Postoperative issues after cataract surgery?
Hello, Director Gao.
I have a few questions to ask you: I am currently 54 years old.
I underwent retinal detachment surgery (pneumatic retinopexy) in early May, and then cataract surgery in August.
The doctor recommended using a premium monofocal intraocular lens (self-paid).
I originally hoped that the surgery would also correct my myopia, but I still feel nearsighted and have some difficulty seeing up close.
The key point is that one month after the cataract surgery, I went to an optical shop to get glasses for my myopia, but they said they couldn't measure my prescription and suggested I see an ophthalmologist regarding the cataract.
1.
Is this situation normal? Why can't they measure my prescription?
2.
How long will it take before I can properly get glasses?
Mr. Chen, 50~59 year old female. Ask Date: 2021/09/22
Dr. Gao Pilin reply Ophthalmology
Hello Mr.
Chen: After retinal detachment surgery, it is possible that your vision may not return to its original state, as the retina has already been damaged.
There are many reasons why a refraction test may not yield a prescription.
I recommend that you visit an ophthalmologist to determine the cause.
Once the reason is identified, you can find out whether glasses can be prescribed to correct your vision.
Reply Date: 2021/09/22
More Info
Hello! Thank you for your questions regarding your post-cataract surgery experience. It’s understandable to have concerns about vision changes and the fitting of glasses after such procedures. Let’s address your questions one by one.
1. Is it normal to not be able to measure my prescription? Why might my prescription be undetectable?
After cataract surgery, especially when a new intraocular lens (IOL) has been implanted, it is not uncommon for patients to experience fluctuations in their vision. This can be due to several factors, including the healing process of the eye, the settling of the IOL, and changes in the cornea or other structures of the eye. If your vision is fluctuating or not stable, it may be difficult for the optometrist to obtain an accurate measurement of your prescription. Additionally, if there is any residual swelling or inflammation in the eye, this can also affect the ability to measure your refractive error accurately.
It’s important to follow up with your ophthalmologist to ensure that your eye is healing properly and to discuss any persistent issues you might be experiencing. They may perform a thorough examination to rule out any complications and to assess the stability of your vision.
2. How long will it take before I can get an accurate glasses prescription?
The timeline for obtaining a stable glasses prescription after cataract surgery can vary significantly from person to person. Generally, it can take anywhere from a few weeks to several months for your vision to stabilize after surgery. During this period, your eye will continue to heal, and any residual effects from the surgery will gradually diminish.
It’s advisable to wait at least a month or two after your surgery before getting a new prescription, but this can depend on your individual healing process. Your ophthalmologist will be the best person to advise you on when it’s appropriate to have your vision re-evaluated for glasses. They may recommend a follow-up visit to assess your vision and determine if it has stabilized enough for accurate measurements.
Additional Considerations
- Visual Changes Post-Surgery: After cataract surgery, it’s common for patients to experience changes in their vision, including difficulty focusing on near objects or experiencing residual nearsightedness (myopia). This can be particularly true if the IOL chosen does not fully correct for your previous refractive error or if there are other underlying issues.
- Glasses Fitting: If you are still experiencing difficulty seeing clearly at near distances, it may be beneficial to discuss with your ophthalmologist the possibility of using reading glasses or multifocal lenses. These options can help accommodate your vision needs, especially if you are experiencing presbyopia (the age-related difficulty in focusing on close objects).
- Monitoring and Follow-Up: Regular follow-up appointments with your ophthalmologist are crucial. They can monitor your healing progress, address any concerns you may have, and adjust your treatment plan as necessary. If your vision does not improve or stabilize, further evaluation may be needed to rule out any complications such as posterior capsule opacification, which is a common issue after cataract surgery.
In summary, while it can be frustrating to experience these vision changes after cataract surgery, it is a common part of the healing process. Be sure to maintain open communication with your eye care provider, and they will guide you through the next steps to ensure your vision is optimized. Thank you for your questions, and I hope this information helps clarify your concerns!
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