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Eye Care Archive (Expert Forum)
Double vision after cataract surgery
Our Ask A Doctor Ophthalmology Forum is where you can post your question and receive a personal answer from physicians affiliated with the American Academy of Ophthalmology.
Double vision after cataract surgery
by ddtla, Dec 17, 2006 12:00AM
I just had cataract surgery with rezoom on my left eye 1 week ago. My distant vision is great. On post-op day 1 is 20/20 and near vision is J16. I don't have any halos at night. But on day 3 I started to notice that I am seeing a ghosting image and it gets slightly bigger day to day (it is bigger now compared to day 3,4,5). At night I would see almost a double vision on car tail lights and on intersection lights. I see the same thing through out the day while reading captions or words on TV. At the bottom of the letters I would see another image of the letters (about half the height and of lesser opacity or lighter color). The same thing at night, I would see another image underneath car tail lights, intersection lights, neon lights (about half the height and of a lighter color). The second image is not a complete image but seem to protrude out underneath the original image (again about half the height and of a lighter color).
As for my near vision, I still can't read the monitor as I type this. I had to buy a +1.5 reading glass from the drug store to be able to work on a computer or to read. At this point I am more concern about the double image. I was wondering if anyone has had this experience. What I have is not a halo because I don't see rings around lights. Only a duplicate image underneath the lights or letters.
I am having my second rezoom tomorrow. Please let me know if you have had similar experiences and did it go away with the second rezoom or with time.
As for my near vision, I still can't read the monitor as I type this. I had to buy a +1.5 reading glass from the drug store to be able to work on a computer or to read. At this point I am more concern about the double image. I was wondering if anyone has had this experience. What I have is not a halo because I don't see rings around lights. Only a duplicate image underneath the lights or letters.
I am having my second rezoom tomorrow. Please let me know if you have had similar experiences and did it go away with the second rezoom or with time.
Doctor's Answer
by Forum-OD-MP, Dec 17, 2006 12:00AM
someone will reply i'm sure...many here have had this type of surgery/problem
http://www.crstoday.com/PDF%20Articles/0406/CRST0406_15.html
And from an article from Medscape Today:
Intraocular Lens Design-Related Positioning
"Some of the newer IOLs designed to treat presbyopia as well as aphakia require specific anatomic locations, and certain malpositions affect each model differently. For example, concentric-ring multifocal IOLs, such as the Array® (Advanced Medical Optics [AMO], Santa Ana, CA), the Acrysof® ReSTOR® (Alcon, Fort Worth, TX), or the ReZoom™ (Advanced Medical Optics, Santa Ana, CA), require perfect centration for proper functioning. Even a slight decentration of 1 mm can cause visual disturbance and undesirable glare symptoms"
The ghost vision on my left eye is still there and in the right eye there is also a small ghost vision again to the bottom and left of the actual image.
The doctor said that I have a window period of about 4 months before the capsule fibrose. So I will give it another 5 weeks to see if the ghost image will disappear or improve after the inflamation goes down. If it doesn't then he will look at other options like recentralizing it.
I was very careful in picking the doctor to do the surgery. I went to opthamologists and felt confident about this one. I even talked to two of his patients with rezoom and they were very happy with their vision, perfect near and far vision. I guessed you never know until after you have the procedure done yourself.
Blue92, which type of lens did you have done, was it rezoom or restor? Based on the article it seems like restor is less forgiving than rezoom regarding centralization.
How long has it been since your surgery? Is your ghost image similar to the way I described mine? When did you start noticing the ghost image and did it ever improve slightly with time?
Again thank you for the information. Keep us updated regarding you upcoming procedure later this month. If things doesn't turn out correctly, I may even have to fly to Indiana to see the doctor that you are talking about. I wish you well.
I am now 4 weeks post-op for left eye and 3 weeks post-op for right eye. At my last check-up I was 20/20 for distant vision. J3-5 for left eye and J5-7 for right eye.
I still have ghost image on both of my eyes. They are both inferior and temporal(toward the lateral of the eye) to the actual image. The ghost image is of a lighter opacity and smaller than the actual image. It is more pronounce when I look at objects with contrasting background(white on black background). I see it if it is more than 2 feet from my eye and gets bigger with increasing distant. I see it around light, words on computer screen, TV, and even during the day.
My doctor looked at the lens through his opthalmoscope and said that the lens are centered. He didn't do an ultrasound scan to confirm this. He said that it may be due to the design of the lens since it is a multifocal and that each part of the lens project a different image. I don't buy it because if this were true then I would see ghost image around the entire object not just only inferior and tmporal to the actual image.
I am going to get a second opinion and it is scheduled for next month.
How did your surgery went? Did your vision improved? Do you still see ghost image? By the way which type of lens do you have, rezoom, restor? Also how long was the time frame between the first surgery and the corrective surgery?