> On Nov 19, 7:21 am, "Mike Tyner" <mty...[at]mindspring.com> wrote:
> > <roberu...[at]gmail.com> wrote
> > > > I would also advise anyone who has been told by an eye examiner
> > > (optometrist, etc.) that he/she requires cataract surgery to get a
> > > second opinion. Just because you have cataracts does not mean you
> > > require surgery.
> > > OTOH, people choose to have LASIK electively. Complication rates are pretty
> > similar between the two procedures and there are arguments for using
> > cataract surgery as a treatment for refractive error.
> > > On cataract surgery the best advice used to be "you need surgery when you
> > can no longer see to do the things you want to do."
> > > But it's appropriate to consider surgery at an earlier stage, if there is a
> > big refractive benefit.
> > > -MT
> Here's an update - two weeks after surgery.
> The shimmering/giggling problem is gone. What remains are glare
> problems at night and the negative dysphotopsia. On the glare
> problems -- which are manifesting themselves as rays coming out of
> bright lights -- my surgeon echoed what Dr. Robins said earlier in
> this thread -- that wrinkles in the lens capsule could be the culprit,
> and these should resolve as the capsule contracts around the iol.
> I talked to my surgeon about replacing the lens and he recommended
> strongly against it. The lens is a Clariflex, which has an edge
> design that is intended to provide the advantages of square-edged iols
> in minimizing post-cataract lens capsule clouding while also
> minimizing dysphotopsia. He said that round-edged iols, which I
> understand from the Medhelp forum and other places have the least
> chance of causing negative dysphotopisa, are never used anymore due to
> the lens envelope clouding issue. I am not sure that this is true.
> However, as the other symptoms are abating I am going to hope that the
> negative dysphotopsia will as well. Still going for a second opinion.
> I think part of my problem is that no one prepared me mentally for
> these after effects, and I did not do any research beforehand.
> So I'd like to offer thanks to all for your advice and info.

> <roberu...[at]gmail.com> wrote
> > I would also advise anyone who has been told by an eye examiner
> > (optometrist, etc.) that he/she requires cataract surgery to get a
> > second opinion. Just because you have cataracts does not mean you
> > require surgery.
> OTOH, people choose to have LASIK electively. Complication rates are pretty
> similar between the two procedures and there are arguments for using
> cataract surgery as a treatment for refractive error.
> On cataract surgery the best advice used to be "you need surgery when you
> can no longer see to do the things you want to do."
> But it's appropriate to consider surgery at an earlier stage, if there is a
> big refractive benefit.
> -MT

> I would also advise anyone who has been told by an eye examiner
> (optometrist, etc.) that he/she requires cataract surgery to get a
> second opinion. Just because you have cataracts does not mean you
> require surgery.

> So, you can't please everybody -- so you got to please yourself.

> (Where did I hear that before?)

