sounds like you are doing your internet research to be well informed, so that you can ask your doctor the right questions.But if your surgeon "spilled much of the trypan blue" into your eye, that could certainly have something to do with it.Being curious, all I can do is do an internet search, and found this article
https://journals.sfu.ca/paao/index.php/journal/article/viewFile/279/pdf The good news in that article is that the issues were resolved using a course of eye drops.
If you surgeon is extremely experienced and highly recommended, then I think you will need to continue to see him so that he can help you resolve the issues you are facing. Getting informed on your own is a good idea.