How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Rick Your Own Question

Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 7755
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
Type Your Eye Question Here...
Dr. Rick is online now
A new question is answered every 9 seconds

Cataract surgery, right eye

Resolved Question:

I had cataract surgery last Monday. After the surgery, my vision immediately changed from near sighted to far sighted. My surgeon says this is uncommon; but can happen. Now I will need glasses for distance instead of only for reading.

This is my "good" eye. The left eye was "lazy" as a young child and could never be corrected (though patches and exercises were used). I am quite concerned because I am due to have surgery on the bad eye in about six weeks.

Could a wrong len have been used, was the eye measured incorrectly, or could the len have been made improperly? Can this situation be reversed? Thank you very much for your help. Judi

Submitted: 2 years ago.
Category: Eye
Expert:  Dr. Rick replied 2 years ago.

Dr. Rick :

Hi. I'm online and happy to answer your question today.

Dr. Rick :

Yes, that is entirely possible. Your vision after cataract surgery depends upon a couple of factors, the most important of which is the power of the artificial lens placed inside your eye at the time of surgery.

Dr. Rick :

What can be done about this? Well, as you have already noted, you can wear glasses. The other thing that can be done is to exchange the intraocular lens for one of a different power. Now that your surgeon knows what your final refractive error is with the current power IOL it should be easier to pick a different IOL to give you whatever postop refraction you would like: Nearsighted, Plano, or farsighted.

Dr. Rick :

Does this make sense to you?

Dr. Rick :

And, now, the obligatory word from our sponsors: :o)


I hope that this information was helpful for you. Please, allow me get credit for my time and effort in assisting you and please give me positive feedback for this assist. I will be glad to answer additional questions until you are satisfied. Thank you very much.

Positive Feedback and/or Bonus is welcomed and appreciated.


 

Dr. Rick :

I see that you are offline. I'll switch over to the Q&A system. This system works a lot like 'text messaging' but an email is sent to each of us anytime something is posted to this thread. We can continue to work on your question there..... :)


 

Expert:  Dr. Rick replied 2 years ago.
What Happens Now?

Your chat has ended, but you can still work with your Expert to get an answer to your question if you have not yet received one.

Come back to this page at any time to see additional information from your Expert.  You will also receive an email when your question is updated.  If you want to send a message to your Expert, use the box below.

If you have already received a satisfactory answer to your question, click the Accept button above.  Experts are credited for each accepted answer they provide.
Expert:  Dr. Rick replied 2 years ago.
Let me know if there is anything else you would like to discuss pertaining to this issue.
Customer: replied 2 years ago.

I really prefer to have vision as it was before, i.e. use reading glasses. If the procedure is redone, does that mean I have to pay another copay and then my insurance and Medicare are rebilled? If this is done, would insurance and Medicare refuse to pay for 2nd procedure on same eye?

 

One other question, please....since left eye is the "lazy" one, when cataract is removed from that eye, what could happen. I don't use that eye much and don't want to lose what vision there is in that eye. Thank you.

Expert:  Dr. Rick replied 2 years ago.
That is an excellent question and, as a surgeon, I must admit that my staff don't let me play around with the billing stuff :) so I really don't know how the insurance payments would work.

The best person to ask about these things would be the staff member at your surgeons office who deals with the insurance companies and medicare.

After removing the cataract from your lazy (amblyopic) eye you can expect your vision to return to the level it was before the cataract became an issue.....kinda like it was when you were 45 years old or so. The removal of the cataract in this eye wouldn't be expected to cause any loss of vision as long as there are no adverse surgical events....

Does this help?
Customer: replied 2 years ago.
Okay, I understand that. However, why is the vision in my right eye so different? Seems something crazy happened there. I realize it may be a few weeks before optimun vision returns. Bur frankly, I am really concerned. I can't even drive at this point. Shouldn't the surgeon have warned me this might happen or could there have been some way of keeping the chances of this odd occurance from happening. My right eye is much worse than it used to be.
Expert:  Dr. Rick replied 2 years ago.
You are correct in that it is early to be able to say what your final, best corrected (with glasses) visual acuity will be when all the healing in done in your right eye.