> On Nov 18, 12:11*pm, Dr Judy <mpac...[at]rogers.com> wrote:
> > On Nov 17, 6:45*pm, roberu...[at]gmail.com wrote:
> > > On Nov 16, 12:09*pm, otisbr...[at]embarqmail.com wrote:
> > > > Dear Robru,
> > > > Subject: *Variable results from cataract surgery.
> > > > I regret your results -- but it usually takes a week before the
> > > > replacement lens
> > > > "settles out".
> > > > I had a check on day after surgery, and then took "drops" for a week.
> > > > After a week, I was about 20/30 to 20/25. *This was far better than
> > > > the naked eye vision I had of about 20/600 when my eyes
> > > > had a negative refractive STATE.
> > > > So -- give it some time. *Your results might not be that good, but
> > > > there are some very good results from cataract surgery. *From me,
> > > > there was not choice -- other than the surgery.
> > > > Best,
> > > > On Nov 16, 12:46*pm, roberu...[at]gmail.com wrote:
> > > > > On Nov 15, 8:37*pm, Glenn Hagele - USAEyes.org
> > > > > <glenn.hageleSTOPS...[at]USAEyes.org> wrote:
> > > > > > As Dan said, it is way too early to come to any conclusion about your
> > > > > > outcome. Discuss your concerns with your surgeon and please, report
> > > > > > back here for others to learn more.
> > > > > Many thanks, Glenn and Dan. *The flickering has abated somewhat, and I
> > > > > am encouraged by your advice. *Will definitely post the resultsof
> > > > > follow ups.
> > > I went to see my surgeon today, because I also developed a new
> > > problem. *Here is a list of all of them:
> > > 1. Glare is worse. *Lights now show beams or rays going through them.
> > > 2. I experience a periodic flutter in my visual field, like a camera
> > > being jiggled.
> > > 3. I can see a dark arc in the corner of my eye on the right side.
> > > 4. I am getting "ghost", slightly double images.
> > > The surgeon told me everything looks fine. *The IOL is perfectly
> > > centered and my eye is healing nicely.
> > > He explained all of the above by saying that the lens envelope needs
> > > to shrink around the new lens, which is much smaller than one's
> > > natural lens. *He said this could take up to three months. *That is
> > > what is causing every one of the above described "special effects".
> > > I want to believe him, but if all of this is true, why was I not told
> > > about it up front? * I can't help but think he made some kind of
> > > mistake during the procedure.
> > > I am currently scheduled to have the other eye done on the 5th and am
> > > inclined to postpone that and get a second opinion. *I now wish I had
> > > not had this surgery done at all, as my vision is markedly worse.- Hide quoted text -
> > > - Show quoted text -
> > You are about 3 days post op!!!!!!
> > The eye needs to heal. *Have you ever had a bruise heal in three
> > days? *There is inflammation in the eye and you cannot expect it to be
> > cleared up until after you have finished with your post operative
> > drops, about 4-6 weeks from now.
> > If concerned, postpone the Dec 5 procedure. *A second opinion doesn't
> > make sense unless you still have problems 6 weeks from now.
> Thanks for the advice. I hope you are right. *I do think that surgeons
> should warn patients about the potential for dysphotopsia. *They warn
> about everything else, and dysphotopsia is far more frequent than any
> other kind of complication.
> I would also advise anyone who has been told by an eye examiner
> (optometrist, etc.) that he/she requires cataract surgery to get a
> second opinion. *Just because you have cataracts does not mean you
> require surgery.
> Rob- Hide quoted text -
> - Show quoted text -

> On Nov 17, 6:45*pm, roberu...[at]gmail.com wrote:
> > On Nov 16, 12:09*pm, otisbr...[at]embarqmail.com wrote:
> > > Dear Robru,
> > > Subject: *Variable results from cataract surgery.
> > > I regret your results -- but it usually takes a week before the
> > > replacement lens
> > > "settles out".
> > > I had a check on day after surgery, and then took "drops" for a week.
> > > After a week, I was about 20/30 to 20/25. *This was far better than
> > > the naked eye vision I had of about 20/600 when my eyes
> > > had a negative refractive STATE.
> > > So -- give it some time. *Your results might not be that good, but
> > > there are some very good results from cataract surgery. *From me,
> > > there was not choice -- other than the surgery.
> > > Best,
> > > On Nov 16, 12:46*pm, roberu...[at]gmail.com wrote:
> > > > On Nov 15, 8:37*pm, Glenn Hagele - USAEyes.org
> > > > <glenn.hageleSTOPS...[at]USAEyes.org> wrote:
> > > > > As Dan said, it is way too early to come to any conclusion about your
> > > > > outcome. Discuss your concerns with your surgeon and please, report
> > > > > back here for others to learn more.
> > > > Many thanks, Glenn and Dan. *The flickering has abated somewhat, and I
> > > > am encouraged by your advice. *Will definitely post the results of
> > > > follow ups.
> > I went to see my surgeon today, because I also developed a new
> > problem. *Here is a list of all of them:
> > 1. Glare is worse. *Lights now show beams or rays going through them.
> > 2. I experience a periodic flutter in my visual field, like a camera
> > being jiggled.
> > 3. I can see a dark arc in the corner of my eye on the right side.
> > 4. I am getting "ghost", slightly double images.
> > The surgeon told me everything looks fine. *The IOL is perfectly
> > centered and my eye is healing nicely.
> > He explained all of the above by saying that the lens envelope needs
> > to shrink around the new lens, which is much smaller than one's
> > natural lens. *He said this could take up to three months. *That is
> > what is causing every one of the above described "special effects".
> > I want to believe him, but if all of this is true, why was I not told
> > about it up front? * I can't help but think he made some kind of
> > mistake during the procedure.
> > I am currently scheduled to have the other eye done on the 5th and am
> > inclined to postpone that and get a second opinion. *I now wish I had
> > not had this surgery done at all, as my vision is markedly worse.- Hidequoted text -
> > - Show quoted text -
> You are about 3 days post op!!!!!!
> The eye needs to heal. *Have you ever had a bruise heal in three
> days? *There is inflammation in the eye and you cannot expect it to be
> cleared up until after you have finished with your post operative
> drops, about 4-6 weeks from now.
> If concerned, postpone the Dec 5 procedure. *A second opinion doesn't
> make sense unless you still have problems 6 weeks from now.

