Disappointing results from cataract surgery

Discussion in 'Laser Eye Surgery' started by rmazza, Sep 23, 2006.

  1. rmazza

    rmazza Guest

    It has been nearly two months since cataract surgery. The surgeon
    declared the surgery "perfect" at the end of the surgery. I had gone
    into the surgery in good health and with modest myopia. The surgery
    was on the left eye and the intent was distance correction. The
    experience afterward was not the experience so frequently heard. There
    were no complications and while there was a very tiny swelling of the
    corneal surface detected two weeks after surgery, that too has
    vanished. There persists, and this is true since about the third or
    fourth day after surgery, a blurriness at all distances; and with
    distance, as for example the crosswalk signs (cross/don't cross) on the
    street, two images for distant objects.
    I wondered if anyone else had had similar experiences.
     
    rmazza, Sep 23, 2006
    #1
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  2. rmazza

    George Guest

    You see double images? Did you mention these symptoms to the surgeon after
    the last refraction test? I had double images for about two weeks after
    surgery, attributed to a "crease" or bend of the IOL, but symptoms
    diminished slowly thereafter. What kind of surgery did you have? By that I
    mean, was it "stitch-less" or did you have stiches? George
     
    George, Sep 23, 2006
    #2
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  3. rmazza

    rmazza Guest

    Stitch-less. And yes it has been mentioned to the Surgeon only two
    days ago. There a scanning test on Tuesday to come. I've come across
    others for whom a good resolution took months and sometimes some
    intervention.
     
    rmazza, Sep 23, 2006
    #3
  4. You need to have a careful refraction so that any refractive error can
    be cleared up with glasses, etc. What kind of IOL did you get (brand
    name, etc)?

    w.stacy, o.d.
     
    William Stacy, Sep 23, 2006
    #4
  5. rmazza

    George Guest

    That's, hopefully, much better than the un-careful refraction exam <grin>.
     
    George, Sep 24, 2006
    #5
  6. Right. I don't know how to put it delicately. Refraction is as much an
    art as it is a science. Some people have "the touch" to do it right and
    some don't. It's kind of mysterious, almost like voodoo. Anyway, my
    point was more or less: if at first you don't succeed...

    w.stacy, o.d.
     
    William Stacy, Sep 24, 2006
    #6
  7. rmazza

    rmazza Guest

    This is true. I did have an astigmatism before the surgery. I have
    just had a prescription for that eye and the results are no different.
     
    rmazza, Sep 30, 2006
    #7
  8. rmazza

    rmazza Guest

    Do you mean that there might have been a poor lense selection by the
    surgeon; that there is no, shall we say, mathematical determination of
    the specific lense to be implanted and this can result in probems?
     
    rmazza, Sep 30, 2006
    #8
  9. rmazza

    George Guest

    There is a, to use your phrase, a mathematical determination of the correct IOL
    power based on the results of your eye measurement test taken prior to surgery.
    The eye measurement is usually via a ultra sonic or laser system that then puts
    the resulting data into a mathematical model to find the right IOL. But it is not
    perfect and there is always a fudge factor involved that the cataract surgeon may
    use depending on their prior experience. They can also goof, under the pressure of
    trying to get too many patients through, that they may also get it wrong. You may
    want to discuss this possibility with your surgeon, but he/she may get a bit testy
    as they may see a law suit on the horizon and they don't want to incriminate
    themselves.

    George
     
    George, Sep 30, 2006
    #9
  10. rmazza

    p.clarkii Guest

    how was your vision in the left eye before your surgery? is it better
    now?

    sometimes patients, and doctors, believe that poor vision in an eye is
    caused by cataracts just because they see that a cataract is present.
    however, after the surgery, it becomes apparent that the poor vision
    was due at least in part to something else. perhaps you had an
    expectation of "perfect" vision after the surgery which is really an
    unreasonable expectation.

    your complaint sounds to me like you still have some uncorrected
    astigmatism. if you had astigmatism prior to surgery you more than
    likely still have it since it is not easily remedied by intraocular
    lens implantation.

    you mention that you just got a prescription for your operated eye and
    the blurriness is still there. who did the refraction for your new
    prescription? the surgeon? as was mentioned by Dr. Stacy, it takes
    much practice to become a good refractionist. oftentimes surgeons are
    not the best refractionists. regardless of who did the refraction for
    your new prescription I would recommend having a second refraction and
    telling the doctor exactly what your complaint is. he/she can see how
    much residual refractive error remains after surgery and also tell you
    if your new prescription glasses are correct or not. and as mentioned
    earlier, there may be other issues that aside from refractive error,
    and aside from your cataract, that causes blurry vision.

    ===================
     
    p.clarkii, Sep 30, 2006
    #10
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