Catract surgery complication

[creedonk]

Please someone tell me what to do...
I am 58 years old femal. I had catract surgery on my left eye on June 5th.Doctor told me that they will adjust my left eye to see close and mid, then right eye to see mid to far. I did have a Crystalense which was doctors recomendation. I was waiting to see nice and clear, but never able to see nice and clear. I had a very strange feeling that something is wrong with my left eye. I could only see 1 foot away from my face. Doctor couldn't (wouldn't) listen to me and said you need two eyes to see well. We discussed about the adjustment between two eyes, so what can I say...Two days before the right eye surgery, went to doctor's office to check on my left eye. Wow dodctor was very surprised to see my left eye got very near sighted. Doctor said never seen like this! Also I am developing CME and started to loose vision. ofcause my right eye surgery is cancelled. My doctor said thet he can do 3 things: 1. replace crystalense which he said he doesn't want to do it. 2. put another lense over it. 3. Lasik correction. Now my left eye is only able to see very closeup and loosing vision. Right eye need to have catract removed. I don't know what to do. Can you give me any sugestions? Oh my doctor said that my crystalense is stuck in my eye that is making very nearsighted. Isn't that someday the lense will move again?
Thank you

[John C Hagan III, MD, FACS, FAAO]

Great news, good chance you will dig out of all these setbacks.

JhaganMD

[creedonk]

Hello Dr. Hagan,
I fund a retina specialist who could see me rightaway, I just came back from Dr.Charles W.G. Eifrig, M.D F.A.C.S. He said that there are no more sign of fluid. Just a small pigmentation he can see, but body will take care of it naturally. So my CME is doing much better now.  This month 31st, I will go see Dr. Chao to get second opinion for my left eye crystalense.
Thank you,
Kyoko

[John C Hagan III, MD, FACS, FAAO]

Yes I absolutely think a non-MD optom should not be managing cases like this. You should be seeing your surgeon or a retina MD ophthalmologist and not a surrogate farming out the care.

JCH MD

[creedonk]

Hello Dr. Hagan, Last week my CME was getting worse, and you told me to see Retina specialist. Since my OD gave me strong eye drops, so I did try for 3 days. Today I went back for check up and my CME is much better. I didn't see any fluid in the picture any more, but still the line is curved. My OD said it is very good and very fast I did recovered. I am still to use eye drops for 4 times a day and to see my OD on next Monday to check again. Do you still think I should see a specialist?
Thank you,
(It is very hard to see some one asap)

[John C Hagan III, MD, FACS, FAAO]

I want to be sure that your "eye doctor that is not a surgeon" is a Eye MD ophthalmologist surgeon. If not and you are seeing an OD, non MD, non physician optometrist, in my case you are placing your care in the wrong place and should transfer to real MD ophthalmologist ASAP.

JCH MD

[creedonk]

Dear Dr. Hagan,
I went back to see my eye doctor, he is not a surgeon, but he is good. I had more test, and it shows that my CME is getting worse. So he told me to use Isopto Homatropine 4 times a day, and keep using Nevanac 4 times a day, and Durezol for every two hours. I hope this will stop worsening mu CME.
I guess just have to wait and see how my eye heals.
Thank you again for your help.

[John C Hagan III, MD, FACS, FAAO]

Yes the treatment of CME after cataract surgery is a steroid (prednisolone is one) and a prostaglandin inhibitor like Acular (ketorolac) or Nevanac or Bromday both of the latter much more expensive.

You might see if you can get in sooner with a retina specialist and see both a cataract/refractive surgeon and retina Eye MD

Don't give up hope. If you can get rid of the CME there is a good chance that some lasik can fine tune your vision without more surgery. On the other eye when the time comes you might want to consider the much less complicated and less expensive monofocal IOL.

JCH MD

[creedonk]

Hello Dr.Hagan,
I just made an appointment to get second opinion for my left eye catract. Earliest is on July 31st, but he is not specialist for CME.  I have one more question for you. For CME I was told to use  eye drops 4 times a day. Ofcause I am not seeing improvement (it is too soon to say, I guess), but getting worse. Can I use the drop more than 4 times?  I am using Acuvail and Prednisolone.
Thank you

[John C Hagan III, MD, FACS, FAAO]

Best of luck!

[creedonk]

Thank you Dr. John C. Hagan.
I will get the second opinion.