Hi. I'm online and happy to answer your question today.
My question is on the side there.
I am glad to hear that your surgeon has examined your eye on multiple occasions and found nothing seriously wrong with your eye and the implant.
Since everything checks out with your eye and the power/lens implanted checks out correctly then, yes, the problem may be that you are having much more difficulty adjusting to the particular way that the crystalens works. Many of the symptoms you are suffering from can be attributed to the design of the lens that works to give you clear vision at many different distances.
That being said, what can you do?
Are you still there?
am I looking at the edge of the lens? will this go away?
I do not think you are looking at the edge since your surgeon has examined you and found everything to be OK....this would mean that the lens is well centered in your normal, round, pupil and it is firmly in the capsular bag.
I think you are just one of the unlucky few who have problems with this lens.
why does my pupil look larger than the unoperated one?
What can be done? Well, first of all 4 weeks, in the scheme of things, is a short period of time for someone like yourself to get used to this lens.
It is not unusual for the operated pupil to be slightly bigger after the surgery. This can be due to a number of causes, one of which is that the artificial lens is thinner then your natural lens. If it was a significant finding I would think that your surgeon would have discussed it with you.
can I insist he remove it for another?
You must be a mind reader :) That was just what I was going to discuss next....
Are there different sizes? can it be too small?
Yes. The lens can be removed and a monofocal lens put in it's place.
Yes, the lenses come in different sized, but I very much doubt that the wrong size was placed in your eye. This is an extreamly rare thing for an experienced surgeon to do.
scarring? make next surgery difficult?
If you can stand it, I would give yourself at least another 4 to8 weeks to see if your symptoms with this lens start to resolve.
ok thank you
Yes. Contraction of the capsular bag can make the lens harder to remove. Scarring is not really an issue. Also special instruments are available to assist in removing the implanted lens...all experienced cataract surgeons can do this procedure.
My pleasure. I hope thing get better for you soon.
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