TECNIS SYMFONY LENS implanted in someone in their 20s.

Hi all, I'm trying my best to avoid any sort of paranoia as its only been 2 DAYS after a tecnis symfony lens implantation on my right eye, but I can not helped but be concerned by simply two major issues. 1. I can not see further than 20 inches away from me. Only near vision is clear. Had a follow up appointment to test if I could read BIG words on a monitor about 5 feet away from me. I failed EVERY test. 2. When I am looking/reading something within this near vision range, when I move my eyes, there is a jitter/wiggle that distorts my vision for a split second. My guess is that it is the lens not fully formed to the eye yet. Am I being too impatient? Is this normal? Has anyone experienced this within their first two days?

Sorry you have had to do this at 20. I was thinking I was young at 42. On #2 I have also noticed that Symfony eye takes a noticeable amount of time (1 second?) to get the picture into focus.

it's been 2 days. way too early to freak out

Hm sorry to hear that, that must be a little hindering at times. I don't have a time delay such as yourself, but do you experience any sort of wobbling or shaking right when you move your eye? Kind of like how a car will jolt back once at a full stop.

This is the comment I needed. I think you're absolutely right. It's just that the doctor found the wobbling problem very strange. Is it normal for it to be simply unpredictable which symptoms the patient will experience during the healing process?

I have some astigmatism in my left eye which was caused by lasik a while back. I do get sort of a shaking or flashing especially when I look around. The other eye seems to be fine. I have Symfony lenses in both eyes.

It is a curious situation. I hope that things improve quickly.

No worries, I definitely understand the frustration, I would give it a couple weeks before you should start to get worried.

I'm not an expert but if I had to guess, I would say that your lens is moving around ever so slighty which is why you are experiencing those symptoms.

I think every patient will be different in terms of symptoms and healing. So many different factors. Age, health, eye health and prescription before the surgery etc etc.

What did the doctor say?

I'm also curious if you know why you got cataracts so young?

I'm 31, so quite young for catarcts as well, my doctor believes it's from nasal steroid spray. Used it in June 2015, was diagnosed with cataracts at end of Sept 2015

No wobbling or shaking for me. Positive dysphotopsia is my worst symptom. I see the lens edge glare in dark environment.

How long have you had the lenses?

Ah yes that is quite young!! No cataracts here, it's a combination of eyes being too weak for LASIK and the prospect that lens surgery would solve a narrow angle problem (and it did, my eye pressure went down afterwards)

I've had my lenses for two years.

I'm not a doctor, but it sounds to me like your lens isn't settled in place.

hopefully it will settle.

I think so too, brother. I bet far vision will correct once settled too. And you said you're not a doctor but I bet we've both done some extensive research and I'm curious if the lens settling in place is mainly about neuroadaptability? aka "relax and think good thoughts and do not exaggerate problems and the brain will eventually adjust"

Is it possible that your lenses haven't settled albeit being in for two years? What did your doctor say?

Phil found it very worrisome that a surgeon would suggest cataract surgery for someone your age that doesn't have cataracts. Wouldn't glasses or contacts have fixed the issue?

I have had 2 Symfony lenses for 18 months. Diagnosed with cataracts at 53 and eyesight was such I wasn't able to pass driving test. Surgeon felt my use of steriods for eczema likely the culprit. I had no issues day after surgeries - could see to read and distance to drive. I did and do still see multiple concentric circles around certain light sources at night. There was also more glare from lights at night in the early months than I have now. I was informed of these prior to surgery and knew there would be trade-offs to being less glasses dependent. However you being in your 20s your natural lens would be infinitely better than IOLs. So what you see through IOLs may be a bigger contrast than someone older who has already seen deterioration in eyesight aside from cataracts which render seeing worse as time goes by. By the time I needed surgery couldn't read big E at optometrist's with glasses on! I would think there would be many noticeable differences with contrast sensitivity color sharpness etc. I struggled with the decision (lens selection - surgery itself no option as cataracts were really affecting eyesight). My surgeon said it best: people older gain something through cataract surgery whereas younger patients lose something and have to make a compromise.

Really hope it is a matter of time and you'll see better (it's really not a given someone sees like I did well within 24 hours.) For some the drops affect eyesight more and things get better after those are done. Others there is swelling and more healing that had to take place.

If things don't improve in 6 weeks and your surgeon is baffled maybe seek out another expert opinion.

best wishes for full recovery.

The lenses have fully settled within 6 weeks of surgery. But that doesn't mean they settled in the right place, centered correctly or shifted or worse the surgeon didn't implant them properly. Only way to tell is through a thorough exam and eyes dilated.

I just wish doctors had some direct answer for normal symptoms during the healing process instead of a anecdotal/fun-fact kind of answer. Is it normal to have this wobble during the first three days after surgery? And if not, this would be an emergency situation, no? Is it normal to have far blurry vision but good near vision for the first three days after surgery? And if not, this would be an emergency situation, no?

It's not too uncommon these days I think. People are doing it as an alternative to LASIK from what I've been hearing and reading.

Kevin: In response to the wobbling issue, the doctor said "That shouldn't be affecting you"

I'll ask more direct questions and be more assertive next time

There is a range of symptoms during and some people will experience worse ones than others. Do you think there is wobbling going on or is it the light and reflection in mirror causing it to look like a wobble? The vision is definitely different than a natural lens and depending on how brain melds the view (particularly if you have one artificial and one natural lens.)

The blurring can be a result of the drops. Some people react more than others and don't see clear until those are done and over with.

Did your surgeon give you list of things to watch for that would necessitate a call to his office?Retina detachment is something to look out for as there isn't pain associated with it: Symptoms RD: - The sudden appearance of many floaters - tiny specks that seem to drift through your field of vision. - Flashes of light in one or both eyes (photopsia) - Blurred vision. - Gradually reduced side (peripheral) vision. - A curtain-like shadow over your visual field. You are still early days and many if not all your symptoms could disappear in about 6 weeks.

common treatment for narrow angle glaucoma vs lasik or to treat presbyopia?