Why Am I Seeing Double After Toric Lens Implant?

March 2, 2011

 I had cataract surgery and a toric lens put in about 3 weeks ago, now my depth perception is way off and I can’t drive to work.  The eye that isn’t done yet has a bifocal lens in the glasses and I have put clear glass in the eye that had the surgery.  First thing in the morning, I see double, by the end of the day it’s not too bad.  Is this all going to clear up when I get my other eye done?

 

 



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148 Responses to “Why Am I Seeing Double After Toric Lens Implant?”

  • I am scheduled fort cataract surgery in one week. I have a spot on one eye off to the right side which is not all that bad. My near vision is good for reading and using the computer. My far vision is good as well. I only wear glasses for driving and really only need them at night. I do not want to have to use glasses for near vision. I am thinking of going with a toric lense with only correction for the astigmatism which I understand will not affect my near vision but would improve my far vision? My main question is since my condition is not all that bothersome and after reading all the problems people have had should I wait as long as possible before doing the surgery.

  • Barbara Nevels

    I am 74 years old and have been told I have large cataracts, astigmatism and Surgeon recommended I have the toric implants. Having had R.K. done 19 years ago would make the surgery more difficult I feel that I have good vision , near and far, but having to look around the cataracts or looking through visqueen. I was told I had 20/.50 in one eye and 20/70 in the other. I do have a problem with star-burst, at night and double vision reading fine print on T.V. Just recently passed driving test. The first Dr. told me that my eyes were healthy, except for cataracts. Two weeks later, the surgeon, that the first Dr. recommended, said something totally different. I saw the surgeon the very next day for more measurements and he was a no show. The surgeon on call was also a no show. My surgery is supposed to be next week, and I have no idea what to do. Question…Can I have the cataracts removed and just clear lens.(Leaving the astigmatism alone) My Insurance will cover it all, but if I go with the AcrySof IQ Restore,IOL-Multifocal Lens or the Toric IoL, for an extra $2,000. I am on a fixed income and have been to three visits, another in 1 week, and not for sure that it for the actual surgery or just another consultation…..and still don’t have a surgery date. Don’t want to loose what I have for less vision. Would you recommend a second opinion? These reviews are really not very encouraging…and I’m really afraid.. Thanks for any help!.

  • marco

    I just had a toric implant about 2 days ago I’ve been taking all the eye drops as I was told I’m feeling like I have something in my eye when I blink is that normal or is something wrong I’m getting frustrated pleas help

  • ari

    not sure why you got cataract surgery if you could see well with your glasses…i dont get it.
    seems the doctor should have explained to you better what to expect after surgery.
    you need to be examined to figure out why you get ghost image. sometimes it can be due to the capsule that holds the cataract, and that can be fixed with a laser.

  • Morgaine

    I need to correct something in what I said in my first submission. I misunderstood what “ghost images” are. I don’t see images after I’ve stopped looking at an image, which is what I now understand is a ghost image. I don’t know the proper term but when I look at a computer light, for example, I see three images of the computer light and then three lesser images of the same above and slightly to the right of the solid three images. I hope that clarifies so you will more accurately know what I’m experiencing. Thank you for any help you can offer.

  • oll

    i wish i had read this before getting cataract surgery, i’m 27 yrs old, when to an optometrist for regular prescription. Got 20/20 vision, he said i had cataracts , this was surprising to me, since i didn’t even know. Went to the opthamalogist, who recommended surgery on both eyes. my first eye seemed ok, i could see ok intermediate but very sharp far. I got the mono, so the next eye was supposed to be near, this was the big mistake. i can only read up close very well, but i cannot use the computer, it becomes a blur. i cannot even see the radio station with my near eyes. i can see more of my radio station in my car with my far eyes than near, that’s how much of a blur things get. He didn’t even tell me about progressives, when i got my glasses i thought there was an error. i had used single vision all my life, this was very depressing for me. i was almost suicidal. i never knew Drs could be untruthful especially to a young person. My vision without glasses with cataracts were 20/40left and 20/50 on my right. It was wrong for him to have taken it out.
    My post cataracts surgery prescription is below
    R -0.25, CYL +0.75, Axis +90
    L -3.00, +0.75, + 90
    ADD R +2.50
    L +2.50

