Doctor insights on:
Cataract Surgery Toric Lens Complications
I had cataract surgery 2 years ago and a toric lens placed in my left eye. It was never right. Can it be redone? I had lasik surgery in the same eye.
A cataract is a clouding (or change in protein composition) of the normally clear lens (which is located behind the pupil and iris) inside the eye. Cataracts are most commonly due to aging, but can be congenital (born with it), due to trauma or uveitis (eye inflammation). The condition can worsen by long-term topical steroid ...Read more
I had cataract surgery in both eyes a year ago. I am left with a terrible astigmatism in my left eye. The right eye is fine. Can the toric lens he used be removed and a standard lens be put in?
Yes: However, you need to find out why you still have astigmatism. The toric lens should have corrected that. Either your astigmatism is stronger than what the lens could correct, the toric lens is not placed or oriented in the ideal position, or something else besides astigmatism is causing your symptoms. Before removing any lens, the cause of your symptoms needs to be identified. ...Read moreSee 2 more doctor answers
Good option: For those with moderate to significant astigmatism, which is a good portion of the population, choosing a toric lens implant for your cataract surgery will reduce your dependence on glasses post surgery. I advise my patients who have astigmatism to opt for a toric lens if they can afford the premium cost. If they can't, glasses will correct the astigmatism post surgery. ...Read moreSee 1 more doctor answer
Toric IOL: Toric implants correct for astigmatism & distance vision though usually do not correct for reading unless is a Trulign (Crystalens Toric) or Restor Toric (still not available in US). Vision usually much clearer if all astigmatism corrected; rotation of toric can increase the risk of visual distortion more than monofocals. ...Read moreSee 1 more doctor answer
Three days post cateract surgery. Now distance vision is 20/20. Is it normal for eye to itch & feel like a hair is in it 3 days post op toric lens ?
Yes: Yes it can be normal for foreign body sensations after cataract surgery. Using cold compresses and cold artificial tears (non preserved is best) for itching can help with allergy issues in addition to the usual warm face washing and gentle warm compress all patients should do to keep face clean morning and night. See your MD if any pain as could also be an eyelash or other foreign body got in eye. ...Read more
Yes: With the right selection of patient to receive this lens and the proper expectations of the type of vision to be expected, this has been a helpful addition to this surgery. It is gradually becoming more commonplace and the available lenses are continuously being improved. Note that it is an extra personal expense not covered by insurance or medicare. Discuss with you eye surgeon. ...Read moreSee 2 more doctor answers
S/p Cataract choices: If you mean which implant to choose for an intraocular lens implant, see Cataract Surgery Options at eyedoc2020.blogspot.com. If you mean which lens is better after cataract surgery: depends on residual refractive error (is there astigmatism, reading ok? what IOL was placed?). If you need reading, intermediate, distance rx, progressives are best for young pt's if brain can learn. Full answer @blog ...Read moreSee 1 more doctor answer
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