Hi everybody, Last Monday I got my first IOL implant in my left eye. I opted for the monofocal in order to have n side effect. At the beginning no problem, or better I just have my pupil very constricted due the stress of the surgery. My visual acuity was pretty good, but starting from yesterday night that my pupil goes back on its normal condition now I'm experiencing some glare even with the day light. I would like to ask if this can be considered normal at this stage or not; my worry is that the lens is now out of position. Yesterday I have been at the Hospital for the routine check and the Dr. put the dilatation drops in my eye and everything was fine, no glare, but after that the pupil goes back on its normal position (no more constricted) I got the glare. Does anyone had some similar experience? Next Monday I will have the right eye surgery, in that case this could be a good chance to fix the lens in case..... Sorry for my english if it is not perfect. thank you so much.
Hi Mirko I believe, if your doctor used dilation drops, and checked the iol, then it should be good. Are you using drops for dry eyes, beside the other drops? Dry eyes can really make a mess, you can use as many artificial tears you like, as long as you wait 5 minutes between the different type of drops. Systane is one of the popular type of artificial tears, but there are many on the marked that will do the job, if you are not using these already, you should give it a try.
I Danish,
Happy to meet you again. nope, I don't use the artificial drops because I'm actually putting antibiotic drops each two hour...
sorry I didn't read good your message. I will try thanks
Hi Mirko, . When say 'glare' do you mean everything is very bright or something else? . If you've had a dense cataract that has reduced the light passing to the retina then after it's removed I would expect everything will look much brighter. So it may just take some time for the eye to adapt to the 'new' intensity of transmitted light? . Also why are you having the other eye done soon? I'd be inclined to wait a while until the first eye fully heals and adapts. And just in case there is an issue with the model or type of IOL so as you don't risk duplicating it. . Regards, . DonD
I Don
I make a RLE so no cataract. No the glare that I have is complicate to explain is something similar if you have a not perfect lucid windows that make some oblique lines near the intense lighting source . The reason why I will have the second eye done one week after is just a routine here... and even more the difference between the two eyes now huge and the discomfort is really big at the moment. Frankly I was thinking that it was due to the healing of the cornea. I didn't have them before and the vision was perfect. Now I sent a message to the Dr. I cannot call him today is holiday here.
hello. I am having first eye done in 10 days . I am getting toric monofocals tecnisll. Did you have astigmatism before surgery?
yes I do 1.75
is it a toric lens out of position?
is it a toric lens out of position?
is it a toric lens out of position?
I didnt have surgery but I have so much worse astigmatism. I too chose monofocal because they should have the least night time side effects. Do you have the same at night looking at lights outside? do you have the haloes too? my dr also does eyes one week apart. I also will have great imbalance because of my bad eyesight
I had catarach operation on both eyes some 11 years ago and capsulotomy treatment on both eyes some two months later. I have had the problem of glare ever since. I cannot remember whether it occured after the original operation or the capsulotomy.the glare manifests itself in both daylight and sunlight. If a v isitor sits in a chair with my lounge window behind the visitor I am only able to see a silouhette of them, no facial details. Tinted spectacles do not help. like you I would to find an answer to the problem of glare.
Hi Mirko - may I ask what led you to decide to have your natural lens removed (if no cataract).? Particularly as you mention vision was perfect before this.
Your natural lens will always be better than an artificial one and the younger you are that difference will be more noticeable after surgery (a main reason doctors who perform lasik or clear lens exchange often same day or with very little time between surgeries). It is a personal choice I know - but please do lots of research before proceeding with 2nd eye.
If this is just a RLE then perhaps you should ask to wait for 6 weeks or so until the first eye fully recovers. Then you could also make a decision as to whether or not to go ahead with the second eye.
I have no personal experience, but from what you are describing this may be Positive Dysphotopsia (PD). You may want to Google it and do some research. There seems to be some controversy in how frequently it occurs and what the real cause is. Some report that it occurs initially in up to 50% of IOL surgeries. But others report that in most cases it the effect is reduced over time as the lens bonds to the eye (PCO effect), and those with long term issues are more like 2%.
The most frequently reported cause is the use of a square edged lens design. The square edge is blamed for the reflections. The AcrySof lens you have has a square edge design. The reason it is used is that the square edge prevents another much more likely problem called posterior capsule opacification (PCO). This is a cell build up on the posterior side of the lens, and occurs over time. The square edge design of the AcrySof lens along with the specific material used makes it one of the more PCO resistant designs. Lenses with round edges are likely to reduce the effect of PD, but greatly increase the chances of PCO. So, you really have two issues with conflicting design requirements to control them. There are other round edge lenses which are more resistant to PD, but then they are at higher risk of PCO... Double edged sword.
As I suggested earlier, I think it would be wise to delay the second eye to see how much the first eye improves over time, and whether or not you are tolerant of the effects. Then you can make a more informed decision on the second eye. You should also ask your surgeon about other issues which may be aggravating the PD potential. They would include damage to the cornea and issues caused by previous Lasik or surgical refractive surgeries.
Well Mirko, as you can see, mentioning RLE in this forum is asking for trouble :-) Mirko have good reasons for the RLE, even that I somehow unintentionally managed to scare Mirko away from premium lenses :-)
I really think/hope the issue is a healing related problem, it is very early after surgery, it is not uncommon with different weird stuff happening in the early days after surgery. Especially dry eyes can make all sorts of crazy symptoms.
ohh gosh.....that's terrible...I'm due for my first eye in few days with mono focal toric. second eye will be done one week later. I have bad eyesight and alot of astigmatism. decided against pan optix because of the more common haloes starburst glare etc...esp paying so much which would be few tears of trying to pay that off. so decided the mono toric has the least...and toric for the astigmatism. did you have astigmatism before and after?
wow.Thank you for posting that info. you have great info that the acrysoft is square..didnt know that nor that it may cause that issue. I'm going with the brand new tecnis ll toric.. I have cataracts..high astigmatism..and bad eyesight. first eye in 10 days. second will b week later. these new tecnis ll toric are designed to cause more stability of the lens. natural lens if you can keep them plz stay with them. I'm reading that iol is a whole different world of sight...mostly with more problems..
No, I have never suffered from astigmatism. Thank you for your information
I believe the new and just approved Tecnis II Toric lenses have been designed to address two potential issues. The Tecnis lenses are made from a slightly different material than the AcrySoft. They are both hydrophobic acrylic, but the AcrySof lenses bond better to the capsule. This helps to prevent PCO and lens movement. The Tecnis lens material has had more problems with movement in the eye. That is bad for toric lenses which need to be kept within a 3 deg error for alignment. They seem to have kept the same material for the Tecnis II lens but are now texturing or frosting the edges of the lens. The idea is to help them bond better, and potentially also stop some of the reflections which cause PD. I hope it works. To my knowledge, they are not available in Canada, and are not currently a choice for me.