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Hi!

I saw my surgeon the other day and he gave me yet another type of eye drops to REALLY constrict my pupils to try to cut down on the central flash/edge glare problems that I have day and night with the Crystalens implants. Well, the drops sure do work -- everything is REALLY dark. But the flashing and glare are still there. No improvement.

He also suggested explanting them, since 2 different type of drops and opaque contacts didn't help at all with the flashing. But that's so risky, I'm not considering it.

I can't believe I did this to myself, all for the hope of getting back some near vision (I'm 47). I should have known, if it sounds too good to be true -- it probably is!!! I didn't even have cataracts and my contacts were great. I had 20/20 vision even though my myopia is high (-10.5 contacts).

Since I can't do anything about the flashing, I'll concentrate on trying to get my vision back to what I had before the surgery. Not only is my vision not better, but it's quite a bit worse. I can't believe this turned out so bad! And my right eye still hurts like crazy at times. I gained nothing and lost so much ..... :(
I know explanting is risky, but just how risky? Since you are so unhappy with the results, maybe you should give more consideration to another op.
I'm really not wanting to go through that much pain again as far as surgery (it was more than 12 weeks after the 1st eye that my eye wasn't hurting as much). I'm glad only the one eye hurt like that. So I know that wasn't "normal" but I'm afraid that if I have surgery on that eye again, it will affect the nerve again. My eye was half shut for 5 weeks but now seems to be open close to normal and the pain comes and goes -- not nearly as intense as before.

I feel like the glare during the day is similar to what a person wearing glasses has to deal with: reflections from windows, etc. so it's irritating, but not really dangerous. But the flashing at night is bad, so I drive with one hand blocking the worst of the flashes -- sometimes I have light from both sideview mirrors and rearview mirror and streetlights over head as I pass by. I do put on my sunglasses when it really gets bad. I drive so much at night I can't really avoid this problem. My doctor didn't even consider multifocal lenses because of night problems, but he has never known of anyone with so much trouble from the Crystalenses. He really is against explanting them, though since he thinks the risk of worse vision is very high.
[QUOTE=EYE-KANT-C;3243111]...he has never known of anyone with so much trouble from the Crystalenses....[/QUOTE]Hrmph. I've never heard of anyone personally who was happy with them either. But I suppose that doesn't mean there aren't people out there just tickled pink about their crystalenses.

Before considering explanting, I would want to talk to some who have gone through it and hear what they thought of it.

EYE-KANT-C, I can tell how upset you are right now. It wasn't so long ago that I felt the same way. I remember crying in the doctor's office and sobbing when I couldn't see to draw (I've been an artist my whole life).
But it really is better now (I'm drawing again). Trust me, your brain will learn to put together the pieces of information it is getting to the point that you will actually see better over time. And you will eventually get reading glasses that really work for you. You will always need reading glasses for near vision (except maybe not in bright sunlight -- practice trying to read without glasses in super strong light). But in time you will emotionally accept that just as you and I had long ago accepted that we needed corrective lenses to see a few inches past the ends of our noses.
I love walking in the rain without glasses -- but of course you were able to wear contacts, so probably don't think that's a big deal.

I am concerned that you still have pain. That doesn't sound right to me. I'm concerned that your dialog with the the doctor about the poor results is overshadowing the fact that you still have pain. What does he say about that?

Anyway, here's a big cyber-hug.
((((((((((((((())))))))))))))))))

Keep posting here about how you're feeling. We are here to support you.
:angel:
Hi Guys --

The pain comes & goes now. My doctor does so many of these surgeries (at least 25 a week) that I don't even think he remembers how bad my 1st surgery was and his associate, who I saw in between post-op visits, attributed my continuing pain to "dry eye" and gave me drops for that. He mumbled something like he'd never seen so much damage with a cataract/lens exchange surgery and it looked more like a glaucoma procedure. I'm not sure what he meant by that. I'm sure they would argue, but in addition to what he said (inflammation, tissue damage) I know that my nerve was damaged. From what I understand, there's no real treatment for damaged nerves (I had acute sciatica a couple years ago from a severely ruptured disk in my lower back -- after surgery it took almost a year for my nerve to decompress and it was never completely normal, but pretty good. My surgeon was fantastic!) My eyelid was drooping badly for 5 weeks, but it's better now and the "nerve" pain is a lot less intense. My surgeon has checked pressure many times and it's normal, so I guess I'm okay.

