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Medical Forum / General / Vision / August 2006Is It Worth Removing the IOL?
I had cataract surgery 12 days ago in my right eye (my left eye doesn't have useable central vision due to subretinal bleeding long time ago). I wanted my eye set for reading distance and my surgeon did a great job. The diopter of my right eye was -18.00D before the surgery and he put a -2.00D AcrySof IOL to get me to -2.50D after the surgery (BCVA is 20/30). I've had two post-op visits to my surgeon and one visit to my retina specialist. According to them, everything looks good. Although I see far better than ever, I'm not too happy because of the following two things. One, when I read (or focus on something), I see flickering on the upper right hand side of my visual field. This is serious because I need to read a lot (I'm a professor). Two, I frequently have low-level headaches and dizziness, which I *never* experienced before the surgery. I'm told by my docs that flickering/headache/dizziness will eventually go away, but who knows? I'm so bothered by those symptoms that I sometimes think about having the best surgeon that I can find take the IOL out (I haven't talked about this to my surgeon). Without the IOL, I'd end up with -4.50D, which is good for me. Should I act ASAP to minimize risks of the removal of the IOL? Should I wait for more, hoping that those symptoms will go away? But if those symptoms do not go away, the removal will be more difficult. Granted, I know that my surgery was a risky one due to my eye conditions and I should be thankful that it went well. But it's hard to ignore those symptoms. Only I can make a final decision, but I'd like to know about your opinion. Thank you. Wow with -18 diopters, a super high myopic prescription, you are at big risk of retina detachment. The fact you had problems in the other eye and ended up nearly blind in that one should make you hesisant. Has your doctor figured out why you are getting those strange flickering? Is the IOL set in properly? Is the flickering related to the IOL? You had posted a thread about diopters to 20/x, for your info, -18 would be 20/6400! Youll end up 20/600 if you get the IOL removed and only be able to read from 9 inches. Only you and your doctor can decide if the IOL stays or goes, but there are risks to removing it. > I had cataract surgery 12 days ago in my right eye (my left eye doesn't have > useable central vision due to subretinal bleeding long time ago). I wanted [quoted text clipped - 27 lines] > Only I can make a final decision, but I'd like to know about your opinion. > Thank you. I don't know of many,if any, opthalmologists who would take on such a procedure (especially if the iol is not decentered, etc) because it is such a risky endeavor. You're only 2 wks post-op and it can take time but your symptoms should lessen over time. frank Hi Fidelis I've been reading your posts on sci.med.vision. I've been thinking about having CLE which is where the clear lens is removed and replaced with an iol of correct power. You said you see better then ever (20/30). Can I ask what your BCVA was before the surgery? Was your vision before the surgery measured with glasses or contacts? Take care -mike > I had cataract surgery 12 days ago in my right eye (my left eye doesn't have > useable central vision due to subretinal bleeding long time ago). I wanted [quoted text clipped - 27 lines] > Only I can make a final decision, but I'd like to know about your opinion. > Thank you. I was also wondering his glasses BCVA, but I know its going to be 20/40 to 20/50 due to spectacle minification/distortion and thats before he had cateract(s) > I was also wondering his glasses BCVA, but I know its going to be 20/40 > to 20/50 due to spectacle minification/distortion and thats before he > had cateract(s) Who cares what you wonder retard? You do not have a clue. > Hi Fidelis > [quoted text clipped - 8 lines] > Take care > -mike Long before the surgery...when I didn't have cataract, my BCVA with contacts was 20/50. > > Hi Fidelis > > [quoted text clipped - 11 lines] > Long before the surgery...when I didn't have cataract, my BCVA with contacts > was 20/50. Why were you only 20/50 with soft contacts? They couldnt have been the right prescription because IOLs got you to 20/30 BCVA! Thanks Fidelis, This agrees with what I've read and what I've been told. I understand that there can be some increase in BCVA for people that are very myopic from CLE. > > Hi Fidelis > > [quoted text clipped - 11 lines] > Long before the surgery...when I didn't have cataract, my BCVA with contacts > was 20/50. > Thanks Fidelis, > > This agrees with what I've read and what I've been told. I > understand that there can be some increase in BCVA for people that are > very myopic from CLE. curious to know how. If it has to do with glasses minification, contact lenses can do the same then! "Granted, I know that my surgery was a risky one due to my eye conditions and I should be thankful that it went well. But it's hard to ignore those symptoms. " As one who has had cataract surgery, I'll add my experience with "flickering." I had one eye done only. The iol calculation was an unexpected 4 diopters off due to prior refractive surgery and miscalculation. I did experience strobe like flickering and was disturbed by this. My doctor said "wait and see." Since I was dealing with mis-matched eyes and the "strobe-like light" took a secondary place...........it eventually fizzled out. It was gone after several months. My doc wanted to piggy-back an iol to correct the difference in diopters, but I declined. This eye is fragile and I didn't want any additional surgery. |
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