Hi, I'm 45 years old and had a cataract removed from each eye in June, 2007. During the surgeries no IOLs were inserted into either eye and the rear part of the lens capsule was left in place. No LASIK or other eye surgery has been performed to correct my vision.
Prior to the surgery, I was very nearsighted and also had astigmatism in both eyes. Following the surgery, I’m now far-sighted (** without IOL **) and have astigmatism still – Rx before and after:
Prior to Surgery After Surgery
Sphere Cyl. Axis Sphere Cyl. Axis
right eye -> -11.75 -3.25 007 +4.00 -1.75 005
left eye -> -11.00 -4.75 164 +4.25 -3.00 165
Six months after the surgery, I have vision problems including ghosts around objects and bursts around lights. Protein is also building up on the remainder of the lens capsule. My night vision is especially affected by these issues - overall my vision is worse than before.
My surgeon exercised caution throughout this time from the surgery prep to the follow up care (partly because I've had two partial retinal detachments). I appreciate this extra care, however, I think enough time has passed that my current vision problems should have already been addressed or should have resolved on their own.
Some questions I have are below:
(1) My surgeon has told me the protein buildup on the lens capsule is usually removed by laser – I understand that this effectively removes the rest of the lens capsule. With the lens capsule gone and no IOL present, is it likely that the vitreous fluid will "leak out" and cause retinal detachment?
(2) Are IOLs available in my current Rx strength? In my case is it too late or too risky to implant an IOL?
(3) At this point, is it better to seek a second opinion to help determine what I should do next, or should I rely solely on the advice of my current surgeon?
Thank you for your time. Regards,
CatJC