My surgeon says he's only explanted 1 crystalens and doesn't think it's a good idea, so unless I can find someone who's got a good track record some day, I guess I'll learn to live with the glare & flashing. It wouldn't be so bad if it was just at night, but the daytime glare makes my otherwise sharp vision seem blurry.

I can't understand why any surgeon would encourage or even allow a patient to get Crystalens implants for improving presbyopia, when they clearly have been shown to provide only limited, if any, near correction for MOST people. What is the point, then? I never had a problem with contacts and I certainly never would have gone through all this if they had been honest with me. And NOBODY ever told me how difficult/nearly impossible it is to explant them if there are problems!!! I was told that there's almost no risk of any problems with these lenses. And I wouldn't need any glasses ever again.

Until after the 1st eye was done and I was devastated at losing so much near/intermediate vision. Oh, you'll probably need low-powered reading glasses and probably something for driving. And maybe night-driving glasses, but that's no big deal -- lots of people need that!!! WHAT???? I never did before, only reading glasses, and not for intermediate at all.

Thanks for all your support -- I'm trying to make it through this without losing my mind completely. My family is sick of hearing about it and I'm trying to get on with life. My surgeon doesn't want to talk about "fixing" my still-lame vision with contacts yet, but he better get me something soon -- I've already postponed a much-needed vacation once because of this and I don't want to go to Florida unable to enjoy it fully because of poor vision. I know I just have to accept the flashing & glare.

You guys are great help....
Feel free to come here anytime and complain to us. :)
I know what you mean about your family being tired of hearing about it. But I have to wonder if they were really tired of it, or just frustrated that there was nothing they could do, and that they really didn't mind.

Have you purchased some drug store readers? I got every available prescription (just about) at the Dollar Store after my surgery and before I had prescription ones.

I wound up getting my glasses fitted by optometrists for whom fitting glasses is their raison d'etre, rather than at the ophthalmologist's practice.

You might want to try bifocals with the top part for mid-range (computer) distance and the lower part for reading close. I have that in a rimless shape that's sort of flat on top so I can look over the tops of them at the distance.

The daytime glare should more or less disappear.
When you do get prescription glasses, be sure to get anti-reflective coating.

Are you using those single-use ampules of Refresh Plus for your dry-eye problem?
[quote]I don't want to go to Florida unable to enjoy it fully because of poor vision.[/quote]
I had to laugh at that. I've been to Florida several times with poor vision. Everywhere I go I have poor vision.:)
Actually, I'm normally a very positive person. You know, I was perfectly happy (well, pretty happy) with what I had -- legally blind from a young age, but correctable to 20/20 with contacts -- amazing! But when I started to need readers for "reading" I was hoping for another option. I didn't yet need them for hardly anything else, so I just avoided reading very much for years. I really never could stand glasses and was lucky enough not to need them since I was 13. I wore contacts for 33 years with no problems.

My opthalmologist's office is very aggressive with pushing lasik and refractive lens exchange. I really don't know why nobody ever suggested I try bifocal/multifocal contacts or even slight monovision contacts. (I only needed +1.5 for reading and nothing really for intermediate.) Since I did not have cataracts and no problems with contacts, I certainly could have waited for better IOL's to be introduced to the market, or at least until they got the "edge issues" with current IOL's under control.

Why I went through all this without being told about any other options, I really don't know. But if I can get back some near vision with some sort of contact configuration, I'll have to be okay with it. I will find out if there is some sort of antireflective glasses that aren't dark, to help with my disastrous night vision. I have been told that my edge issues could diminish slightly over the years, but don't count on it.

