I am a 56 year old female who had problems driving at night. I now have Crystalens AT50AO implanted in both eyes. OD=18.50. OS=19.00.
OD history -- Presurgery -1.50 x -1.87 x 109 ; Two weeks post surgery -1.25 x -.75 x 130; Five weeks post surgery Selective Yag capsulotomy and posterior capsulotomy. Eight weeks post surgery -.75 x -.75 x 130 VA = 20/70. Mid distance vision is good, distance vision is not.
OS history -- Presurgery -3.25 x -.25 x 162 ; Ten days post surgery -2.50 x -1.25 x 15 ; Five weeks post surgery Selective Yag capsulotomy and posterior capsulotomy. Seven weeks post surgery -2.50 x -1.50 x 10. VA = 20/400. Close vision at 6" is superlative, mid and distance vision are awful. Both eyes are sensitive to light and have cobweb-like filmy floaters. Right eye has clumped cobweb-like filmy floaters that pass like a cloud.
Under care of Ophthalmologist and Optometrist. Could not drive for three weeks. Got distance glasses which allowed me to drive. Yag improved right eye only. Have not yet picked up glasses prescribed in last script cited above. Next Ophthalmologist appointment is in two weeks (one month after OS Yag) Both Ophthalmologist and Optometrist recommend patience and ultimately LASIK as the solution. I have seen both several times since my surgery. They are attentive, but I don't feel that I am getting straight answers about the extent and cause of my refractive surprise or the lack of accomodation on my left eye.
What are your thoughts about this refractive surprise? What are your thoughts about the decision to perform the Yag. Do you agree that LASIK is the appropriate route? What questions do you suggest I ask at my next appointments?
LASIK will help cure the "refractive surprise" as will the glasses and a tincture of patience. A trial of Toric contact lenses would help to simulate the LASIK and gauge wether your accommodative reaction will improve. With uncorrected nearsightedness you are trying to accomodate. I don't implant the crystalens but many that do recommend yag capsulotomy. So I think that part is fine. The are multiple reasons for refractive surprises literally textbooks on this subject. I wish you the best.
Thank you for your prompt response. I understand how a toric contact would correct for astigmatism and simulate LASIK, but how would it gauge accommodative reaction improvement? At this point, I have no accommodation in my left eye.
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.