Cataract Surgery - Follow-up

Dennis The B

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I wrote, in a previous thread, that I would be having cataract surgery in November of this year. Rather than dredge up the old thread, I thought I would let you know the upshot from the two operations.

In October, after a year of some degradation, my Ophthalmic Surgeon recommended that I have cataracts removed from both eyes. In that year, I noticed a lot of night-time halos, glare, fuzziness around trap targets, and what appeared to be lack of sharp colors. I'm 66 and blue eyed; my father had the same surgery when he was 66. My myopia was minimal, but I do have presbyopia, as do a lot of folks my age. I also have a fair amount of astigmatism (+4.0 in each eye).

We discussed a number of options, finally deciding on a toric implant made by Bausch & Lomb. This implant is a bit advanced, and more expensive than basic toric lenses (Crystalens Trulign). When we made the selection, he took my case to an independent surgical board, and they concurred with my selection in a blind evaluation. We also agreed that my non-dominant eye would continue to be about 1/2 diopter weaker than my dominant one. I opted to have better distance vision, requiring reading glasses.

I had my first operation on 11/13, followed by a second operation on 12/4. Procedures both times took about twenty minutes.

After each operation, and within eight hours, I noticed a drastic improvement in my vision. Subsequent eye exams have yielded results of 20/20 in my non-dominant eye, and 20/15 in my dominant eye. My reading at 14" is at 20/15; although that may change. The first indicator of improvement was that outlines of letters and numbers were tack sharp (but blurry because of the dilating drops). I was cleared to shoot the day after surgery.

The implants are amazing. For the first time in 50 years, I don't wear prescription glasses. Colors pop out, and my vision contrast is stunning. Front sights on my shotguns and pistols are now tack sharp, and targets are now clear orange, with no blur on the outline. I'm still having a bit of argument between the left eye which dilates normally, and my dominant right eye, which is dilated for one more week. However, I can tolerate that for one more week. Right now, I'm awash in eye drops. :D :D

After the first eye was done, I was told to ditch my glasses, which I did. No going back to the old prescriptions. The doctor wanted my non-dominant eye to work harder, and he was averse to putting a blank lens in my existing glasses.

There is a caveat with cataract surgery. There is a possibility of developing a "secondary cataract". However, I've been advised that this is easily correctable and done in the surgeon's office with a laser.

I removed the inserts from my Ranger XLW glasses, and put the plain lenses back in all my Ray Ban sun and shooting glasses.

In the past ten years, I've averaged about $500/year on glasses, shooting glasses prescriptions, etc. That cost will be amortized in about 8 years.

I always took some things for granted, one of which was so-so vision. Ain't technology great?
 
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Congratulations! I'm almost jealous about the improvement you've had. I've worn glasses since second grade and can only imagine not having the first thing I do when I wake up be reaching for my glasses.

My sister had similar results with her surgery which was back in September. She's worn glasses for as long as either of us can remember and her eye sight without them was horrible. Now, at 63, she can see clearly without classes.

As with you, the surgery took less than half and hour each time and had no complications. We share and eye doctor and he does many procedures each week. He and I have discussed the technical aspects procedure, although I have no cataracts and thus don't qualify.

As nervous as I am having someone near my eyes with sharp implements, I'd need a lot of sedation. Still, it almost makes me wish I had cataracts. Almost, but not quite.
 
You done well. After surgery, I have 20/30 vision with astigmatism so I still have glasses (albiet weak ones). Before cataract surgery my vision was 20/900 and 20/750 so I am tickled pink with these new glasses. The new glasses are the first ones I have had that are not glass.
 
The other cataract you speak of is actually a protein buildup behind the implant lens. It appears in about 1 to 1.5 years after the implant and only happens to about 20% of patients. If your vision seems to degrade have your doctor check for the protein buildup. A laser procedure corrects the problem for good. Been there done that. My doctor never told me it was a possibility. When I complained I couldn't see well then they said "ooops" and took care of it.
 
I went through that last year. I also opted for the distance primary, and I continue to need correction for close up and intermediate close up. For awhile I was carrying around 3 sets of glasses. Sun glasses as I was so light sensitive, intermediate correction to find anything on a shelf in a store (or see my computer screen) and close up to be able to read anything. I have now opted for returning to glasses full time with the variable focus lenses, nearly clear on top. It's been a year and I am still very light sensitive, and need sun glasses to walk 40' to my mailbox outside if it is direct sun outside. I did have the "secondary" cataract (Post cataract capsulary bag), which was resolved in the Dr's office with a Yag laser within less than a couple minutes. The downside of that correction was it did cause another change of prescription i that eye. I've had 4 different prescriptions (and sets of glasses) within the last year. I think I'm finally home free, and yes, I can see the sights on my handguns far better than I had for many years.
 