My parents are actually very understanding about this and my kids (teenagers!) have so many of their own issues, I don't bother. (LOL) I've been trying not to burden people so much with this. It's just that eyesight is to important and this problem of mine doesn't seem to have any solution .... I'll let you know if I have any luck talking my doctor into getting me some sort of contacts. I really don't want to "give it more time" and see if it gets better. Nothing has changed yet and from what I read, it's doubtful that the Crystalenses will miraculously "start to accomodate."

The way they give these reading tests, they want you to "just try" to read it and if you've read these so many times, you know what it says, so no matter how blurry it is, they say you're reading it at this or that level. I tell them I can't even see the top line clearly! I think a lot of the numbers doctors report are not really accurate. They write what they want to write.

Thanks for reading.... my final words of wisdom for today: be cautious when considering any refractive eye surgery .... glasses or contacts are a lot safer!
Post for S.P.:

Why did you have trouble with your drawing? Too blurry or overlapping images? I forget what type of lenses you have ... multifocal? Did you finally "neuroadapt" to them?

I think the only thing that would make my edge glare/flash problems better is if the posterior capsule eventually "shrink-wraps" and causes the edges of the lens to not be so reflective. But the problem is with the round middle "optics" part of the Crystalens, not the oblong, rectangle-like outer edge. I don't think the capsule shrink-wrapping will help, unfortunately.

My husband has standard monofocal IOL's in both eyes and he said after about 6-8 weeks his flashing was completely gone. Mine shows no signs of getting better and by looking at the shape of the Crystalens, I understand why.

I just wish surgeons were REQUIRED to inform their patients of the actual problems involved with all the lenses so they could make an educated decision. There should be a law, like they have with so many other consumer products ... like the "Truth in Lending" law and False Advertising-type laws. Isn't our eyesight worth more than most other consumer products????? :confused:
Eye-Kant-C, there is SO much truth in everything you say! Reading through your posts on this thread, all the pain that you experienced really stands out. It is not normal to experience that degree of pain post-cataract surgery. And the comments made by your surgeon's associate lead me to believe that your surgery was not exactly stellar in its execution. Who says that the Crystalens can't be safely explanted, especially early in the healing process, besides your surgeon? Please, please, please consider getting a second opinion. I know that you have a good relationship with your surgeon, but it's you who will have to live with your vision.

The Crystalens is all the rage right now, and lots of surgeons seem to be jumping on the bandwagon. (I hate to be cynical, but these lenses can help the docs with their mortgage payments and college tuition bills.) Yet you and Serious Person are right--at best, the Crystalens provides vision about as good as modified monovision (now called "blended vision") with monofocals IOLs.
What I've been reading on this and other boards and the Cataract & Refractive Surgery articles about explanting the Crystalens, they recommend cutting the haptics from the rest of the lens and leaving them in place. Also, if my surgeon had offered to explant earlier, it would have been much easier, but now (after more than 3 months/2 months) the bag could easily tear and then the new lens would have to be placed in the ???? (some place that it normally wouldn't go into) and it would be unstable and may dislocate and have to be stitched into place. Also if the posterior capsule ruptures, it could leak vitreos fluid which causes vision problems and possibly would necessitate a vitrectomy. (My husband had that, so I know what that is and I'd like to avoid it!) Also there is the increased chance of retinal detachment (with my already high risk factors) and macular degeneration from another surgery.

Even though my edge glare/flashing problems are pretty rough, I'm just not willing to risk even more vision loss at this time ... maybe in the future if my posterior capsules do eventually cloud up so badly that I need to address that problem.

My vision is actually really amazingly clear ... one eye near and one eye distance. Probably as clear as monofocal lenses. I do have to give them credit for that. And I have been informed that some people do experience edge glare issues even with monofocal lenses, so who's to say even monofocals, with my high prescription, would work any better? Just a roll of the dice, I suppose. My doctor doesn't seem to have any idea what's actually causing the edge problems. And I wouldn't want to take a chance on all the visual aberrations I've read about with multifocals.

So, I'm resigned to living with the flashing/glare; I CAN live with it, although I'd rather live without it. And if I can get more of a "blended" vision with contacts or possibly even try multifocal contacts for as long as I can wear contacts, I'll be relatively happy.

