Cataract Surgery - Undilated pupils

Discussion in 'Laser Eye Surgery' started by Rich, May 11, 2007.

  1. Rich

    Rich Guest

    I had Cataract Surgery two days ago. Everything went well and I can see
    very well out of the operated eye.

    One problem I have noted is that the pupil remains extremely closed, and
    I have very little vision in low light. (Is there a better term than
    "undilated"?)

    At a follow up visit to the Doctor, I asked him about it and his comment
    was "they give you some medicine to close the pupil up after surgery; it
    probably hasn't worn off yet".

    OK, it's now 48 hours after surgery and that pupil is still very tiny.
    I will be calling my doctor's office later, but I would like some
    independent advice:

    "How long should I expect this to last? Is this at all a common
    occurrence?" (I haven't seen it described in any of my readings on
    cataract surgery).

    I'm also anxious to determine what my final visual acuity will be, and
    with my pupil acting like a pin-hole, I suspect what I'm seeing now may
    be better than what I'll finally be seeing.

    Rich
     
    Rich, May 11, 2007
    #1
    1. Advertisements

  2. Rich wrote:

    > I had Cataract Surgery two days ago. Everything went well and I can
    > see very well out of the operated eye.
    >
    > One problem I have noted is that the pupil remains extremely closed,
    > and I have very little vision in low light. (Is there a better term
    > than "undilated"?)


    Constricted.

    >
    > At a follow up visit to the Doctor, I asked him about it and his
    > comment was "they give you some medicine to close the pupil up after
    > surgery; it probably hasn't worn off yet".


    Ask him what that medicine was.

    >
    > OK, it's now 48 hours after surgery and that pupil is still very tiny.
    > I will be calling my doctor's office later, but I would like some
    > independent advice:
    >
    > "How long should I expect this to last? Is this at all a common
    > occurrence?" (I haven't seen it described in any of my readings on
    > cataract surgery).
    >

    I'm assuming your other pupil is significantly larger by comparison?

    > I'm also anxious to determine what my final visual acuity will be, and
    > with my pupil acting like a pin-hole, I suspect what I'm seeing now
    > may be better than what I'll finally be seeing.
    >

    You might be right on that. I'm hoping your pupil dilator muscle or its
    nerve haven't been damaged, which could cause this. What post-op drops
    are you using?
     
    William Stacy, May 11, 2007
    #2
    1. Advertisements

  3. Rich

    Rich Guest

    William Stacy wrote:

    >> At a follow up visit to the Doctor, I asked him about it and his
    >> comment was "they give you some medicine to close the pupil up after
    >> surgery; it probably hasn't worn off yet".

    >
    > Ask him what that medicine was.


    OK, I will do that

    >


    >> "How long should I expect this to last? Is this at all a common
    >> occurrence?" (I haven't seen it described in any of my readings on
    >> cataract surgery).
    >>

    > I'm assuming your other pupil is significantly larger by comparison?


    I would say it is larger, depending on light conditions. But the
    operation eye remains small, even in dim light (twilight, for example)

    >
    >> I'm also anxious to determine what my final visual acuity will be, and
    >> with my pupil acting like a pin-hole, I suspect what I'm seeing now
    >> may be better than what I'll finally be seeing.
    >>

    > You might be right on that. I'm hoping your pupil dilator muscle or its
    > nerve haven't been damaged, which could cause this. What post-op drops
    > are you using?


    Zymar (antibiotic) four times a day
    Acular LS (anti inflammatory) twice a day)
    Pred Forte (don't remember its purpose) four times a day

    Rich
     
    Rich, May 11, 2007
    #3
  4. Rich wrote:

    >
    > Zymar (antibiotic) four times a day
    > Acular LS (anti inflammatory) twice a day)
    > Pred Forte (don't remember its purpose) four times a day
    >

    Those are good, the pred forte is the main anti-inflammatory one. None
    of these should constrict pupils. Make sure your hands are clean and you
    shake the pred each time you use it, or it won't work well and the
    resulting iris inflammation could cause a constriction. The reason I'm
    mentioning handwashing is once in a while a person will get some other
    chemical or drug on their fingers and into the eye inadvertently...
     
