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…..

Interested in more discussions like this? Go to the Eye Conditions group.

@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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@nla4625, like @cherriann I have not heard of having a lens polished after cataract surgery. I just had cataract surgery on both my eyes a little over a month ago. I did find some information explaining it a little. I think it's called a posterior capsulotomy.

What Is a Posterior Capsulotomy?: https://www.aao.org/eye-health/treatments/what-is-posterior-capsulotomy

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@johnbishop

@nla4625, like @cherriann I have not heard of having a lens polished after cataract surgery. I just had cataract surgery on both my eyes a little over a month ago. I did find some information explaining it a little. I think it's called a posterior capsulotomy.

What Is a Posterior Capsulotomy?: https://www.aao.org/eye-health/treatments/what-is-posterior-capsulotomy

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@cherriann and @johnbishop. Thanks for this information. It doesn't sound too awful if everything goes well when he corrects it. I hope tired eyes from too much screen time or this posterior capsulotomy is all this periodic blurriness is. I've been checking the grid chart for macular degeneration, which the ophthalmologist said I'm in the early stages of, regularly; and the lines are still straight. I guess I'd better start learning about that during my allotted screen time. Thanks again and thank goodness for 2 sunny days in western PA. Nancy

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Hi im marianne, and i had posted months ago re: my husbands cataract surgery, this past summer June 29. He has been so bad ever since. It started with light sensitiviy prior to the surgery, but when he finally went to get an eye exam, they found the nuclear cataract in right eye. The photo phobia had gone away, and the doctor told him about a new high performance iol lense, called PAN OPTIC, TRI FOCAL. well, he decided to do it , since then he has never
been able to go in the light, fish like he used to, surfing. He is an outdoorsman, a young 66 yr old healthy!.The surgery went fine, the doctor keeps telling him
he has 20/20 site, but cannot explain why he is so sensitive to light. All the tv' s in our house are turned to black and white !!. All the doc said was, keep
putting in drops, well 7 months have passed now !! he has pain behind the right eye, he has been to 5 opthamologists, and they all seem to not want to
get involved in his first surgery issues ! really ? He is beside himself, we DO NOT KNOW WHERE TO TURN, some days he is better than other. OH he
also stopped all the drops after 6 months ! the doc said he wouldnt need anything anymore. ANY ONE OUT THERE WITH PHOTO PHOBIA ? He has
tried all the sun glasses he can think of, nothing works. Once in a while he gets mild headaches, but not migranes.
Any info would help me, i have researched everything on the net, and fell like I am burned out!!

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@surfing

Hi im marianne, and i had posted months ago re: my husbands cataract surgery, this past summer June 29. He has been so bad ever since. It started with light sensitiviy prior to the surgery, but when he finally went to get an eye exam, they found the nuclear cataract in right eye. The photo phobia had gone away, and the doctor told him about a new high performance iol lense, called PAN OPTIC, TRI FOCAL. well, he decided to do it , since then he has never
been able to go in the light, fish like he used to, surfing. He is an outdoorsman, a young 66 yr old healthy!.The surgery went fine, the doctor keeps telling him
he has 20/20 site, but cannot explain why he is so sensitive to light. All the tv' s in our house are turned to black and white !!. All the doc said was, keep
putting in drops, well 7 months have passed now !! he has pain behind the right eye, he has been to 5 opthamologists, and they all seem to not want to
get involved in his first surgery issues ! really ? He is beside himself, we DO NOT KNOW WHERE TO TURN, some days he is better than other. OH he
also stopped all the drops after 6 months ! the doc said he wouldnt need anything anymore. ANY ONE OUT THERE WITH PHOTO PHOBIA ? He has
tried all the sun glasses he can think of, nothing works. Once in a while he gets mild headaches, but not migranes.
Any info would help me, i have researched everything on the net, and fell like I am burned out!!

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@surfing there is another discussion you might find helpful –

Extreme light sensitivity. What can be done?
https://connect.mayoclinic.org/discussion/dry-eyes-or-what/

REPLY
@johnbishop

@nla4625, like @cherriann I have not heard of having a lens polished after cataract surgery. I just had cataract surgery on both my eyes a little over a month ago. I did find some information explaining it a little. I think it's called a posterior capsulotomy.

What Is a Posterior Capsulotomy?: https://www.aao.org/eye-health/treatments/what-is-posterior-capsulotomy

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Hello @cherriann and @nla4625,

I'm glad that John, @johnbishop, posted about the posterior capsulotomy. I've had cataract surgery on both eyes (the surgeries were a few years apart). After the first surgery. I did have the laser treatment describe in the post that John provided. I don't recall any discomfort and as I recall it was a very quick, simple procedure. It did help my post-surgery vision problems.

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@surfing

Hi im marianne, and i had posted months ago re: my husbands cataract surgery, this past summer June 29. He has been so bad ever since. It started with light sensitiviy prior to the surgery, but when he finally went to get an eye exam, they found the nuclear cataract in right eye. The photo phobia had gone away, and the doctor told him about a new high performance iol lense, called PAN OPTIC, TRI FOCAL. well, he decided to do it , since then he has never
been able to go in the light, fish like he used to, surfing. He is an outdoorsman, a young 66 yr old healthy!.The surgery went fine, the doctor keeps telling him
he has 20/20 site, but cannot explain why he is so sensitive to light. All the tv' s in our house are turned to black and white !!. All the doc said was, keep
putting in drops, well 7 months have passed now !! he has pain behind the right eye, he has been to 5 opthamologists, and they all seem to not want to
get involved in his first surgery issues ! really ? He is beside himself, we DO NOT KNOW WHERE TO TURN, some days he is better than other. OH he
also stopped all the drops after 6 months ! the doc said he wouldnt need anything anymore. ANY ONE OUT THERE WITH PHOTO PHOBIA ? He has
tried all the sun glasses he can think of, nothing works. Once in a while he gets mild headaches, but not migranes.
Any info would help me, i have researched everything on the net, and fell like I am burned out!!

