Problem after lens exchange

[toma747]

I had Tecnis multifocal lens implanted(clear lens extraction) to improve my reading vision in August 2012 which I was not happy with. After the implant my far away vision was very blurry, and I could only see up close well at 12 inches. I also had many other visual disturbances around lights due to the lens.
The doctor decided it had to be exchanged with a monofocal IOL. After the lens was exchanged I am still not happy with my vision and its been about 5 months. I can see well far away now but my close up and arms length vision is not good. My vision seems unbalanced fluctuates somewhat.  I have an uneasy feeling at most distances and in different lighting conditions. Also a funny feeling with my eye itself especially when blinking or looking from side to side and up & down much of the time. When the doctor exchanged the lens he had to put in a stitch to hold the second lens in place. He also had did a yag capsulotomy due to frosting after the operation.
I am very unhappy with my vision even though I test 20/20 on the eye test and have little to no astigmatism. I feel somewhat handicapped. The doctor tells me there isn't anything else he can do and everything looks good. I only had the operation on one eye.
My question is...Where do I go from here? Should I get a second opinion? Are there doctors that specialize in problem lens exchange patients? I feel my doctor is not putting enough time or effort into this very real problem. Any help would be greatly appreciated.

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

As I said most people in your situation have problems with the eyes working together. I have no idea why safety glasses would help but I'm glad it does. Most likely its psychological but again I can't tell for sure.
JCH MD

[toma747]

Thanks for your help.. I have one more question I was wondering if you could answer or have seen anything like it before. After I got the lens replacement(remember I have only one eye done)..I feel very off balanced like my eyes won't focus together most of the time. It also feels like there is something funny going on with my eye which received the lens. If I put on a pair of clear safety glasses it makes that funny dizzy feeling go away and kida balances my eyes. Is there a reason for that? Have you seen this before? Any thoughts?

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

I think it would be worth the peace of mind for you to get a second opinion such as a retina specialist.

BTW our vision has to constantly change to focus as different objects at different distances and the amount of light, contrast sensitivity, illumination, depth perception is always adapting to what you're trying to see and the amount of light available.

JC MD

[toma747]

Hi..The thing is I have a regular monofocal lens in now and am having problems. I read the the eye chart 20/20 but by vision seems to change throughtout the day and with different lighting conditions. I also feel like there is something in my eye much of the time. Even though he cannot see anything wrong could there be something that needs a deeper look from a specialist such as a retinal detachment? He tells me if I were to get a pair of glasses they would be clear glass as my far away vision tests on the eye chart.. Any advice would be greatly appreciated.

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

You can get a 2nd or 3rd opinion but I doubt if anyone tells you anything other than get use to wearing lineless multifocal bifocals.

Your problems are well known, have been discussed here at length. I am not a fan of clear lens extractions for all the reasons you posted. You had a techically perfect operation and see 20/20 at some distances without glasses better than before surgery and the glasses you need are likely much thinner than the ones you needed before surgery.

Multifocal and accommodating IOLS rarely elminiate glasses 100% of the time and many of the people posting her have had much worse results and do not see well even with glasses.

JCH MD