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Medical Forum / General / Vision / July 2005

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"Visual confusion" after cataract operation??

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Kelly Lake - 28 Mar 2005 10:17 GMT
If anyone can help, thank you in advance. I had a cataract removed from my
left eye almost 1 month ago. The cataract developed over a few months, so
this was a shock. Since I've worn contact lenses for years, and just turned
40 and never needed reading glasses, my doctor and I agreed 20/20 vision
(and reading glasses) would be too much of an adjustment. Although the IOL
ideally would have left me slightly myopic, my left-eye vision remains
20/10.

My dilemma: Even my outstretched arm to too close for my "fixed" eye to
see, and I'm not adjusting to wearing a contact lens in my other eye (a -12)
from morning to late night. I have severe headaches, nausea,  bloodshot
eyes, a phenomenon I can only describe as crossed eyes, and overall
confusion. I can drive, but not read or work on a computer. My eyes just
don't seem to work together. Closing the left eye while trying to read or
use a computer adds to the mess.

As we all know, it's hard to get complete answers from a busy surgeon at a
teaching hospital. I've tried, plus I also realize my eye isn;t fully
healed. I'm guessing my brain is unable to interpret images properly, which
is why my eyes seem to be at war and a contact lens is irritating after 5
hours. My doctor mentioned "visual confusion" when I said I popped out the
left lens in my glasses, but saw clashing images and felt as if I were
falling into a sinkhole. Typically, does this change with time? I've worn
contacts for years, but wore glasses at home in the morning and at night.
I'm comfortable with glasses.

I'm sorry this is so long and negative. I simply need some words of
encouragement and a few coping strategies. While an obvious suggestion is
removal of the other cataract, that's not an option because of the cost.
This surgery was unexpected and expensive, and I'll be paying forever!
Thank you. --Kelly
g.gatti@agora.it - 28 Mar 2005 12:43 GMT
> If anyone can help, thank you in advance. I had a cataract removed from my
> left eye almost 1 month ago. The cataract developed over a few months, so
[quoted text clipped - 3 lines]
> ideally would have left me slightly myopic, my left-eye vision remains
> 20/10.

Again another case which does not fit with the theories of the learned
men.

What is strange is that this poor Kelly still trusts these people.
Dr. Leukoma - 28 Mar 2005 13:58 GMT
Indeed, you are suffering from a binocular vision problem, and are
unable to fuse the two images because of the anisometropia and the loss
of accommodation.  I would recommend trying the following.

Assuming you have minimal or no astigmatism in the right eye, ask your
optometrist/ophthalmologist if they have any Focus N&D lenses.  Those
are the new silicone-hydrogel lenses that are extremely oxygen
permeable and also seem to work better for dry eyes.  I believe you can
get as high as -10 diopters in those lenses.

Now, while a -10 may correct the distance vision in that eye, you may
want your doctor to fit you to leave a little residual myopia, which
will enable you to focus at the computer.  The 20/10 eye will naturally
want to take over for distance, leaving the other eye to work well at
near.

Try that and see what happens.  I hate to hear that the surgeon who
relieved you of so much money for the cataract surgery doesn't seem to
have enough time for you.

DrG
Kelly - 28 Mar 2005 21:48 GMT
Thank you!! I will ask about Focus N&D lenses. I went down to a -9 in
Acuvue 2 and Proclear, and can see both distance and at the computer, but
severe irritation/confusion persists. I'll call now about the Focus lenses.

Do you think I can wear glasses again? I understand what's going on, but am
not sure if, in time, my brain will merge 2 very different images. What if
my popped-out, left lens were replaced with one that corrects for reading,
or simply replaced with an opaque lens? (Am I dreaming?!)

Many specialists just don't/can't spend adequate time with patients. I
chose a surgeon who teaches, does research and has treated people my age
with this type of cataract. I knew the "personal touch" might be lacking. I
like this doctor, but triple-booking seems to be a fact of life in some
parts of the U.S. I should add that I'm at the hospital weekly, because of
concerns about retinal detachment. So my doctor cares, as much as one can
care in a 10-minute visit!

