Post-Cataract Surgery: Why Are My Mother's Eyes Different Colors?

Different eye colors after cataract surgery?

Hello Doctor, my mother recently underwent cataract surgery on both eyes, using the same type of intraocular lens.
However, the conditions of her eyes are different:
Left Eye: She has previously had macular surgery (vitrectomy) and has recovered well, but her vision appears somewhat whitish.

Right Eye: She is experiencing more pain post-surgery, sees a halo around objects, and her vision seems darker and yellowish.

I understand that intraocular lenses can have different colors, but is it possible to have color discrepancies even when using the same lens? Additionally, since it has been less than a week since the surgery on her right eye, could the blurriness be due to edema or other reasons?
We will be returning for a follow-up appointment with her, and I have already contacted the surgical clinic, which only advised her to rest more.
Therefore, I would like to seek additional opinions.
Thank you for your assistance!

Zhen, 20~29 year old female. Ask Date: 2019/01/27

Dr. Cai Wenyuan reply Ophthalmology

Hello, it has been less than a week post-surgery.
We can continue to observe.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Department of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2019/01/27

More Info

After cataract surgery, it is not uncommon for patients to experience differences in visual perception between their eyes, even when the same type of intraocular lens (IOL) is used. In your mother's case, the differences in visual quality and color perception between her left and right eyes can be attributed to several factors.

Firstly, the history of previous eye surgeries, such as the macular surgery your mother underwent, can significantly influence the outcome of cataract surgery. The left eye, which had a successful macular surgery, may have a different optical quality compared to the right eye, which is experiencing pain and visual disturbances. The presence of any residual effects from the previous surgery, such as changes in the retinal structure or the health of the macula, can impact how light is processed and perceived by the brain.

Regarding the color perception, it is important to note that even with the same IOL, individual variations in the eye's anatomy and health can lead to differences in how colors are perceived. Factors such as the condition of the cornea, the presence of any inflammation, and the overall health of the retina can all contribute to variations in color perception. For instance, if the right eye is experiencing any swelling or inflammation, it may lead to a yellowish tint in vision, while the left eye appears clearer.

The symptoms your mother is experiencing in her right eye, such as pain, halos around lights, and a darker visual field, could be indicative of several post-operative complications. One common issue is corneal edema, which can occur if there is fluid accumulation in the cornea, leading to blurred vision and discomfort. Additionally, if there is any residual cataract material or if the IOL is not positioned correctly, it can also cause visual disturbances.

It is also essential to consider the healing process after surgery. The first week post-surgery is critical, and it is not unusual for patients to experience fluctuations in vision as the eye heals. However, if the symptoms persist or worsen, it is crucial to seek further evaluation from the ophthalmologist. They may perform a thorough examination to check for any complications such as posterior capsule opacification (PCO), which can occur after cataract surgery and may require a simple laser procedure to correct.

In conclusion, while it is possible for two eyes to have different visual outcomes after cataract surgery, especially with a history of previous eye conditions, it is essential to monitor the situation closely. Encourage your mother to attend her follow-up appointments and communicate any ongoing symptoms to her eye care provider. Early intervention can help address any complications and improve her overall visual experience.

Similar Q&A

Post-Cataract Surgery Concerns: Understanding Vision Changes

Hello Dr. Ke, my mother has cataracts in both eyes. Six months ago, she underwent surgery on one eye at the Veterans General Hospital, and yesterday (December 18) she had surgery on the other eye. The day after the surgery (December 19), when she removed the eye patch in the morn...

Dr. Ke Meilan reply Ophthalmology
Dear Tim, It is difficult to fully understand the surgical situation, and there could be many possible reasons. However, theoretically, it should gradually improve. If there is no improvement, please ask the physician to explain the actual circumstances. Sincerely, Dr. Mei-...

Understanding Color Distortion After Cataract Surgery: Causes and Solutions

Hello, my father experienced a color difference in his eyes the day after receiving an artificial intraocular lens. The color of objects seen with the right eye, which has the artificial lens, differs from the normal left eye. For example, when looking at a yellow object, the rig...

Dr. Cai Wenyuan reply Ophthalmology
Hello, it is not uncommon to experience color distortion after cataract surgery. It is likely not due to a defect in the intraocular lens, but you should follow up with your doctor for a timely examination. Wishing you safety and good health. Sincerely, Dr. Cai Wenyuan, Director ...

Post-Cataract Surgery: Understanding Night Vision Issues

Hello Doctor: My mother underwent cataract surgery in February, and her vision has recovered well post-surgery. However, at night, she sees the red and green traffic lights and car headlights radiating outward in streaks, somewhat resembling fireworks. I am unsure what this issue...

Dr. Wang Yuwei reply Ophthalmology
There are many possible reasons for the situation you described. Please take your mother to see a physician for a follow-up appointment to seek a thorough improvement.

Post-Cataract Surgery: Understanding Vision Changes and Solutions

Hello, Director Tsai. My mother originally had a relatively normal right eye, but she underwent cataract surgery on that eye to match the other eye. One month post-surgery, she is experiencing overlapping text when watching TV subtitles and reading road signs with her right eye. ...

Dr. Cai Wenyuan reply Ophthalmology
You can visit other hospitals or clinics for a consultation.