What to Expect After Cataract Surgery (EyeCare 20/20 Retina & Vision Center)

[@drsyedmohammadfazlullah8432]

Thanks indeed Dr. It was wonderful indeed.

[@generic_official]

Another thing to expect after cataract surgery is Negative Dysphotopsia, & jittery vision 🙁

[@notarobertomd]

Yes, those two are one of over 50 known issues that may occur with cataract surgery. Fortunately, these 50+ potential issues occur at a rate from 0.01% to 12% depending on the issue discussed. It is important to remember to only opt for surgery when there are no other methods available to achieve the goals you wish for. It is your body and you are the "captain of the ship", at the end of the day, only the individual can weigh the risks and benefits that are acceptable to themselves. Regarding "negative dysphotopsia" and "jittery vision", there are fortunately solutions for both of those that may be effective in the majority of cases. Please speak to your surgeon about these options to resolve those issues with your surgeon.

[@generic_official]

@@notarobertomd Thank you for your reply doctor. I’m only 2 weeks postoperative, and based on what I’ve learned about this, it takes time for the brain to adjust. In other words, after being so used to the light coming in through the grade 3/4 cataract I had, it takes time to adjust to the light coming in through the new lens. Or should I say, the light breaking over the edge of the new lens. Short of neutral adaptation, I assume the solutions you’re referring to are along the lines of an ROC or IOL exchange. But something like that should be saved as a last resort. However, if there is another, perhaps non-invasive solution, please let me know. Meanwhile, it’s still early days, so I’ll give it time. Again, thanks for your meticulous response.

[@notarobertomd]

@@generic_official Thank you for your kind words. And yes, I agree with you and so do multiple studies. The great majority of patients undergo a period of neuroadaptation, where the visual system adjusts to the new input from the artificial lens implant. For some, it is almost instantaneous, and for others can be weeks to months. The odds are in your favor of having this issue resolved. In the case where it is not, there are non-surgical methods, non-invasive methods and as you cited, surgical methods to help this matter. We have tried all these modalities with some working better than others. After your full month of post-operative healing, let us know if it is still an issue. Thank you again!

[@generic_official]

@@notarobertomd 3 months post-op update. It is somewhat better, but there is still room for improvement. I assume that if it totally resolves, it is gradual and not spontaneous.

[@lindamastropietro4429]

What if I sneeze?😂

[@sw2938]

2020 was a crummy year.