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Had an appointment with my surgeon today. Scheduling had messed up and didn't have me down as having an appointment because of the cancellation of my right eye surgery. This was supposed to be a follow up on my left Symfony eye which I have been experiencing positive dysphotopsia (halos, starbursts, ghosting and glare). My surgeon and I decided to hold off on the right eye at my 1 week follow up to see how symptoms resolved themselves. I also had complaints of blurry distance vision.
Testing results: I'm still experiencing glare but it is reduced and not bothering me as much. With glare testing I was able to see the letters this time. My reading vision in my Symfony eye is 20/20 and distance is 20/25. With a 0.5 diopter correction distance is 20/20. IOP is 7 in left eye and 8 in right eye.
Consult with surgeon: I'm a little frustrated that he did not have my chart because of the appointment screw up. I had to remind him of our last appointment discussion. At that time I was experiencing bad glare, and night vision issues (halos, starbursts) and daytime ghosting on reflective images. I'm still experiencing daytime ghosting but it's not as noticeable and I seem to be able to tune it out (neural adaptation?) for the most part. I still get halos & starbursts and yes spiderweb effect from lights. I think they are subsiding somewhat also but still very present. At my last appt. he said I had a posterior capsular fold which could be contributing to these aberations. He went to do the slit lamp exam and said I have inflammation and could see cells. He didn't even look to see if the fold had resolved (My optometrist said it was mostly resolved a few weeks ago). He instructed me to start using the anti-inflammatory drops again for the next two weeks and return for another exam.
He did target my left non-dominate eye to be slightly myopic (near sighted) for better near vison. He said he was targeting for -.25 and with healing it usually changes +.5, he didn't want to overshoot it because that would leave me hyperopic (far sighted) which would not be a good outcome. Now I fully undersand why my distance vision with my Symfony eye is slightly off. We did discuss surgery on my right eye and he thinks (like my optometrist) that once both eyes are done I will notice less night vision issues over time. We discussed targeting the right for plano. He did tell me he has only had one patient that he put in a monofocal lens with a Symfony because of night vision issues, and only one other patient that found night vision issues extremely bothersome. He said this woman wagged her finger at him she was so upset, but when he asked if she wanted to exchange the lenses she refused because she didn't want to give up the great near & intermediate vision. He asked if I was going to wag my finger at him. Told him, not yet!
So now my questions are is inflammation 2 months post surgery common? Is this a real serious issue? Why don't I have symptoms (ie: pain, redness, blurriness, scratchy feeling etc.) I'm to use the Ilevro drops twice a day for a week then once a day for a week. I go back to see him in 2 weeks. Sigh. In the mean time his office should be calling me to schedule surgery on my right eye.
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