glasses after RD surgery

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Can special lenses (eyeglasses) be made that would help improve residual distortion in an eye that has undergone a vit-buckle for a macula-off RD and 8 mos. later an epiretinal membrane peel with cataract lens replacement? My most recent eyeglass prescription was written six weeks after the membrane peel. Six months post epi peel, might the refraction have changed in this pseudophakic eye? Current vision in the affected eye is 20/30 but with annoying shimmery distortion around the periphery. Also, my eyes see different size images.
Eye problems began in March 2010 with a PVD. Am otherwise very healthy.
Thank you.

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

You're welcome. Glad this had a happy ending. JCH MD

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Thank you for the explanation, Dr. Hagan.

I went to a different optometrist on a friend's recommendation. (Previously I had always gone to optometrists at a medical clinic.) I provided him with my surgeon's summary and the most recent past refractions. Even before doing the refraction he grasped how to make a more comfortable prescription for me. In a nutshell, the biggest change was removing the correction for astigmatism in the RD eye. He also made the reading lens power (in progressives) slightly different for the two eyes, which I guess is unusual. And he seemed to have a knack for pacing the forced-choice part of the refraction so that I could truly differentiate.

I am finding the new prescription less aversive/more comfortable!

Finally, I have learned so much from reading your posts to others (and from the entire eye care forum), for example, discovering after the fact that my particular IOL is in your words first class. Thank you!

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

The smaller the incision the faster the RX will stabilize, the more stitches the longer to stabalize. When the single stitch is removed the RX will likely change. The longer the period of time since surgery the more stable the RX.  Thus the RX 6-7 months post op with the stitch removed  will be much much more stable than a 6 week post op refraction.

JCH MD

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Thank you for your response. Approaching this a bit differently, and RD residuals aside, might a refraction six weeks after an ERM peel plus IOL implant with a single lens stitch still in place differ from a refraction six or seven months later (with that stitch removed), or does a prescription remain stable once there's an IOL in place?

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

No special glasses are not available to make distorted images clear after membrane peels or macula off RDs. This is called metamorphopsia.

The image size is a different deal.  Such problems are related to aneisometrophia and aneisoconia. Jodie J our most knowledgable poster has written much on this is the past. You can access her discussions using the search feature and archives.

JCH MD