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Avatar universal

Rezoom lenses eye swelling

I had rezoom lens right eye 4/27, left eye 5/17.  June 21 right eye started bothering me with blurriness & fogginess.  Went back to eye doctor Friday, June 23.  He said right eye "decided to swell".  Put be back on Pred Forte 4 times a day for a week, 2 times per day next week.  Is this common with cataract surgery?  After week of 4 drops Pred Forte per day, vision still blurry, foggy.  Is this the rezoom lens doing this or is "swelling" common?  These rezoom lenses are frustrating.  Still have to wear reading glasses, have halos.
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Avatar universal
K-D
I sure will keep you posted when I have my other eye done.  The reason I had the first cataract surgery was because my left eye became so bad that all I could see out of it was white, in the middle of my eye.  I had a "dead centered" cataract.  I was told about it more than ten eyes ago, but  I had no problem until last Oct when it got very bad, very fast.
I have a cataract in my right eye also. My doctor said that Rezoom are made for bilateral implants and my halos could lessen and better all around vision with both eyes done.  
However, to be honest, I am afraid to "rock the boat", because I am seeing so well now.  I would prefer to put off any surgery until necessary.  And now, even though I have a cataract in my right eye, my vision  in that eye is  20/40.  My sight out of that eye is smokey and brownish in color when I shut my operated eye.
After my surgery I was so anxious because my vision was blurry after arms length.  But I have a very talented and kind doctor that consoled me by telling me that 3 months after the operation, he could laser the eye to correct any blurr.  But now I see why he said 3 months.  My vision completely changed in that time and now my distant is better than 20/20, and crystal clear, when initially it was a blurr.  And yes, I so agree with you; it would be so helpful to stress the fact that, "some people" take months to achieve their final outcome.  It would reduce so much anxiety. But again, there are so many factors in play.  The blur could be from a refractive error and then you would not want to wait 3 months for an exchange, if that was the route you wanted to take.  However, I decided that no matter what, laser or glasses, I would not have a lens extraction, even if the vision remained blurry. Sounded to risky to me. But fortunately, I was one that just took time to focus. And now my vision is so clear that it is hard to believe.  Am so hoping the same for you!  You are still very early out, and sounds to me like you are doing great!  Best wishes.
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Avatar universal
Your comment about not painting made me laugh! Now that I see w/such clarity
I see that there is more to clean than previously!!!!  A reverse perk......

  I do have a stitch in my eye (not sure why) and will have it taken out
in a couple of weeks....maybe it's due to astigmatism......does anyone have
any experience w/the purpose of a stitch???......again I didnt ask enough questions
or do enough research.

