Post cataract surgery/worried

Posted by cherriann @cherriann, Sep 4, 2017

I had cataract surgery w/corrective lens August 21, and after two weeks my eye is still blurry, scratchy and uncomfortable. Skin under my eye turned dark black to the middle of my cheek, and that also is still very dark and not back to normal. Visited surgeon twice and he says the surgery went well and my symptoms are not abnormal, but I am concerned because my vision is so poor and reading ability worse than before surgery. Doctor tells me it will improve in time, but I am getting scared because I still can’t see clear enough to drive my car. Last night I noticed that when I cover my other eye, I now see shooting bright light around street lights! Is all this normal after this type of surgery? Several others I’ve spoken to that have had this surgery tell me they see well within days, and none of them had ever heard of getting a black eye. If it truly takes months to see well and adjust to this new lens in my eye as doctor tells me, I can accept that, but I am getting worried. Also, there is a small spot of white at the bottom of my eyeball where there is longer color – doctor says color will return and white spot is medicine he put in the eye and will eventually disappear. I would appreciate hearing from anyone else who might have experienced any of these things after cataract surgery. Thanks for any information you can give me…..

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@rwinney

@sunny1971 We have spoken before and I offered all I can. I think the only think left is for him to be seen for 2nd, 3rd opinions like you mention. I'm sorry to hear he is still suffering with extreme photophobia. I'd get moving asap on seeking professional help at a high level institution. Best of luck to him.
Rachel

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thanks rachel, he got better and went to the surgeon, of course the doc put him back on the gel drops, 1 time a day, doc said he has had people who are much older and severe. and are on drops 4 times a day, i think when he weaned off, might have set him back a bit, but now if gel drops work 1 time a day, im banking on this is what it is with a cataract, and light sensitivity! very upsetting but i
believe it is all about time, thank you for responding !!

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@jackbonnie

Had cataract surgery 3 months ago still have gunk and dry eyes, was told now need heat and lid scrub the rest of my life..

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Hi @jackbonnie, are you experiencing these symptoms only since cataract surgery or did you have dry eyes before surgery too?

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@sunny1971

thanks rachel, he got better and went to the surgeon, of course the doc put him back on the gel drops, 1 time a day, doc said he has had people who are much older and severe. and are on drops 4 times a day, i think when he weaned off, might have set him back a bit, but now if gel drops work 1 time a day, im banking on this is what it is with a cataract, and light sensitivity! very upsetting but i
believe it is all about time, thank you for responding !!

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@sunny1971 You're welcome! I hope time is on his side and the drops help. 🤞🏻 I know how horrible extreme light sensitivity is.

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I had cataract surgery in September of this year. My vision after 3 weeks was still blurry and a bit distorted. Looked like heat waves coming off of pavement when driving in summer. Dr. took a photo of retina (OCT?) and I have CME, which is now being treated with nsaid and steroid eye drops. Dr. Said this should improve over a few months time. Maybe get a second opinion with OCT and maybe treatment?

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@cheryle

I had cataract surgery in September of this year. My vision after 3 weeks was still blurry and a bit distorted. Looked like heat waves coming off of pavement when driving in summer. Dr. took a photo of retina (OCT?) and I have CME, which is now being treated with nsaid and steroid eye drops. Dr. Said this should improve over a few months time. Maybe get a second opinion with OCT and maybe treatment?

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@cheryle, I'm sorry to hear that your cataract surgery is proving to remain problematic and not giving you the results you'd hoped for.
Did the opthamologist say that the photo of the retina was a optical coherence tomography (OCT)?

Cystoid macular edema (CME) from my understanding does take time to improve. Treatment depends on the cause. Was the CME caused by the cataract surgery itself or did you have this before the surgery? Was this cataract surgery for your first or second eye?

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@colleenyoung

@cheryle, I'm sorry to hear that your cataract surgery is proving to remain problematic and not giving you the results you'd hoped for.
Did the opthamologist say that the photo of the retina was a optical coherence tomography (OCT)?

Cystoid macular edema (CME) from my understanding does take time to improve. Treatment depends on the cause. Was the CME caused by the cataract surgery itself or did you have this before the surgery? Was this cataract surgery for your first or second eye?

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Thanks for the reply, did not see it until now ( Nov. 18th). I had my follow up after one month of the drop therapy and the CME is gone! I am weaning off of the steroids over 6 weeks. This came about after the surgery. I also have a macular pucker in my left eye that drops will not help. This was also after surgery. It isn’t distorting my vision badly and Dr. said it may remain the same and not worsen. I hope he is right!

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@jamienolson

Hello @cherriann, Welcome to Mayo Clinic Connect! I’m sorry to hear you are having concerns post operatively.

I had a girlfriend that had a similar surgery and it took her a full three months to get her vision straight. It was a long three months and she was very nervous but her vision post op is better than ever and totally worth the wait.

I would like to call in @jimhd and @joan912, both members who have had cataracts removed. I hope they will be able to fill you in on their experiences.

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I had cataract surgery on my left eye a month ago yesterday. Vision is worse now than before surgery. I see double in that eye. I paid for a Toric lens. Doctor cannot tell me what has gone wrong. Anyone who thinks cataract surgery is an easy operation or has positive outcomes, should think twice. Doctor is now talking about doing another operation on that eye.

