No change in the amount of my astigmatism with toric lens after surgery cataract right eye 2 weeks post op. Cylinder continues to be -125 and axis changed from 110 to 100 on eye glass prescription. It is like a regular lens to see far was placed rather then a toric lens which I paid for. Have contacted the office several times but no call back from surgeon or explanation from anyone. Have upcoming appointment with surgeon in a few weeks. Suggestions ?
Is your spherical vision (near sightedness) corrected? Your doctor may need to go to the toric recalculator at to re-calculate the lense rotation for the astgmatism correction. I would personally wait 4-6 weeks though first to see if maybe your lenses just need to settle a bit.
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Cheryl - how do you know a regular lens was implanted vs toric one you paid for? If by results - there could be explanations for why astigmatism didn’t correct. You would need to see chart (and in a lot of cases a card (size of a credit card) for your wallet is provided by the hospital or surgical clinic which indicates lens type/model). Of particular importance to obtain if only one eye being operated on and other eye not needing cataract surgery for years. This provides the next surgeon with info on lens implanted so they can better match / complement with 2nd eye IOL.
Everyone is supposed to get a card with the IOL information after a cataract surgery. What is listed on your card?
Have you had the eye doctor do a dilated eye exam to see if the toric IOL has rotated signficantly?
There are index marks on the toric IOL the doctor can see to determine the angle its at compared to where it should be. I would assume a non-toric IOL wouldn't have the index marks at all so the doctor could tell that too.
If the toric IOL rotated too much it would reduce the astigmatism reduction effect.
Were you given an implant card to carry around with you? The description of lens should be on that card
Oh geez sorry several others have asked same question
Thanks for your reply. The Surgeon did say the lens was in place the day after my surgery. Was very careful after my surgery,so very surprised that my prescription for astigmatism had not changed in my right eye. Also had my left eye done a little less then 2 weeks prior to the right and my prescription for astigmatism went from -200 to -050 in my left eye.
Thanks for your reply at201. I have acrysof Toric lens in both my right and left eye.
Thanks for your reply Sue.An. I had both eyes done a little less then 2 weeks apart.I had my left eye done prior to my right and there was a marked improvement in my astigmatism in the left eye. They gave me cards listing that both lenses are toric with type/model. I was expecting with a toric lens I would have some type of change in my astigmatism in my right eye as well. However there was no change at all as far as my astigmatism, that is why I am saying it was like having a regular lens and not a upgrade.
It's a good question, and yes I was lgiven a card listing that I had a toric lens. Thanks julielyn
If a toric lens has been implanted you should have the surgeon check to see if it has rotated from it’s position.
Yes you can expect improvement however toric lenses are prone to shift and if they do it won’t help improve the astigmatism. There are markings on them as night hawk mentioned that your surgeon upon examination should be able to determine whether the lens has rotated. This can happen during first few days/weeks until the lens adheres/heals into place. The lens can be rotated back or surgeon may offer lasik to improve the astigmatism. But first things first you’ll need the surgeon tho examine that eye.
If you had a toric IOL lens installed and it has not rotated, one other possibility (more like a conjecture) is that your astigmatism before the surgery was not really due to the cornea or the posterior capsule imperfection, but due to the natural lens with the cataract. However, the cornea measurement prior to the surgery should have been able to determine the part being played by the cornea in that.
Just as a matter of curiosity, do you still have a record of the cylindrical correction for the right eye before you developed a cataract in that eye? If so, it will be good if you can share it.
Also just to be sure, does your cylindrical correction have the same sign in the old as well as the new prescriptions? At least in USA, most of the ophthalmologists use a positive sign and most of the optometrists use a negative sign for the cylindrical correction in writing these prescriptions (which also changes other parts of the prescription), which can cause some confusion.
Of course, some new astigmatism can be introduced by the incision made to replace the lens during the cataract surgery itself. However, the chance of the new astigmatism matching the old one has to be very small.
Interesting! I didn’t know astigmatism could result from anything other than cornea or posterior capsule imperfections. Thanks for sharing.
The day after surgery the surgeon did say the lens was in place. I do have an upcoming appointment with the surgeon the end of the month I made with him prior to my concern with the unchanged astigmatism. To the best of my knowledge he does not ordinary do follow-ups beyond the first post-op appointment, and felt he was offering me a follow-up appointment with him because he was concerned because my eye pressure was high. I was very happy to get the appointment and never questioned why I was being offered one. When I went to see my optometrist he said my eye pressure was good. Very glad I have an appointment because I have not gotten a call back from my surgeon office explaining why my astigmatism is unchanged. Thanks for your reply SuAn
Thank you very much for replying to me at201. My astigmatism in my right eye has been the same -125 under cylinder per my optometrists before I began having a steady deterioration in my vision as well as recently before my cataract surgery. My optometrist post op wrote -125 on my prescription under cylinder.
Would you know what could be surmised or known about a lens implant by an examination by an ophthalmologist?
Sorry about the unclear question at201. Would you know what could be surmised or known about the lens implants type by an examination by an ophthalmologist?
Cheryl- I don’t consider that good follow up from a surgeon to see you only at 24 hour post op. He/she should at minimum see you at 1 week and again at 6 weeks (6 weeks is when complete healing takes place provided there were no additional issues and complications). If you haven’t seen the surgeon since that 24 hour post op there is no other way for you to know if that toric lens has rotated. It is fairly common for them to rotate.
Sue.An- Had my right eye done 6/24 my follow up is not until 7/30. If I do not hear back from him today I will call his office for the 3rd time. I have been waiting to hear back from him since Monday. He operates on Tuesdays and Thursday. If it has rotated I would think the sooner he sees me the better. Not sure what kind of time would be needed to see if it settles in. What is your opinion? Thanks again for your reply.