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Medical Forum / General / Vision / January 2006Re: Cataract surgery
Hey everyone, I am 23 years old, I had a cataract surgery-- eye injury, have an IOL. Its been 3 weeks now.. I seem to have an issue.. my extreme peripheral vision... just the extreme corner of the operated eye vision is very blurry.. but everything else is fine.. and when I cross my eyes.. i see like a black "arc" coming about and even when intensely focused on something.. then on the side of my eye i see the same "arc" effect.. it doesn't really bother me.. but just something i notice. my IOL is single-focus.. i still need to go to optometrist to get glasses-bifocal- in about 20 days.. I told my surgeon about the peripheral vision being very blurry..in a 1st week post-op he dilated my eyes and didn't find anything wrong. And day of the surgery they used atropine to dilate my eyes.. the effect took forever to diappear.. currently im taking cipro - antibiotic, and pred forte.. 4 times a day for another 15 days..... thanks for any input.. thanks.. - Jay Jay, If you have large pupils your peripheral blurriness could be caused because you may be looking through the edge of the implant. Is it on the temporal side? You wouldn't notice it so much on your nasal side. The "arc" is possibly the edge of the implant. The optical portion of implants aren't as large as our natural lens, but many have haptics (arm-like attachments) that spread out and help hold them in place, so they are usually placed in the same place that the lens (cataract) was removed from. If your vision is good and you don't have any floaters, flashes of light, shades or shadows in your vision, plus your ophthalmologist says your dilated exam is normal, you shouldn't have anything to worry about. Another thing to consider - did your injury that caused the cataract cause a corneal scar? That would also account for your blurriness. Barb > Hey everyone, > [quoted text clipped - 14 lines] > > - Jay > Hey everyone, > > I am 23 years old, I had a cataract surgery-- eye injury, have an IOL. > Its been 3 weeks now.. I seem to have an issue.. my extreme peripheral > vision... just the extreme corner of the operated eye vision is very > blurry.. could be several things. my guess would be your injury also damaged your peripheral retina; just a guess. Have a retina specialist take a look. but everything else is fine.. and when I cross my eyes.. i see > like a black "arc" coming about and even when intensely focused on > something.. then on the side of my eye i see the same "arc" effect.. > it doesn't really bother me.. This is the fairly common phenomenon following iol implantation called negative dysphotopsia (although I'd have named it positive dark arcuate dysphotopsia), and I think it's cause in still unknown. My theory (I also get it when I cross my eyes...bilateral implants) is that it has to do with medial rectus muscle (the one that turns your eye inward) pulling on the side of the eyeball which might pivot the IOL and result in some internal reflections of extremely peripheral rays. just an educated guess.. but just something i notice. my IOL is > single-focus.. i still need to go to optometrist to get > glasses-bifocal- in about 20 days. Bifocal? on one eye only? sounds interesting. let us know how that turns out. w.stacy, o.d. Jay, If you have large pupils your peripheral blurriness could be caused because you may be looking through the edge of the implant. Is it on the temporal side? You wouldn't notice it so much on your nasal side. The "arc" is possibly the edge of the implant. The optical portion of implants aren't as large as our natural lens, but many have haptics (arm-like attachments) that spread out and help hold them in place, so they are usually placed in the same place that the lens (cataract) was removed from. If your vision is good and you don't have any floaters, flashes of light, shades or shadows in your vision, plus your ophthalmologist says your dilated exam is normal, you shouldn't have anything to worry about. Another thing to consider - did your injury that caused the cataract cause a corneal scar? That would also account for your blurriness. Barb > Hey everyone, > [quoted text clipped - 14 lines] > > - Jay I have only two more questions.. >1) would i have to deal with this temporal bluriness and arc-ish effect >forever.. It doesn't really bother me that much.. still... I had bilateral iols put in a year ago, and the arcs are still there, but only if I look for them (by crossing my eyes). Adaptation does occur. >2) i also notice this arcish thing when i go out in bright sunlight.. >on the temporal side... again i see it only slightly maybe it covers >only 1-2% of the vision. Are we talking a bright arc as opposed to the dark arc? This would be just edge reflections off the iol. should also decrease with time. >thank you again for your time..w.stacy, and Barb i will keep everyone >posted with single eye bi-focal and other eye is regular myopia -.. >-.50.. my IOL is Bausch n Lomb Soflex li61se. Good luck . I don't remember ever fitting a bifocal on one eye only for monocular pseudophakia. Might work ok. Let me know. bill Hi, the in the sunlight the arc is dark.. i mean i just see something "dark"very small on the temporal side ..i guess when the pupil constrict... this could also be the edge of iol ? possibly.. I have only two more questions.. >1) would i have to deal with this temporal bluriness and arc-ish effect >forever.. It doesn't really bother me that much.. still... I had bilateral iols put in a year ago, and the arcs are still there, but only if I look for them (by crossing my eyes). Adaptation does occur. >2) i also notice this arcish thing when i go out in bright sunlight.. >on the temporal side... again i see it only slightly maybe it covers >only 1-2% of the vision. Are we talking a bright arc as opposed to the dark arc? This would be just edge reflections off the iol. should also decrease with time. >thank you again for your time..w.stacy, and Barb i will keep everyone >posted with single eye bi-focal and other eye is regular myopia -.. >-.50.. my IOL is Bausch n Lomb Soflex li61se. Good luck . I don't remember ever fitting a bifocal on one eye only for monocular pseudophakia. Might work ok. Let me know. bill Hi, the in the sunlight the arc is dark.. i mean i just see something "dark"very small on the temporal side.. about 1% of the vision ..i guess when the pupil constrict... this could also be the edge of iol ? possibly.. -Jay Hello, EyeTech.. The symptoms are exactly what you described... thanks for the input.. does the arc also appear in sunlight.. i see it sometimes.. on the temporal side.. - Jay > Jay, > [quoted text clipped - 33 lines] > > > > - Jay |
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