This is just about identical to my surgeries which were in Oct and Nov. Follow up has shown to be nearly 20-20 in both eyes for distance but I require reading glasses for anything closer than about 30-36". After almost 60 years of wearing glasses it is fantastic, although I still try to remove them before stepping into the shower!! Old habits die slowly sometimes.
 
Dennis
I have a question for you and for anyone else that has had this surgery. I can not tolerate any sharp objects anywhere near my eyes and I was wondering if you are aware of the cutting or if you are sedated and not aware. I have cataracts and am 68 but at my last eye checkup I was not yet bad enough for the surgery. I just do not think that I would be able to sit still and have a sharp object come at my eye. What was your experience?

Thanks
 
I had my right eye done last year. Never went back for the left eye. I thought that they put you to sleep and did the procedure,when you woke up you went home. I think I did go to sleep for a few minutes because I realized that something was holding my eye open, some kind of paper was covering my face and my hands were tied down. I am claustrophobic and that paper on my face was making it very hard to breath. The doctor asked me to tilt my head back.

I could feel the doctor pushing something in the side of my eye and maybe some vibration but no pain. A very bright light was shinning in my eye while he was putting in the lens. Finally the paper was removed the spreader was taken out and all of sudden this sharp pain went through my eye and then another twice as bad. They put a patch on my eye and took me to recovery room. My blood pressure was almost to 200. When I got home and took the patch off big blood stain. The first time the wife put the drops in my eye I came straight up off the chair cussing the doctor and anyone I could think of. It was just like something was burning straight through my eye.

The next day when I went back for the checkup I asked the tech why I wasn't put to sleep? He said that they would have to put me in a hospital to do the surgery that way in case that I needed to be revived.I asked what was that pain after he finished and he said that was antibiotics being injected into my eye. GD that hurt.

So now I can see pretty good with my right eye but not looking so good with my left. I shoot left handed. Going to learn to be a right handed shooter. Couple of years back went for a MRI and when my feet started to go under this steel plate which was going to be only inches from my face I got off that table put my clothes on and went out the door.
 
I wish mine had gone as well. Yes brightness and color are much improved. My vision seems to vary from day to day.
If I'm on the computer for any length of time it takes up to an hour to adjust for distance. My new lenses (glasses) don't work well for reading. I've been back twice, they keep telling me I'm 20/20! :confused:
 
Dennis
I have a question for you and for anyone else that has had this surgery. I can not tolerate any sharp objects anywhere near my eyes and I was wondering if you are aware of the cutting or if you are sedated and not aware. I have cataracts and am 68 but at my last eye checkup I was not yet bad enough for the surgery. I just do not think that I would be able to sit still and have a sharp object come at my eye. What was your experience?

Thanks

Like you, I have a fear of anyone having anything remotely sharp near my eyes.

However, you're given drops which numb the eye, and most of all, you're given a sedative which takes all your cares away. In my case, I was given Versed, which completely relaxes you. I told the doctor that he could have performed a "head-ectomy" and I wouldn't have cared.

I wasn't aware of much during the first operation. The first thing I knew, was the visual clarity I had with my left eye. During the second operation, I was aware of almost everything that was done. I knew when the cataracts were removed, when the implant was inserted, and when he put in a stitch. However, there was absolutely no sensation of any feeling, whatsoever. Toward the end of the second operation, I did think, "When will he be done"; and in not more than two seconds, he was. The doctor told me that this might happen during the second operation, so I wasn't surprised.

There has been no real discomfort since. There has been a bit of dryness, but that is normal, and the eye drops have some side effects, but nothing of any note. I'm taking Restasis and using artificial tears, along with steroidal drops, and an antibiotic drop.

Before surgery, I was a bit anxious. After all, they're my eyes.

Forty-five minutes after surgery, my wife and I were sitting at Bob Evans, and ordering breakfast. The rest of each surgery day, I lounged around, and caught up on the previous nights' lack of sleep.

Everyone will react differently, but I think that once you get over the initial jitters, everything should go just fine.
 
Yes, I agree with Dennis. I was a bit nervous about the cutting but ended up I was unaware of it. I wouldn't worry about it. It's a piece of cake.:)
 
Dennis, Glad everything is working out OK. I had a cataract removed several years ago, which was a great improvement. Went for my annual eye exam last Wednesday and was sent to a specialist for a second opinion. I got home today around noon for repair of a detached retina on the same eye. It was a 2 hour repair, and awake for the whole time with a local block. I thought I would be asleep. Now I have to keep my head pointed down for several days so the gas fulled bubble can push the fluid out from behind the retina. It's a pain but should be ok. By the way, I am typing standing up with my monitor laying flat on the desk.
 