  • Morgaine

    I have been near-sighted my whole life with mild astigmatism, but only needed glasses for distance (driving). Following a vitrectomy on my right eye for a retinal detachment, a cataract developed and over a two month period rendered me unable to see in that one eye. Even though my astigmatism was mild, the cornea specialist I was referred to talked me into a premium toric lens. The results of the surgery was horrible. My eyes don’t coordinate together, my depth perception is off as is contrast and brightness. I feel like I’m wearing someone else’s prescription glasses. I get a sense of vertigo/dizziness when I have both eyes open, especially in well-lite situations. I am seeing triple images with triple ghost images above ( for example, if I look at the light on the computer monitor I see six images of it.) When I try to read with both eyes, my right eye shakes. It stops shaking if I read with only one eye. The toric lens removed only about half of the astigmatism, but with the triple/six images, my vision is worse in that eye than my nature astigmatism ever was. There is something terribly wrong. The surgeon is not being accountable. He ignores my concerns, doesn’t even document them in the medical record and responds with extreme defensiveness. He is only willing to address the astigmatism (nothing else) by doing more surgery (lasik). I don’t see how that will help with all the other problems. The astigmatism is the least of my worries as that can most likely be corrected with glasses.
    I have been told by a different doctor that the triple/six images is due to the membrane behind the implant being stretched abnormally by the placement of the artificial lens, causing my vision to be stretched out into multiple images. If this is the case, could this be causing all the problems and is this membrane at risk of being torn?
    I don’t know what to do. This has dramatically impaired the quality of my life. I have been told I need to give it more time and perhaps I’ll get used to it. It’s already been seven weeks since the surgery. I am concerned that if I wait too long, the option of replacing the implant will be lost.

  • parto

    I just had a check up last week and my new doctor suggested a surgery to get new lenses ( I think he means Toric lenses) to help me read without glasses and also correct my far sight that is not as good as it used to be and correct astigmatism. He also said that because of the condition of my eyes I will be needing a correction Lasik surgery couple of months after the first one. How can he be sure before doing the first surgery that I will need the second Lasik one? I also felt he is kind of gritty since I have primary and secondary insurance that covers% 90 of the surgery and $350 for operating facility. I was told I still have $2000 out of pocket to pay. Is this a going rate? My other question is how can I find an experienced surgeon in California preferably LA with the latest machines that can actually measure the prescription of your eyes while you are still on the operating room? Is there a site to show which doctors have it? What is the name and the model of that machine because any doctors can claim they have the latest technology.

  • Parto

    I just had a check up last week and my new doctor suggested a surgery to get new lenses ( I think he means Toric lenses) to help me read without glasses and also correct my far sight that is not as good as it used to be and correct astigmatism. He also said that because of the condition of my eyes I will be needing a correction Lasik surgery couple of months after the first one. How can he be sure before doing the first surgery that I will need the second Lasik one? I also felt he is kind of gritty since I have primary and secondary insurance that covers% 90 of the surgery since he is a network doctor but his surgery facility is out of network (even though it is in his office and they pay $350 for facility), they told me that I still have $2000 out of pocket to pay. Does that make sense to you to pay this amount with having 2 insurances? My other question is how can I find an experienced surgeon in California preferably LA with the latest machines that can actually measure the prescription of your eyes while you are still on the operating room? Is there a site to show which doctors have it? What is the name and the model of that machine because any doctors can claim they have the latest technology.

  • ari

    dodie–have the first eye checked out thouroughly before doing second eye. it may be a retinal issue thats causing the “v”. or folds in the capsule.

  • ari

    the toric lens should not cause distortion. it can only cause blur over then entire field. so your symptoms are coming from somewhere else- most likely retina (macular pucker). i suggest going back to the doctor and get oct of retina. if that is normal, consider a visual field test

  • Marilyn Dec. 30, 2013

    I have irregular astigmatism and had cataract surgery on Nov. 18 and 19. The first implant for the right eye (a reading lens) including laser correction for astigmatism is fine. I am happy with the reading lens, having done mono vision for 25 years. The problem is with the Toric implant in my left eye. I have a sense of distorted vision in the left lateral visual field, starting about 45 degrees to 90 degrees from my center of vision. I have 20/20 vision in that eye, but the distortion makes me feel nauseous and gives me a feeling of loss of equilibrium. I revisited my surgeon on Dec 19 and told him that I had a disturbance in my left lateral field of vision. He gave me a full examination and told me that everything was healing properly and looked good. He suggested drops to make the pupil small, but did not really think I needed to do that. I agree.

    I think I was not specific enough about the extent of the distortion. I am concerned that he believes that the distortion is only in the far lateral field (70 to 90 degrees). I am getting to the point where any lens rotation or removal is more risky. Is this distortion (from 45 to 90 degrees) unusual and will it go away or will I get used to it? Should I revisit the surgeon?

  • Dodie

    I had cataract surgery 12/13/13, he said I wouldn’t need glasses only for reading. I had the toric implant and after surgery I now am farsighted and lights are like a side ways V. I’m schedule for the other but am skeptical now. Don’t know what to do He claims the astigmatism is gone, but what good is that if your vision isn’t great.

  • ari

    if you see double like you describe, lasik will not help- its an issue with the way the eyes are aligned, and this needs to be evaluated and probably monitored. treatment depends on the cause.
    if the vision feels distorted in 1 eye, then the macula needs to be evaluated carefully for fluid or wrinkles.