From what you posted it does seem, however, that your surgeon did a "test" refraction soon after you noticed the problems with your distance vision and noticed that you were now more far sighted then he would have expected from his pre-op calculations. You did not say what number he found you needed at that point to get your best corrected visual acuity, or where on the chart you could see with it in place using the phoropter so I really can't remark on that at this point. It is likely, however, that you could expect excellent distance vision except it would require "plus" (hyperopic) powered glasses to get that vision -- and that was NOT the pre-op plan.

I am sure that somewhere in the consent form it talks about "surprise" post op need for thick glasses but, I agree, that isn't what most folks would consider a warning....at least not after the stuff has hit the fan. Since this is a very rare issue, I don't think a special 5 minute talk about this possible issue is indicated. Heck, if it was then every pre-op consent would take all day long.....

I understand that without glasses right now your right eye vision is very poor....but the question is what can you see with your best glasses in place? So to be fair, when you say that your right eye is worse then it used to be you need to compare apples to apples and only apply this vision test when wearing your best glasses in each case.

Of course, your primary question is that you don't want to use glasses for distance vision and what can be done -- and lens exchange is one solution to this problem.


I hope I've helped to clear up some of these issues for you. I wish you the best in your upcoming surgery. Remember this, however. If you have lost confidence in your surgeon you can go somewhere else to have the other eye done, or just take a wait and see approach. There is no rush when it comes to cataract surgery in the vast majority of cases.

If you would be so kind, please help me get credit for my efforts in answering your questions and press the ACCEPT button/positive feedback for this encounter. I would also be happy to continue to answer any more questions you have until we have resolved your concern.
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 7755
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
Dr. Rick and other Eye Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
< Last | Next >
  • http://ww2.justanswer.com/uploads/DoctorDanB/2010-6-7_6228_just_answer_profile_picture_60_pixels.jpg Dr. Dan B.'s Avatar

    Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
  • http://ww2.justanswer.com/uploads/anupamadesai/2010-04-13_122313_Dr._A.S.Desai_new_photo.jpg Dr. A.S. Desai's Avatar

    Dr. A.S. Desai

    Ophthalmologist

    Satisfied Customers:

    1903
    MS Ophthalmology with 11 years of surgical expereince
  • http://ww2.justanswer.com/uploads/gsokoye/2009-10-28_181751_Dr._Stan.JPG Dr. Stan's Avatar

    Dr. Stan

    Ophthalmologist

    Satisfied Customers:

    895
    Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon
  • http://ww2.justanswer.com/uploads/eyemd/2009-04-07_180315_pic.jpg Dr. Stevens's Avatar

    Dr. Stevens

    Ophthalmologist

    Satisfied Customers:

    629
    Board Certified Ophthalmologist
  • http://ww2.justanswer.com/uploads/CO/CorneaDoc/2012-2-18_0390_photo6.64x64.jpg Dr. Susan's Avatar

    Dr. Susan

    Ophthalmologist

    Satisfied Customers:

    217
    Board Certified & Fellowship trained eye surgeon.
  • http://ww2.justanswer.com/uploads/neuph94/2009-10-11_164729_gif_pic.GIF Dr. JP's Avatar

    Dr. JP

    Ophthalmology, Oculoplastic Surgery

    Satisfied Customers:

    28
    Harvard Medical School, Massachussetts Eye and Ear
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjcufyksv/2012-3-13_44825_crop3.64x64.jpg Dr-Trace's Avatar

    Dr-Trace

    Board Certified Ophthalmologist

    Satisfied Customers:

    26
    Board Certified in General Ophthalmology
 
 
 

Related Eye Questions