Aa
1 crystal lens implant
I am 50th years of age and I wear glasses for near sightedness and have a stigmatism. I had a cataract removed in my left eye. I had a crystal lens with my Rx implanted in the left eye only. After the surgery my vision in my left eye is now 20/35 from 20/50. My right eye is also 20/50. Now I have trouble seeing because I see 2 different views with each eye. My surgical left eye implant views things closer than my right eye....so... this makes my left eye see things larger than my right. My left eye also see things lower than my right eye. I also see the colors differently with my new lens vs. my birth lens in my right. I am having major trouble focusing with both eyes especially when I wear my prescription glasses where I can see very clear with both eyes. I still get nauseous and see double at first but my brain does somewhat adjust but not to wear it is normal. I also have progressive lens which I had before my surgery.
The only way I can function somewhat normal is to just wear 1 contact lens on my non surgical right eye and nothing on my surgical left eye as this makes the surgical eye a little blurry and sort of works as mono vision.
Here is my question. What can I do to have this corrected? Is there a way of modifying my prescription glasses to adjust what I see?
Sincerely, Messed up vision.
The only way I can function somewhat normal is to just wear 1 contact lens on my non surgical right eye and nothing on my surgical left eye as this makes the surgical eye a little blurry and sort of works as mono vision.
Here is my question. What can I do to have this corrected? Is there a way of modifying my prescription glasses to adjust what I see?
Sincerely, Messed up vision.
I developed a cataract in one eye only as a result of retinal surgery, which put me in a situation somewhat similar to yours. I suggest that you discuss your problem with the surgeon who implanted your Crystalens. Sometimes a sympathetic surgeon will "discover" a cataract in your second eye, enabling you to have surgery billed to your insurance. Otherwise, you'll have to wear a contact lens or adapt to the current "monovision" that you now have. A third option would be iseikonic glasses (see www opticaldiagnostics com for more info).
MEDICAL PROFESSIONAL
A slab off glasses helps some patients with a moderate difference in refraction in two eyes.
Refractive lens exchange (RLE) is when a cataract surgery is performed before it is severe enough for insurance to pay for it. Therefore you have to pay cash, for the surgery, anesthesiologists, and the surgery center.
This is becoming more popular for patients who want LASIK and are in the mid to late 40s or older.
Refractive lens exchange (RLE) is when a cataract surgery is performed before it is severe enough for insurance to pay for it. Therefore you have to pay cash, for the surgery, anesthesiologists, and the surgery center.
This is becoming more popular for patients who want LASIK and are in the mid to late 40s or older.
What is a refractive lens? What is IOL and LRI, I 'm sorry but I'm not familiar with the terminology.
I agree with the options listed by Dr. Oyakawa being in a similar position myself, with one natural and one operated eye. I had a Restor exchange last week and now have a toric Acrysof IOL set for mid - far distance. I am using a contact lens for distance in my unoperated eye which is -7.5 with -1.00 astigmatism. I am using drugstore readers over the top of my contact and new IOL and plan to get prescription progressive glasses for when I need to sharpen things up further. Before my explant I had eyes 9 diopters apart and I did the above and it helped enough to get by. With my new IOL being closer to my unoperated eye it should work even better. The color difference is something you will get used to I believe.
londonbridge
londonbridge
MEDICAL PROFESSIONAL
Regarding the difference in color: As a patient ages the cataract begins to filter out color. Your psuedophakic eye is seeing color without a filter and is probably closer to the real color. Your right eye sees 20/20 but has some cataract which filters out some color.
Regarding the vertical diplopia (left eye seeing lower). This should be addressed by your ophthalmic surgeon. I doubt this was due to surgery. It is most likely a vertical phoria which resulted from breaking fusion (eyes not working together). This would probably resolve by one of the options below.
1) Yours astigmatism in the left eye needs to be reduce to 0.5 or less. An LRI would be an easy fix and leave you with -.50 spherical equivalent. This is a good target for Crystalens for the non-dominant near eye and most patients will see about 20/30 for distance, some 20/25.
2) You right eye needs:
a) Contact lens, possibly toric. You already mentioned this works.
b) Laser vision correction--I do not recommmend
c) Refractive lens exchanges--best choice-highest cost.
d) Glasses do not work well for 2.5 diopters of anisometropia. You can try a slab off prescription.
Regarding the vertical diplopia (left eye seeing lower). This should be addressed by your ophthalmic surgeon. I doubt this was due to surgery. It is most likely a vertical phoria which resulted from breaking fusion (eyes not working together). This would probably resolve by one of the options below.
1) Yours astigmatism in the left eye needs to be reduce to 0.5 or less. An LRI would be an easy fix and leave you with -.50 spherical equivalent. This is a good target for Crystalens for the non-dominant near eye and most patients will see about 20/30 for distance, some 20/25.
2) You right eye needs:
a) Contact lens, possibly toric. You already mentioned this works.
b) Laser vision correction--I do not recommmend
c) Refractive lens exchanges--best choice-highest cost.
d) Glasses do not work well for 2.5 diopters of anisometropia. You can try a slab off prescription.
My Rx is: as of 7/2007
/ SPH / CYL / AXIS
R -2.50 -1.00 80
L PL -1.00 40
Reading
R +1.75
L +1.25
/ SPH / CYL / AXIS
R -2.50 -1.00 80
L PL -1.00 40
Reading
R +1.75
L +1.25
MEDICAL PROFESSIONAL
I need to the the refractive error in both eyes. Is the right eye 20/50 best corrected?
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