Keep me posted on your surgery.  When is it scheduled?  What made you decide
to do it if your eyesight was OK?
Helpful - 0
Avatar universal
K-D
Sounds like you are doing great, especially with the halos.
I have not had the second eye done  yet. Will have it done soon. First eye done Feb 27th, 2006.  Am hoping that the halos will decrease after the second surgery. Yes, I am having another Rezoom.  In spite of everything, halos, cirlcles, and months to get the sharp vision, I am very satisfied with my vision outcome.  I am amazed at the clarity. Actually, I have never seen this clearly in my life.  And now I don't have to paint my house, because I thought my paint was dirty before my first Rezoom. ;-) One of the perks to lens replacement.
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Avatar universal
Hi!
I appreciate your response and am anxious to hear about your other implant.
Are you choosing Rezoom again?  
My distance vision is improving daily and I feel like I am driving in a different
world....it's fabulous!  It's only been a week so I know I am facing lots of adjustment
time during the healing stage which varies from person to person.
The night halos are there but not that difficult as I also have astigmatism and am
used to the distortion.....my right eye (w/contact) seems to be accomodating the
halos.....
Keep me posted on your progress.
P.S.  How long did you wait for the other implant?
Helpful - 0
Avatar universal
K-D
Yes, I have only one Rezoom lens in my left eye and will be getting the right lens put in soon.  I had my first lens put in Feb 27th, 2006.  Reason why I am not in a rush for the second surgery is because I see so clearly now, and just want to relax  a bit.  I am one of the few that did not get the immediate clear results.  I was so disappointed initially.  But week by week by week, my vision became clearer and clearer. Now I cannot believe how clear and sharp I am seeing, after initally only seeing clear very near and to arms length.  But the lens had to settled in place and it took it's own good time, which was so nerve wrecking to me, because I did not know it would turn out as it has.  This site is so helpful because of the sharing of experiences.  And unless your eye surgeon has had cataract surgery, he or she cannot really relate to all the issues that those that have had the surgery are experiencing. I now see why support groups are so successful. Great site!
Helpful - 0
Avatar universal
Thank you so much for your reassuring thoughts!!!!  My vision outdoors (while
taking a daily walk is great) and while driving is getting sharper and clearer
so I am feeling less anxious about the changes that an implant brings.
My inside vision (for television) is excellent and I guess it is coming around
for computer and books (with the help of readers which was such a big
surprise for me as I have never used them).
I think it would be  beneficial if the literature stated that vision
improvement is indeed a "process" and varies from 3-6 months depending
on the person.  
I love this forum and the support from other cataract  surgery "survivors".  
I am a retired counselor and think that a cataract support group would be an
excellent service suggested by the surgeons......I accidently came across this
website and feel so much better after hearing what is happening w/other people.
My right eye has a tiny cataract on it but it does not interfere w/my vision
because I wear a contact......Dr. wants to put in a Rezoom lens as he says that
they work better together.  I am sure I want to do this.  Does anyone have
any experience w/only one implant?
Helpful - 0
Avatar universal
An update.  I had both eyes implanted with ReZoom several weeks apart in June.  I was a very high myope and I do see better in brighter light (but I always tended to see better without sunglasses). My distance vision is good and my intermediate and reading are getting better.  I do have halos at night, and other issues with light (for those who are old enough, it is kind of psychedelic). I have been away on vacation for a couple of weeks and noticed that I am using reading glasses less and less (read a book on the airplace without them!)  I do have some mild to moderate astigmatism which I understand makes the halos and light effects worse.  In a few months, I may consider lasik to correct the astigmatism after giving it more time to heal and settle down(my surgeon does not use LRI during the procedure because lasik allows the correction to be more precise).  For me, not being totally dependent on glasses/contacts to see at all, and being able to casually pick up a piece of paper, and use my cell phone without fumbling and struggling to read the prompts, and going to bed without having to deal with contacts---all of these were what contributed to my decision to go multi-focal and do make it pretty worthwhile for me.  Like others on this site, I wish I didn't have the halos---and if you HAVE to drive at night frequently and in all kinds of weather conditions, I would say its safer to go with the monofocal, but for me, I have faith that I will somehow adapt and develop a work around so I can drive at night when I have to.  Good luck to all.
Helpful - 0
Avatar universal
K-D
Could not have said it better myself.  Had to laugh at the psychedelic reference, because unfortunately, I know what you are talking about.  I also have astigmatism.  I am afraid to have laser correction because my vision is so crisp and clear.  And I do not want to mess that up to get rid of the night halos, and worse than halos,the concentric circles at night time, outside.  Please write update if you decide to have the laser. Am very thankful for the clear, crisp vision this lens provides, psychedelics or not.  But would be estatic to be halo and concentric circle free.
Helpful - 0
Avatar universal
K-D
I think that some people are so disappointed initially with the multifocal lens because the message seems to be immediate clear vision with the multifocal lens.  Even in the comparison charts, it is written that way.  But no one reacts the same after eye surgery.  
I too was initally very disappointed with my vision after my multifocal cataract surgery. I could not see well past arms length.  Now, my vision , especially outside, in the day time, is perfection. It took several months for this to come around. If your doctor examines your eye, and nothing is going on out of the ordinary, you may be one of the people that takes time for the vision to come around. Everyone is different.  People heal differently and some take longer to focus. I did.  Wishing the very best outcome for you, yet to come.
Helpful - 0
Avatar universal
I have just had a Rezoom lens put in my left eye on 7/26 and am in a state of shock
as I thought I would be able to see clearly.  After reading all the comments I am
realizing it will take several months...this was not explained or I didnt know enough to ask that question...I just assumed it would happen quickly w/the new lens.
I went back the next day and have 20/35 which Dr. said was good but I cant see
well outside.......inside (television is good) and computer is good but he told me to
get reading glasses so as not to strain the muscle.
My big confusion is that I can put on my old glasses and/or contact in my other eye
and see well...is that normal?  I thought I wouldnt need glasses anymore and that is
not the case so far....am I being too impatient?
Helpful - 0
Avatar universal
K-D
Thanks Pritz.  I am hoping that I will have even better results with the second operation. I would be so happy if the halos and circles lessened.  Still, I cannot complain. It is only at night. And  I do not wear glasses, and that was my goal.  I only wear glasses for occasional reading, in certain lighting.  Just want it all.  Want to see perfectly with no night abberations.  But who doesn't.  Would like to be 21 again too.;-)
Helpful - 0
Avatar universal
Maybe your bright light reading will get better when you get the other eye done in Sept.  It definitely works better with both eyes, as it permits both to focus on the same section of the lens.  You are not balanced now, which may confuse your brain's connection to your optic nerve.  Just speculation on my part.  Good luck.
Helpful - 0
Avatar universal
K-D
Very interesting Philz.  So happy to hear about your happy outcome with your IOL.  I am very satisfied too, and that is with severe halos.  I would be singing from Yankee Stadium if I did not have the halos or night glare.  Still I am very satisfied because of the clear vision I have; perfect outside day; mostly very good inside, but changes a bit with lighting.   I am amazed that you read better with the Rezoom in bright lighting.  I am just the opposite.  I see perfectly im dim lighting but blurr in bright, direct lighting. But before the Rezoom, I could not read in any lighting; so still very satisfied.
Helpful - 0
Avatar universal
I was (yes was) a high myope (-10.5 diopters)64 year old who had the ReZoom IOL's installed in both eyes in February. I was told by my doctor that these lenses worked better when both eyes have them, and that is what has happened with me. While distance vision is in the 20/30 category, it is fine for tennis. I see my computer screen 18 inches away perfectly and read without glasses all the time as long as the light is not very dim (e.g., reading a menu at a very low light restaurant table.) I even see small print on labels fine. Any blurriness that I have reading with only one eye goes away when I use both eyes, which supports my doctor's statement that ReZoom works better when in both eyes. I have noticed ghosting (from my dominant right eye, it seems) when looking at the distant scoreboard at Yankee Stadium, but not in normal vision.

