Can Lens Mfg tell if wrong lens was placed?

[Lenore118]

I had L. cataract surgery, 19 months ago at a Medical School in Houston. Left eye, as it had no stigmatism like the Rt. eye. Post-op, Large PV detachment, left peripheral problems,distorted vision in L.eye and sharp,knife like pain in the upper lid. Getting no satisfaction to my post-op problems, I saw a new MD who diagnosed the Large PVD. I was not crazy.The new eyeMD stated he saw this Large PVD another time and the man suffered 2 years before it finally settled to the bottom. He was a kind doctor. He also DX a stigmatism in the surgical eye. Did did not have this pre-op. He saw some scarring in upper lid from the cataract removal..thus the reason for the sharp lid pain. Was referred to Retinal doc for a consult who confirmed the PVD. His exam also revealed a stigmatism now in the surgical eye. (original eye surgeon said NO to a post-op stigmatism)  Due to insurance/hospital changes, I saw 2 more eye doctors confirming the large PVD and also a post-op stigmatism in the surgical eye. Two eye doctors stated they thought the power may be off in my new lens as I was describing more than one problem. I asked originating surgeon to send records to Alcon.This was not done. I sent them to Alcon. I need answers before proceeding with other eye. I also learned that an eye surgeon can make a tiny slit in the cornea to correct stigmatism while doing surgery and a Toric IOL is not always necessary. Doctors, what can I expect to learn from Alcon?  Do they have MD's to check the power? I need the other eye done and I am so scard. Do I have to stick with an Alcon Lens for the right eye with a known stigmatism since the left eye has an Alcon lens? I am happy to announce that the MD, I saw (after leaving Baylo) and the Retinal doctor he referred me to were correct  "the Large PVD has almost settled on the bottom"..Still cannot read clearly in L.eye (post-op) due to distortion but at least the PVD Globs/lights are settling.Thanks for your help. It has been a rough 19 months for me.

[JodieJ]

Sorry to read about all your problems.  It is your eye care provider and NOT Alcon who determines whether your IOL power is correct.  If it is not correct, your vision can be corrected with glasses, contacts, or a refractive procedure (like the one you described to correct astigmatism).  Given the problems you've had with your first eye, you'll probably be happier if a different surgeon does your second eye.

[Sandy Feldman, MD, MS]

Dear Lenore118,
I would recommend that you and your doctor discuss the type of implant placed and what type of implant he/she recommends.  Also, make sure you are aware of what is causing your symptoms and the risks of cataract surgery.  Weigh the benefits and risks before undergoing surgery in your other eye.

Dr. Feldman

Sandy T. Feldman, M.D., M.S.
ClearView Eye and Laser Medical Center
San Diego, California

[JodieJ]

I think that you're referring to limbal relaxing incisions.  This painless (with numbing drops) procedure can probably be done in your doctor's office to correct your astigmatism.  You'd want a doctor who is experienced with the procedure to do it.

[Lenore118]

There is no way that I will ever let the first surgeon touch me. No siree!  He never commented whether it was correct or not. He made the comment that it was in straight but straight does not indicate if the power is correct.  One of his tech's stated to me "this is what you asked for and this is what you got". I did not ask for worse vision.  Jody, I now have a post-op stigmatism in the surgical eye (confirmed by other eyeMD's)  I am wondering if the stigmatism can be fixed thru a small surgical procedure since it came after the cataract removal or make things worse.  Cataract surgery is suppose to be soo easy.  Thank you for replying.