  • Susan

    Prior to cataract surgery, I had bilateral astigmatism. I had Toric lenses implanted in both eyes several months ago (R eye in August and L eye in September), and they were set for monovision (I wore monovision contacts successfully for a number of years). My R eye vision is outstanding. The second I opened my R eye after surgery my distance vision was (and is) great. Two weeks after my first surgery, I had L eye surgery with distance set for near. When I opened my L eye after surgery, the whole world was blurry and I felt like there was a wrinkle or something in the middle of the lens (sort of like the Nike swoosh.) My L eye vision has improved (now 20/40) and I have new glasses for reading. My main post-surgery problem is that I now have some double vision. When I tuck my chin in and look straight ahead, my vision is OK (only one image). When I raise my chin to a neutral position and look straight ahead, I start seeing two images. The further I tilt my head back, the two images that I see become further and further apart. When I do see the double images, if I close my L eye, I only see one image with my R eye. When I close my R eye, I only see one image with my left eye. My Dr recommended Lasik; however, I have some problem with dry eyes so this isn’t an option for me. The astigmatism in my L eye is now about what it was prior to surgery. Driving is difficult, especially at night. Any idea about what’s going on? Any recommendation(s) to get rid of the dual images?

  • Ari

    That would work, but LASIK for astigmatism can be a little unpredictable. It can also make future cataract surgery a little difficult, as it can be tricky figuring out the power of the implant after LASIK. But we are getting better at that, so probably won’t be a problem.

  • Dave

    First off, I am 52 years old.

    Going to the doctor for my consultation prior to cataract surgery on Nov. 7. According to my regular eye doctor, I have a posterior subcapsule cataract in my left eye. My vision has gone significantly downhill in the left eye over the last 18 months, but has barely changed in the right eye. I do not have any sign of a cataract in my right eye.

    I have astigmatism in both eyes and would like to have the toric lens implanted in my left eye to correct both the cataract and astigmatism.

    If I do the Toric lens to take care of both the cataract and astigmatism in my left eye, can I get Lasik in my right eye to fix the astigmatism in that one?

    My goal is to get rid of glasses for the first time since I was 5 years old. I had “lazy eye” in my right eye back then but it went away. Ironic that now that is my good eye!!!

    If I have to use “cheaters” or reading glasses, I don’t mind, but I’d like to get rid of glasses most of the time.

    Will Toric in one eye work and Lasik in the other?

    Thanks for your advice. I appreciate it.

  • ari

    looks to me the implant power is off. whether it was done by mistake- she corrected you for distance-or its just the way the lens sits in the eye- i dont know. if you are miserable, it pays to replace the implant NOW before it scars in- but even so, the risk is not zero and you may get a complication, particularly breaking the capsular bag which can reduce your vision or make it impossible to put in a standard lens. if you are NOT miserable, then i think you should leave it alone and get glasses to balance out the eyes.

  • jjn85710

    I had cataract surgery on my right eye in April, 2013. The doctor recommended the Toric lens with the focal point be set to NEAR. Her reasoning was that since I have never needed glasses to read why change now. I am 63. So, the day after surgery, I could read perfectly at reading distance. The eyeglass presciption for distance went down almost in half. I had the left eye done on Oct 1 2013 and she said she set the focal point to NEAR the same as the right. The day after surgery, I had difficulty seeing with that eye at normal reading distance. But, my distance vision became clearer than my right eye without the use of glasses. I tested this by not using glasses at all and covering each eye to see how far I could see. The temporary prescription for the left eye for distance went down more than half. So, my prescriptions for each eye is different by .5, where the left eye needed less correction for distance. I am not complaining about the improved distance vision, but, I am concerned about the NEAR vision difference. I asked her point blank if it was possible that the Toric she put into my left eye was set to distance or even perhaps at midrange. Was it possible that the lens was not the lens she reuqested. It has been 11 days since the left eye cataract surgery.

    I am very concerned about why the result was so different for both eyes. She assured me that she set the focal point on the left eye Toric to NEAR. I just doesn’t seem that way to me.

    I am wondering if it recommended that she redo the left eye and make sure the implant is set the same as the right. But, I have heard that it not a good idea to remove an implant because of possible risks. She indicated that if my NEAR vision difference bothers me so much, that she could possibly tweek the positioning, but, she wanted to wait to see me in 3 weeks in order for the left eye to heal. She indicated that it takes around 4 weeks before the eye will heal and that will also be after the after surgery eyedrops.

    I was told by the nurse that if the lens was set to distance, then I would not likely be seeing even midrange with my left. She was confident that the correc lens was implanted.

    Any thoughts aboout what I am experiencing that would help me determine if my concerns are valid.

    thanks

  • ari

    cindy–shifting of the implant occurs like 5% of the time. the odds of it shifting again are very very low.