Each eye is different, which gives me a monovision effect that seems to work out well when I use both eyes. I do feel that my left eye may be getting some of that scarring that is removed by laser, as I think I do not see as well out of it with my right eye closed as I used to. But maybe I am picky. I will check this out in Sept., 7 months after surgery, at a follow-up visit.

My night vision and driving is fine now, although I never had a bad halo or glare issue even shortly after surgery. I do not notice anything, although there are small halos around traffic lights as there were before. Hardly a problem, though.

If I sound like an advocate for ReZoom, I am. The only bothersome issue I have is seeing clearly on TV from say 9-10 feet away the numbers in the small upper left box showing the score and count of the baseball game. Reading the scroll below and other text is no problem, and I usually can read these numbers anyway, just not sharply. I found that a minor reading glass of +0.5 made it perfectly clear, but it is not bad enough that I remember to use these glasses.

After reading this, I expect you will think I am a satisfied customer - you are right. My only caution is not to assume that all doctors are the same. Experience at choosing the lens type and power matters a lot with these lenses, especially for high myopes. I went with a doctor in New Jersey who exclusively does cataract surgery and who was and is an early clinical trial person, and I have been rewarded for it.
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Avatar universal
Yes, rare, but does happen. Actually I looked back. you are extremely near sighted at the -12 which makes you very prone/high risk for retinal detachment, tears, holes, etc. The vitreous can shift and detach from the retina. In people like yourself, you have a thinner retina. Think of a round ball then imagine it elongated like an egg, oval. This is how a very nearsighted eye is anatomically shaped. Oval. Where it elongates, it can often thin in those areas. ...hence ...tear or have lattice appearance, holes, and detach. Also, as we age, the vitreous "jelly" in the back of the eye becomes less viscous/ jelly-like and more liquid / watery.  Also the vitreous can pull away from the retina (vitreous detachment). Symptoms like you had are a sign. Good thing, you got in for dilated exam. Use your drops and keep a watch for these symptoms. Even if on a weekend, don't hesitate to call your doctor. Skip the ER for things like this and call an ophthalmologist. Someone is always "on-call" and can meet you an the office for an emergency.
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Avatar universal
K-D
I am not familiar with this.  However, it sounds treatable, which would be great!  Best of luck to you!
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Avatar universal
Went back to eye dr today 7/10.  I have vitreous separation in right eye.  That is what the fogginess was.  Dr said "coincidence" this happened same time as cataract surgery.  Said to let him know immediately if I start seeing lots of black dots, vision partially going black, etc.  Would be sign of retinal detachment.  I am to take Pred Forte once a day now.  Go back 7/28.  Has anyone ever experienced this?
Helpful - 0
Avatar universal
K-D
Hi Star.

