What is main cause of blurry vision after cataract surgery

[caren123]

Dear Doctors:  Vision has been blurry with and without corrective lenses in the eye that had crystalens implant six months ago.  Can't see well enough to read or drive.  Have edema; macular pucker; haven't had YAG.  Distortion is also present but blurriness is my main concern at this point.
1) Is edema the main culprit?
2) When is a pars plana vitrectomy indicated and could that help?
3) How much risk is there of YAG and PPV causing more edema?
Thank you.

[Ray T Oyakawa, MD]

I am a fellowship trained retinal surgeon and have done over 8000 retinal procedure.  I was one of the first in Los Angeles to peel epiretinal membranes.  Retinal surgery is a young man's specialty and I had always planned to do less of it I as I got older.  Too many emergencies.

Dr. O.

[caren123]

Thank you very much.  There are not so many refractive surgeons who also have knowledge of retina issues.  Hope your surgery went well.

[Ray T Oyakawa, MD]

1) It could be the pucker.  A f/a and OCT will determine how much edema is present.

2)  It depends on your needs.  My cut off is about 20/40 to 20/50 best corrected

3) some.

Dr. O.