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Crystalens HD- new postop got the wiggles
I am two weeks postop with a Crystalens HD in my left eye. My distance vision is great, but I am not yet accommodating to intermediate and near. I am not worried about this yet. What is going on that has me puzzled is that every time I change what I am looking at I get a quick 'wiggle' which I can see in my left eye. By this I mean I can actually see the iris move in the mirror, looks like a quick shake of a jelly. Sadly I am seeing the regular optha and not the surgeon for my postop appointments, and it was clear this doc had never seen such a thing. Also sadly this doc didn't bother to talk to the surgeon to see what may have gone on during the operation, even forgot which lens I had.
I am guessing the new lens is _trying_ to accommodate, but some viscous stuff was put in the front part which won't go thru the iris opening easily and thus the wiggle, as the eye tries and gives up on the lens movement since it meets resistance. Has anyone seen this wiggle?
I am guessing the new lens is _trying_ to accommodate, but some viscous stuff was put in the front part which won't go thru the iris opening easily and thus the wiggle, as the eye tries and gives up on the lens movement since it meets resistance. Has anyone seen this wiggle?
I am having the same thing. I had my right eye last month and it is worse in that eye, the surgeon must basically brushed off my questions. I thought maybe it was because of a PVD I also have in this eye, last week I got the left eye done and the now both eyes are doing and it is driving me nuts. I am so happy to be able to see but this shimmy is so bothersome.
4 Comments
Might seem a really weird thing to ask you to do, but record your eye in slow motion on your phone. I was shocked to see my iris jiggling around like jelly and I can also see the lens sloshing around! I’ve been recording it nearly on a daily basis and although it’s still there, I think it’s slightly better than 1 week post op. I’m 3 weeks post op today
I tried it with my camera and it didn't show up good. It has been a couple of months now and the shimmy is still their on both eyes, I am regretting my cataract surgery. I have to wear sunglasses when shopping because the lighting makes it really bothersome and actually nauseates me. I like seeing clear but the shimmy has really ruined the entire experience.
Hi I know it’s years ago that you posted this! Are you still around would love to hear if there was a successful outcome?
I have exactly the same
I have exactly the same
4 Comments
I had left eye cataract surgery Jan 2015 and a wiggly lens problem occurred after which was awful. I consulted with my surgeon and two other specialists who didn't help me! It was especially troublesome under florescent lighting, but happened every time I moved my eyes looking in the distance. I could see it wiggle in the mirror, too. It is now almost 5 years later. The wiggle slowed down and stopped (!) after about 2 years. However, the left eye with the lens is blurry, with less color and is dimmer. I found out there is a UV screen built in the lens, so perhaps that is why the color is somewhat faded and more blue-green. I will be getting my eyes checked in January, and am wondering if there is scar tissue forming which is disrupting my vision. There is a quick surgery for that which zaps the scar tissue to remove it. But I'm afraid that if the scar tissue is there and they remove it, the wiggle will come back because the lens is loose again! I will follow up if I have this scar removal surgery.
Thank you for replying, trying to work out this site as it’s not like a chat room, I’m 3 weeks post op today and after reading how many people have is issue I’m going to speak to my optician on the 6th Jan. I’ll let you know how I get on but I’m happy for you that the light flicker stopped. I find it hard at work but I’m really trying to not let it get me down.
Unfortunately for most explanations I've seen for what might be described as a "wiggly lens" the only thing to be done is to give it time to most likely resolve on its own in some indeterminate number of months as the eye heals the lens more firmly into place, and your visual system neuroadapts to the lens since it is different from a natural one.
I would suggest however confirming with an eye surgeon (not just an optometrist if one is doing the postop visits) that there are no other eye health issue involved and to be sure there wasn't any glitch with the surgery that might be fixable, or indicate further action is needed (like if the lens isn't entirely in the capsular bag, or if its torn and the lens needs to be sutured, etc).
For the first 6 weeks especially the lens may still be healing into place and be a bit loose. The artificial lens is smaller than a natural lens (especially in the case of those who are highly myopic usually) and the capsular bag the lens is in contracts and heals around the lens to hold it in place.
I've been having what sounds like similar issues, I've posted some links to descriptions of it elsewhere on the this site in my thread about my experience getting the Symfony IOL with my cataract surgery:
http://www.medhelp.org/posts/Eye-Care/my-Symfony-IOL-results-after-cataract-surgery/show/2425258
though the issue doesn't seem to be the optics of this particular lens since people even with monofocals seem to have something similar.