> On Nov 16, 12:09*pm, otisbr...[at]embarqmail.com wrote:
> > Dear Robru,
> > Subject: *Variable results from cataract surgery.
> > I regret your results -- but it usually takes a week before the
> > replacement lens
> > "settles out".
> > I had a check on day after surgery, and then took "drops" for a week.
> > After a week, I was about 20/30 to 20/25. *This was far better than
> > the naked eye vision I had of about 20/600 when my eyes
> > had a negative refractive STATE.
> > So -- give it some time. *Your results might not be that good, but
> > there are some very good results from cataract surgery. *From me,
> > there was not choice -- other than the surgery.
> > Best,
> > On Nov 16, 12:46*pm, roberu...[at]gmail.com wrote:
> > > On Nov 15, 8:37*pm, Glenn Hagele - USAEyes.org
> > > <glenn.hageleSTOPS...[at]USAEyes.org> wrote:
> > > > As Dan said, it is way too early to come to any conclusion about your
> > > > outcome. Discuss your concerns with your surgeon and please, report
> > > > back here for others to learn more.
> > > Many thanks, Glenn and Dan. *The flickering has abated somewhat, and I
> > > am encouraged by your advice. *Will definitely post the results of
> > > follow ups.
> I went to see my surgeon today, because I also developed a new
> problem. *Here is a list of all of them:
> 1. Glare is worse. *Lights now show beams or rays going through them.
> 2. I experience a periodic flutter in my visual field, like a camera
> being jiggled.
> 3. I can see a dark arc in the corner of my eye on the right side.
> 4. I am getting "ghost", slightly double images.
> The surgeon told me everything looks fine. *The IOL is perfectly
> centered and my eye is healing nicely.
> He explained all of the above by saying that the lens envelope needs
> to shrink around the new lens, which is much smaller than one's
> natural lens. *He said this could take up to three months. *That is
> what is causing every one of the above described "special effects".
> I want to believe him, but if all of this is true, why was I not told
> about it up front? * I can't help but think he made some kind of
> mistake during the procedure.
> I am currently scheduled to have the other eye done on the 5th and am
> inclined to postpone that and get a second opinion. *I now wish I had
> not had this surgery done at all, as my vision is markedly worse.- Hide quoted text -
> - Show quoted text -

