Cataract surgery last Jan. and Feb. and still cloudy

Hi, my wife had both eyes done last year in January and February. She had the following laser "clean-up" it was called because of cloudy vision. She went through all drops and directions for compresses and was told by the doctor "I don't see any reason for it other than maybe dry eye". Then was sent to another clinic. There she was given more drops for dry eye, and then was scheduled for scraping and polishing of her cornea because she was told that the dry eye has created a pitted surface that he could fix. Which was done early this year in January. Afterward, following the surface proceedure and having many drops to take...an extended follow-up period followed due to "not yet healed". Then yesterday the doctor said there is nothing else he can do surgically and he doesn't think it is worth doing anything to the other eye"...bye bye. It felt like being sent out the door of a hospital after being told you have amnesia. My heart just sank for my wife as I know how troubling and disappointing this whole experience has been when she expected no trouble...only success. Now we do not know what to do or where to go. We would go to the best eye clinic in the country...if we knew where that is. Please do not reply "Dever's Clinic in Portland OR"...been there, done that.

Do you know what style and type of lens was used? Sorry if you've already adressed this in a discussion; if you have, I've not seen it.

Hey, all we have on her implant card is Tecnis ZCB00.

I had catarct surgery in Feb of this year and I will not go into alot of detail but I have had nothing but problems and I am so fed up with so called eye specialist, they are not helpling me at all.  So now I have to live with my eyes and all the problems I have, before surgery I had no and I mean NO problems with my eyes, now everyday is a challenge to say the least.

Good luck with finding someone to help you, it has not worked for me.

This is a sad story.  I'm sorry for your wife.  Did she have standard cataract surgery?  If so, why is her vision cloudy? I truly hope she finds a resolution.  I had both of my eyes done this year - left eye 2/24 and right eye 3/2.  I do have some dry eye and a feeling that I'm wearing contact lenses.  I'm hoping that feeling goes away some day.  The up side is that I don't need contacts or glasses for the first time in my life.  

Google Dr. Uday Devgan .He is in Los Angeles.Read reviews and videos about him . Look at his website. Good luck . I would say he is one of the top in the United States.

Also sorry the surgery has had problems...this is what I do in looking for a specialist.  I do check our local Top Docs list as published in a mag....it's not the paid ads...it's the section in the annual publication...Phoenix Magazine...I then check the bios of the docs...I prefer an MD over a DO, and one who has gone to a US school...I check the Med. Bd site for disciplinary actions...I then will make an appointment and chat up the nurses...they know who is good and whose not.  Having said that, the guy I selected to do my eyes has been on the top docs list for all but 2 yrs of the last ten.  He's had only one negative review wherein the writer was upset with him about a non-clinical matter.  Having said all that, my doc is a DO, not an MD, but he's the guy other docs go to for their eyes.  I do emphasize that we've gone to 5 or 6 of the Top Docs of various specialties and have been very, very satisfied...Find someone whose opinion you trust, and who is open minded, experienced and seems interested in resolving your wife's issue..Good luck.                          

Speaking from the UK, where this is done free, you have my sympathy. However, shouldn't this be the responsibility of whoever did it in the first place? The couldiness can happen but is usually cleared up by laser within months.

I think standard. She just had really bad vision, near sightedness, and they could only get her to 20/80 with glasses. She still has to wear glasses and is 20/40r and 20/30l... but doesn't help with the smokey room effect...as she calls it. She also gets light rays that shoot in in front of an object, like myself, if backlit.

They did the laser clean-up following the implants...then decided it was due to dry eye. They do see a mark that they call a crease mark on the right lens, but say it is so close to the edge that it likely isn't the cause. Also, this doesn't explain then "why in both eyes?".

The procedures you refer to dealt with the lens (cataract surgery) and the cornea (the dry eye and surface procedure), so I have to wonder if the problem is elsewhere in the eye, like the retina, and whether you'd consulted a specialist for that.

You don't state whether she had good vision immediately after cataract surgery or not. Even if she didn't, the issue may have nothing to do with the cataract surgery. Sometimes a cataract will keep people from being aware there is some other eye issue they have as well and so a  cataract surgery will only fix part of the issue. Alternatively if the issue arose after surgery, it may just be coincidence that it arose shortly after. WIth millions of people getting surgery each year and millions developing other eye issues, some unlucky minority will happen to get an unrelated eye issue soon after surgery.

