I had Restor implant 9/9/09. in R eye for cataract. Now , since the surgery, have good distance (20/30) but poor intermediate and terrible near vision. When I try to read, I only see bar codes, squiggles, not letters. Tried over the counter readers, and use 2.75 (probably could benefit from stronger ones, but that was highest the store had). Before the surgery, I had only a mild Rx for reading,and did not always bother with reading glasses. This was a big shock and very surprising, as restor was supposed to help with both distance and near vision, and near got much worse.
The surgeon says I have an opaque capsule and that he could do a laser procedure, but I've had several opinions since, and was told that the capsule doesn't explain the problem with near vision, and it could help with acuity but only marginally, minimially, with reading. Besides, it would make any future lens removal very difficult.
Here is a summary of several opinions.
One MD says that my pupil does not contract for near vision, and recommended pilocarpine, 4x daily, 1% strength. I had immediate benefit, but after only 2 days of using it, woke up in the night with pain, tearing, red eye, swollen lid. He said I had allergic reaction, and suggests lower dosage with anti-inflammatory drops (prednisolone). I was actually taking prednisolone post-surgery, though at a low dosage , until the day before I started the pilocarpine, so I must had have at least some protective effect of anti-inflammatory drops in my system,. Now it's almost 6 weeks later, since I took the pilocarpine and had the allergic reaction, the redness etc. is gone, but I continue to have pain (sudden sharp pains, and pulsations/spasms). I am afraid to try pilocarpine again. He said sometimes you can take it for only 6 mo., and the pupil changes and contracts for reading; sometimes you need it indefinitely. Seems pretty powerful and scares me. Also read of possible retinal detachment as side effect.
THis doctor also suggested replacing the lens with monofocal lens , but I can't understand the logic of that, if Restor is supposed to be the best choice for good near vision. He is considered a top doctor in NY, the Dr. FixIt that other doctors end problemic cases to!. I am now officially under his care. He also suggests a procedure to permanently contract the pupils if nothing else works. That seems far too drastic for me (pupilloplasty) and am afraid to such changes to my eye, and how that could effect both eyes, with one pupil smaller than the other.
I was never told had "large pupils" before (they don't look especially large or unusual) and never had any related problems with this before surgery?
Can the cataract surgery change the way the pupil contracts? Did something go wrong during the surgery/? I had no complications after the surgery except problems with near/intermediate vision.Did I have a pre-=existing condition that i did n't know about? I've gotten no answers on this.
Another opinion said power of Restor lens was too weak, and recommends replacing lens with Restor at higher power.
But none of the other doctors mentioned anything about the lens being too weak (15.5D)
All of the doctors said that I would have trouble tolerating glasses/contacts, because there is a very wide divergence between the 2 eyes ( Ithink more than 5+ diopeters). .
The other eye also had a severe cataract which has gotten worse in the last year (the worsening of the cataracts in both eyes is what propelled me to have the surgery). I was supposed to have the 2nd eye done, but am postponing everything until it is clear what went wrong with the first surgery and what lens would be right.
Since the surgery, I use no glasses for distance, as my old glasses prescription just blurs the eye that had the cataract removed. I read with the other eye, the one with the cataract, sometimes using my glasses, sometimes not. As with the eye that had the cataract, both eyes always enabled me to read comfortably, with mild Rx for reading or without reading glasses. I also sometimes try the over the counter reader for the eye that has the Restor lens, but probably need a stronger one than I have-- but it helps..I use the reader for the computer. Obviously, using either of these glasses for reading only helps one eye, and the other is blurred as it is not the right Rx for the other eye..
Also was told the many drops I've been taking since surgery had made my eye dry, so now I have been taking Systane. I also tried Refresh, didn't seem very different from Systane. anyone with esperiences with these drops? Do you have to take them forever?
I am very frightened now of any more procedures- such as replacing the lens (because I now have had different suggestions as to what kind of lens with different MDs). The results of the surgery were unexpected, as I don't know if a replacement would help, or possibly create new, unexpected problems.
I am also afraid of doing the 2nd eye, as at least now I am assured that I can read with that eye. It frightens me to think that my natural reading ability could be decreased again. I am a voracious reader and a reading teacher!
Anyone had similar problems-- with Restor and near vision?
With pupil contraction? Mydriais?
Ability to tolerate glasses or contacts with a wide diopeter divergence?