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Tecnis Issues

I know that no one can tell me what I should do and that all advice needs to go through the care of an ophthalmologist.  But could someone please give me some guidelines to go by in making a decision.  I know some of you have seen my posts with my struggle with my Tecnis multifocal lenses.  I test at 20/20 using both eyes for both near and far using standard tests but yet I cannot see clearly. Halos  are big and bright at night and are very distracting during the day.  So far I've only gone to one other ophthalmologist and he confirms that the lenses are installed properly, well centered and with no apparent issues. All I can tell you is that indoors almost everything looks fuzzy to me.  If I look at text under a bright light indoors at reading distance it is in focus but there are halos that make text look gray instead of black.  Also I do see a gray halo around each character.  If something is indoors under a bright direct light at distance then it will be in focus - if it's white it will have a halo. At the end of a movie all the credits in white with a black background look like they have a white neon light bordering around all the words.  I have halos both at night and during the day. Can anyone give me guidelines I can use to help me make an informed decision on whether I'm better off living this way or have them exchanged for monofocal lenses?  Even if you might have some ideas concerning questions that I can ask an ophthalmologist that would be extremely helpful.  Just to let you know I think my problem is tied into something to do with pupil size.  I noticed that when the headlights of an oncoming car hit my face halos get smaller and I can better see my dash controls at night.  I told this to the ophthalmologist that I saw for a second opinion and he gave me Pilocarpine to try.  When I tried them my halos reduced by 90% or more and I could read the controls on my dash at night which I could never see before. Thank you for your time.
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Avatar universal
It will be two years this November.  A little while after the procedure the doctor who did the procedure said that there were some cells left on my lens and he used a laser to clean them off.  Would that also pose a problem with a lens exchange? I couldn't really tell any improvement in my vision after the procedure.  I've noticed that when I'm in a room lighted by florescent light tubes that have that diffusing plastic panel in front of them my vision is at it's worst.  Everything looks kind of fuzzy or hazy.   Have you heard of someone having these types of issues before?  My vision improves with the drops I was talking about when they shrink the pupils. I have tried moisturizing drops for my eyes and I don't see much improvement, but when I use the drops that make my pupils smaller a lot more comes in focus and my halos almost go away.

Also, if I go to the website you suggested is the anything I should look for in choosing an ophthalmologist to better investigate the issues I am having?

Thank you so much for your time.

Steve
Helpful - 0
2078052 tn?1331933100
MEDICAL PROFESSIONAL
I don't know how long it's been since your surgeries, bit if they were very recent, symptoms might get better with neuro-adaptation, as your brain learns how to see with the new multifocal visual system.  If you have been struggling with this for 6 or more months, then other issues could be ocular surface problems (dry eye or tear film problems), macular edema or epiretinal membrane (detected on OCT), or a hazy posterior capsule behind the implants.  If none of these applies, then consideration may be given to implant exchange with a monofocal intraocular lens.  Exchange should be done before YAG posterior capsulotomy if possible, since an open posterior capsule increases the risk and complexity of the surgery.  I would obtain a third opinion from a very experienced cataract surgeon.  The American Academy of Ophthalmology's web site may help:  aao.org.
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