anisometropia after cataract surgery

[Skylane]

Recently had cataract surgery on left eye with an IOL set for distant vision.    Objects now appear to be magnified when viewed with the left eye vs. the right eye.   I have uncorrected 20/30 in the left eye and worse than 20/40 in the right eye.    Following the surgery I got new glasses with the following prescription:  Right: sphere -3.0 Cylinder +1.0 axis 170  ::::  Left sphere +0.5 Cylinder 0.5 axis 145.   For near vision both eyes +2.5.   When I wear these glasses, the magnification effect worsens and I cannot tolerate the confusion that results.   With close vision, I perceive double images.   My opthomologist says that this problem can be corrected by contact lenses or by going ahead with cataract surgery in right eye, which corrects now to 20/30.    My question is (1) are there any other options, (2) should I expect contacts to fix the problem  (3) Is cataract surgery on right eye the way to go, and what is probability it will fix problem?

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

JodiJ is right on. If you are happy with the cataract surgery eye and the other eye has some degree of cataract then most people would be best served by have cataract surgery on the other eye to balance things off.

JCH MD

[JodieJ]

Yes, there is another option:  iseikonic glasses.  By adjusting the base curves and vertex distance, the image size difference between your eyes can be reduced/eliminated.  Unfortunately, making these glasses seems to have become a lost art.  If you really want to pursue this option and can't find anyone in your area to prescribe the glasses, you could consult Dr. de Witt at www opticaldiagnostic com.  Wearing a contact in your right eye would probably fix the problem.  (It doesn't hurt to try this.)  Cataract surgery would fix the problem if your right eye ended up close to plano.  (Your surgeon did a good job on your left eye, so s/he can probably accomplish this easily.)

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

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

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