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Pain in eye after cataract surgery: When does it get better?

Posted by sunny1971 @sunny1971, Apr 28, 2021

Hi friends has anyone had pain behind the eye 9 to 12 months after the cataract surgery? My husband still going down a dark road fighting the pain in his eyes he’s been to so many physicians no one seems to know what it is they all say his eye and cataracts are fine the surgery went well he had a expensive cataract lens put in which is called a panoptic, he feels the doctor did not place it properly or that is too strong for his eye. He’s been on drop after drop five or seven different drops sometimes they help most of the time they don’t.

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mayoconnectuser1 | @mayoconnectuser1 | 3 days ago
In reply to @maytee "I read almost everything it's very confusing when, I know nothing about IOL but understand pretty..." + (show)
@maytee

I read almost everything it's very confusing when, I know nothing about IOL but understand pretty much. My whole eye is very red and, my opthomologist can't find an answer. I just read it could be a spot that is caused, by hemorrhage of the incision. I don't have a spot The doctor stuck a needle in my eye, which I felt because I do not sedate at all. I'm looking at this pretty negative.

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I had cataract surgery on both eyes a week apart in June. First eye no redness at all. Second eye looked terrible for about a week - doesn't take much to make them bleed - once they do it has to clear - about a week for me.

Are you still administering the antibiotic drops and anti inflammation drops?

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1 reply
maytee | @maytee | 3 days ago
In reply to @mayoconnectuser1 "I had cataract surgery on both eyes a week apart in June. First eye no redness..." + (show)
@mayoconnectuser1

I had cataract surgery on both eyes a week apart in June. First eye no redness at all. Second eye looked terrible for about a week - doesn't take much to make them bleed - once they do it has to clear - about a week for me.

Are you still administering the antibiotic drops and anti inflammation drops?

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They only had me put antibiotics a day, before and five days after. I was using Prednisolone but, it was changed to Letromax. The Prednisolone was causing me side affects.
So only Letromax right now.

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mayoconnectuser1 | @mayoconnectuser1 | 2 days ago

Here is a link to good overview of common meds following cataract surgery ... https://eyewiki.org/A_Review_of_Postoperative_Drops_Used_in_Cataract_Surgery.

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elliott1953 | @elliott1953 | 2 days ago
In reply to @mayoconnectuser1 "Not a medical professional. What you describe is likely negative dysphotopsia, as you noted. Sometimes this..." + (show)
@mayoconnectuser1

Not a medical professional. What you describe is likely negative dysphotopsia, as you noted. Sometimes this depends on the IOL used - it's size, shape, shape of the edge (rounded or square), type of haptics, material of the IOL, etc.

I would not have the other eye done, until I sorted the issue. Which IOL did you have implanted? If discomfort continues, you might consider a different IOL from a different manufacturer.

If you don't get suitable attention from your surgeon and staff, please consider consulting with another team. Cataract surgeries are done almost exclusively on a very specific age demographic and some services are so busy they have a tendency to ignore complaints.

In the meantime, make sure you are using the antibiotic, and anti inflammatory drop provided (unless your surgeon implanted nodules of these meds during the surgery), use preservative free drops as often as recommended.

Couple of links:
- https://www.aao.org/eye-health/tips-prevention/side-effects-cataract-surgery-complications-cope
- https://pmc.ncbi.nlm.nih.gov/articles/PMC9866410/

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Sorry to read what you are going through and can identify with you anxiety over the issues. I had cataract surgery in March/April this past year, and had light streaking issues and a maddox rod effect due to wrinkles in the eye capsule. I read a lot about cataract surgery issues and complications as a result.

You've probably read articles on negative dysphotopsia (if not, several can be found if you 'google' the topic). As I recall, the issue with these dysphotopsias is that they may resolve on their own although it can take months - not always - but as I recall you only had your surgery recently less than two weeks so there may be some hope.

You've done the prudent step by having your issues checked out by an opthalmologist. I think your decision to defer the second eye is probably a good one given the concerns you're facing at the moment. Each eye is different. In my case, I had far more irritation with the first eye whereas the second eye was less problematic.

Maybe the redness is just due to a broken blood vessel which will heal on its own within a relatively short time.

I have attached an interesting article that I found useful after my surgery dealing with potential issues after cataract surgery. Best wishes
https://www.eyeworld.org/2023/potential-issues-after-cataract-surgery/

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