r/CataractSurgery

Distance vision still bad one month out

I got toric, Johnson and Johnson eyehance for both eyes.
June 3, my left eye was done, we targeted Plano, as of a few weeks ago I was at -.25

June 23 my right eye was done, targeted for -1.75, day after surgery was only at -.50
I don’t have another appointment until this Friday, but I believe my right eye has significantly improved and is now closer to the target.

The problem I’m facing is that my left eye just cannot see distance clearly, I can hit 20/20 on the chart, because the only thing I can actually see well are bright digital screens, like my phone, computer or TV, or the chart in the exam room, which is on a digital screen.

But the minute I’m out in the real world, street signs are unreadable, if I’m in a grocery store, I can’t see anything clearly, it’s blurry at all distance distances
If I’m in my house and I don’t have every single light turned on, I can’t see anything.
I am seeing starburst and halos around lights that are 10 times worse than before surgery.

Literally, the only time I can see is when there’s bright sunlight outside, and even then I still can’t see far away. It just improves my near and intermediate.

The surgeon has been convinced that there’s nothing wrong, that my lenses are perfect perfectly in place. So how else do I advocate for myself at my upcoming appointment this Friday?
I don’t wanna wear glasses and I made that very clear, and I truly think that if my left eye actually hit Plano that I would have better vision.
Do I ask about a timeline for laser touchup?
Because right now I feel so discouraged. I just wanna cry every day.

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u/Sarose99 — 10 hours ago

Success rate of Puresee EDOF lens?

Success rate of Puresee EDOF cataract surgery lens - Has anyone had great success with this new lens out in March? Any issues as well? Cost of the lens?

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u/reddtish — 12 hours ago

Success stories of both eyes same day or same week

Hi All I’ve been snooping around here for probably a year putting off surgery due to fear.

I am -11 in the bad eye and -7.75 in the good eye. The last surgeon I spoke with wants to do them in the same week I’m just looking for success stories.

I still have no idea whether I will go for intermediate or distance, I do know I cannot handle mono vision as I have vertigo almost daily.

My concern obviously is the difference in prescription in between surgeries if I delay surgery. I have not worn contacts in over 25 years although I know that would be the better option if I delay surgery in the non-corrected Eye

I guess I’m just looking for people who are happy they got it over with, thanks for any input

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u/Maladapted_2024 — 1 day ago

Lens Implant in Aphakic Eye

I’ve been battling chronic retina detachment for a year. During that time, they removed my lens and capsule bag. Finally getting to the point of addressing the missing lens. Retina is reattached and silicone oil is gone. Surgeon wants to wait six months to let my eye completely heal. My question is for those of you who had a lens implanted where there is no capsule bag to hold it. I know there are numerous techniques to do that. Which one did you have and any advice? How good was the prescription given placement is a bit tricky. I am going to ask to be fitted with a contact lens during the interim period. Any experience with that as well? Vision is very blurry, but I can see large objects and movement. I believe my corrected vision isn’t going to be great anyway because of the trauma my retina has gone through.

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u/d_artz — 1 day ago

Question about my pupil after surgery

I had cataract surgery one week ago the first two days it looked like I was looking through Vaseline was blind in that eye the third day was still blurry and pupil is not round as in pictures, inserted was a clarion toric UV IOL

https://preview.redd.it/l2djdc536hbh1.png?width=960&format=png&auto=webp&s=ab431b0ab3598626a8151a40e5701b983fa86a74

https://preview.redd.it/lwuigc536hbh1.png?width=960&format=png&auto=webp&s=26020536545a92f488389365739ccbd211f5e158

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u/Dazzling-Power-9249 — 1 day ago

IOL Surgery Pan optix clareon

I’ve had pan optix tri focal lens replacement 10 weeks ago and 9 weeks ago. I have to say all positive, is it perfect- no - do I have halos yes, light scatter - yes but I think they will get better as time goes on.

Near distance good, intermediate good, distance good!!.

Too much scaremongering about trifocals, people that it has not matched expectations write so much negativity it gets silly. I am a fair balanced individual and I say the trade off for night time disturbances which in most cases get better over a period of time is worthwhile. Do not regret getting the surgery done and hopefully as time goes on everything will settle and get sharper still.

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u/Ok_Material_5161 — 1 day ago

IOL and ARTISTS?

Hello,

I meet with my surgeon next week. I have been studying PURESEE brand. Reading hundreds of reviews on 3 different brands of iols, I never read anything from an artist or on YouTube or a doctor talking about artists..it's all about the damned phone and computer. I'm retired now..I don't need to be on my computer. I just want to draw and paint.

Anyone here write? Draw? Paint? Hike at night?

Thank you!!

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u/Krystlhawk62 — 2 days ago

Update, the vitrectomy WORKED

Hi cataract fam, me again checking in, I'm 3 days post op from vitrectomy in my left eye and extremely pleased to report that IT WORKED!

