Aa
Aa
A
A
A
Close
Avatar universal

Toric lens cataract surgery led to increased and still increasing astigmatism

(A) With Surgery day as Day 0, and using the Negative cylinder convention, these are some data points for  Sphere, Cylinder and Axis for  my LEFT eye :
1.  Day negative 45, from Long standing optometrist :   :   -9.50   -2.25  162
2.   Day  +8 from Surgeon : :  +1.75  -3.25  170
3.  Day +12 from long standing optometrist ::   +2.50   -4.00   164
4.  Day +16 from USC Eye Clinic :    +2.50  -4.25  165
5.  Today  Day +20, With the right eye completely covered or closed, I see multiple visions when trying to read
through my left eye, and all ranges of over the counter reading glasses fail.
(B)  Day Zero surgery   Acry Sof iQ TORIC  via  Alcon
       Model  SN6AT5   POWER :  7.0 D   3.00 CYL
      Length 13.0 mm   Optic  6.00 mm
      UV With Blue Light Filter .  
(C)  The surgeon's staff seems very reluctant to  provided me with their Pre- and Post-opt  measurements,
Please help me understand  what happened here, and my options for this LEFT eye, with the RIGHT eye to follow
Many Thanks  
29 Responses
Sort by: Helpful Oldest Newest
Avatar universal
For the interim period until both eyes are cataract free and better aligned in power, I am following up on a great suggestion to further the domination of the left repaired eye via a bifocal prescription for Far and Near, with a dummy vanity lens over the right eye.
MANY THANKS CBCT for your very helpful feedback.
Helpful - 0
Avatar universal
My surgeon wryly remarked that the surgery was successful, but the patient could not see.  Astigmatism will cause distortion at all distances.IF your astigmatism had been corrected, then over the counter readers would work.  Clearly, this is not the case.  

My original lenses were Crystalens which caused terrible glare.  After a difficult year ( 4 YAGs, PVD, and a retinal tear), a different surgeon exchanged both lenses with monofocal IOLs biased toward close vision.  I wear progressive glasses and have good vision at all distances.
Helpful - 0
Avatar universal
Please see my response to my originap post
Also,for a Toric lens monofocal correction set to Distance, it is possible that someone ended up with mild nearsighted, say negative 1.5D, with the ability to still read close.
Helpful - 0
Avatar universal
To clarify further, I chose the Toric monofocal to correct for Far vision with the astigmatism removed. The understanding was that I would lose my long loved ability to squint and read but that reading would be accommodated by over the counter reading glasses.
The removal of the cataract was itself a great success, my left vision though still blurry for dustance is bright and without any glasses over any eye, dominates the right eye with cataract.
Helpful - 0
Avatar universal
I can imagine how frustrated you are.  I too had a lot of problems after my cataract surgery and had to press for more information.  You say that the staff is reluctant to share measurements.  You have a right to your records.  I was asked to complete a form and was able to pick up my records a week later.  Be sure to get your IOL Calculation Report as well as pre surgery and post surgery examination records.  Make an appointment with the surgeon and ask him/her explain the reports and discuss if the target was missed, and if so, what are the next steps.  If you are not happy with that discussion, seek a second opinion.  I would hesitate to proceed with your other eye until you feel adequately informed.  

I have no experience with toric IOLs, but it is strange that your astigmatism is getting worse.  Perhaps the lens rotating and that may explain your monocular double vision.  I would not expect over the counter readers to remedy this since they do not correct astigmatism.
Good luck and keep me posted.
Helpful - 0
Have an Answer?

You are reading content posted in the Eye Care Community

Top General Health Answerers
177275 tn?1511755244
Kansas City, MO
Avatar universal
Grand Prairie, TX
Avatar universal
San Diego, CA
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Discharge often isn't normal, and could mean an infection or an STD.
In this unique and fascinating report from Missouri Medicine, world-renowned expert Dr. Raymond Moody examines what really happens when we almost die.
Think a loved one may be experiencing hearing loss? Here are five warning signs to watch for.
When it comes to your health, timing is everything
We’ve got a crash course on metabolism basics.
Learn what you can do to avoid ski injury and other common winter sports injury.