TECNIS SYMFONY LENS implanted in someone in their 20s.

Hm sorry to hear that, that must be a little hindering at times. I don't have a time delay such as yourself, but do you experience any sort of wobbling or shaking right when you move your eye? Kind of like how a car will jolt back once at a full stop.

No wobbling or shaking for me. Positive dysphotopsia is my worst symptom. I see the lens edge glare in dark environment.

This is the comment I needed. I think you're absolutely right. It's just that the doctor found the wobbling problem very strange. Is it normal for it to be simply unpredictable which symptoms the patient will experience during the healing process?

No worries, I definitely understand the frustration, I would give it a couple weeks before you should start to get worried.

I'm not an expert but if I had to guess, I would say that your lens is moving around ever so slighty which is why you are experiencing those symptoms.

I think every patient will be different in terms of symptoms and healing. So many different factors. Age, health, eye health and prescription before the surgery etc etc.

What did the doctor say?

I'm also curious if you know why you got cataracts so young?

I'm 31, so quite young for catarcts as well, my doctor believes it's from nasal steroid spray. Used it in June 2015, was diagnosed with cataracts at end of Sept 2015

Ah yes that is quite young!! No cataracts here, it's a combination of eyes being too weak for LASIK and the prospect that lens surgery would solve a narrow angle problem (and it did, my eye pressure went down afterwards)

Phil found it very worrisome that a surgeon would suggest cataract surgery for someone your age that doesn't have cataracts. Wouldn't glasses or contacts have fixed the issue?

I have had 2 Symfony lenses for 18 months. Diagnosed with cataracts at 53 and eyesight was such I wasn't able to pass driving test. Surgeon felt my use of steriods for eczema likely the culprit. I had no issues day after surgeries - could see to read and distance to drive. I did and do still see multiple concentric circles around certain light sources at night. There was also more glare from lights at night in the early months than I have now. I was informed of these prior to surgery and knew there would be trade-offs to being less glasses dependent. However you being in your 20s your natural lens would be infinitely better than IOLs. So what you see through IOLs may be a bigger contrast than someone older who has already seen deterioration in eyesight aside from cataracts which render seeing worse as time goes by. By the time I needed surgery couldn't read big E at optometrist's with glasses on! I would think there would be many noticeable differences with contrast sensitivity color sharpness etc. I struggled with the decision (lens selection - surgery itself no option as cataracts were really affecting eyesight). My surgeon said it best: people older gain something through cataract surgery whereas younger patients lose something and have to make a compromise.

Really hope it is a matter of time and you'll see better (it's really not a given someone sees like I did well within 24 hours.) For some the drops affect eyesight more and things get better after those are done. Others there is swelling and more healing that had to take place.

If things don't improve in 6 weeks and your surgeon is baffled maybe seek out another expert opinion.

best wishes for full recovery.

It's not too uncommon these days I think. People are doing it as an alternative to LASIK from what I've been hearing and reading.

Kevin: In response to the wobbling issue, the doctor said "That shouldn't be affecting you"

I'll ask more direct questions and be more assertive next time

common treatment for narrow angle glaucoma vs lasik or to treat presbyopia?

I originally went in for LASIK. But my eyes were too weak, about +6.5, and the laser goes only up to +6, which is already really extreme correction apparently.

My doctor is very well respected and high-rated, so I put my trust in him when he highly recommended getting this lens surgery. I will be patient and wait for symptoms to resolve, but if they do not resolve, I will not be getting the other eye done. At the moment I can see things very well in a certain range, about 7-8 inches away from my eye. Other than that, television, computer, anything outside the window of a car, is all extremely blurry. So I am counting on it being a fault of neuroadaptability. OR the lens is not settled deep enough.

hoping things improve in a few weeks. Settling of lens will bring about .25 diopter either way (near or distance). Won't account for big differences in range. Normally if targeted for plano the expected near range one seed is 18 inches. It could be your surgeon targeted for nearer. More than likely the drip regiment or swelling is the cause of blurriness and your surgeon will monitor things. In my opinion U would not proceed with 2nd surgery till things ate much improved with the first.

I completely agree. What a gift that it's one of the few organs we have a spare of. This will have to be a very careful yet optimistic process. I'd never do the other eye until the shaking and far vision resolves. Especially the shaking

Yes I am mist curious as to why you experience that. Keep us posted.

UPDATE:

The head surgeon, again a very nice and genuine person who has had little to no negative feedback in general, did an exam and found that there was no pseudophakodonesis (lens out of place), so the wobbling at this point is a mystery, which makes sense because what I'm looking at doesn't wobble as much as the edges of my lens/vision wobble, so he theorized that it was a side effect of light scattering.

We will see in 3 weeks if anything has improved.

I also get a deep somewhat dull pain when exposed to any new magnitude of light. But I assume this is normal in healing.

Worst case scenario I can wear a patch over the eye and simply not use it.

Like your sense of humour Phil! With the patch you could be a pirate!

Do think a lot of the visual effects you see are due to your age and how much more pupils dilate more than someone of normal cataract age and although IOLs are a medical miracle for cataracts not sure they are designed to replace the natural lens of younger eyes - even though many surgeons are promoting it.

Some of these affects your brain will adapt to with time. I experienced a flickering from side light after 2nd surgery that went away. Other effects from pupil dilating beyond IOL likely won't.

The wobbling will hopefully be something that disappears with time. Really think your doctor is right in that it is an effect of light scattering off the IOL much like my flickering was.

Good luck to you.

How long did it take for your flickering to resolve?

This is only when I'm moving my eye. its fine if its light scatter, donesis, whatever it is, I just can't live with this if it's permanent. would rather pay to have my eye blinded by the doctor haha.

so many floaters now too, just crazy. can only see debris on the window, barely can see outside. would be cool if there was a way to just turn the eye off and use it only in emergencies

It took several months for that side flickering to go. But it wasn't something I experienced frequently - only when light hit it from the side at certain angle. At first it would surprise me - like someone or something moved. Hope it goes away for you too.

2-3 months for flickering. but, mine was mostly noticeable in flourescent lighting or brightly lit spaces. the floaters sound like posterior vitreous detachment, but you are really young for that.