    William Stacy, May 11, 2007
    #4
  5. Rich

    flam tap Guest

    "Rich" <> wrote in message
    news:...
    > William Stacy wrote:
    >
    >>> At a follow up visit to the Doctor, I asked him about it and his comment
    >>> was "they give you some medicine to close the pupil up after surgery; it
    >>> probably hasn't worn off yet".

    >>
    >> Ask him what that medicine was.

    >
    > OK, I will do that
    >
    >>

    >
    >>> "How long should I expect this to last? Is this at all a common
    >>> occurrence?" (I haven't seen it described in any of my readings on
    >>> cataract surgery).
    >>>

    >> I'm assuming your other pupil is significantly larger by comparison?

    >
    > I would say it is larger, depending on light conditions. But the
    > operation eye remains small, even in dim light (twilight, for example)
    >
    >>
    >>> I'm also anxious to determine what my final visual acuity will be, and
    >>> with my pupil acting like a pin-hole, I suspect what I'm seeing now may
    >>> be better than what I'll finally be seeing.
    >>>

    >> You might be right on that. I'm hoping your pupil dilator muscle or its
    >> nerve haven't been damaged, which could cause this. What post-op drops
    >> are you using?

    >
    > Zymar (antibiotic) four times a day
    > Acular LS (anti inflammatory) twice a day)
    > Pred Forte (don't remember its purpose) four times a day
    >
    > Rich


    After my wife had her cataracts removed she was required to take Cyclogyl
    once a day for a week just to keep the operated-on eye dilated. Supposedly,
    that helped the IOL to settle in. I don't understand why your treatment
    would be so opposite.

    Patrick
     
    flam tap, May 11, 2007
    #5
  6. Rich

    Rich Guest

    Re: Cataract Surgery - Constricted pupil

    William Stacy wrote:
    >
    >
    > Rich wrote:
    >
    >>
    >> Zymar (antibiotic) four times a day
    >> Acular LS (anti inflammatory) twice a day)
    >> Pred Forte (don't remember its purpose) four times a day
    >>

    > Those are good, the pred forte is the main anti-inflammatory one. None
    > of these should constrict pupils. Make sure your hands are clean and you
    > shake the pred each time you use it, or it won't work well and the
    > resulting iris inflammation could cause a constriction. The reason I'm
    > mentioning handwashing is once in a while a person will get some other
    > chemical or drug on their fingers and into the eye inadvertently...


    Thanks for the advice on shaking the Pred. I think I've been doing
    that, anyway.

    Spoke with my Doctor Friday night. He is puzzled about the constricted
    pupil, but advises me not to worry (although, I'm not sure what basis he
    has to tell me "not to worry"!) He will try something to dilate the eye
    on my follow up visit next week. I asked him about potential nerve
    damage, and he was quite sure that there wasn't; said that the iris
    would fail wide open, not closed.

    At this point I am functional with the eye the way it is. Long term, I
    would be VERY upset to lose my low-light vision! I have to give careful
    thought before surgery on the other eye, if we don't know what caused
    the constriction in this eye.

    I think I'll do some research on the mechanism of the iris.

    Thanks for much useful information.

    Rich
     
    Rich, May 12, 2007
    #6
    1. Advertisements

Want to reply to this thread or ask your own question?

It takes just 2 minutes to sign up (and it's free!). Just click the sign up button to choose a username and then you can ask your own questions on the forum.
Similar Threads
  1. Anisocoria (pupils of different size).

    , Nov 22, 2003, in forum: Optometry Archives
    Replies:
    0
    Views:
    388
  2. Pupils of different size

    , Nov 23, 2003, in forum: Optometry Archives
    Replies:
    1
    Views:
    244
    drfrank21
    Nov 25, 2003
  3. Pupils of different size.

    , Dec 1, 2003, in forum: Optometry Archives
    Replies:
    0
    Views:
    230
  4. Lasik and large pupils

    , Dec 21, 2003, in forum: Laser Eye Surgery
    Replies:
    7
    Views:
    311
    Glenn Hagele - Council for Refractive Surgery Qual
    Dec 23, 2003
  5. Glenn Hagele - USAEyes.org

    Free Cataract Surgery - Cataract Free America

    Glenn Hagele - USAEyes.org, Dec 5, 2008, in forum: Laser Eye Surgery
    Replies:
    4
    Views:
    2,386
    Glenn Hagele
    Jan 3, 2009
Loading...

Share This Page