I'm still hazy due to inflammation and eye drops (the steroid one is opaque like milk my cataract surgery was dropless so never dealt with drops before) but it's slowly reducing and already a lot less haze than the unoperated eye.

In the day time there is minimal to no light scatter, in the dark it's still very hazy with some scatter again nowhere near as bad as it was before. I have so much contrast back and I can see sharply for a much bigger range than I could before with my iols. Lens has not moved and near focus still in the same place but it's a lot further until it gets blurry, I was happy with the sharpness of the iols only to find out what I thought was normal with iol was actually quite limited.

The trees don't look flat anymore in that eye, I had lost so much contrast trees and bushes always looked flat because my brain couldn't distinguish foreground and background.

The sky is blue again in the left eye too it was a Grey haze with a slight blue tint before on a clear day 🫠

I know 3 days is so very early in the healing process but even if what I have now was to be my final visual outcome I'd be so very pleased. Functional vision, finally!

Oh and the dysphotopsias i had from what I thought was the iol and the yag? GONE. must have been the cloudy vitreous in conjunction with the iol not the iol alone that caused it all!

My surgeon had actually planned to enlarge the opening in the posterior capsule during surgery as he thought the opening was too small causing big x shaped rays from every light but he said when he got in there he decided against it as he didn't want to risk destabilising or even dislocating the lens so I was fully expecting to still see light sabres like it's the return of the jedi but nope, not a stray ray of light in sight!

I'm over the moon with this outcome, going for my second post op check tomorrow hopefully pressure is good.

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u/sunrise_parabellum — 2 days ago

Restrictions on day before surgery?

My right eye is being done on Thursday (Odyssey lens). My pre-op appt was earlier this week and I received all instructions and was given eyedrops to use for the 2 days before.

Unfortunately I forgot to ask and now the office is closed for the holiday - my kids really want me to take them to Schlitterbahn (huge water park in TX) on the day before my surgery. This is the only day we can fit it in this summer and we have free passes. I was not given any “no swimming beforehand” instructions, and I can take the eyedrops with me and comply with that protocol like I would at home on the couch.

But I started wondering about water in the eye the day before??

Of note, most of the rides there use highly treated water but a few (at least as of my last visit a decade ago, who knows if it’s changed) use the natural spring-fed water from the river.

Thoughts??

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u/MeadowHaven77 — 2 days ago

Wow - various vision problems improved.

1st left eye, monofocal IOL, 2 days ago. Super happy. Before surgery, I had light sensitivity, and moderate ambient light caused the eye to fail to pick out detail, like pointing your camera towards the sun and losing image contrast, clarity. This issue is essentially gone. I had a region off center, which was more blurry. Gone. Always seemed like I was looking through a film, like scotch tape on my glasses. Gone. This was my left, poorer eye, which also has a macular pucker. The pucker and its wavy lines distortion is still there as expected. Used to be my right eye was the preferred eye I relied on. Currently, it is now my left, even with the pucker. Comparing my left, new lens to my right, I see significant, better vivid color, ability to look into bright sunny areas with superior acuity. So, I anticipate great improvement in my right eye after cataract surgery next week. The point I want to make is my retina specialist nor 3 ophthalmologists I've seen in the last 2 years suggested the significant improvement I'm experiencing when I would describe and complain about the aforementioned vision problems. My latest ophthalmologist did order the cataract surgery but was not imphatic about how it should address much of my complaints. I don't fault him, and I understand they shouldn't create expectations that might not be realized. I hope this post will help others.

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u/Business_Intern191 — 2 days ago

Has anyone got first-hand experience of having to take into account their existing DOUBLE VISION when deciding what type of IOL to have implanted, and how to prepare for the expected difficulty in adjusting to it?

I've had peripheral double vision for fifty years, the result of a TBI, so it's not going to get any better, and could get worse.

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u/ContributionAgile545 — 2 days ago

Sports scores in corner of TV

I was living life using +2.5 reading glasses for close reading and computer work then got tested for 2.5 left eye and 1.5 right and told I had signs of cataracts. I could watch TV fine

Referred to the specialist who said I had cataracts in both eyes 4/10 in left ad 6/10 in right and recommended surgery sooner rather than later to fit lens for mid/distance monovision lens

So my lens was set for mid/distance, accepted that glasses would be needed for near work

Nearly 4 weeks on and now with my operated eye I cant read the football scores clearly with my on a 55" TV only 10 feet away and my near vision is terrible

Disappointed to say the least. Ive seen the surgery (different doctor) who says all is well and my vision through a pinhole test is 20/20 - so why without the pinhole viewer does every thing feel worse

Am I expecting too much?

