Aneisokonia post Cataract surgery

[Luvtoski]

I am 11 days post cat. surgery and know it is very early in the healing process, but my eyes are working together real well and wanted some opinions or shared experiences, please.

Here are some quick details:

Non surgery Right eye:  +1 Diopter and leaving alone for years, with only Trace cataract.

Left eye with previous ERM surgery induced cataract removed 11 days ago:  
Yesterday followup appt. showed a -.50 in that eye, but could still change if the thinner saline doesn't support the capsular bag and it sits back further..  I stilll have a remaining "blank spot" just to the right of center from the ERM or retina surgery...will probably not go away I am guessing.

QUESTION:  With a +1 and a -.50,  I am only 1.5 Diopters apart, yet my eyes aren't merging the images real well and I see a "movement" when I walk, etc.   Is it harder to merge images when one eye is in the Hyperopic range and one eye in the Myopic range, than it would be if both eyes were in the myopic range with the 1.50 spread ?

Is my problem with merging images perhaps the remaining "blank spot" from the ERM surgery?  My cataract eye now measures approx. 20/30 but I have to scan to get the letters to the side of the blank spot.
Just wondering what to expect here.
Thank you for ANY thoughts on this !

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

Thanks JodieJ  JCH MD

[JodieJ]

Is the image in your left (affected) eye larger than the image in your right eye?  In this case, residual retinal damage from the ERM is most likely the cause of your problem.

If you aren't contact lens intolerant, you could try correcting your distance vision with contact lenses.  (Try 1-day Acuvue moist contacts for comfort.)  See whether this eliminates your problem.

Many people who have double vision due to retinal damage can eliminate the double vision with a combination of contacts/glasses or by slightly blurring their vision in their affected eye.  If you send me an email address in a personal message, I'd be glad to send you some professional articles on this topic.  

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

That's not what my kids say.

JCH MD

[Luvtoski]

Thanks again Dr. Hagan, as the kids say "you rock".

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

I understand, which is the most difficult to adjust to

RE -6.00   LE -3.00
RE +1.50  LE -1.50
RE +6.00  LE +3.00

Each has a 3 diopter difference. I really can't answer that and I don't think there are many studies, too many variable.  Good luck
JCH MD

[Luvtoski]

Thank you and I understand Dr. Hagan,
I really didn't compose the question well, did I .

Guess the "general" principle I was asking about is whether it is usually tougher when the Diopter difference has one eye in the Myopic range and one in the Hyperopic range ...than if the same Diopter spread was in the same Hyperopic range?  

Maybe this question only makes sense in MY head ?  LOL
Thanks again if you choose to give me your thoughts on this.

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

I don't feel your question can be answered because most everything you mentioned can cause problems with some people.  Use the search feature and read the postings by JodieJ  about her problem with image fusion after ERM removal. For other people its as simple as wearing old glasses that do not have the new RX in them.

JHC MD

[Luvtoski]

Oops, my eyes are NOT working together well.