Postoperative issues after cataract surgery?
Hello, I would like to ask the doctor.
My mother had cataract surgery on her right eye, which cost over sixty thousand NT dollars.
It has been a little over a month since the surgery.
1: Why does she still experience some blurriness when looking at scenery, objects, or text with her right eye? 2: Why does she still feel a slight pain in the inner corner of her eye (the corner near the nose)? She is very worried that the surgery was not successful.
Are the above two phenomena normal?
YanYan, 20~29 year old female. Ask Date: 2022/08/27
Dr. Gao Pilin reply Ophthalmology
Hello YanYan: 1.
It is possible to have some residual refractive error after surgery.
2.
Mild pain may indicate some inflammation or other symptoms.
Whether the surgery was successful or if there are any issues cannot be diagnosed without proper evaluation.
Please consult your attending physician or visit an ophthalmologist for a thorough examination to confirm.
Reply Date: 2022/08/27
More Info
After cataract surgery, it is common for patients to experience some degree of visual disturbances and discomfort as part of the healing process. Let's address your concerns regarding your mother's post-operative experience.
1. Blurriness in Vision: It is not unusual for patients to experience blurred vision after cataract surgery, even after a month. This can be attributed to several factors:
- Healing Process: The eye takes time to heal after surgery. The cornea, lens capsule, and surrounding tissues may still be recovering, which can affect vision clarity.
- Residual Refractive Error: Sometimes, the new intraocular lens (IOL) may not perfectly correct the refractive error that was present before surgery. This can lead to residual nearsightedness, farsightedness, or astigmatism, resulting in blurry vision.
- Posterior Capsule Opacification (PCO): This is a common condition that can occur weeks to months after cataract surgery, where the thin membrane behind the lens becomes cloudy. If this happens, it can cause blurred vision and may require a simple outpatient procedure called YAG laser capsulotomy to restore clarity.
- Dry Eye Syndrome: Post-surgery, many patients experience dry eyes, which can lead to fluctuating vision and discomfort. Using artificial tears can help alleviate this symptom.
2. Discomfort Near the Inner Corner of the Eye: Mild discomfort or pain in the eye, especially near the inner corner, can also be a normal part of recovery. Possible reasons include:
- Surgical Trauma: The surgery involves manipulating the eye, which can lead to temporary discomfort as the tissues heal.
- Inflammation: Post-operative inflammation is common and can cause sensations of discomfort or mild pain. This usually resolves as the healing progresses.
- Eyelid or Tear Duct Issues: Sometimes, the eyelids or tear ducts can be affected during surgery, leading to localized discomfort.
- Infection or Complications: While less common, any persistent pain should be evaluated to rule out infection or other complications.
In summary, both the blurriness and discomfort your mother is experiencing can be considered normal during the recovery phase after cataract surgery. However, it is essential to monitor these symptoms closely. If the blurriness does not improve or worsens, or if the discomfort becomes more pronounced, it is crucial to consult with the ophthalmologist. They may perform a thorough examination to determine if any additional treatment is necessary, such as addressing potential PCO or other underlying issues.
Encourage your mother to maintain follow-up appointments with her eye doctor, as they can provide personalized care and reassurance throughout her recovery process. In the meantime, using prescribed eye drops and ensuring proper eye hygiene can help facilitate healing and comfort.
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