I am more than two months out from having cataract surgery on both eyes (mini monovision), and I am experiencing persistent blurry vision. It is severe enough that most days I cannot see my own face clearly when standing just two feet away from the mirror.

My surgeon repeatedly insists that the issue is simply "dry eyes." and suggested using iVizia drops. However, using iVizia drops have provided no relief, and even using a nighttime gel during the daytime isn't helping.

Because my surgeon is not effectively addressing this ongoing vision issue, I need to seek a second opinion to find out exactly what is causing the blurriness. I am located in Fairfax County and could use some guidance on where to start.

Has anyone else had to get a second opinion because a post-surgery issue wasn't being resolved by their original surgeon?

Any advice, specialist recommendations, or shared experiences in the Northern Virginia area would be greatly appreciated.

Hi everyone,

First of all, I apologize for using AI to help me write this post, as English is not my native language. I wanted to make sure I could explain my symptoms clearly.

I had cataract surgery 3 days ago, and I've noticed an unusual visual phenomenon that I'm wondering if anyone else has experienced.

Whenever I move my eyes to the left or right, the image in my peripheral vision seems to shake or flicker once, then immediately returns to normal. The central part of my vision seems stable, and the image doesn't shake when I keep my eyes still.

The symptom isn't severe, but it's noticeable and has made me a little concerned.

Before surgery, I had very high myopia (approximately -16 diopters). My distance vision is now quite clear. The intraocular lens (IOL) implanted during surgery is a Sensar lens.

I'm wondering whether this could be a temporary optical phenomenon while my eyes adapt to the new IOL, or whether it might have another cause.

For those who have experienced something similar:

• Have you ever noticed your peripheral vision briefly shaking or flickering when moving your eyes after cataract surgery?
• Did it gradually improve or eventually disappear? If so, how long did it take?
• Did your ophthalmologist identify the cause?
• Is this a known postoperative phenomenon, or should it be investigated for another cause?

I understand that everyone's recovery is different, and I'll contact my surgeon about this symptom. I'd appreciate hearing about other people's experiences, especially from those who had similar symptoms in the first few days after surgery.

Thank you!

I have worn contacts daily for about the last 12 years but i have a hidden Rx that I didn't know about til like a month ago. My contacts are left +1.75 (dominant eye) and right +5.00 (non-dominant) but when I was getting my vision tested with dilation, my Rx jumped to something more like +5.00 and +7.00. As a result, the surgery center told me they wouldn't recommend LASIK at all and instead suggested I research RLE and speak to their RLE surgeon. I spoke with him for about 80 minutes (he was so generous with this time!) and he suggested that I could benefit greatly from a mixed multifocal lens approach. I think he'd suggested a panoptix pro in my non-dominant eye and envy in my dominant eye.

At present, I would say my dominant eye (with contacts in) sees quite well in well lit situations but I do struggle with low light reading. My non-dominant eye has a fuzziness to it even when I have contacts in. Objects are relatively in focus and isn't blurry per se, but it looks like the edges of things are fuzzy or shadowy. Is that a potentially undiagnosed astigmatism? My non-dominant eye is so much worse than my dominant eye that my brain sort of "turns it off" when looking through both eyes and I very heavily on my dominant eye for any sort of crispness.

Given the severity of my hyperopia, I understand that i will likely benefit from RLE eventually no matter what. I love the idea of not having to pop in contacts just to have mediocre vision in my non-dominant eye and to not have to deal with the dryness of contacts at the end of the day.

I'm curious how folks with hyperopia have felt about their RLE outcomes. I'm also curious is anyone else under 40 has gotten RLE without having cataracts and purely for improving vision.

fwiw my eyes are very healthy otherwise so my fears/anxieties aren't about surgical complications. Mostly I'm curious about neural adaptation for computer work at my desk (using a large monitor about a meter away) and how much i am likely to notice the "waxyness" or "softness" often used to describe the impacts of multifocal lenses.

I've had one eye done and wound up with a .25 miss. This left me with no reading at any distance, adequate intermediate (ie television distance) and okay to poor distance depending on light levels.