What I'm most upset with is the fact that I wasn't informed about all the risk and the truth about the Crystalens technology -- basically it barely works if at all and they shouldn't be allowed to lie to patients or doctors. Many doctors really believe in the technology. If a person was completely presbyopic, they may regain a little accomodation, but for someone like me who wasn't nearly there yet, you actually can lose some of what you had. There would be no point in going through all this, especially considering the possibility of complications (and dysphotopsia), because there is absolutely nothing to gain from it!

I just want people to make an educated decision since there may not be a way to "undo" this once it's done.

I'm really doing much better mentally with this whole thing ... thanks to all of you who have "talked" me through it!
;) Just a quickie ...

My husband is going to a new opthalmologist soon and if he feels confident with them, I'll make an appointment also. (They do cataracts, laser for retinopathy and retinal repairs -- my surgeon only does cataracts -- definitely worth checking into!)
Eye-Kant-C. you're so right that the doctors should let you know about the risks beforehand, so that you can make an intelligent choice. You have articulately related the terrible situation into which you fell, and I'm sure that hundreds of people have read about it online.

In your situation, I'd want to consult another doctor(s) who might know more about edge glare problems with Crystalens. I don't think you should assume that nothing can be done. I was told by several "top" retinal surgeons that my continuously tearing eye post-retinal surgery was just something I'd have to live with. I had to write to the authors of the research articles I found online, but I finally found a solution that immediately stopped the tearing. Ophthalmology is highly specialized today, and few (no?) practioner is aware of every possible treatment.
A lot of good points have been made here.

When I got my second opinion after the first surgery (crystalens) the doctor said that eventually the posterior capsule would get very cloudy, and then they would do a YAG, leaving the edges of the cloudy capsule to block the edge glare from the crystalens. I don't know if that was just a theory or if he'd actually seen it happen (I suspect it was conjecture).

EYE-KANT-C, the reason I couldn't draw during the first 6-12 weeks or so after my surgery was that I had almost no near vision and no prescription glasses that worked (they didn't want to fit me that soon after the procedure). Now I have 2 kinds of glasses that I use for near, so I can draw. Since you are a contact lens wearer and not an eyeglass person, you will probably be much happier when you finally (after trial and error) get fitted with contacts that work for you. I know that will be disappointing too. I had thought I'd never have to spend money on glasses again after the surgery. I now have 3 pair that I wear for different situations, with the most expensive pair (the progressive lenses) costing about $700 [I]after[/I] insurance discounts.

Well, if there's ever a class action suit around this lens exchange business, maybe I'll be able to afford new glasses. Fortunately I don't mind wearing glasses. I kept reaching for them in the early weeks after my surgeries.

I think you are wise not to try the explanting. I don't see how new implants would be much better, except for the edge glare, that is, your near and midrange vision would be even worse than it is now with single-focus lenses...unless you went for one near and one far. But I don't think that would do much for your midrange.

I do want to encourage you that the edge glare is less of an issue over time. And the accomodation can actually get somewhat better even years after. I read about that in the cataract and refractive surgery journals, and have noticed it to a small degree in myself.

I know this is a very difficult time for you, so just let us know here when you need some support, or just need to express things.
Hi --

I saw my surgeon today and he said I have an extremely good range of vision between the 2 eyes: one for close and one for distance. And I again said yes, they are each great ... separately. But I didn't WANT monovision. I want to try a contact in the "near adjusted eye" that's not as strong, since the one I had (-1.50) was overcorrecting that eye for distance. And he couldn't seem to understand that I realize if I get a little less distance, I'm okay with that since the Crystalenses don't seem to be accomodating much, if at all and I only did this surgery to regain some near vision. He said but before you had the surgery, you didn't have much intermediate at all and I told him, no -- that's not true. I never needed "readers" for the computer and other intermediate things, such as seeing the food I'm preparing/eating! Only for actually reading.