Thank you for your help.
Kelly
Dan Abel - 30 Mar 2005 21:21 GMT
> or simply replaced with an opaque lens? (Am I dreaming?!)

I considered an opaque lens, but never tried it or even asked about it.
You can buy an eye patch at the drugstore for a couple of bucks.  It will
fit on either eye.  If that makes things better for you, then perhaps an
opaque lens would help.  I wore an eye patch for awhile (nothing to do
with cataract, though).

Signature

Dan Abel
Sonoma State University
AIS
dabel@sonic.net

Robert Martellaro - 28 Mar 2005 22:51 GMT
>If anyone can help, thank you in advance. I had a cataract removed from my
>left eye almost 1 month ago. The cataract developed over a few months, so
[quoted text clipped - 27 lines]
>This surgery was unexpected and expensive, and I'll be paying forever!
>Thank you. --Kelly

Kelly,

A multifocal eyeglass lens in front of the left eye should help significantly
for the computer and reading. There are multifocal contacts available but the
glasses will likely work better.

Hope this helps

Robert Martellaro
~~~~~~~~~~~~~~~~~~
Optician/Owner
Roberts Optical
robopt@execpc.com
~~~~~~~~~~~~~~~~~~
"An expert is a person who has made all the mistakes that can be made in a very narrow field."
 - Niels Bohr
Dan Abel - 29 Mar 2005 00:34 GMT
> If anyone can help, thank you in advance. I had a cataract removed from my


> My dilemma: Even my outstretched arm to too close for my "fixed" eye to
> see, and I'm not adjusting to wearing a contact lens in my other eye (a -12)
[quoted text clipped - 3 lines]
> don't seem to work together. Closing the left eye while trying to read or
> use a computer adds to the mess.

Not only is your vision confused, so is your post.  I may not have
understood your problems, but let me try to give advice.  I'm not a
medical person, but I've "been there and done that".  I had my first
cataract surgery about eight years ago, and the second one three years
ago.  The doctor warned me well before the first surgery that I wouldn't
be able to see with both eyes using glasses after the first surgery.  If
you have a -12 in one eye and the other eye has been "fixed" to be much
less that -12, your brain will not be able to fuse the images.  The
solution is contact lenses.  I would suggest that you make sure that your
contact fitter understands your problem, that contacts are your only hope,
and they will try harder to help you be able to wear your contacts longer
each day.

People need reading glasses as they age because the little lens inside
your eye becomes less able to focus up close.  The cataract is in this
lens, and when they remove the cataract, you lose *all* ability to focus
up close.  It sounds like you need reading glasses.  If you wear over the
counter reading glasses over your contact, your eyes will be able to work
together and you will be able to read and use the computer more easily.
This is what I did for the five years between surgeries.  I was a -10 in
the left eye, but my right eye had been fixed so it didn't need sphere
correction.

> falling into a sinkhole. Typically, does this change with time? I've worn
> contacts for years, but wore glasses at home in the morning and at night.
> I'm comfortable with glasses.

During those five years, I wore glasses for a few minutes in the evening.
By the end of that time, my brain had learned to simply ignore the image
from one eye.  I predict that this will happen to you if you stick with
glasses, but it will take a while.

> I'm sorry this is so long and negative. I simply need some words of
> encouragement and a few coping strategies. While an obvious suggestion is
> removal of the other cataract, that's not an option because of the cost.

I'm sure that you will solve many of your problems, but it sure sounds to
me like you need some help to do it.  My OD was invaluable in explaining
things to me.

The cost is a bummer, but not being able to see is much worse.  Taking out
the other cataract and getting your vision  "fixed" in that eye will
definitely solve the problem, and let you wear glasses again.  I am once
again thankful that I belong to an HMO.  My first surgery was US$1.00, and
either my plan changed or they forgot to charge me for the second
surgery!  My second wasn't totally free, I spent about US$50 in medicine
and co-pays.  How much does one of these run if you don't have insurance?

