Tecnis Multifocal Post Op Results

[stutk]

Age: 37
Cataract: Left eye only ( right eye 20/20)
Surgery: Aug 5th 2009

1st day post op results:

Got the tecnis MF installed...went to the dr. this morning. I have 20/20 far and 20/16 near. he said my pupils are still small but once they enlarge I should be seeing better... I am very pleased by the results...I am seeing wonderful..I think my brain is already adjusting to the lens, as it is hard for me to tell a difference between the two eyes...I am still a little sensitive to bright light as of now but I am very excited to be seeing clearly again...I haven't read anything at night yet but will post once I do...

[stutk]

Right now the closest I can read is 13 inches...anything closer than that gets blurry... but I have to tell you even with my non-cataract eye...4 inches is blurry to read...but taking a splinter out might be different...I will try a test when I get home...but please remember I am also only 5 days post op.....Thanks to cdn_glenn for posting who has 3 years experience :-) ...

[cdn_glenn]

Yes I can see as near as 6 inches and I can see very fine detail.  Four inches would be pushing it.  +1.00 readers can be worn to supplement vision nearer than six inches.  Previously I would have been wearing +2.25 readers while looking at the page from more than a foot away -- that's a great improvement with the Tecnis multifocals!

I'm not sure if you are intending to explant your ReZoom IOL and replace it with the Tecnis MF.  If so, I am worried you might be putting in another IOL that you might not be 100% satisfied with.

[cdn_glenn]

It sounds like you've done very well with your IOL choice, and I'm sure your surgeon's skill was a major factor!  It took me a little time to determine I was happy with my Tecnis multifocals because it took several months to adapt to them.  For years I had been suffering from the effects of Presbyopia and could no longer live with it.  Also my Ophthalmologist telling me I needed trifocals helped sway my decision for CLE.  I can tell you now that any of the drawbacks with multifocal lenses have been far outweighed by the functionality they have.  My eyes are as good as when I was in my early thirties!

Regarding your Post Op: 4 days reply, don't worry.  Your eye is still healing and will take a couple of weeks to feel "normal".  A swollen cornea is a normal result of surgery.  My experience found changing light conditions a bit painful for the first week.  As my eyes healed that issue cleared.  Keep wearing the "big sunglasses" you received after surgery and you'll find it more comfortable staying out of bright sunlight for a while.

The light flutter -- more noticeable with fluorescent lights -- will eventually go away.  And, yes I've been able to see the IOL sort-of projected in sunglasses.  Often see several if the sunglass lens is dusty -- don't know why.

Your one week appointment with your surgeon will tell if things are going fine.

[sher137]

Congratulations on the great results!  What I urgently need to know is How Close can you read? or see very clearly with that eye?  or how with very fine print?  I trust all the IOLs to give me decent distance vision but I'd like to be able to "remove a splinter" or see details closely at 4-6 inches?  Are you getting that? or do any of the IOLs allow that?  I have a previously installed RE-ZOOM in right eye, which is fine for distance, adequate for intermediate though Not fantastic, but definitely not good close vision. So how close is your "close" vision?  [seeing dr for discussion tomorrow]

[John C Hagan III, MD, FACS, FAAO]

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[stutk]

Post Op: 4 days

Please note when you read this that I am still VERY HAPPY with the results...

I have gone out at night and I do see the halos when I look at lights directly...But I almost wonder if it is because I am still sensitive to light overall...my eyes love sunglasses right now...I even wear them inside grocery stores etc...

I also find that my cataract eye gets tired and it starts to pain me a little bit so I go lay down and rest it...After I rest it...it seems ready to go again...I feel like there is just an adjustment period your brain and eye has to go through and I am definitely in that process...

I get a flutter every now in then on the outside corner of my eye ( more post op 2nd day then now) ...

And I almost wonder if my eye still is swollen a little bit because it has a tight feeling almost like it is bigger...

Oh and I think I can see the lens sometimes in the reflection of my sunglasses which is wild...it looks exactly like the pictures that I have seen posted on the internet..

All questions that I will ask at my appointment on tuesday...


if you have any questions please feel free to ask...i feel the more informed you are the better!!!

[stutk]

thanks for your post.....he tested just the one eye for reading and distance and it was the one eye by itself that was able to see so well...yes I am amazed..but I also couldn't see basically anything pre-op in that eye... I did a couple of "Home Tests" pre-op so that I would never forget what it was like before I had the operation...1 thing I did was write on a piece of paper (with marker) the word "CATARACT"  real big...I then marked 16ft off...pre-op It look like a white piece of paper and maybe some slash marks ( I couldn't read it at all)...post op..i can see it clearly...so I was very excited the next day when I took my patch off and could read the sign hanging on my wall.. :-)  ...Oh and all  of these tests were done with just the cataract eye...BUT yes I can say that the left eye (non cataract) does help in taking up the  "Slack" (for lack of better words) when the MF lens cannot focus...Are you still happy with the choice you made? please read my next post..which will be post op 4 days...please also comment if you had any experience with the following post...

[John C Hagan III, MD, FACS, FAAO]

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[cdn_glenn]

Excellent results!  (I've have Tecnis MF in both eyes for nearly three years.)  Immediately my distance vision was amazing.  I took about a month for the near vision to develop.  Is it possible your two eyes working together are making up for any gaps in your Tecnis vision? ... otherwise I'm very envious.

First week or so isn't pretty.  After that you'll respond to light just fine.

Thanks very much for your report.

[John C Hagan III, MD, FACS, FAAO]

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[stutk]

forgot to add that I could read the eyechart...which is wonderful..before I couldn't read anything and I was so excited to be able to read the whole chart..

[John C Hagan III, MD, FACS, FAAO]

Thanks for the feedback.
JCH MD