Jump to this post

@surfing Welcome back to Mayo Clinic Connect, a place to give and get support. Since your husband's cataract surgery he has experienced extreme light sensitivity and he has seen 5 providers and he has still not found a resolution to the issue.

Above, @johnbishop linked a previous discussion you may find helpful related to extreme light sensitivity.

Everyone has different situations and/or resources available. Have you traveled for care? Below I have linked what has been named the best hospital systems for Ophthalmology.
– Best Hospitals for Ophthalmology https://health.usnews.com/best-hospitals/rankings/ophthalmology

I'm wondering if you and your husband have considered seeking out a particular provider that specializes in his issue?

REPLY
@erikas

@surfing Welcome back to Mayo Clinic Connect, a place to give and get support. Since your husband's cataract surgery he has experienced extreme light sensitivity and he has seen 5 providers and he has still not found a resolution to the issue.

Above, @johnbishop linked a previous discussion you may find helpful related to extreme light sensitivity.

Everyone has different situations and/or resources available. Have you traveled for care? Below I have linked what has been named the best hospital systems for Ophthalmology.
– Best Hospitals for Ophthalmology https://health.usnews.com/best-hospitals/rankings/ophthalmology

I'm wondering if you and your husband have considered seeking out a particular provider that specializes in his issue?

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Thank you, we have sort out all we can, no provides really specialize in light or photophobia, it is something that is a time issue,
all i can hope for is steroid drops to help him along. He may consider going out of the country to find specialized care.
thank you

REPLY

U need to go to a retina specialist and maybe a Neuroopthamogist! After my cataract surgery i never vould see right again but was told i had an eye stroke by the neuroopthamologist! U need to seek advice from these eye specialists becsuse they have so many more tests to gind answers

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You need to see a retina specialist ASAP and also a Neuro Opthamologist to check on optic nerve too!!

REPLY
@surfing

Thank you, we have sort out all we can, no provides really specialize in light or photophobia, it is something that is a time issue,
all i can hope for is steroid drops to help him along. He may consider going out of the country to find specialized care.
thank you

Jump to this post

I’m really sorry to hear of your husband’s extended problems after cataract surgery. I had traditional cataract surgery on my left eye 15 months ago. I’ve had peripheral light streaks that are bothersome since. Time has not helped them improve much, if any. I was told by the original surgeon and a second surgeon that there was nothing they could do. I’ve read that this positive dysphotopsia may occur in a significant number of cataract surgeries because of the IOL being a square-edge acrylic lens. I believe the square-edged IOLs became popular because they are supposed to keep patients from getting PCOs. Despite this supposed benefit of that type of lens, I developed a PCO in just a couple months and then had to have the YAG posterior capsulotomy, as well as a vitrectomy this past December. So, I still have the light streaks. They are a bother when viewing car lights in rear view mirror or when sunlight is coming through windows. I guess that I just can hope it doesn’t worsen.

In the last couple of years, I’ve learned that that local ophthalmologists and retinal surgeons are not interested in educating me on my conditions or any post surgery problems unless I ask AND press them on it. They don’t use terms like PCO or dysphotopsia that seem crucial to a my true understanding of what happened and the long term implications to my sight. I read as much as I can find but I realize I should have even researched “simple” cataract surgery more before going forward. Unfortunately, there are plenty of stories of less than optimal surgical results. Discussion groups like this are helpful in finding people dealing with similar (never exactly the same) problems. My experience may not be the same as your husband’s, but I hope there’s something of help. I surely wish you and him well and hope you find answers!

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@nla4625

@cherriann and @johnbishop. Thanks for this information. It doesn't sound too awful if everything goes well when he corrects it. I hope tired eyes from too much screen time or this posterior capsulotomy is all this periodic blurriness is. I've been checking the grid chart for macular degeneration, which the ophthalmologist said I'm in the early stages of, regularly; and the lines are still straight. I guess I'd better start learning about that during my allotted screen time. Thanks again and thank goodness for 2 sunny days in western PA. Nancy

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@johnbishop @cherrian I visited my ophthalmologist yesterday to see if it was time to have these posterior capsulotomies done. It is. The first one is scheduled for the end of April. I had to laugh, because he used the term polish three times. He evidently thinks his older patients can't handle big medical terms. Not that it matters, but I wondered how I could have totally misunderstood him when both of you said you had never heard of that. I asked the receptionist on the way out, and she gave me the medical term.

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@nla4625

@johnbishop @cherrian I visited my ophthalmologist yesterday to see if it was time to have these posterior capsulotomies done. It is. The first one is scheduled for the end of April. I had to laugh, because he used the term polish three times. He evidently thinks his older patients can't handle big medical terms. Not that it matters, but I wondered how I could have totally misunderstood him when both of you said you had never heard of that. I asked the receptionist on the way out, and she gave me the medical term.

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@nla4625, I'm happy to hear you have the procedure scheduled for the end of April. I hope you can come back and give us an update on how it went and how you are doing. Maybe even start a new discussion on Posterior Capsulotomy?

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