Signature

Dan Abel
Sonoma State University
AIS
dabel@sonic.net

Kelly Lake - 29 Mar 2005 01:44 GMT
Yep, call me confused. Guess that's what happens when a cataract develops
and must be removed *within a 4-month span.* It's an adjustment, and I have
a long way to go.

I realize contacts are "my only hope." As someone who wore them night and
day for years, I was so proud when I grew up enough to realize that wearing
glasses isn't the end of the world, and removing contacts a few hours a day
might just be good for my vision.

Yes, my surgeon told me I would have trouble with glasses. Thanks to
helpful people here, I understand why. The glasses still cause multiple
images, but I know that may change down the road; this surgery was very
recent. My surgeon also worried I wouldn't adjust to perfect vision, since
I never corrected to 20/20.

We also discussed reading glasses, and I've tried many different ones. No
luck yet. Remember, my right eye sees up close just fine, so while reading
glasses help the *new* left eye, they distort vison in the right eye, the
one in which I wear a contact.

My optometrist, whom I've known many years, is away for 3 more weeks. He
has a huge heart, with talent and patience to match. I have no doubt he'll
make sense of this, but in the meantime, I must work daily. It's the
computer that's presenting the greatest challenge right now, and a simple
change in contacts may help tremendously.

I have private health insurance that dictates what's "reasonable and
customary," and I bet it's right on target if you live in rural
Mississippi. It's paying a very small percentage of the costs. No one I
know in the state of Florida goes near an HMO. (Sorry if that offends
anyone.) While "cataract mills" typically charge Medicare fees, surgeons in
private practice and at universities charge $2,700 to $3,500 for surgery;
hospital/facility fees are $4,500 to $6,500; and the anesthesiologist's
cost is about $1,000 for administering lido drops/gel. Acular, Pret Forte
and Zymar are pricy little drugs! (I live in an expensive county.) Luckily,
I know how to appeal insurance company decisions.

Now I hate to sound petty, but here goes: I can't imagine living with no
near vision. How could I put on mascara or do other things I take for
granted?! I guess that's my lesson - take nothing for granted.

Kelly
Eddie - 29 Mar 2005 18:54 GMT
Zero accomodation means that anything closer than 6-8 feet will be
blurry.  Typical IOLs have zero accomodation.  You got a typical IOL.

At your age, your doctor should have recommended an accomodative or
multi-focal IOL.  Since it's too late to cry over spilled milk, maybe
this will help someone else in the future.
William Stacy - 07 Apr 2005 00:32 GMT
>Zero accomodation means that anything closer than 6-8 feet will be
>blurry.  Typical IOLs have zero accomodation.  You got a typical IOL.
[quoted text clipped - 3 lines]
>this will help someone else in the future.
>  

That's bad advice, in my opinion.  I had IOLs put in 2 months ago and
went to the best surgeon in the world and I went with his advice and got
Tecnis Prolate Silicone lenses, which give the best vision.  The
accommodative and multifocal IOLs are not perfected, don't work all that
well, etc.

William Stacy, O.D.
(back to s.m.v. after a long hiatus)
Neil Brooks - 07 Apr 2005 01:21 GMT
>William Stacy, O.D.
>(back to s.m.v. after a long hiatus)

A years long hiatus, no??

Gosh it's good to have you back.  You may not recognize the place.

Neil
William Stacy - 07 Apr 2005 01:26 GMT
>>(back to s.m.v. after a long hiatus)
>>    
[quoted text clipped - 5 lines]
>Neil
>  

Thanks, yes a long time.  I got burned out by some of the wierder
posters who seemed to have taken over.  I've just skimmed a few posts
and it seems more back to normal.  Where are all the LASIK posts?  Is
there another group for that now? I always thought that would be a good
idea.

Due to my own surgical experiences, I've changed my mind on hyperopic
presbyopes going in for LASIK.  Bad idea.  Better for them to just have
lens replacement.  More stable results, plus they never have to worry
about developing cataracts.

w.stacy, o.d.
Neil Brooks - 07 Apr 2005 02:12 GMT
>>>(back to s.m.v. after a long hiatus)
>>>    
[quoted text clipped - 11 lines]
>there another group for that now? I always thought that would be a good
>idea.

