Crystalens Issue

[bonilou]

I had a crystalens implant in Dec 2012. The results have been pretty disappointing considering I was supposed to see better than I did with the cateract. I only could see up to 4 ft after the implant. Then I had  YAG a month later, in January, helping me to see up to 10 ft. Then again in January, I had a piggy back lens placed over the Crystalens; allowing me to see up to 30 ft. The problem since the implant surgery is not only that my eyesight is bad at a distance, but also I have been seeing double images, one image over lapping the same image, at its top area, including cars and road signs. This makes it very difficult to drive. However, I do not have this overlapping double vision in the morning; it only occurs after a few hours of being awake and after doing up close home duties such as dishes or sweeping. The Doctor recently found some 'hidden" astigmatism and now has me wearing a toric contact lens. The contact does do wonders, allowing me to see further and it gets rid of the doubling. However, I have many questions, but my main concerns are did something go wrong? did I elect for the wrong lens? is the crystalens vaulting? Can it be replaced after YAG? Should I really have to wear a contact lens after paying for an exclusive lens implant or am I just settling for this because the Doctor doesn't know what is wrong? Should I get a second opinion? The most upsetting part is that I spent around $4000 dollars for the one eye (L) and I cannot accept the fact that I must now wear a contact lens to eliminate the double vision, especially since it is not there in the morning when I get up. I've told the Doctor that I think it is shifting and he tells me it cannot do that. He doesn't seem to listen to me, acts like he knows best. I am contemplating getting a second opinion and your advise will help me to decide what to do next. In addition, I need the right eye done soon and I really want to make sure I get it right the next time. Thank you for your help.

[CherylLee76]

Dr.
What is a UBM machine? Thanks

[bonilou]

Thank you so much. It's a relief to have someone give me a direction to take with this since my current doctor seems to be leaving me in limbo. I will be sure to ask if the new Doctor has access to a UBM machine. Have a good week.

[Houman Vosoghi, MD]

You should go to someone with access to a UBM machine who can image the capsule and lens and evaluate the exact shape and location of the two lenses.  Good luck.

HV

[bonilou]

There were no signs of astigmatism prior to the crystalens implant. And since there are no symptoms of astigmatism for the first 2 hrs of the day, I suspect the astigmatism is a result of the crystalens and possibly some movement it is making. The doctor believes it is the way my eye muscles are working. But I do not believe this is the answer. I believe the crytalens may be vaulting and I would like the capsules(s) re-evaluated and some further testing done. I also believe the best answer is to get the second opinion as something does not seem to be correct about the "new" sight I was looking forward to achieving with the crystalens implant. I do not feel that this was achieved. Thank you again for your help.

[Houman Vosoghi, MD]

Did the doctor measure some astigmatism before the first surgery or was it caused by one of the lenses? This is a question your doctor should be able to answer with a review of your files.  I personally tend to shy away from replacing lenses after YAG laser given the potential for complications.  You should seek a second opinion for peace of mind reasons probably.  Many of your questions can't be answered fully without an examination of your eyes and review of your files.

HV