So, I think he finally gets it. I don't like mono-vision, but would be willing to try the modified/blended vision as you have suggested, JodieJ. He gave me a (-1.00) contact and still doesn't want to give me anything to "dim down" my 20/20 distance in the other eye to get back a little close-up vision. He's so afraid I won't be happy to lose the distance vision in that eye. I don't really need to see the spots on a ladybug at 1/2 mile away, but I do need to see what I'm eating!!! (LOL)

So, even the (-1.00) contact was still extremely good for distance 20/15 and I said I'd really like to try one even less than that sometime. Luckily he had one and gave me a (-0.50) to take with and I'm thrilled to say it's MUCH better than being overcorrected and also better than the IOL alone (a little blurry for distance). I am going to push for a (+0.25 or so) for the other eye to try for slight nearsightedness to see if I can gain any closeup in the distance eye. Sure can't hurt to try.

If the Crystalenses are accomodating at all (not sure, but they may be???) I read that if they are set to overcorrect for distance, that negates the closeup vision you would have gotten from them. That may possibly be the problem I have with the one and the other needs just a little bit better distance, since it's set for closeup.

I want to give it more time to see if the flashing is really getting less intense. It seems to be better. He really believes that it's the actual retangular-ish edges and not the round optics in the center that are causing the problem and the capsule may "frost" over the edge better in time to cut down on the glare. I'm actually starting to be able to tolerate it pretty well, so either I'm getting used to it or it's getting better. I'll research more on possible solutions, though.

S.P. I'm glad you finally got glasses that work for you. I'm lucky enough to be able to use the store-brand readers I used in the past (same strength as before surgery!) in addition to the contact and have maybe slightly better closeup vision than before the surgery. Finally back to where I was before surgery, but after reading about the horror stories of so many others, I'm thankful for what I have!! Who knows, in a year or so it may be a little better yet.

Many thanks for the words of encouragement ... things do seem to be getting better.


I'll keep you posted -- next appt. in 4 weeks. Until then ... thanks for talking!
EYE-KANT-C, I'm very glad to hear how much better you are doing. I'll check back here later too.
:angel: :cool:
I can't see either. I had restor lens implants about 4 weeks ago and everything is still fuzzy. My whole world is airbrushed. May be nice in some situations, but I read alot at work and just can't get my eyes to focus. Im glad you vision improved over time--I hope mine will follow.
can you tell me which eye drops helped with the post-retinal surgury tearing? Thx.
Hi --

This is an update ... I saw my surgeon today and he seems to be too irritated with me to help with my problems at all.

I still use the same reading glasses as before the surgery (+1.50) which aren't too bad at all, except that the whole reason I had the Crystalens IOL's implanted and went through all the expense ($6,000), pain (and the one eye was QUITE painful during surgery and for 3 months afterward and drooping eyelid -- finally getting better) and now have the crazy flashing lights during the day & night and problems with glare during the day, was to GET RID of the reading glasses.

I did not have cataracts, did not mind contacts and my doctor now apparently is not willing to even let me "rig" my eyesight with contacts that will leave me slightly nearsighted, so that I can get a little better closeup vision. Although he's perfectly willing to let me have monovision with the IOL's -- even though I specifically told him before the surgery I didn't want that.

I'm willing to sacrifice some distance, to re-gain a little closeup and he'll have no part of it, I guess. I'm going to try again to beg them to order me the contacts and if they still won't, I guess I'll try the optometrist at the mall!!! I don't know if they'll do it either.

I really believe a big problem is that not only are the Crystalens IOL's not accomodating, but the one eye is over-corrected, leaving my closeup vision in that eye much worse than before the surgery.

The surgeon claims that a YAG will give me better closeup vision, but I find that hard to believe -- my distance is crystal clear and the amount of POC he finds is trace to +1, which doesn't sound like much at all. From what I've read, Posterior Cloudiness would affect all distances equally and would cause halos, etc. I don't have any of that.

Any ideas???? Comments??? I know I should be grateful I can see as well as I can and I'm dealing with the horrible flashies and glare -- I know I'll have that forever, but the least they could do is accomodate my request for a chance to see better with contacts after all I went through and gained nothing. I'm perfectly willing to pay for the contacts. :confused:
About post-retinal tearing? Not sure what you mean exactly??? I didn't have a retinal detachment, though I am high-risk for that with mom & sister both having RD and myself being high myopia. That's why I don't want to do the YAG; I've heard too many stories of RD resulting from YAG, though my surgeon says the IOL implants are much riskier than the YAG for detachment. I sure wish someone would have explained all this to me prior to the surgery.

