It is just over 3 weeks after my vitrectomy and have significant aniseikonia (micropsia) in my operated left eye. Everything in the left eye is about half the size of the good eye. I have heard many say that this may resolve itself by the photoreceptor cells adjusting on their own. However, the studies I see on this give it a 50/50 chance of doing so. The general consensus I am hearing on this is that the vision at 6 months will be the final vision. At that point, I am told, if there is still an issue, people can seek assistance with lenses. We will see and I have my fingers crossed.
I had a vitrectomy along with an ERM (epiretinal membrane) peel while hoping to reduce macular pucker about 10 months ago, and now that eye permanently sees rectangles as squares and vice-versa. During the first few days following the vitrectomy and while still looking through a bubble, I watched that eye switch several times from what it should see to what it now sees, and I was certainly disappointed when the receptors finally "stuck" where they did. I have since had cataract surgery in both eyes, and that has not had any effect on my aniseikonia that is actually a disparity of shape rather than merely a disparity of size. I have an appointment to see about Shaw lenses in a couple of weeks, and all of my investigation so far suggests Shaw lenses can at least help alleviate a condition even such as mine.
Thank you for your response.
Yes, it was a retinal detachment, macular off.
The question I am confused with is how long one waits to seek a lens solution? Is there a period of time where improvement in the image size disparity is possible? The information I received was the photo receptors were 'flattened' during surgery and will rise over time. This process could improve the size of the images of the affected eye.
Am looking for an average time period when the majority of size improvements are achieved. It would make sense at that point to seek the lens solutions.
Thank you
You probably had a vitrectomy for a retinal detachment or a macular hole. A vitrectomy is not done for just a retinal tear.
Your anisokonia should be helped by a contact lens.
Dr. O.