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@bmy

I had cataract surgery on my left eye a month ago yesterday. Vision is worse now than before surgery. I see double in that eye. I paid for a Toric lens. Doctor cannot tell me what has gone wrong. Anyone who thinks cataract surgery is an easy operation or has positive outcomes, should think twice. Doctor is now talking about doing another operation on that eye.

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Hello @bmy, Welcome to Mayo Clinic Connect. I'm sorry to hear that your cataract surgery had complications. I just had cataract surgery on both of my eyes within the past few months and it went well for me although I can relate to your feeling. I was nervous going into both surgeries and the doctor did go over all of the common risks for the surgery. I think that was the reason they did the eyes one at a time for me and started with my best eye of the two. This is an older article that explains double vision after cataract surgery and why/how it can happen – Double trouble: Diplopia following cataract or refractive surgery: https://www.eyeworld.org/article-double-trouble–diplopia

I know this can't be easy for you. Has the doctor scheduled another cataract surgery for you or do you have to wait a certain amount of time?

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thank you so much for the reply, John. I will read the eyeworld study. The doctor is still doing diagnostics before deciding next steps. he says he may have to take out my toric lens and put in a monofocal lens instead. I found the surgery very traumatic, like ripping and tearing at my eye. is this normal, do you think? I wanted to keep my eye shut for a week after the surgery. Is that normal? I am dreading next steps. We are not even discussing the second eye til we get this one straightened out. Again, thank you for your kind message. It is so appreciated.

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@bmy

thank you so much for the reply, John. I will read the eyeworld study. The doctor is still doing diagnostics before deciding next steps. he says he may have to take out my toric lens and put in a monofocal lens instead. I found the surgery very traumatic, like ripping and tearing at my eye. is this normal, do you think? I wanted to keep my eye shut for a week after the surgery. Is that normal? I am dreading next steps. We are not even discussing the second eye til we get this one straightened out. Again, thank you for your kind message. It is so appreciated.

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@bmy I had originally discussed getting a toric lens for my right eye which was the second one done due to having an astigmatism in both eyes but worse in the right eye. The surgeon said he thought the intraocular lens (IOL) would be the best and I think that was based on my telling him I'm more concerned with seeing at a distance vs closer up for driving. I ended up having the same IOL lens in both eyes and I'm happy with them. I do need reading glasses but I no longer need them to drive. After both my cataract surgeries I had 3 different eye drops (prednisolone, ofloxacin, ketorolac) that I had to use on a specific schedule for each week for 4 weeks. For me the eye drops were a pain but they made it easy by giving me a printout of the 4 week schedule to take home with me.

I had to keep an eye patch on the first day and wear it at night for the first week but I didn't have any pain. I did have a few instances when I felt like I had a small obstruction in my eye which the surgeon told me this is normal. I don't think what you are describing sounds normal to me but I'm hoping other members will pop into the discussion and share their experience with you. Here's some information you may find helpful and maybe even for your follow up surgery.

Cataract surgery recovery: 8 tips to minimize recovery time: https://www.allaboutvision.com/conditions/cataract-surgery-recovery.htm

Can you give us an update after you talk to your doctor again?

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New Topic Under Cataracts. After cataract surgery has anyone had to have his/her new lens polished? How soon after your surgery did you have to have it done? I got the regular lens, not the enhanced ones. My ophthalmologist said I may have to have them polished to reduce cloudiness at some point, and I wondered how it went. He can do it in his office which is nice. I guess I've been pretty lucky, because everything went well with cataract removal from both eyes a few weeks apart. I did experience a tremendous cascade of floaters in one eye right after the surgery while I was still in the operating room. I told the ophthalmologist, and he asked me if I saw flashing lights. Since I didn't, he wasn't concerned. Thanks for your input if you've had this done. A visit to the ophthalmologist is on my list of things to do this spring, although the goal post seems to be getting pushed back from the slow Covid vaccination pace and new aggressive strain. I'm not seeing as clearly as I have been and have decided to dramatically reduce my screen time to rest my eyes and see if that helps. Nancy

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@nla4625

New Topic Under Cataracts. After cataract surgery has anyone had to have his/her new lens polished? How soon after your surgery did you have to have it done? I got the regular lens, not the enhanced ones. My ophthalmologist said I may have to have them polished to reduce cloudiness at some point, and I wondered how it went. He can do it in his office which is nice. I guess I've been pretty lucky, because everything went well with cataract removal from both eyes a few weeks apart. I did experience a tremendous cascade of floaters in one eye right after the surgery while I was still in the operating room. I told the ophthalmologist, and he asked me if I saw flashing lights. Since I didn't, he wasn't concerned. Thanks for your input if you've had this done. A visit to the ophthalmologist is on my list of things to do this spring, although the goal post seems to be getting pushed back from the slow Covid vaccination pace and new aggressive strain. I'm not seeing as clearly as I have been and have decided to dramatically reduce my screen time to rest my eyes and see if that helps. Nancy

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Polished? I have never heard of having lens polished after cataract surgery, Nancy. I have had cataract surgery on both of my eyes and my doctor never mentioned polishing the lens. I did experience increasing blurriness after both surgeries which was caused by "secondary cataracts", and both were easily and quickly removed in-office with laser/YAG procedures.

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