Thin Lettering After Toric IOL

[sally987]

Letters (computer, newspaper, roadsigns, tv) appear a little bit thinner than with the natural eye.  I was wondering if this is normal post cataract surgery vision.  It's really not too bad and is only a problem with lettering that is thin to begin with (for me, the letters are not fully formed, they drop away in the areas that are the thinnest).  What do you think would cause this?  I have a toric aspheric IOL.

[John C Hagan III, MD, FACS]

You may have resideual spherical or astigmatic referactive error so that to make them "nornal" you would need glasses over the operated eye. I would discuss with your surgeon.

JCH MD

[sally987]

Thank you, Dr. Hagan.  When I asked my surgeon yesterday, he said he would research it.  That would be great if glasses would correct.  I had noticed on the forums, that one should avoid "over" correction of astigmatism w/ toric, and I was concerned that this might be the cause of the thin lines.  Do you know what the symptoms of overcorrected astig. usually are?

When the original corneal reference markings are made while the patients is sitting upright in pre-op, is this generally done by the surgeon or by a technician?

Thanks so much, and you have a great day out there~

[John C Hagan III, MD, FACS]

Best way to address this is have a "end point refraction done" and see what things look like with best glasses. If it looks good its resideual refractive error.

In most offices the Eye MD surgeon makes the cornea

JCH MD