To your first question the answer is NO. To your second question the refractive index of your IOL does not contribute to your problems. Your problems are not uncommon and one of many reasons I don't recommend "refractive lens exchange" or "Clear lens extraction". As you said you didn't have cataracts you just didn't want to wear glasses.
Even for people with cataracts they are not uncommon problems and using the search feature and archives will show you. You have "dysphotopsia" or unwanted light reflexes. I would suggest you get a 2nd and third opinion from different cataract/IOL/Cornea/refractive surgeons in your area. Glasses likely progressive multifocal are in your future.
The best corrected vision in my left eye dropped to 20/70 before the cataract surgery. The nearsightedness in my right eye is currently -6.0D with a baby cataract, and with the IOL in my left eye it is at -4.5D.
Today I finally got the entire sequence of appointments setup for my right eye cataract surgery!
The surgery date is 10/24 @11am and was told the surgery takes under 30min, and then rest for up to 60min before going home.
I have the cornea measurements pre-surgery office appointment a week before the surgery and a pre-op mini-physical exam by a nurse practioner next week which is under 30days before the surgery.
Only two post-op followup office checks scheduled, 1day after surgery and 2weeks after.
They are also sending a Rx to my local drugstore for the two non-generic eyedrops that only require 1drop each per day for the 4weeks after surgery. The reason the does is so low is the doctor also does a one-time eye injection at the time of surgery as well.
They told me if the copay total for the eyedrops is over $100 to cancel the Rx order and call them to get them at lower price.
The names of the Rx eyedrops are: Durezol (steroid) and Ilevro (NSAID)
Yesterday I had the pre-op checkup to get cleared for the upcoming cataract eye surgery, scheduled for Oct 24.
All was normal intially except my BP is always very high only at the doctor's office - an hour before at home it was below normal as it usually is measured daily at home.
However at the end an EKG was done and it detected "right bundle branch block" but without any other symptoms, so that was considered benign - just something to monitor at annual physical exams. Could have been that way for years or even decades since I never had an EKG before and the heart sounded normal with the stethoscope. So just something for the general doctor to monitor at annual physical exams in the future.
So I was cleared for the cataract surgery.
Next up is the cornea measurements in 3 weeks where the final choice of the IOL type will be made. Also at that time I can get a $10 kit containing the eye shield, paper tape, and sunglasses. Also will setup to pickup the two Rx eyedrops bottles for use 4 weeks after surgery, 1drop/day of a steroid and 1drop/day of a NSAID. Surgery date is one week after that.
This week I had the appointment for biometry, cornea measurements. The eye surgeon called me today and confirmed the measurements were as expected and my right eye had the expected 3D astigmatism and slight nearsightedness.
So he went over the IOL options and I selected for my right (dominant) eye the Tecnis Toric monofocal IOL to be targeted for good distance vision (0 to -0.5D) with elimination of the bulk of the astigmatism. He will use ORA but not femtolaser for the surgery, scheduled for next week on Tuesday.
I have my two Rx eyedrops already, only will have to use one drop of each per day in the right eye for 4 weeks post-op. I hope everything goes well next week with no complications.
The doctor told me the top thing to avoid doing to reduce risk of toric rotation, etc is rubbing the eye. He said the most common reported feeling in the eye after surgery is like feeling a foreign object in the eye.
Today I awoke and my right eye was blurry compared to the last couple days.
Today its back to how it was the day after surgery, vision still varies but barely 20/40-50 most of the time, though it can still get clear and sharp for short periods.
So I assume I will have to just be patient and wait for the cornea to completely heal over the coming weeks and expect variable vision each day until hopefully it eventually stabilizes.
Its like the cornea varies between clear and a little cloudy or perhaps temporary astigmatism? Could dry eye be a contributor to this effect? I'm using several drops of PF lubricating drops each day, in addition to my glaucoma eyedrops and the steroid and NSAID drops.