> On 11/17/08 3:45 PM, in article
> d5ee1e66-4858-4829-9923-339c5af56...[at]s9g2000prg.googlegroups.com,
> "roberu...[at]gmail.com" <roberu...[at]gmail.com> wrote:
> > On Nov 16, 12:09*pm, otisbr...[at]embarqmail.com wrote:
> > > Dear Robru,
> > > Subject: *Variable results from cataract surgery.
> > > I regret your results -- but it usually takes a week before the
> > > replacement lens
> > > "settles out".
> > > I had a check on day after surgery, and then took "drops" for a week.
> > > After a week, I was about 20/30 to 20/25. *This was far better than
> > > the naked eye vision I had of about 20/600 when my eyes
> > > had a negative refractive STATE.
> > > So -- give it some time. *Your results might not be that good, but
> > > there are some very good results from cataract surgery. *From me,
> > > there was not choice -- other than the surgery.
> > > Best,
> > > On Nov 16, 12:46*pm, roberu...[at]gmail.com wrote:
> > > > On Nov 15, 8:37*pm, Glenn Hagele - USAEyes.org
> > > > <glenn.hageleSTOPS...[at]USAEyes.org> wrote:
> > > > > As Dan said, it is way too early to come to any conclusion about your
> > > > > outcome. Discuss your concerns with your surgeon and please, report
> > > > > back here for others to learn more.
> > > > Many thanks, Glenn and Dan. *The flickering has abated somewhat, and I
> > > > am encouraged by your advice. *Will definitely post the results of
> > > > follow ups.
> > I went to see my surgeon today, because I also developed a new
> > problem. *Here is a list of all of them:
> > 1. Glare is worse. *Lights now show beams or rays going through them.
> > 2. I experience a periodic flutter in my visual field, like a camera
> > being jiggled.
> > 3. I can see a dark arc in the corner of my eye on the right side.
> > 4. I am getting "ghost", slightly double images.
> > The surgeon told me everything looks fine. *The IOL is perfectly
> > centered and my eye is healing nicely.
> > He explained all of the above by saying that the lens envelope needs
> > to shrink around the new lens, which is much smaller than one's
> > natural lens. *He said this could take up to three months. *That is
> > what is causing every one of the above described "special effects".
> > I want to believe him, but if all of this is true, why was I not told
> > about it up front? * I can't help but think he made some kind of
> > mistake during the procedure.
> > I am currently scheduled to have the other eye done on the 5th and am
> > inclined to postpone that and get a second opinion. *I now wish I had
> > not had this surgery done at all, as my vision is markedly worse.
> You seem to probably have photosias related to the IOL. The jiggle is the
> IOL vibration in the eye. The dark arc is a known, but less common, ivusal
> effect, less commonly seen than a bright arc due to light reflecting
> internally in the lens. The ghosting may be uncorrected refractive error -
> you still need to get tested for glasses, for example, for residual
> astigmatism, which may causes ghosting. The glare and beams may be faint
> wrinkes in the empty lens capsule, which does need to shrink to make it
> smoother and tighter. If wrinkles stay there and bother, the capsule is
> lasered to make a clear opening. *None of these are necessarily due to a
> surgical problem, just part of the usual.
> These visual phenomena are not usually discussed beforehand, as most people
> are not that sensitive to them. If you describe them all beforehand,
> everyone will be looking for them and see most of them.
> Might you be an engineer, perhaps?

> On Nov 16, 12:09*pm, otisbr...[at]embarqmail.com wrote:
> > Dear Robru,
> > > Subject: *Variable results from cataract surgery.
> > > I regret your results -- but it usually takes a week before the
> > replacement lens
> > "settles out".
> > > I had a check on day after surgery, and then took "drops" for a week.
> > > After a week, I was about 20/30 to 20/25. *This was far better than
> > the naked eye vision I had of about 20/600 when my eyes
> > had a negative refractive STATE.
> > > So -- give it some time. *Your results might not be that good, but
> > there are some very good results from cataract surgery. *From me,
> > there was not choice -- other than the surgery.
> > > Best,
> > > On Nov 16, 12:46*pm, roberu...[at]gmail.com wrote:
> > > > On Nov 15, 8:37*pm, Glenn Hagele - USAEyes.org
> > > > <glenn.hageleSTOPS...[at]USAEyes.org> wrote:
> > > > As Dan said, it is way too early to come to any conclusion about your
> > > > outcome. Discuss your concerns with your surgeon and please, report
> > > > back here for others to learn more.
> > > > Many thanks, Glenn and Dan. *The flickering has abated somewhat, and I
> > > am encouraged by your advice. *Will definitely post the results of
> > > follow ups.
> I went to see my surgeon today, because I also developed a new
> problem. Here is a list of all of them:
> 1. Glare is worse. Lights now show beams or rays going through them.
> 2. I experience a periodic flutter in my visual field, like a camera
> being jiggled.
> 3. I can see a dark arc in the corner of my eye on the right side.
> 4. I am getting "ghost", slightly double images.
> The surgeon told me everything looks fine. The IOL is perfectly
> centered and my eye is healing nicely.
> He explained all of the above by saying that the lens envelope needs
> to shrink around the new lens, which is much smaller than one's
> natural lens. He said this could take up to three months. That is
> what is causing every one of the above described "special effects".
> I want to believe him, but if all of this is true, why was I not told
> about it up front? I can't help but think he made some kind of
> mistake during the procedure.
> I am currently scheduled to have the other eye done on the 5th and am
> inclined to postpone that and get a second opinion. I now wish I had
> not had this surgery done at all, as my vision is markedly worse.