(Please dont suggest premium lenses, they arent an option for me - the standard lense was supposed to be good for distance but its not working)

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u/Ok_Phrase1157 — 2 days ago

21F, 4 days after RLE with trifocal IOL – when can I go back to the gym, and is blurry near vision normal?

Hi everyone,

I'm 21 years old and had Refractive Lens Exchange (RLE) with a trifocal IOL implanted in my right eye on the morning of June 30th (4 days ago).

I have two questions:

1. Exercise
Is it safe for me to:

  • Lift heavy weights?
  • Go for a run?
  • Do yoga (including poses where my head is below my heart)?

If not, how long did your surgeon recommend waiting before returning to these activities?

2. Near vision
The trifocal lens was chosen because my surgeon said it should provide near, intermediate, and distance vision. However, right now I can barely read my phone with my operated eye. The text is very blurry, and I have to concentrate really hard to make anything out. It's definitely not comfortable or practical.

Is this a normal part of the healing process? Does the brain need time to adapt to a trifocal lens, or should I be worried? If this happened to you, how long did it take before your near vision became clear?

For context:

  • I had extreme myopia (-17.00 and -17.50).
  • I wasn't a candidate for ICL because of my anterior chamber depth, so we went with RLE.
  • The surgery was done at iCare in Alexandria, Egypt.
  • Only my right eye has been operated on so far.

I'd really appreciate hearing from anyone who's had trifocal lenses, especially if you were younger or had very high myopia.

Thanks!

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u/Able-Bobcat9166 — 3 days ago

Advice needed

Hi
I met with Eye surgeon today, I had already met one before, I had met his assistant earlier and I had made her clear that I do not want premium lenses. So the Surgeon was aware I want to go for OHIP lense, but he said I have high astigmatism so I have to go for the best lense which is Toric so that I don't need glasses for far sight after cataract surgery that is Enhanced Single Focus (ESF) IOL Upgrade with Cornea Shape 3
Her assistant later informed me the cost is $1645 per eye, $1000 for measurement and $645 for lense
I saw a video on youtube that any person can pay so much for Toric lense, yet end up with no satisfactory vision if the lense is just a bit off, it would not give desired effects and that happens quite often, video said
What do you suggest, I should do?

https://www.youtube.com/watch?v=ixyZgGuvpkA

u/This-Manufacturer166 — 3 days ago

What to expect

Just kinda looking for what to expect or what life looks like after this. My back story is I’m sure very different from other folks as I’ve been through hell. My surgery journey started at 3months old with lazy eye correction on my left eye actually 7 of them through juvenile years which the had to operate on the right eye as well even though it was not lazy but to get the eyes to work together. That being said my left eye has always been trash so move to 2024 I had total retina detachment in my right eye and the side effect of that was a guarantee cataract down the road which we are here now. Only doing right eye as of now since only have cataract there and went with standard lense due to only being offered the standard and the one above it for an extra $500.

Sorry for such a long post

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u/mscjr007 — 2 days ago

Curious if anyone ever does lens implants for close up instead of far vision?

My distance vision was always perfect until my near vision started getting worse and worse over the years. Now I wear readers with +2.25 and my distance vision has gone to +1.25. The thing I hate is that pretty much anything within 5 ft or so I really cant read without readers on. At home, I live with readers on the tip of my nose since I can still see in the distance(tv, etc) pretty good. However, at work I have to constantly walk around with a tablet in my hand updating the restaurant floor plan, looking down at tablet, up across the room etc,. I eventually ended up getting progressives, which I pretty much honestly hate, since you have to lift your head up to be able to peer down to the bottom of the glasses to read smaller print like on my phone, paperwork, etc. In those types of cases plain readers work so much better. I've had at least 5 different pair of progressives made at different places with always the same dissatisfaction.

Anyhow, I was wondering if its a thing to get implants for close up and then bring the distance down with single vision glasses so to speak? Or is the only solution really to get one eye for close up and one for far? I'd read the bad stuff concerning multifocus so that is why I am wondering if there is other solutions.

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u/Extra_Fish_7949 — 4 days ago

Defocus curve comparison between lenses and natural eyes

I created this chart for myself to do a lens comparison between a trifocal, and edof, and a continuous lens to see how their shapes differed. I could never find the information I was looking for in one place so I had claude figure out how to overlay the different sources. I also converted added snellen measurements and inches to help those of us who don't automatically do those conversions in their heads. In any case I figured it might help some other folks out too so I'll drop it here.

https://preview.redd.it/0a5lq99a62bh1.png?width=1546&format=png&auto=webp&s=1ff69a4f82f1999087599d94efbb68a70888aa36

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u/GizmoTN — 3 days ago

What's the cost difference (in 2025/2026) in using "laser-assisted" vs "manual" cataract surgery per eye? Assuming using the same IOLs. Please also state the country you're in.

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u/i-canuck — 3 days ago