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Magnification in eye after cataract surgery

I’m 53 and extremely nearsighted. I had cataract surgery on my left eye a week and a half ago and am really struggling with my vision matching up. I wear a contact lens in my right eye and have 20/20 vision with it and 20/25 in my left eye with the implanted lens. But everything is magnified in my left eye. My eye dr seemed surprised by this and wants to do surgery on the right eye to implant a lens and hopefully balance things out. I’m very nervous about this because I don’t have a cataract in my right eye but am feeling so awful with this imbalance - headaches, nausea, occasional dizziness. Is this the right approach and shouldn’t she have known this might happen? Is there a way to measure the magnification and then figure out if an implanted lens will fix this problem? Thank you!
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233488 tn?1310693103
MEDICAL PROFESSIONAL
Prior to your surgery this problem, which was going to happen, should have been discussed with you.   You are not seeing things  larger in the LE you are seeing it normal size. Your high myopic lens have been "minifying" things since you became myopic.  The more myopic you are the smaller myopic glasses or contact lens make things seem. If you were extremely farshighted it would be just the opposite. The operated eye would seem smaller than the unoperated eye.  This condition is called "aneisomtropia"   Sometimes with a contact lens lens in the unoperated eye (the contact will make things look less small than glasses) the brain can learn to adjust to the difference.  If not the options would include:  1 removing the lens of the other eye and putting IOL in it.  2. doing LASIK or PRK on the unoperated eye to reduce or elminiate the high myopia.  You sould consider waiting several months to see how things go.   Again this was predictable and inevitable and should have been discussed before surgery.
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2 Comments
Thank you so much for your reply. The trouble is that I am so uncomfortable with the difference in vision that I don’t know how I could manage staying like this for a month. With my contact lens in the right eye, at least I can see even if it’s not even things are different sizes. Without my contact lens in, it’s blurry on one side. If getting a lens in the second eye is an option, what is the benefit of waiting? Thank you again for your expertise.
You are taking on the risks of a second operation, which are increased in a highly myopic person (especially the risk of retinal detachment) when the eye has good vision and 'no cataract'  unlike the other eye.  Plus at this time you don't know what the final residual refractive error is in the operated eye.  You migh wish the other eye set closer or further away for best vision without glasses.
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