> On Nov 17, 5:45*pm, roberu...[at]gmail.com wrote:
> > On Nov 16, 12:09*pm, otisbr...[at]embarqmail.com wrote:
> > > Dear Robru,
> > > Subject: *Variable results from cataract surgery.
> > > I regret your results -- but it usually takes a week before the
> > > replacement lens
> > > "settles out".
> > > I had a check on day after surgery, and then took "drops" for a week.
> > > After a week, I was about 20/30 to 20/25. *This was far better than
> > > the naked eye vision I had of about 20/600 when my eyes
> > > had a negative refractive STATE.
> > > So -- give it some time. *Your results might not be that good, but
> > > there are some very good results from cataract surgery. *From me,
> > > there was not choice -- other than the surgery.
> > > Best,
> > > On Nov 16, 12:46*pm, roberu...[at]gmail.com wrote:
> > > > On Nov 15, 8:37*pm, Glenn Hagele - USAEyes.org
> > > > <glenn.hageleSTOPS...[at]USAEyes.org> wrote:
> > > > > As Dan said, it is way too early to come to any conclusion about your
> > > > > outcome. Discuss your concerns with your surgeon and please, report
> > > > > back here for others to learn more.
> > > > Many thanks, Glenn and Dan. *The flickering has abated somewhat, and I
> > > > am encouraged by your advice. *Will definitely post the results of
> > > > follow ups.
> > I went to see my surgeon today, because I also developed a new
> > problem. *Here is a list of all of them:
> > 1. Glare is worse. *Lights now show beams or rays going through them.
> > 2. I experience a periodic flutter in my visual field, like a camera
> > being jiggled.
> > 3. I can see a dark arc in the corner of my eye on the right side.
> > 4. I am getting "ghost", slightly double images.
> > The surgeon told me everything looks fine. *The IOL is perfectly
> > centered and my eye is healing nicely.
> > He explained all of the above by saying that the lens envelope needs
> > to shrink around the new lens, which is much smaller than one's
> > natural lens. *He said this could take up to three months. *That is
> > what is causing every one of the above described "special effects".
> > I want to believe him, but if all of this is true, why was I not told
> > about it up front? * I can't help but think he made some kind of
> > mistake during the procedure.
> > I am currently scheduled to have the other eye done on the 5th and am
> > inclined to postpone that and get a second opinion. *I now wish I had
> > not had this surgery done at all, as my vision is markedly worse.
> Roberu, try googling "dysphotopsia", which is the term for your
> symptoms. *(The article by Randall Olson in "Review of Ophthalmology"
> is particularly good.) *In most cases, these symptoms diminish with
> time due to neuroadaptation; however, sometimes the IOL needs to be
> explanted. *I've read that the problem is caused by a poor fit between
> the IOL and the recipient's physiology. *(You would not want to get
> the same brand of IOL implanted in your other eye.) *It would probably
> be very wise to wait until you're satisfied with the vision in your
> first eye before having a second surgery. *In your place, I'd
> definitely cancel the second surgery for now, and I'd get for an
> independent second opinion.