Crystalens HD- new postop got the wiggles

I am two weeks postop with a Crystalens HD in my left eye.  My distance vision is great, but I am not yet accommodating to intermediate and near.  I am not worried about this yet.  What is going on that has me puzzled is that every time I change what I am looking at I get a quick 'wiggle' which I can see in my left eye.  By this I mean I can actually see the iris move in the mirror, looks like a quick shake of a jelly.  Sadly I am seeing the regular optha and not the surgeon for my postop appointments, and it was clear this doc had never seen such a thing.  Also sadly this doc didn't bother to talk to the surgeon to see what may have gone on during the operation, even forgot which lens I had.

I am guessing the new lens is _trying_ to accommodate, but some viscous stuff was put in the front part which won't go thru the iris opening easily and thus the wiggle, as the eye tries and gives up on the lens movement since it meets resistance.  Has anyone seen this wiggle?

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

Hey, you paid a surgeon to do your surgery. That fee includes not only the surgery but usually 30-90 days of post op care. Demand to go back to the surgeon to find out what gives.

JCH MD

[jump007]

Hi JVSL,

Take a look at this thread.

http://www.medhelp.org/posts/Eye-Care/Negative-Dysphotopsia-with-Crystalens-HD/show/928766

Is it like a transparent or dark shadow in an arch shape (like the shape of the lens) at the ear side? It could be negative dysphotopsia.

Jump007

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

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[jvsl]

Thank you both for your responses.  I posted in your thread, yes I have the negative dysphotopsia, never heard of it until now.  The 'wiggles' are noticeable in my visual field on the left as this dark arc shape does a quick vibration every time I shift my gaze.  It has to be the lens trying to accommodate, I can't think it is anything else unless somehow I am noticing the edge of the iris.  I also have the 'golden sparkles' diffraction effect from any bright light at a 30 to 45 degree angle, this also seems to be a permanent feature of the lens.  Maybe I will pretend I am back in college, getting 'visuals' from puffing a low-grade hand-rolled cigarette.  I am not upset about my vision, it was so bad before that I had lost real 3D depth perception without realizing it.  I think I can live with the arc if it eventually stops moving.  Right now it is very distracting especially when I am trying to read.  The thing that got me about the wiggle effect was that I could see my eye quiver in the mirror if the lighting was above such that there was a reflection off of the iris, and no one in the whole wide Internet world has reported this, except you (jump007) when you mentioned a flickering effect.  I was worried that somehow the lens was backwards, or vaulted towards the front instead of the back. One can imagine all kinds of things since it doesn't seem to be a common problem.

[jvsl]

I am posting a followup, I did insist on seeing the surgeon as you suggested, and am very glad I did.  The Dr. was not too concerned about the 'wiggles', had see that before, but was concerned about the lack of near vision.  Testing found that CME was developing, so a new round of drops and a shot.  Thank you very much for the good advice,  I imagine the optha would have probably told me that things would get better and I would have had no treatment.  It is very good to know that the lens is sitting properly and there is not any astigmatism from the surgery.

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

Indeed CME usually responds to drops steroids/non-steroidal anti-inflammatory like Xibron.

JCH MD