Your reference to Portland indicates you are in the US (there are many posters on this site from the UK and elsewhere). In terms of the "best eye clinic in the country", one ranking of eye hospitals is done by US News and World Report. This site sends a post to the moderator if you include a link, so to avoid that, if you google this you should see the ranking as the first search result:

"us news and world report rankings eye hospital"

There may be other places that do rankings but I hadn't searched.  I've seen some critique their rankings for other specialities are more objective than those for eye hospitals (reportedly they lack data to make it more objective), but that the listed ones are definitely well respected. 

As someone else suggested you could also see if there is a ranking for the best local eye doctors in the local media. Sometimes a local city magazine or a newspaper will occasionally publish such a list if you search their sites. There is at least one company that provides rankings of the best doctors, but they don't provide it to the public but instead license it to insurance companies (who tell their customers, so you'd likely know about it if yours had it), or to media outlets. The rankings are often based on surveying doctors to find out who they would use for treatment. Alternatively there are sometimes merely polls of the public for "best of" lists in local media, or various consumer sites to rate doctors, which may be better than nothing.

I too had standard surgery with standard lens implants.  I was extraordinarliy farsighted (+9 in one eye and +9.5 in the other) with astigmatism, so none of the other lens options were available to me.  I was told that I would probably still need glasses for up close work and reading, however, I don't.  I have heard of not so successful results from cataract surgery. Hopefully your wife can have her vision problems corrected.  Don't give up.

She didn't have the cloudiness before when she was just wearing glasses. It has been this way since the initial surgeries...and was told it would get better. The cornea proceedure did improve her vision in her right eye from 20/40 to 20/30 with glasses. Her left is slightly better in regards to vision and clarity...but it too is cloudy.  Nothing is seen on her retinas and both the original and the cornea doctors say they see nothing other than that slight fold mark near the edge of her right lens...and they have both added that the mark is common to being present and it shouldn't be causing her this effect.

If these doctors don't see a problem then it makes sense to consult others, unless she can live with this quality of vision, though the risk is of course that there is some problem that will get worse. Medical science isn't yet perfect, and people's visual acuity can declline with age even without any treatable problem, even if on average it should be better than she has.

re: "She didn't have the cloudiness before when she was just wearing glasses."

It isn't clear when you are referring to. I assume this must have been before she had cataracts, since presumably she had cloudiness reducing vision before she had cataract surgery since that is why they perform it.  They don't usually perform cataract surgery until someone's vision is worse than 20/40 since that is usually when insurers (and government) will pay. That suggests the possibility that whatever reduced vision afterwards might have been part of what reduced vision before cataract surgery, and they simply weren't aware of it. Perhaps the cataracts weren't even bad enough to have an impact on vision and it was this other issue that caused the reduced vision.

I suppose you might be saying that the cloudiness she experienced after surgery was different than the cataract cloudiness before surgery, but its possible that the cataract surgery merely changed how whatever visual problem she had was being perceived. 

She didn't have the cataract surgery due to cataracts. It was finally done because they could only get her to 20/80 with glasses...and her insurance wouldn't allow the surgery until her vision reached that point. She's been extremely near-sighted all her life and in glasses since the age of 2yrs.. If my memory is correct...at the time she was told she could only be corrected to 20/80...cataracts were barely present or just beginning to develop.

This is how she feels...I wish something could be done for all experiencing this. Best wishes.

"why is her vision cloudy?"...we wish to know this. Her vision wasn't cloudy prior to surgery. They only did the surgery because vision could only be corrected to 20/80 with glasses and the optometrist had been telling her over the years that he could do the surgery when the vision reached this point to be covered by insurance...not because cataracts.

So, in other words, your wife's eyes were ruined by her surgeon(s) and all they say is "sorry, but there's nothing more we can do?"  Just keep searching for a resolution.  I read about something called YAG laser surgery.  Perhaps this is what she already had, I don't know.  Maybe you could research it.  There has to be a solution out there.  I'm sorry for her.

Thank you

I suspect you misunderstood. The odds are that the best corrected vision was reduced due to cataracts or its likely insurance wouldn't have covered it, whether or not you label the vision as having been "cloudy" or merely reduced.  It sounds like she has other eye issues as well, and the problem is getting them dealt with. Its likely that despite the way acc925 put it, the cataract surgery didn't ruin her eyes but merely didn't deal with all of her issues. Cataracts eventually lead people to go blind, her eyes would have gotten worse without cataract surgery.