Ask an Eye Doctor and Get an Answer ASAP
Hi. I'm online and happy to answer your question today.
Hi. Welcome to the chat room
Hello, are you able to answer the questions I have sent in?
First, let me address the eyelid. One of the risks of cataract surgery is that the muscles that lift your lid will get "stretched". This, in many cases, resolves on its own but, in other cases, it needs to be repaired.
Now to the lens choice/astigmatism.
The reason your surgeon went ahead and trusted his intraoperative measurements of astigmatism more then your known glasses Rx is that your astigmatism may be due to your lens (which is taken out during cataract surgery) and not your cornea (the "dome" over your eye). So, in that case, the correct thing was done.
Has your surgeon or her staff done a refraction (which is better, one or two?) since the surgery? And if so, do you know what your vision was at the end of that test?
As to the use or not use of sunglasses......no damage can be done by wearing or not wearing them.
Yes they have don that test. They said that I have astigmatism.
One of the reasons to do your other eye so soon is that if there is a large difference in your prescription between you natural eye and your postop eye they may not be able to work together...
Ok. But were you able to see 20/20, 2/40/20/100 etc at the end of the test, with the phoroptor in front of your eyes? (that big eyeglass testing thing with all the knobs on it)
The funny thing is that for the past 20 years I have tried without success to wear contact lenses, but now that I only have to wear one I am able to wear it with ease
Was your goal to be completely free of glasses after the surgery?
Ok....that is what I thought.....you must be very nearsighted....
Realistically I knew that I would have to wear glasses for reading
But what about the blurred vision I am dealing with
so, do you remember how well the doctor could get your vision at this point in your operated eye with the above test?
Before the op he said it would be very good but I would probably have to wear glasses only for reading
Yes. But I am trying to learn more about the blurred vision you are now dealing with....
If I open up my eyelids with my fingers the vision vastly improves
But if I try to open my eyes wide there is no change in my vision
Yes. but during the refraction on your operated eye, how far down the eye chart could you read? 20/20, 20/40 etc?
before the op? top to second top line
after the op? second third botXXXXX XXXXXne
but I don't think I could do that now
Ok. That means things can be improved.
You may not be able to be 100% free of distance glasses with just this surgery. If there is significant residual astigmatism your doctor can do few things to improve things. One thing is limbal relaxing corneal incisions
I just went and got my contact lens box for my right eye would having the prescription help at all
Is that a permanent solution
yes, it is a permanent solution.
how about your left eye contact box too....just the first numbers . I don't need the base curve or diameters
BC 8.5 SPH
SPH+3.75 CYL -0.75 AX 90
is this your Rx after your surgery?
In the operated eye?
No this is for my left eye that hasn't been operated on I don't have the right lens prescription anymore
Ok. I would have thought from your history that you had minus contacts (nearsighted) not farsighted....
But they were pretty much the same with toric lens
No this is what I wear
Ok. No problem.
After the refraction of your post op eye what did the doctor say?
He didn't say too much except it looked fine and to keep putting the drops in my eyes for the next three weeks
Do you think the healing process is still continuing and that my eye will heal on its own
By healing I mean will my sight improve over time
Yes, there is still healing going on at this point and your final amount of refractive error (astigmatism etc) may be different.
Yes, especially if the decreased vision is from common swelling of the cornea that can occur with surgery.
That being said.....I agree with you on one thing: Hold off on doing the other eye until this one is finished healing. What is the rush? Especially since you are having no issues with wearing contacts in only one eye.
Would you suggest I leave off having surgery until my eye heals more. If I did have surgery I, at this stage would leave me unable to see properly for perhaps weeks
About the blurry vision will this improve over time or did you say this is caused by the astigmatism
Yes, it could. You would have two blurry eyes at once......Like I said, why rush?
There should be some improvement as the swelling goes down, but if you have residual astigmatism, then that -- of course -- would not go away with time. That is where additional treatments, such as limbal relaxing incisions, PRK, Lasik etc come in.
It does sound like your surgeon is very honest and well trained.
Strange you should say that. He is a professor and I though what you do.
One last question
I am a retina specialist, however I did teach at a University Ophthalmology program in Texas for a number of years :o)
Why is it that since surgery I can now wear a single contact lens. Whereas before to wear two at the same (not in the same eye of course haha) I would suffer from dry eye, protein build up and only be able to wear them for a day before my eyes would become irritated sore and dry. Now I can wear the same contact lens for 2 weeks no problems
That is a very good question. And I, truly, don't have a very good answer. Perhaps all that clean living you have been doing over the years is starting to pay off? lol!
Bahahahahaha! I don't think so. Perhaps you could pass it on to some of you colleagues and someone could do research on it and one day give me the answers. I has been a pleasure chatting with you. Thank you for all your answers. Have a great day :)
I, too, have enjoyed chatting. Best of luck to you and have a great day.
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