Change in eye pupil shape after cataract surgery

[Elspeth771]

I had cataract surgery on my left eye 4 days ago, using phacoemulsification and a toric IOL. I noticed today that my pupil is now off-center. If you use a compass diagram, the pupil sort of goes to the NNE area of the iris. I've also noticed that my vision actually seems a bit blurrier than it was 2 days ago. I am using Vigamox and Nevanac drops every 4 hours. Note that I had high myopia in that eye, with a diopter of -8.0. I will be having cataract surgery on the other eye in 4 days' time (also high myopia diopter of -9.0) Please comment.

[Jo_b526]

I have also noticed my pupils are off-centered since cataract surgery with the Toric lens replacement. Is this common, or just a fluke?

[offsetpupil]

i also had extreme temple and face pain which radiated into my jaw after cataract surgery. i spoke with my surgeon and there was no explanation an no relief from any over the counter pain medication. eventually i found this to be connected to my trigeminal nerve system which i compromised in an accident.a few year before. i went to a cranial-sacral therapist who manipulated my zygomatic bone which was compressed and created a block in the nerve flow.

[nursue]

Since I had my catract removal, I have had temple and face pain. Won't go away with tylenol or adavil. Also, my Bp which was borderline high 130/80 is now 158/98. What happen? the bp changed one week after surgery.

[nursue]

Since I had my catract removal, I have had temple and face pain. Won't go away with tylenol or adavil. Also, my Bp which was borderline high 130/80 is now 158/98. What happen?

[Ray T Oyakawa, MD]

Please discuss with your surgeon.  This is due to many factors including: healing, preop refraction or problems with surgery.

Dr. O.