If you mean dry eyes? or excess tearing? I had a dry eye problem with the one eye for a while and I used Visine tears, recommended by the doctors. But then I read that they can throw off your balance and your eye will actually stop making tears once they sense you have enough. I used some prescription drop like Alphagan-P, possibly?? It's like Restasis. That burned a little, but seemed to really help with the terrible dry-eye feeling and I'm a lot better now -- only use the tears occasionally.

Good luck ....
EYE-KANT-C,
From what you've typed here, and from what I've read elsewhere, I would recommend holding off on the YAG. I am. I figure since I was disappointed (like you) with the implant surgery because my pre-surgery corrected vision wasn't that bad, it doesn't make sense to do the same thing with the YAG, given the risks. But these ophthalmologists sure do seem to be in a hurry to do the YAG on any disgruntled post-surgery patients. There was someone else on these boards a while back who had the YAG done right away, who said it didn't seem to help.
But all of this is just my opinion.

It sounds like you could do well with another professional opinion, or perhaps two other professional opinions: an opinion from another ophthalmologist on the wisdom of doing the YAG, and an opinion from an optometrist on the contact lenses. But it doesn't have to be an optometrist in the mall. I used to go to a chain optometrist, but I got my last glasses at a high-end store and feel it was worth the additional expense.
Thanks for the post, SP. The mall doc has been here in town for many years (I used to go to him long before I ever heard of retinal detachment -- he's actually the one that told me I was high risk and he then worked for the opthalmologist I go to now for a while). So I do trust his skills. I also plan to see the Retina Specialist for a 2nd opinion on the YAG. I will see if the contacts help first ... that is, if I can get anyone to prescribe some for me. I'm still waiting to hear back from my original doctor so see if they'll order them for me. It's worth a try, in my opinion, certainly rather than go right to a surgery that may be completely unnecessary. I really wish someone would tell me what the symptoms of PCO really are...

Can anyone describe symptoms of PCO to me??? Is it halos? Glare? Flashing? Blurred vision at all distances? Blurred vision at specific distance ... like just at near or just at far? Ghosting? Double vision? I really don't have [B][COLOR="Red"]any symptoms at all,[/COLOR][/B] that I can really tell, so I feel my problem being only some difficulty reading which is easily corrected with reading glasses (and I believe contacts would do the same thing) so I don't really think my PCO is really a problem at this point.

Any opinions????
Even though I'm not going for the YAG yet, I do have some PCO. Because of the starburst glares and halos that have been with me since the surgery at night, it's difficult to say for certain that the softening of these glares is the PCO, but I think it is. By softening, I mean that there's the effect of a translucent, white film over the glares/halos. And sometimes words on a page look a little gray, like they did with my original cataracts (which weren't that bad). Eventually the PCO would cause corrected vision to drop below 20/20, as with cataracts. Right now I'm holding out for that development, but I suppose I may cave and get the YAG before that happens.
SP --

I looked over your previous posts, but I didn't see it listed: what type of IOL's do you have? It's hard to see the computer screen, so I may have missed it. What I noticed is that like I said, I don't have any "softening" or cloudy appearance, like you described (and my mom says she has with her cataracts -- mostly at night -- bad halos). I also don't have "greying" out of words on a page, just blurriness, which is completely corrected with my reading glasses.

That's why I don't think my PCO is affecting my vision. I also read somewhere that if vision is worse in lower light, that could be PCO problems. But mine seems the same no matter what the lighting is. Just blurry up close and very clear for distance.

I'm still waiting to hear from the doc's office, whether or not he'll let me try the +1.25 contact for the really bad closeup eye. (I think it's overcorrected and this may help, if reading glasses help, why wouldn't it?) So if the contact doesn't work, that will tell me that the YAG may help. I'd rather try the contact first to be satisfied that my problem can't be corrected with refraction change.