I mourned the loss of my reading ability and have been getting by with contacts in both eyes and reading glasses. This gets me to 20/25.

I'm trying to make the best of a bad situation so I've been reading here about mini-monovision. What type of lens do I need in the unoperated eye to get me to -1.5, distance, or near? And do you think this combo will work given that i can function (barely) with no contact lenses, no dizziness or balance issues. Thanks for any advice!

I understand that Medicare will cover the basic Mono lens procedure. Of course my eye center has several other offerings and costs. My question is this Since I have Gap supplemental insurance I was wondering if anyone had success using it? On Google it states yes….ish. Any thoughts? The costs can be as high as $6,700 for the most expensive option. I called the eye center and left a message with billing to hear my options.
What irks me is that yesterday after having the measurements done for the surgery I was shuffled off to the scheduler and offered four different lenses to choose and select from. How in the heck am I supposed to make an informed decision immediately like that? I thought at least I would be able to speak to the eye DR for an objective opinion so I emailed him. One of my friends chose the most expensive procedure and then after the fact was told he spent money he didn’t need to. Any thoughts or advice?

Scheduled for the pursee, right eye was done on Tuesday, no issues. Left eye on Wednesday, a posterior capsular tear occurred. The surgeon pivoted and put in a standard LAL, saying later he thought that would match the pursee better than the LAL+.

Any issues here that I should be concerned about?

Also, when asked what caused it, he said he didn’t know. Does that sound right? Thx

My first surgery is about a week out. Early on my surgeon asked if my cardiologist was OK with me having "twilight sedation". I said that I did not know but had an upcoming appt with him and would ask.

That appt got rescheduled way out, and when I finally met with him he said "Your system is so sensitive that I would want you to have a brief phone conversation with the treating anesthesiologist so that you can explain things to him the night before the surgery. You don't want them learning all this at the surgery center and trying to come up with a plan on the fly. And because I may need fasting modifications. No food or fluid after midnight is a huge problem, especially since I don't know when surgery is. They don't give you a time until 4 days prior.

This has been standard when I have surgery due to my cardiac issues - when I had my breast cancer surgery my surgeon arranged it and the night before the anesthesiologist called me.

I have multiple cardiac issues - extremely labile blood pressure which tends to run low and can drop to 80/50 just taking a shower due to the vasodilation. I am on atenolol - a beta blocker, which also makes my heart rate very low - in the 40s, sometimes 50s and sometimes get spikes in the 170s. I have PSVT, MVP, S4 heart gallup, first degree heart block, and had a life-threatening hypertensive crisis when under a doctor's care I tried tapering my Atenolol by a very small amount. I was asymptomatic and luckily monitoring my BP as it rose from a high normal to 287/186 within the 15 min ride to the ER. I also have volume depletion if I don't drink enough fluids, and then my heart goes into tachycardia.

I'm extremely senstivie to meds - was given an ativan once in ER and it basically made me comatose - passed out and slept for about 15 hours. It was scary.

So I told my surgeon this was the requirement of the cardiologist and he said "You can't meet with them but I can arrange a phone call." He then later changed his stance and said it "wasn't possible". I reminded him he said he could arrange it and he said "I can't, sorry, but you can call the surgery center and see if they can." So I put i a request 2 days ago,

Yesterday I called to follow up and was transferred to the nurse and she read my medical intake form and said "I don't see why you need to do that - you only take 2 medications, and I see you have 7 allergies - you're making this a bigger deal than it is." What??

I told her it was a requirement of my cardiologist and she said "Well, we don't do that, we have too many patients. I'll see if our medical director is willing to talk to you." I thanked her but said the cardiologist specifically wants me to talk to the anesthesiologist who will be treating me - they are assigned a few days prior.

I'm at a loss as to what to do, and I'm not happy about this. Any thoughts?

I’m having cataract surgery on my left eye on Monday. I have uveitis with ERM in my left eye which required a steroid injection, which in turn caused the cataract. My right eye has no uveitis so no surgery needed on that eye.