In my case I'm just past the 2 month mark, and the lens seems to be healing well in place within the bag so its less likely moving within the bag. It seems to be a more rare issue of the iris jiggling (since the smaller lens provides it less support), iridodonesis, and likely the capsular bag/lens along with it. Multiple surgeons have suggested there is a good chance this will resolve on its own with more time.
I would suggest however confirming with an eye surgeon (not just an optometrist if one is doing the postop visits) that there are no other eye health issue involved and to be sure there wasn't any glitch with the surgery that might be fixable, or indicate further action is needed (like if the lens isn't entirely in the capsular bag, or if its torn and the lens needs to be sutured, etc).
For the first 6 weeks especially the lens may still be healing into place and be a bit loose. The artificial lens is smaller than a natural lens (especially in the case of those who are highly myopic usually) and the capsular bag the lens is in contracts and heals around the lens to hold it in place.
I've been having what sounds like similar issues, I've posted some links to descriptions of it elsewhere on the this site in my thread about my experience getting the Symfony IOL with my cataract surgery:
http://www.medhelp.org/posts/Eye-Care/my-Symfony-IOL-results-after-cataract-surgery/show/2425258
though the issue doesn't seem to be the optics of this particular lens since people even with monofocals seem to have something similar.
In my case I'm just past the 2 month mark, and the lens seems to be healing well in place within the bag so its less likely moving within the bag. It seems to be a more rare issue of the iris jiggling (since the smaller lens provides it less support), iridodonesis, and likely the capsular bag/lens along with it. Multiple surgeons have suggested there is a good chance this will resolve on its own with more time.
Did you ever figure out the cure for the wiggly lens? I just had cataract surgery a month ago, and my lens wiggles, and I can see it wiggle with a flashlight. I am unable to read and it's very distracting!
MEDICAL PROFESSIONAL
Indeed CME usually responds to drops steroids/non-steroidal anti-inflammatory like Xibron.
JCH MD
JCH MD
I am posting a followup, I did insist on seeing the surgeon as you suggested, and am very glad I did. The Dr. was not too concerned about the 'wiggles', had see that before, but was concerned about the lack of near vision. Testing found that CME was developing, so a new round of drops and a shot. Thank you very much for the good advice, I imagine the optha would have probably told me that things would get better and I would have had no treatment. It is very good to know that the lens is sitting properly and there is not any astigmatism from the surgery.
Thank you both for your responses. I posted in your thread, yes I have the negative dysphotopsia, never heard of it until now. The 'wiggles' are noticeable in my visual field on the left as this dark arc shape does a quick vibration every time I shift my gaze. It has to be the lens trying to accommodate, I can't think it is anything else unless somehow I am noticing the edge of the iris. I also have the 'golden sparkles' diffraction effect from any bright light at a 30 to 45 degree angle, this also seems to be a permanent feature of the lens. Maybe I will pretend I am back in college, getting 'visuals' from puffing a low-grade hand-rolled cigarette. I am not upset about my vision, it was so bad before that I had lost real 3D depth perception without realizing it. I think I can live with the arc if it eventually stops moving. Right now it is very distracting especially when I am trying to read. The thing that got me about the wiggle effect was that I could see my eye quiver in the mirror if the lighting was above such that there was a reflection off of the iris, and no one in the whole wide Internet world has reported this, except you (jump007) when you mentioned a flickering effect. I was worried that somehow the lens was backwards, or vaulted towards the front instead of the back. One can imagine all kinds of things since it doesn't seem to be a common problem.
4 Comments
Please get in touch, I have this problem with my iris too! I’m 6 weeks post op
That post is 10 years old. Better start a new discussion
The jiggles in the iris seem very rare, I can’t find any information anywhere and my optician seems to just brush this off with no really explanation
Make a new more complete post
Hi JVSL,
Take a look at this thread.
http://www.medhelp.org/posts/Eye-Care/Negative-Dysphotopsia-with-Crystalens-HD/show/928766
Is it like a transparent or dark shadow in an arch shape (like the shape of the lens) at the ear side? It could be negative dysphotopsia.
Jump007
Take a look at this thread.
http://www.medhelp.org/posts/Eye-Care/Negative-Dysphotopsia-with-Crystalens-HD/show/928766
Is it like a transparent or dark shadow in an arch shape (like the shape of the lens) at the ear side? It could be negative dysphotopsia.
Jump007
MEDICAL PROFESSIONAL
Hey, you paid a surgeon to do your surgery. That fee includes not only the surgery but usually 30-90 days of post op care. Demand to go back to the surgeon to find out what gives.
JCH MD
JCH MD
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