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Medical Forum / General / Vision / March 2007accommodation
After cataract surgery and IOL there is not supposed to be any more accommodation but what happens is the muscles you used before keep working to do this? I have a translucent drop of something (it makes me think of oil on water) that I can move around by using the muscles that I think of as the muscles that make you cross-eyed. This drop keeps getting in the way and blurring my vision. I can also use these muscles to read up close but the edges of the letters are blurry. What causes this? I thought I wouldn't be able to read without glasses after the surgery although I could before the surgery. > After cataract surgery and IOL there is not supposed to be any more > accommodation but what happens is the muscles you used before keep [quoted text clipped - 5 lines] > causes this? I thought I wouldn't be able to read without glasses > after the surgery although I could before the surgery. The ciliary (focusing) muscle continues to work, but cannot change the shape of the lens implant. The extraocular muscles continue to turn the eye in various directions, but it's not easy to correlate any of this with what you are seeing. You likely have a big floater that moves as you move the eye. Learn to ignore it. You probably need reading glasses, especially if your distance vision is now very good without glasses. I'm assuming you didn't get a multifocal or "focusing" IOL? > cda...@directflatscreen.tv wrote: > > After cataract surgery and IOL there is not supposed to be any more [quoted text clipped - 14 lines] > glasses, especially if your distance vision is now very good without > glasses. I'm assuming you didn't get a multifocal or "focusing" IOL? No, I just got a regular acrylic +13.5D lens (I used to be -11.5D). The floater is a lot larger and more translucent than the small dark ones, it takes up at least a third of the visual field unless I keep my head in one place or try to hold it out of the way with the eye muscles but I can't do that for too long or my eye will hurt too badly. It is difficult to show this in the Dr's office, especially if I have been doing this most of the day because it takes a long time to conciously (sp) relax the muscles and then as soon as I open my eyes the muscle tries to work again. This is the same set of muscles that move my ear. I am hoping that someone else might have had this problem and can tell me what they did to fix it or at least explain it to the Dr. Or should I just put up with the pain or not read anymore? > cda...@directflatscreen.tv wrote: > > After cataract surgery and IOL there is not supposed to be any more [quoted text clipped - 14 lines] > glasses, especially if your distance vision is now very good without > glasses. I'm assuming you didn't get a multifocal or "focusing" IOL? I forgot to say that I do have reading glasses, +3 on the left and +1.75 on the right. Even though everything does look bigger with the glasses on, including the television, it seems to make a blackness come in from the side of my right eye that starts to cover everything I see with that eye. If I take the glasses off and let my eyes relax, the blackness goes away. |
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