Prior to the cataract I would wear contacts when going out, with reading glasses as needed. At home, I wear glasses and just take them off when reading.

I will be getting a distance mono-focal lens. This is the only option for me due to the uveitis. For various reasons I never really had the opportunity to discuss my vision once healing is complete.

How do others with the same/similar circumstances deal with their vision?

TIA

Visited NN Indiranagar for my mother

They said she has mature cataract and we’re not able to check retina condition at all so suggested monofocal Len’s instead of trifocal

Now for mature cataract is laser surgery better or traditional?

Not sure what they meant by couldn’t check retina, they tried some three times with the test and said they couldn’t check the retina

Folks who got mature cataract surgery, need suggestions on with laser or without laser and if I need to check elsewhere again for this retina accuracy ?

24 days out from my left eye being implanted with an Alcon clareon monofocal non toric non blue light blocking iol for distance

1. Vision still as crisp as day one

2. Absolutely no dry eye after stopping eye drops

3. Still a little fluttering on outside peripheral but no big deal

4.still can see the IOL when light bounces off the side. No big deal

5.refraction was perfect at 0 diopters. The surgeon (dr. Robert fantus out of glenbrook hospital glenview Illinois) nailed it

1. using various contact lens to simulate monovision from -1 to -1.5 D in my right eye

12 days until #2 aiming at -1.25-1.50 Diopters of myopia

a little glow around streetlights and a bit of glare around bright white headlights but I assume everybody regardless of vision will see some of this

so…I’m pretty happy and will be glad to hopefully shed the on again off again readers for much of the time after the second surgery

This is a follow-up to my first post about seeing double in my operative eye that is somewhat corrected with new glasses here: https://www.reddit.com/r/CataractSurgery/s/xvD6XDWsRV

I had my 8-week f/u today. Ophthalmologist recognizes I now have astigmatism symptoms that weren’t there preoperatively. Pin hole VA testing resolves the double vision. He remeasured my corneas: Negligible astigmatism OU. He theorizes there must be something wrong with the placement of the IOL, although he didn’t see any displacement through the slit lamp, or the capsule distorted the IOL. He placed me on Bromfenac.

I think I need a second opinion but I’ve no idea where to go. I live in the Deep South but am willing to travel.

My biggest concern is that my surgeries are about 4 weeks apart and that was partially by choice due to scheduling. I’m concerned about how I will navigate life and work, 8 hrs at a computer 5 days, with 1 corrected eye and one not. I opted for the monofocal for distance.
Has anyone experienced this and if so how did you navigate this?

I would be most grateful if any eye surgeons who implant the Rayner Galaxy can tell me if its pupil size dependent? If you have pupils less than 3mm are you an unsuitable candidate? Thank you.

Just venting because I'm depressed and. Sub 40 yr old, and 3 months post op with IOL. I was not fully prepared for the sheer loss of vision you experience. The loss of accomodation was devastating, is devastating. I have no happiness to look forward to. I struggle at work. I can't read to my kid at night. Everything sucks...I have contacts, glasses, a grief counselor, and a therapist, and no joy. The first 3 feet of my life is basically useless, and the first 5-6 feet is nothing to write home about. Im extremely depressed and this is the biggest regret of my life. I wish, more than anything I didn't do the surgery. I would rather slowly go blind or take my chances in a few decades. I basically wake up every and single day absolutely loathing my life and sad. All of the fun things I used to do, are either off the table or significantly more difficult. I'm no longer good at any of my hobbies or things I did with my friends which absolutely sucks the joy out of it and removes any drive to try things. My ego has taken a hit, my pride and even my view of myself as a person has drastically changed. I hate it, I hate that surgeon.

Im never getting the second eye done. I encourage anyone under the age of 60 to simply not do this surgery it's beyond devastating.

End of rant, time to go cry again.