Yes, I still have halos around lights or reflective sources at night.  I only have one Rezoom and will have my other eye done in September.  They say that when both eyes are done, the halos lessen.  I had my surgery done in late Feb. And although the halos have not lessened for me, I guess that I am getting used to them. The alternative of not seeing intermediate vision helped me to make peace with the night aberrations, which not all people have.
Regarding your question about reading, when the light is very direct bright light, print is blurry for me.  However, when in dim or indirect lighting, my reading is great.  My distant vision is very clear, and crisp, incredible!  Inside night vision good but not as spectacular as outside day vision and took much longer to come in.  Right after my surgery, I could read anything and see anything to arms length, but blurry after that.  My lens was not settled in place yet and my eye was not healed yet, because actually, the print was very large and so were peoples' faces.  That ended when the distance vision became so clear and the lens settled.  I do have some lens edge reflection, only at night or inside when walking past a light.  But it is only for a moment, and all I have to do is change the position of my head and the glare is gone. It would be wonderful not to have the halos or glare but if I had to do it all over again, I would cloose the Rezoom lens, because it is the best one for me.  My intermediate and distance vision is more important than my reading.  Hope that I have answered your questions.  If not, feel free to write again.  I do not want to encourage or discourage anyone in their choice of lenses because what is good for one person, may not be good for another.  The only reason that I reply on this board is strickly to share my experience with others that are going through the cataract experience.  I can soooo relate.  And if sharing my experience with others  can be of any help at all, that is my intent in writing. Please let me know if I forgot to answer any of your questions.
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Avatar universal
Did you have halos and if so, how long did it take before they went away or were significantly reduced? Also, I am curious as to what happens if you try to read with good lighting rather than low lightng. I have ReStore lenses (placed 6/14 & 6/21) and find that I need good lighting to read and can't not read real well in low light. Also, my intermediate vision could be better. I know with Rezoom the initial intermediate vision is very good, but the near vision takes time to come in. Can you read now without glasses now? I am just curious because I may consider having a rezoom lense put in my non-dominant eye if my intermediate vision does not improve. So far, I have not seen any improvement in either the halos or my intermediate vision,but keep hearing that patience is the key.
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Avatar universal
Had cataract surgery and two ReZooms implanted in Jan and Feb respectively of this year.  On the first one, I had an abrasion on the cornea after the surgery and a lot of swelling and edema to deal with.  In my case, doc had me on a contact patch and Pred Forte every two hours for at least two day and then 4x a day for a week, then 3x, 2x,1x for the following month.  He also had me on three other meds to boot. One of the med was Nevanac for pain and swelling which worked fine for me. My vision was blurry and cloudy for at least a week or ten days out and I thought OH MY, what have I done to myself.  Then WALLA, it all comes around and what a spectacular view.  As others has posted, it takes 4-6 months to get the brain and the ReZooms working in sync.  Even after 6 months now my vision is still improving.  Went to see my old OD the other day as he want to take a peek at the new IOLs.  He tested me out at 20/15 in each eye for distance and 20/20 for reading.  You will find out you will be able to read printed materials better in off light or indirect lighting conditions. Just give it time and stick to your med regiment and everything will work out for you.
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Avatar universal
K-D
Same with me Bill.  20/20 distance or better, good reading, in indirect, or low lightening, and great intermediate. Very nervous ( putting it mildly) beginning, as you may recall.  It would help if Rezoom stressed the on going improvement that some people experience with the Rezoom lens, when they are initally very disappointed with the results.  I noticed on many of the sites that give the advantages and disadvantage of all three multifocal lenses, they always seem to state that Restor and Rezoom have immediate vision clarity. But it takes some people longer for the brain to adjust to a multifocal. And for these people, it is not immediate clear vision. But the results are well worth the wait. At least they were for me, after a very rocky beginning. But for anyone that has any concerns, a second opinion is never a bad idea.
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Avatar universal
this is not specific to "rezoom" lenses.  every IOL can cause macular edema or swelling.  you're just unlucky.  dont blame the "rezoom", it would have likely happened with any IOL, even a monofocal.

it will most likely resolve with treatment, but sometimes takes weeks or even months.  sorry, but you cant be in too big of a hurry on this one...
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Avatar universal
Thank you, everyone.  It's the fogginess that is frustrating.  Still foggy after week of Pred Forte.  It's like having a dirty contact lens, but there are no contacts to take out & clean anymore!  So you all don't think this is anything serious?
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Avatar universal
K-D
I think that only an eye doc that is examining your eye can answer that question. If you feel better getting a second opinion, go to Vision in Focus.  It will take you to the Rezoom site, in which you can put in your state, and city, and they recommend doctors that have been well trained in implanting the Rezoom lens in your area.  Good luck to you!
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