Why Am I Seeing Double After Toric Lens Implant?

Had the toric implants 10 months ago. Don’t recommend them at all. The good eye went from 20/40 to 20/80. The bad eye (after implant) went from 20/50 to 20/200 and glasses will not correct. That eye is also foggy, like looking through crumpled celephane paper. Even 4 hours of corrective surgery didn’t help. At least color perception is better. If you can use glasses now to get good vision then stay where you are.

I had a Acrysof Toric lense implant 10 days ago in my right eye. Since then I’m having a very poorly vision in both eyes. I didn’t have cataract, I just did it to correct my astigmatism and farsightedness, which were high. Two days ago I went to my doctor and with my pupils expanded in the exam I could see very well. The doctor said I still had 0,25 of farsightedness and 0,75 of astigmatism and said that it still could go up or down. The doctor also said that my distance vision will be perfect and that I’ll still need glasses to read, the only problem with that is that my distance vision was already perfect and he said I wouldn’t need glasses anymore to see near. I’m wondering if with time I will be able to see better or if there’s something wrong. I’m even having doubts if I should make the surgery in my left eye too given that right now I can barely see any letters. How much time does one take to see more clearly after the surgery? I would be very glad if you could help me out. Thanks in advance

Thanks again for the reply. Very reassuring.

russel- you are not expected to see well at near/computer distance without a new pair of glasses after surgery.

re distance- it seems the astigmatism reduction was not as good as the surgeon had hoped. unfortunately, the toric lens is not perfect. but with glasses, you should see normally at distance, as long as the fuchs is not affecting the vision.

Thanks for the reply. Yes, I did realise I would need glasses for reading/PC work. However, I was hoping I would be O.K. for long distance vision without glasses as was the surgeon. Does this mean I may as well have saved my money on the torric lenses or will it still help me to get better vision with glasses? I’ve been looked at by 3 different consultants since my operation and they all say that the operation was technically perfect and that it has had no adverse impact on my fuchs dystrophy. Also since I first posted, a web shaped floater has suddenly appeared on my right eye (around a week ago) and has remained there permanently! I’ve had it checked out by 2 consultants at the hospital who tell me it is nothing to worry about although it seems strange as that eye was done on Jan 18th and I had no previous sign of any floaters in it! I’ve had intermittent black dot floaters on the left eye since that was done on Feb 18th but they haven’t concerned me as they only appear now and then for short periods of time. The one on the right eye, however, is really annoying me!

Hello … I am scheduled to have a Toric implant in the left eye next week.I have astigmatism and some myopia in both eyes (in the -4 range).

My cataracts are minimal, but I was advised that a Toric implant will be a good solution for both astigmatism and the minimal cataracts.

I did discuss another option with my surgeon, the Intacs procedure, since I also have Keratoconus.

I am wondering if anyone has had any experience with the Intacs procedure, and given what I have read on this forum, it appears that if I do the Toric implant in one eye, I should plan on doing the other one soon thereafter (I was not planning on doing the right eye until much later). I can’t afford not to be able to drive or work for too long.

Lastly, (and as Dr. Weitzner also suggested), I had asked to leave a slight negative power (-1.5) for the reasons that Dr. Weitzner mentioned. Plus, I have the looks of a plus power lens in glasses/

Any advice is greatly appreciated

Many thanks

russel- you are not expected to see well at near/computer distance without a new pair of glasses after surgery.

re distance- it seems the astigmatism reduction was not as good as the surgeon had hoped. unfortunately, the toric lens is not perfect. but with glasses, you should see normally at distance, as long as the fuchs is not affecting the vision.

alyssa- i would advise getting the toric lens for the astigmatism. whether to get corrected for distance or vision- it all depends on your lifestlye. personally, i like working/reading w/o glasses, so i would opt for some myopia, and wear glasses for distance.

carmen–the toric lens does not give both distance and reading vision. if you see well at distance w/o glasses, then you need reading glasses to read/computer. lasik will not help.

clinton–if you see a ghost image with both eyes, but not when one eye is closed, it’s very suspicious for a problem in the alignment of your eyes. this can happen after cataract surgery, and can often go away in few months. if not, you may need prism glasses, or even eye muscle surgery to straighten the eyes. of course, you need a good exam to rule out any other causes of misalignment.

Had a Toric Lens implant, unable to read, was told that Lasik might correct the problem?? Thanks

I’m 67 and I’ve recently had cataracts removed from both eyes and toric lens inserted. I had severe miopia and astigmatism and also have Fuchs Dystrophy. I decided to go ahead with the operation because I was on the borderline for driving. I was struggling to read road signs and to recognise faces from a distance but could read and use my PC (I work in IT) without ,spectacles. I went to a reputable private Eye Clinic via my work health insurance although had to pay for the upgrade to toric lenses. I used a consultant with a good reputation and when I was examined, he told me that he belived I would be O.K. without any surgery for the Dystrophy. I had the operations with a 4 week gap between each eye. Both operations were totally painless and the consultant told me they were clinically perfect. My eyes have been checked and I’m told that the Dystrophy has not deteriorated because of the operation and the new lenses are in the perfect position. The consultant gave me the choice of long or close vision and I chose to improve the long range vision and to get spectacles for reading and PC work. The consultant was very optimistic that i would have good long-range vision and that most – but not all – of my astigmatism could be removed. Sadly, although it’s now 8 weeks since the first eye was done and 4 weeks since the second eye was done, I cannot see clearly either for reading, using the PC or at long distance. The right eye seems to be improved re the astigmatism but the left eye does not. The eyes definitely have different focal lengths and I’m getting floaters on a daily basis from the left eye, although not severely. The consultant has told me to continue putting in eye drops for another month before I go back to see him again. After the first eye was done I had an eye test at the hospital and with the addition of lenses found I got good vision. Hopefully, it will be better than what I had previouly with spectacles but it’s still pretty disappointing!

I am 16 and just had cataract surgery with a toric lens put in for the astigmatism. When I was younger I also had lazy eye. When I look at people with both eyes they look like cartoons or animated? What is that? It also feels like I have something sharp in my eye. I am also getting headaches. I’ve already returned to the doctor to have fluid taken out of my eye for increased pressure. Is everything going to look like I’m on a psychodelic drug for the rest of my life, I’m only 16! HELP!

there are only a few surgery centers which have the latest high tech machines that can actually measure the prescription of your eyes while you are still on the operating table. i know of only one in new york city- dr. donnenfeld. these machines pretty much make iol power mistakes a thing of the past. new iol’s that can be adjusted in the office with special laser light are almost here- maybe a year or two.

the only way to fix the eye now is to have the iol surgically replaced- not that big a deal if only a few weeks ago. or, have lasik done to the eye.