Ohhhh, you may find an annoying frequent contributor or three.  I'll
let you identify them at your leisure ;-)

Alt.lasik-eyes has cropped up.  I assume Glenn Hagele has his hands
full over there.

>Due to my own surgical experiences, I've changed my mind on hyperopic
>presbyopes going in for LASIK.  Bad idea.  Better for them to just have
>lens replacement.  More stable results, plus they never have to worry
>about developing cataracts.

MFIOL's, AIOL's, or monofocals . . . or are you more lens-neutral?
And does your predisposition against it vary with amount of hyperopia
or is it a pretty steady "anti" for all hyperopic presbyopes?

Neil
Dr. Stacy - 07 Apr 2005 06:00 GMT
> Ohhhh, you may find an annoying frequent contributor or three.  I'll
> let you identify them at your leisure ;-)

That's ok.  At least it looks like the worst of the worst may be in the
minority, at last.

> Alt.lasik-eyes has cropped up.  I assume Glenn Hagele has his hands
> full over there.

That one was around years ago. I'll check it out.

 > MFIOL's, AIOL's, or monofocals . . . or are you more lens-neutral?
> And does your predisposition against it vary with amount of hyperopia
> or is it a pretty steady "anti" for all hyperopic presbyopes?

Not sure exactly what you're asking, but yes, I'm  dead set against
multifocal or variable focal IOLs.  I mean you're getting these things
implanted into your eyes, and you don't want to have to mess with them
later. As far as hyperopic presbyopes, they are perfect candidates for
IOLs as an alternative to LASIK, TLK or what have you.  I recommend
having what I had: a slight amount of myopia in the non-dominant eye and
emmetropia in the dominant eye.  Works for me...

w.stacy, o.d.
Neil Brooks - 07 Apr 2005 10:37 GMT
>> MFIOL's, AIOL's, or monofocals . . . or are you more lens-neutral?
>> And does your predisposition against it vary with amount of hyperopia
[quoted text clipped - 7 lines]
>having what I had: a slight amount of myopia in the non-dominant eye and
>emmetropia in the dominant eye.  Works for me...

I didn't word that very well, but you answered the basic question
nonetheless.  Thanks.
William Stacy - 07 Apr 2005 23:52 GMT
>  
>
[quoted text clipped - 6 lines]
>>>or is it a pretty steady "anti" for all hyperopic presbyopes?
>>>      

As to the amount of hyperopia, I don't think one should opt for elective
eye surgery kind if the amount were less than a couple of diopters,
unless cataracts are starting to develop.  No upper limit, and IMO the
more the better.  A 50 year old +7.00 should have lens exchanges done
without thinking twice, and should not even consider LASIK.

w.stacy, o.d.
lew@csus_abcdefg.edu - 06 Jul 2005 21:30 GMT
>>>>      
>>>>
[quoted text clipped - 5 lines]
>
> w.stacy, o.d.

I have a -9.50 & -12.75 vision while being a "shade" under 70.  Just
got back from my semi-annual OD visit because they were watching for
"when I whould need to have cataract surgery" for the past 3 yrs; now,
I'm told that "anytime I wanted to have it done".

The OD informed that I didn't have any problems because I had 1 good
eye (relatively with glasses on).  The thing is that "they" (HMO) feel
that it would be best if I had surgery on both eyes due to the how bad
the vision on both eyes were & adjustment to the new situation would
be much better.

I'm now starting to find out as much as I can regarding the surgery &
what to expect as far as what I cannot do right after surgery;
e.g. shouldn't drive myself back home but use a taxicab to & from.
Perhaps not being able to drive for several days/weeks?????

Would both eyes be operated on at the same time/day?  The things I want
to know is, as someone stated, petty but that is what make life
bearable; it also implies that I believe that the operations would be
successful & it is the little things that may irritate.
William Stacy - 06 Jul 2005 23:13 GMT
> I have a -9.50 & -12.75 vision while being a "shade" under 70.  Just
> got back from my semi-annual OD visit because they were watching for
> "when I whould need to have cataract surgery" for the past 3 yrs; now,
> I'm told that "anytime I wanted to have it done".