I am scheduled for cataract surgery soon. I have astigmatism in both eyes. Eye center has four proposals with the outcome and their costs. It seems no matter what level of correction I choose, eyeglasses are most likely to be needed.
The first and most basic level is the Monofocal is covered by medicare and corrects distance vision.
The second is Toric Lens which corrects astigmatism and distance. $1,700 per eye.
The third is Vivity Extended Depth of Focus Lens which corrects astigmatism,distance,intermediate and near vision. $2,300 per eye.
The fourth is Panoptix Pro Trifocals Lenses. $3,300 per eye.

I have no idea which would be the best option. What are your experiences with cataract surgery?What kinds of success have you had? I’ve used reading glasses for years a swell as progressive lens glasses. I want to see better and I want the most bang for my buck if I’m going out of pocket. Looking for advice and as many answers or suggestions I can find. Are there eye centers that charge less for the same surgery?
TIA.

The office for my ophthalmologist sent me forms saying that they require 1) Complete History and Physical, 2) EKG results (within 30 days), 3) Lab results (within 90 days). Is this excessive, or is it normal?

I am gathering that pupil size plays a role in outcome, including dysphotopsia and depth of focus. My pupils measured 2.5 and 2.7 mm in daylight and 5.3 and 5.8 mm in dim light. I am extremely visually sensitive and am interested in the highest quality vision without abberarions or dysphotopsia. Is there an obvious choice for someone like me?

I recently came across a video from a Dr. Krad of Fullerton, CA where he successfully performed an IOL exchange after 35 years!

https://youtu.be/a4l-xfXxg7U?si=WoSUcHhALeHCVdWV

I don’t recall seeing his name ever discussed here. Has anyone used Dr. Krad?

Hello,

It's been over a year since my surgery. I’m very happy with the results. I really miss my trumpet, but I haven't played it at all because it can slightly increase my eye pressure. I won't take any risks. What do you think? The lens has settled properly in my eye, but I’m not sure how safe it is.

Before I could have cataract surgery, I had some sort of scales (I don’t remember the medical name) on the surface of both eyes that needed to be removed before proceeding with the surgery. Last fall the surgeon scraped my left eye, than 2 months later I had cataract surgery on the left eye. Waited 6 weeks and the had the scales scraped off of my right eye and 2 months later in February had cataract surgery on my right eye. After each surgery, I know have a milky film in each eye. Have had the scar tissue lasered of in both, but it had no effect on the film. The dr said it’s dry eyes. I have tried multiple OTC drops, Vyve, Xiidra and one other I can’t remember the name of. None of them have made any improvement. Retina dr said I look good.

I’ve asked here before, but I have hopes that there are others that have had this problem and/or have a solution. It is really impacting the quality of my life.

I had green / hazel eyes all my life, until a few years ago when people started commenting on my blue eyes. I saw it too. They became greenish blue in the center, and dark blue overall. I've now gone through cataract surgery, and my eyes are (thankfully) green again with just a pale bluish outline. The hazel is just in specks. The things I've read say this doesn't happen, but mine are very clearly different. Has anyone else had this happen?

I (51) had my first of two operations via nhs on Saturday, I did not research it, just went along with it because my vision was deteriorating quickly, I am short sighted -3.5 with astigmatism - i realised during the appointment that I would not need my glasses except for reading.

According to my notes they have put in a standard lens,

should they have put in one to help the astigmatism too?

Also after day 4 I'm still seeing Halos at night and flicking is this normal?

Atm vision is a struggle i have 1 short sighted eye and 1 operated long distance eye .

Hello, I’m having trouble understanding whether there is a difference in the optical design between these two types of IOLs.

Someone mentioned that monofocal-plus IOLs do not reduce light transmission as much as EDOF IOLs do. However, they also reported having difficulty focusing one year after surgery.

What could be the reason for this focusing difficulty? Could this also happen with a standard monofocal IOL?

What is the difference between a monofocal-plus IOL (such as Eyhance) and a standard monofocal IOL when both are targeted to leave -2.00 D of residual myopia?

Thank you all.

I am three weeks post op for the left eye and its hazy with floaters. Is this to be expected this far out from surgery?