Loss of visual acuity post cataract surger

[Zaneb58]

I had cataract surgery bilateral in 2003. The left eye did really well. The right eye which was completed first has had marked loss post surgery. I do have advance retinitis pigmentosa but post surgery there was a marked loss of visual acuity in the right eye. To the day of the surgery the right eye had been my better eye as well as my dominant eye. At this point it appears that the right eye does not let enough light in. It is almost like wearing a tented lense. I was told everything was ok. Just had an eye disease in which I would go blind. No big news there. However I have lived with RP all my life. I don't lose significant vision over night. It takes a bit of time. I looked at the lense cards and the lenses are identical for implants. Is that normal? Or should each eye be assessed for the correct lense. It is almost like the focal point of the lense is wrong. Any feedback would be great. Just trying to salvage what little I have left.

[Michael J Kutryb, MD]

There is a very high incidence of cystoid macular edema with RP.  I would want to carefully compare macular OCT scans from before and after surgery to look for macular edema.  Flurosceine angiogram would also be helpful.  Again I would look strongly in this area.  See retinal specialist ophthalmologist right away.

MJK MD