Then go ahead whenever you are ready.

> The OD informed that I didn't have any problems because I had 1 good
> eye (relatively with glasses on).  The thing is that "they" (HMO) feel
> that it would be best if I had surgery on both eyes due to the how bad
> the vision on both eyes were & adjustment to the new situation would
> be much better.

I think you will find that they actually mean doing the bad eye first,
then the good eye between a week and a month later.  Most US surgeons
don't do both on the same day. I disagree somewhat with the OD, however,
because you are at risk for retinal detachment, that's for sure (I'd put
your odds of having a detachment during or within 3 months after the
procedure at somewhere around 5%.  The good news is that it is usually
fixable.

> I'm now starting to find out as much as I can regarding the surgery &
> what to expect as far as what I cannot do right after surgery;
> e.g. shouldn't drive myself back home but use a taxicab to & from.
> Perhaps not being able to drive for several days/weeks?????

Assuming you don't detach and you have relatively small incisions
(around 3 mm), you should be back to normal lifestyle the next day
(definitely NOT the day of surgery).

> Would both eyes be operated on at the same time/day?  The things I want
> to know is, as someone stated, petty but that is what make life
> bearable; it also implies that I believe that the operations would be
> successful & it is the little things that may irritate.

No, see above, and the main problem is likely that you'll want the other
eye done ASAP because of some difficulty you'll have between surgeries
with the huge difference between your eyes (depth perception, etc). I
had mine done a week apart and that was too long for me :( , and mine
were only a couple of diopters different...

good luck.

w.stacy, o.d.
Dan Abel - 07 Jul 2005 22:11 GMT
> I have a -9.50 & -12.75 vision while being a "shade" under 70.  Just
> got back from my semi-annual OD visit because they were watching for
[quoted text clipped - 6 lines]
> the vision on both eyes were & adjustment to the new situation would
> be much better.

You definitely want to do both of them.  It is not possible to see with
both eyes together while wearing glasses after having one eye done,
assuming that they attempt to eliminate the myopia.  I was -10 and -12,
but because one eye needed the surgery years before the other, I went five
years between the two surgeries.  My doctor advised switching to contacts,
preferably way beforehand, which I did.  This worked well for me, although
I was happy when they got the second eye done.

> I'm now starting to find out as much as I can regarding the surgery &
> what to expect as far as what I cannot do right after surgery;
> e.g. shouldn't drive myself back home but use a taxicab to & from.
> Perhaps not being able to drive for several days/weeks?????

I was told two days for the first one, due to residual tranquilizer, but
only one day off work for the second one, which I should have realized
meant that I wasn't going to get tranquilizers.  

> Would both eyes be operated on at the same time/day?

Some people do this.  Some even prefer it.  There is some risk to this
surgery,  but it's pretty low.  Still, are you willing to risk the sight
in both eyes, for any reason?  I wouldn't.  Also, with one eye done at a
time, you can see out of the other eye and get by.  

There are two issues that you might want to deal with (or at least be
comfortable with) before agreeing to the surgery.

The first issue is what strength of lens to put inside your eyes.  If you
don't decide, or don't seem knowledgeable about it, the doctor will just
decide for you, based on his knowledge and experience of what is best for
most people.  If you aren't "most people", you might not be happy.
Another poster on this group (George Steber) just had cataract surgery and
is not happy with the decision that the doctor made.  My choice, and that
of most people, was to have a lens that made my distance vision sharp, and
then I used OTC reading glasses for close vision.  This mimicked what I
had been doing before the surgery (contacts for distance, reading glasses
over them for close).  The danger here is that the measurements are not
that precise, and you might end up slightly hyperopic.  This is pretty
much useless for anything.  If you end up slightly myopic, then at least
you can see close without correction.