Thanks for your input. Best of luck if you do get YAG. I saw that it increases chances of retinal detachment, macular degeneration, etc. etc. The chances of RD are 2%-4%, I think in a normal risk person, and I'm high risk, so not in a hurry to take a chance on going blind.

I sure wish someone would have told me all this before my surgery, which I really didn't even need -- since I didn't have cataracts and no one told me that the lenses "might not" let alone "probably wouldn't" accomodate for near vision. [B]There's no excuse for the lack of patient education, in my opinion.[/B] I'm using the same readers I did before the surgery and gained absolutely nothing from this procedure and lost $6,000, endured a good deal of pain, and will forever have to deal with the daytime glare and dangerously blinding lights at night.

If anyone has more input on PCO (Posterior Capsule Opacification) after cataract surgery, please post here. I am looking for info on symptoms to determine if my slight PCO is really affecting my vision.

Thanks!!!!
I've been following your threads, Eye and SP, and thought I'd mention what my surgeon suggested this morning, as I am still having distance problem with Crystalens in left (dominant) eye. Intermediate and upclose are fine, but when distance comes into the equation, even being in a fairly large room, the left eye feels like someone put Vaseline on top of the lens. It doesn't just "recede" and let the right eye take over (ReStor), it's like it competes with the right eye.

My surgeon put a -.75 contact lens in left eye. If the lens actually does accommodate, it should be able to give me good intermediate vision. If this works and takes away the "vaseline-eye" problem, then he is going to exchange the Crystalens for one with a different prescription equal to the results I am seeing with the contact. I can't tell much yet as my eye is still very dilated, but if this works, at least it gives us more information.

I hope you get some good news from your doctor, Eye.

jefields
EYE-KANT-C, I have the crystalens in my left eye and a Restor in my right.
I totally relate to your "buyers remorse" over the whole procedure, and also to your feelings of being cheated and lied to. Over time I've resigned myself to what I have and learned to try to focus (no pun intended) on the positive aspects of my vision, e.g., I can see forever into the distance on a clear sunny day. But those feelings of resentment are always just under the surface.

The most encouraging thing I can share with you is that over time your brain will "learn" to filter the messages it receives from your eyes. There is a technical term for this, but I can't find it at the moment. What really amazes me now (2 and a half years later) is that individually, if I cover one eye or the other, things are a bit blurry, but together, things are clear (not up close). And even my up-close vision has improved. The Restor eye can see up close at a specific distance, but at first the blurriness of the crystalens up close totally negated things (plus the ghosts in the Restor eye). Now I don't see the ghosts up close, and the crystalens only helps as it can (not much) rather than adding its blur messages.

jefields, If your crystalens allows you to see up close and midrange, I would think that would be preferable to losing the close vision. You can always wear -.75 (a low prescription!) glasses for driving or watching movies and such. But we each have our own lifestyles. For me, having been nearsighted for my whole life, losing that near vision has been a great loss. Anyway, be sure to check with your doctor as to how similar the new implant would be to what you see with contacs. I was given a contact to try prior to my implants, but I don't seem to recall it being the same as the post-implant effect.
Seriousperson, thanks for your remarks about the contact lens. That is a good question for the surgeon tomorrow morning. You mentioned in the preceeding paragraph that at first the blurriness caused by your Crystalens at near range negated the good vision you were getting with your ReStor. That's what is happening with me and the Crystalens with distance. Like, when I walk into a large room like a supermarket (or even my art studio), I immediately felt my left eye separate from the right eye...if that makes sense. The blurriness became very apparent and "in your face", in a manner of speaking and kept the right eye from seeing well. I'm not experiencing that strange feeling with the contact in. And like you mentioned, neither eye sees great by itself, but when you use them together (I'm speaking intermediate and near now), the image is so much better. It's sort of a synergistic effect I wasn't aware existed.

I'm wondering if my surgeon might suggest leaving the contact in and not exchanging the Crystalens. I'll let you know what happens.

jefields
Hi Eagle :wave:
I didn't know there would ever be a need to do a YAG more than once. Do you know for sure that is happens?
Hi SP --

I think the term you are looking for is "neuroadapt." And like you I can see for miles on a sunny day. I prefer to pull back a little on the distance and possibly improve closeup, because like you, for years of being able to see up close, that's a huge loss to me. If I can ever get the contacts to try that, I'll let you know!!!

