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Medical Forum / General / Vision / January 2006problems after IOL
Can anyone give me any information on this. Three years ago I had phakic IOL in order to correct my quite bad near sight about - 7.5. My naterual lenses were left in. I have recently started to experience problems with of clarity in vision, including blurring and ghosting or double vision especially when looking at white or bright objects. Ever since the surgery I've had a problem wit flaring which has never improved. I'm seriously worried that my vision is damaged in someway due to the surgery or the implant and wonder if anyone else has any experience or knowledge they can share. > Can anyone give me any information on this. Three years ago I had > phakic IOL in order to correct my quite bad near sight about - 7.5. My [quoted text clipped - 5 lines] > due to the surgery or the implant and wonder if anyone else has any > experience or knowledge they can share. Lisa what is your age? Dom I'm 45 When was your last follow up? Is your IOL still in correct position? A slight shift in the IOL may have occurred, for some people it isn't noticed. You should see your eye doctor. It may be something else, or a natural "aging" process. > Can anyone give me any information on this. Three years ago I had > phakic IOL in order to correct my quite bad near sight about - 7.5. My [quoted text clipped - 5 lines] > due to the surgery or the implant and wonder if anyone else has any > experience or knowledge they can share. Hi My last appointment was about 18 months ago. I discussed my concern over the problems I was having at the time with halo and glare effects but was told there was nothing wrong with my eye or my IOL. I have had to get three pairs of glasses since the surgery in order to see well enough to drive, each time my eyes had altered. This latest development is more recent so perhaps it could be due to movement of IOL. I have made an appointment but would like to go armed with some knowledge as I got the impression that the eye surgeon didn't want to deal with anything problematic, he asked me if would prefer to have the IOL removed which seemed a totally inappropriate question to ask me - I wanted him to tell me what was my safest option. Do you know if a misplaced IOL can be corrected (I had a foldable array multifocal IOL) and if so is there any risk of damage to the eye or can it be removed safely and if so would I be able to go back to a mix of contact lenses and glasses. Lisa An IOL that has shifted can be repositioned, but often they are just replaced if they have been in for a while. Scar tissue makes surgery a little more difficult to simply reposition the IOL. You shouldn't have any problems going back to contacts, unless you experience dry eyes. If you aren't comfortable with your eye surgeon (sounds like you aren't), seek a second opinion. You can let him know that you are considering having the IOL removed and want a second opinion, he may refer you to someone or you may choose someone. Either way, have your information forwarded (surgical and recent visits). He shouldn't be offended. > Hi > My last appointment was about 18 months ago. I discussed my concern [quoted text clipped - 13 lines] > and glasses. > Lisa Thanks for that info. After scouring the net for stuff about ghosting and glare I am wondering if the problem I am experiencing could be due to changes in the shape of cornea because of scar tissue from the original surgery three years ago. If this is the case would removing the make things worse with further scar tissue. What would your advice be if change to the shape of the cornea is the cause the cause of the problem. Is this likely to occur naturally at my age of 45? I have limited knowledge on astigmatism (irregularities of the cornea), but IOL surgery can affect the shape of the cornea. I thought the biggest change occurred around puberty (maybe someone who knows will jump in and answer), so I don't know if you would have another change around 45, unless hormones (or changes in) would affect it). Another surgery would likely mean more scar tissue, but during surgery incisions to release some tissue could also be done. You may have other options. Get a second opinion, write down all your questions. You still have a lot of living to do, and with vision you aren't happy with it can be frustrating. > Thanks for that info. After scouring the net for stuff about ghosting > and glare I am wondering if the problem I am experiencing could be due [quoted text clipped - 3 lines] > be if change to the shape of the cornea is the cause the cause of the > problem. Is this likely to occur naturally at my age of 45? Thank you very much for your advice. I will post with any info I receive in case others are interested or have similar problems. I was having a good look at my pupils (not that easy with the blur) and they seem a very irregular shape another possible cause? I can't find anything that would explain why that should be. Lisa Trauma from eye surgery can cause irregular shape in your pupil. Nothing to worry about. > Thank you very much for your advice. I will post with any info I > receive in case others are interested or have similar problems. I was > having a good look at my pupils (not that easy with the blur) and they > seem a very irregular shape another possible cause? I can't find > anything that would explain why that should be. > Lisa |
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