The second issue has to do with not being able to see with both eyes
together using glasses.  As a worst case, you can just put a patch over
one eye.  I just stopped by the optical shop while I was visiting the
doctor, and had them remove the lens over the operated eye.  If you just
have a week between surgeries, you will be able to get by with some
hassle.

Signature

Dan Abel
Sonoma State University
AIS
dabel@sonic.net

lew@csus_abcdefg.edu - 08 Jul 2005 03:20 GMT
>> I have a -9.50 & -12.75 vision while being a "shade" under 70.  Just
>> got back from my semi-annual OD visit because they were watching for
[quoted text clipped - 54 lines]
> have a week between surgeries, you will be able to get by with some
> hassle.

Thanks for the info.  Someone else had pointed out here that it would be
"best" to have a slightly myopic & that would be preferable for me.  
There are some logistics problem for me but will decide how to handle
them when the time comes next year; I'm attending college again for
the "life learning" experience via the 60+ program at $3.00 per
semester & have decided just to enroll in the fall 2006 as usual &
take time out as necessary for the operation instead of skipping a
semester.

Looking at the HMO's website for members, I see quite a bit of info
on cataracts, including pictures of the eye.

A question arises regarding the IOL: monofocus or multifocus would be
"best".  Had thought that the multifocus is/was new 2 or 3 years ago
when my OD told me I am a "candidate" for cataracts & will be monitoring
my vision & pressure every 6 months.  The info I read seem to say that
whether to go monofocus or multifocus IOL was a personal choice; so
how does one make such a choice & why?

And is "everyone" referring to monofocus IOL lens here & that
multifocus is a "non-issue" as in don't do it!??!
David Robins, MD - 09 Jul 2005 08:04 GMT
On 7/6/05 1:30 PM, in article L9mdnVhSTokdolHfRVn-og@comcast.com,

>>>>>      
>>>>>
[quoted text clipped - 21 lines]
> e.g. shouldn't drive myself back home but use a taxicab to & from.
> Perhaps not being able to drive for several days/weeks?????

My hospital has a rule (for what it's worth) that you CANNOT go home alone
in a taxi. Reasoning is that they let you out of the cab, and if unassisted,
there is potential to fall and hurt yourself, due to the (mild) intravenous
sedation that most patients have for the surgery. So, the will only send you
home in a cab if someone is with you.

> Would both eyes be operated on at the same time/day?  The things I want
> to know is, as someone stated, petty but that is what make life
> bearable; it also implies that I believe that the operations would be
> successful & it is the little things that may irritate.
Robert Martellaro - 29 Mar 2005 19:17 GMT
>Yep, call me confused. Guess that's what happens when a cataract develops
>and must be removed *within a 4-month span.* It's an adjustment, and I have
[quoted text clipped - 10 lines]
>recent. My surgeon also worried I wouldn't adjust to perfect vision, since
>I never corrected to 20/20.

If one eye is -12.00 and the other is close to zero (did you ask to have it done
this way?) you won't "have trouble with glasses", you will not be able to wear
glasses period. Glasses over contact lenses will work though. Do you have a
cataract in the right eye that will need surgery soon?

>We also discussed reading glasses, and I've tried many different ones. No
>luck yet. Remember, my right eye sees up close just fine, so while reading
>glasses help the *new* left eye, they distort vison in the right eye, the
>one in which I wear a contact.

Are you trying over the counter reading glasses? That won't work. They must be
Rx reading glasses with special attention to minimizing magnification in the
left lens (aspheric, close fitting frame etc.).

>My optometrist, whom I've known many years, is away for 3 more weeks. He
>has a huge heart, with talent and patience to match. I have no doubt he'll
>make sense of this, but in the meantime, I must work daily. It's the
>computer that's presenting the greatest challenge right now, and a simple
>change in contacts may help tremendously.

In that case try OTCs with a +1.50  power (or +1.25 to +2.00 depending on the
distance to the monitor). Take the glasses to an optician and remove the right
lens. Do the same for reading glasses, try a +2.50 and remove the right lens.
This should work reasonably well for temporary use until you get your regular
doc involved. The powers above assume a distance Rx is zero in the left eye. Try
different powers for the left eye until the screen and reading distance are
clear.