I am only -.50 different between the 2 eyes and it's too much for me. The blurriness up close with one and far away with the distance is too distracting. Some of the time I don't notice, but some of the time it's really irritating, like there's "vaseline" or something blurring my vision. So I prefer to have them as close to the same as possible, even if I lose some of the benefits of "monovision."

I really appreciate your encouraging words, and I really am doing much better. I deal with the day & nighttime flashing and glare issues and I know that life goes on. I'm just glad I can see at all after reading so many stories from people who have such major problems.

I just worry that I'll soon join them if I get the YAG done and resent the fact that my doctor never told me of any of the risks involved with the original IOL procedure and that it probably wouldn't benefit me in any way. Of course, I wouldn't have done it! They're very aggressive in recruiting people at this practice to get IOL's for refraction purposes and hold regular seminars to entice people to get the surgeries, give away Ipod's to those who attend, etc. It seems like a conflict of interest to me. Or unethical. Or something!

I really wish my right eye would stop hurting. It really bothers me some days. It's a pretty intense ache and I'm pretty sure it's nothing to do with "dry eye" as my doctor claims it is. He's basically sick of my complaining, so he told me to schedule a follow-up in a year.

I'm going to call the other eye surgeons (retina specialists) in town soon to get a 2nd opinion on the YAG and maybe they're ideas about the nerve/muscle pain in this eye. I think I know what caused it -- the lens he put in my eye to hold it open to do the surgery was compressing a nerve, and it was extremely painful during surgery and for 3 months afterward, good days & bad days now -- I don't know if anything can be done to help manage the pain and I don't know if I'll have it forever.

I'll let you know if I my contacts help with closeup vision, if they ever order them for me!!
Eye-Kant-C, I can't believe that you're waiting to find out whether your doctors will order the contacts you want. There is no medical reason why you cannot have these contacts; and, after all, it's YOUR vision not THEIR vision we're talking about. In addition, I'm guessing that you have a problem seeing with both eyes together because one eye is farsighted (i.e., "overcorrected") and the other is nearsighted. (What you have may be a botched attempt at monovision.) The contacts you want might make your vision both clearer and much more comfortable. Please, please, please don't delay in consulting someone else. The doctor who gave you the Crystalens doesn't seem to be hearing your expressed concerns.

From what I've been told, the YAG procedure is only done once. It will not help an epiretinal membrane, although the blur from each may be hard to tell apart. (I've unfortunately had both.)
Update on my situation with Crystalens IOL's. My surgeon's partner, (my regular doctor -- an opthalmologist) says I should have made an appointment with him a while back. He seems to completely understand what I'm trying to do with contacts, since the Crystalenses aren't all they're cracked up to be.

He gave me a +1.00 for the right eye which is probably overcorrected for distance and I'm doing a lot better with that already. I am seeing him again next week for a possible increase in + for that eye and hopefully an adjustment to the left eye which has been good for near, but not quite good enough for distance.

Yes, my surgeon apparently was trying for modified monovision and some people would be ecstatic with what I have, I'm sure. But I really don't like the 2 eyes being different and told them up front that I didn't want that. Plus, he did them the opposite way around, making my near-preferred eye set for distance and my distance eye set for near vision.

I'm willing to deal with the glare/flashing issues (which are somewhat less now than they were originally) if only I could gain some near vision ... without the use of reading glasses. Thankfully, my opthalmologist is okay with that and understands why I don't want any more surgeries, like lasik or even YAG unless I absolutely need it.

I'm finally hopeful that I will get my distance & near/intermediate to be where I want it, even though it would have been nice to do away with contacts. I really was just much more bothered by the reading glasses than the contacts to start with and I'm pretty happy at this point!!! I'll post again next week to let you know if I'm changing contacts again and if it's better still .....

My advice (if any) is know your goals and have realistic expectations, but don't give up and settle for less, like I almost did! :wave:





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