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Eye Care  (Expert Forum)
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after cataract surgery
Answered by
Discover Vision Centers Kansas City - MO
Our Ask A Doctor Ophthalmology Forum is where you can post your question and receive a personal answer from physicians affiliated with the American Academy of Ophthalmology.

after cataract surgery

by 2witt, Oct 21, 2007 12:10AM
I want to know if it is possible to have lens implanted that are too strong.  I had cataract surgery Oct 4 and I have extremely blurred vision and things like car headlights are very magnified and appear like large christmas trees.  I am having a very difficult time.  I am told that my sight will improve.  Should I be concerned?

by John C Hagan III, MD, FACS, Oct 21, 2007 01:12PM
If you have a monofocal implant (not a multifocal) you may be in trouble as by now your vision should have stablized.  The key is what is your corrected vision with glasses over the implant. If you are farsighted you may want to opt for a IOL exchange as neither near, far or intermediate will be clear with glasses. If its minus lens and the eye is nearsighted your near vision should be clear. After the eye heals if you don't like the myopia you could opt for lasik.

If your vision is just not clear even with glasses you need to discuss this in detail with your surgeon as there may be a complication like macular edema or corneal edema.

JCH III  MD
Member Comments (5)

by 2witt, Oct 21, 2007 11:03PM
To: JCH 111 MD
My implant is 22.5D power.

It is acry sof lens.  I am nearsighted.  Does this mean anything?  I do not know much about lens.

by John C Hagan III, MD, FACS, Oct 21, 2007 11:35PM
It is not possible to determine from that what your post operative refractie status (myopia, hyperopia, astigmatism will be)

JCH III MD

by haider, Oct 22, 2007 03:04AM
I had a cataract surgery (29 Aug) which went horribly wrong. Next day doctor said there is bleeding and i could not see. He prescribed drops and said blodd would resolve with time  but things ended up for the worse with retinal detachment detected on  12 sept. But all through this period my eye was NPL. My doctor said I should have surgery within 10 days from 12 sept. I had a surgery for retinal reattechment on 17 sept which was a failure. The surgical report said "severe PVR, folded retina fixed with vitreous". I am devastated. Doctors say I should forget about this eye.
Is there any hope? Did my doctor botched up the situation by not going for a surgery early when it was a vitroues damage?

by John C Hagan III, MD, FACS, Oct 22, 2007 09:49AM
To: haider
If you vision is NLP (no light perception) there is no hope of restoring your sight. You should concentrate on keeping your good eye healthy, especially since if you had a retinal detachment in one eye there is a significant risk of a RD in the other. Also protect your eye from trauma and see an Eye MD yearly.

It is not possible from the information you provide to determine if things were done differently would the outcome have been better.

JCH III MD
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