>I have private health insurance that dictates what's "reasonable and
>customary," and I bet it's right on target if you live in rural
[quoted text clipped - 12 lines]
>
>Kelly

Hope this helps

Robert Martellaro
~~~~~~~~~~~~~~~~~~
Optician/Owner
Roberts Optical
robopt@execpc.com
~~~~~~~~~~~~~~~~~~
"An expert is a person who has made all the mistakes that can be made in a very narrow field."
 - Niels Bohr
Kelly Lake - 29 Mar 2005 23:26 GMT
Thanks for all the help!

This cataract developed so quickly that I never suspected I had a cataract -
I thought slight left-eye astigmatism had increased dramatically. I saw a
jumble of images only - no cloudiness, darkening, etc. No doctor discussed
a multifocal lens (I had 4 consults before choosing a doctor), and when I
mentioned the CrystaLens to the surgeon I chose, I was told it was still
being investigated at that eye institute. So I have a monofocal IOL, and
it's an adjustment.

I hope many problems will lessen once I get that Focus contact in my right
eye, although my optometrist's partner said today that most of his patients
say the N&D is on par with Proclear. (I'm remaining postive, and I'll have
a test contact Thursday.)

I can see the computer a bit better now, so perhaps my left eye is
"settling down," or some of that astigmatism returned. My right eye is very
dry, and I undoubtedly have eye strain, which often is inherent in a
profession that requires at least 7 hours on a computer daily. (Meetings
and lone commutes are fine!)

>>If one eye is -12.00 and the other is close to zero (did you ask to have it done
this way?) you won't "have trouble with glasses", you will not be able to
wear
glasses period. Glasses over contact lenses will work though. Do you have a
cataract in the right eye that will need surgery soon?<<

I asked that my left eye remain slightly myopic, and a lower-powered IOL be
used. Obviously, that didn't work. (I don't have the exact numbers handy.)
I have a cataract in the right eye that appears to be different (not
posterior subcapsular), and it's not developing as quickly. I'll know more
in a week. So the left eye has terrific distance vision, while the right is
very myopic.

>>Are you trying over the counter reading glasses? That won't work. They must be
Rx reading glasses with special attention to minimizing magnification in
the left lens (aspheric, close fitting frame etc.).<<

Yes, OTC. My doctor suggested waiting until my eye heals before being
fitted for anything other than OTC reading glasses. She said to wait *at
least* 6 weeks, preferably longer. I have many more weeks of eye medicine.
Thanks for your advice, I'll try it.

Thanks again!
Kelly
Dr. Leukoma - 30 Mar 2005 03:30 GMT
> Thanks for all the help!
>
[quoted text clipped - 46 lines]
> --
> Message posted via http://www.medkb.com

Perhaps you missed the point of my post.  What I said was that you
should try for a contact lens that will leave the RIGHT eye slightly
myopic, since it didn't take place for the left eye.  Perhaps this will
force the LEFT eye to become distance dominant quicker, while forcing
the RIGHT eye to be the near seeing eye....

Also, with due respect to your optometrist, I have studied the issue of
Proclear vs. Focus N&D.  In fact, I even presented a paper on it.  What
I have found is that patients who LOVE Proclear, tend not to like Focus
N&D.  Conversely, those who LOVE Focus N&D, tend not to like Proclear
as well.  So, I guess you could say that one is on par with the other,
but not for a given patient.  There are clear preferences.

DrG
Kelly Lake - 30 Mar 2005 06:48 GMT
I've dropped the power in the right contact since the surgery, and the
right eye has become the near-seeing eye. I understand your point about
residual myopia and the desire for distance dominance in the left eye.  

I'm having trouble with both Proclear and Acuvue II, although both were
comfortable before, and my eyes seldom were irritated. My right eye feels
as if I've slept with the contact in my eye for 2 straight weeks. So I have
high hopes for Focus N&D. My optometrist is away for a few weeks; I spoke
with his partner, who's very helpful but doesn't know me well.  

I appreciate your help.
Kelly
 
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