Dennis, Glad everything is working out OK. I had a cataract removed several years ago, which was a great improvement. Went for my annual eye exam last Wednesday and was sent to a specialist for a second opinion. I got home today around noon for repair of a detached retina on the same eye. It was a 2 hour repair, and awake for the whole time with a local block. I thought I would be asleep. Now I have to keep my head pointed down for several days so the gas fulled bubble can push the fluid out from behind the retina. It's a pain but should be ok. By the way, I am typing standing up with my monitor laying flat on the desk.

Glad your detached retina was no worse than what you experienced. I guess detached retinas can go from simple, to very complex.

Get well soon.
 
Sounds like....

sounds like you and your doctor did some thorough preparation and it sounds like it REALLY paid off. With my new implants I'm seeing much better than I ever did, too. Glad things worked out.
 
Dennis this is great that they worked the first time. I also had surgery on the 20th of Nov. for a cornea transplant, it 1.5 hours and I was awake and felt the last few minutes, no pain just felt it. This is for EQguy I was the same as you with sharp objects around my eyes. eye drops drove me crazy but after 3 surgerys on the same eye this year I can drop them in and don't flinch. My transplant is workin but I still have a ways to go. good luck Dennis. Jeff
 
I am so glad to hear of your successful and satisfactory cataract surgery. I am in the early stages of cataracts, but my eye guy says they are not yet "ripe" enough to warrant surgery. Maybe in a couple of years.

Both my parents had cataract surgery in their 70s and I suspect I am on the same timetable (I turned 68 about six months ago). Both of them were pleased and astounded by the results. My older daughter developed them early and had to have surgery last year and the year before. She's much better now but still needs glasses for most purposes. Still, her vision is improved from what it was.

Again, congratulations on the outcome.
 
Get good sunglasses and get used to wearing them more often, even on bright cloudy days. Your eyes will be more sensitive to UV than before and you need to protect them. The docs will claim that the implant will take it out, but I am rather less than convinced.
 
I had mine done 3 or 4 years ago and am not wearing glasses for the first time in 55 years. There was no sensation of cutting. There was a bright light for 5 seconds or so and that was it. The local docs are now using lasers to remove the old lens.
 
Had my left eye done three weeks ago and everything is great now. I was worried about the sharp things around my eye as well but the folks working on me explained everything going on as it happened and they were good.

No needles of any kind, they used a spray on type anesthetic, I forget the name so no pain there at all.

When the actual surgery started he said "look at the microscope" and then started. I had no sensation of pain or any uncomfortable feelings what so ever.

The whole thing seemed to take maybe less than 10 minutes but may have been a little more. It was over a lot quicker than I thought it would be.

Someone mentioned a bloody patch in another post. I had no patch at all just a plastic shield taped over the eye, it didn't touch the eye just taped over it for protection. This just kept me from touching it or bumping it somehow.

As for the drops there was never any discomfort using them, no burning or anything. The first week I had three different drops that I used twice a day and then just one drop twice a day. I finish these at the end of the week.

All in all it was a really good experience considering what they were doing. The people involved, surgical tech, anesthesiologist, and the surgeon were great. Talked to me the whole time explaining what was going on and even joking with me, although not enough to make me laugh, they didn't want that. I was really surprised when it was over, really fast and no pain what so ever. So far no bad after effects and it is so great to be able to see again.

The other eye is not ready for surgery yet but will probably go sometime next year for that one. After the experience with this one I'm not worried at all about the next one.

For those of you that need to get this done, don't worry about it. And remember the alternative is blindness and I was close to that in my left eye.
 
me too.....

Dennis
I have a question for you and for anyone else that has had this surgery. I can not tolerate any sharp objects anywhere near my eyes and I was wondering if you are aware of the cutting or if you are sedated and not aware. I have cataracts and am 68 but at my last eye checkup I was not yet bad enough for the surgery. I just do not think that I would be able to sit still and have a sharp object come at my eye. What was your experience?

Thanks

I, like you, am terrified of anything being done to my eyes, so I requested Versed, an IV drug that will put you into twilight sleep. You feel nothing, you basically remember nothing...and if you become even the least bit aware during the procedure, you don't give a s**t. It was wonderful. You don't receive much of the Versed and it wears off quickly with no ill effects. The doctor likely won't offer to use it, but I insisted and it was absolutely worth it.
 
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