Thursday, April 11, 2024

Cloudy Vision 2 Years After Cataract Surgery

Is Blurry Vision After Cataract Surgery Normal

How long is your vision blurry or cloudy after cataract surgery? – Dr. Sriram Ramalingam

You dont need to panic if you have blurry vision for a few days after surgery. Blurred vision is a common reaction to cataract surgery because your eyes need time to heal and adjust to the lens your doctor implanted.

Blurry vision can vary from patient to patientsome people may have blurry vision for a day, while others experience blurriness for several days. While blurry vision is normal after surgery, blurred vision for weeks is concerning.

Getting Out Of Glasses With Cataract Surgery

Many people go into cataract surgery requiring glasses and come out of it being able to see without correction!

For many, cataract surgery sharpens up the ability to see off in the distance. But reading glasses will still be required to see up close. The distance vision becomes exceptionally sharp if astigmatism is also corrected at the time of cataract surgery with lasers or with special premium toric lenses .

However there are two ways cataract surgery can be used to get out of glasses for mostly everything .

  • Monovision . With this technique, one eye is corrected during cataract surgery to sharpen up the distance vision. This eye by itself wont be able to see up close, so the other eye is corrected for computer and reading vision. Between both eyes, the full range of vision is covered. Typically it may take a month or more to fully adjust to monovision.
  • Premium or lifestyle artificial lenses such as trifocal lenses. Instead of having the eyes perform separate tasks, a special lens is used which allows for each eye to see the full range of vision. These particular lenses work best for healthy eyes and do come with some night-time vision symptoms to adjust to over time.

These two methods both have their pros and their cons. Ultimately the preferred approach is tailored to each persons visual needs and demands. A discussion with your cataract surgeon will determine the optimal way to correct your vision the best after cataract surgery.

Recovery From Cataract Surgery

Although your vision might be blurry immediately after surgery, it should start to improve within a few days. You might also notice that colors appear brighter, since cataracts tend to cause colors to look duller.

It can take several months to heal fully, but you can speed up the healing process by following your doctors instructions. This includes:

  • wearing a protective eye shield at night for at least a week after surgery
  • using eyedrops and/or taking other medications as prescribed
  • avoiding strenuous activity for a couple of weeks after surgery
  • not bending over at your waist for at least a week
  • not rubbing or pushing on your eye
  • avoiding substances that could irritate your eyes, such as makeup, soap, and dust
  • not swimming for 4 to 6 weeks

Your ophthalmologist will schedule several follow-up appointments to ensure your eyes are healing well.

Dont hesitate to contact your doctor or ophthalmologist if you have concerns. While complications of cataract surgery are usually rare, some can be serious.

Seek medical attention if you experience:

  • a sudden decrease or loss of vision
  • sudden flashes of light in your eye
  • pain that isnt relieved by over-the-counter painkillers
  • an increase in redness or swelling

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How Laser Capsulotomy Works

In laser capsulotomy, the acronym YAG stands for Yttrium-Aluminum-Garnet. The YAG laser method can be an office or a hospital procedure. The YAG laser capsulotomy is a very safe and effective method. Aside from being a painless procedure, YAG laser only lasts for a couple of minutes. Laser capsulotomy is a beneficial process in postoperative care.

Basically, the use of Yag laser is to create a hole in the iris to clear the frosting at the back of the artificial lens. During the procedure of laser capsulotomy, your doctor may use a magnifying contact lens for better precision in aiming at the surface that needs to be treated. This is how a typical YAG laser procedure is done.

A regular visit to the eye doctor is highly recommended to ensure the effectiveness of the treatment. Once the eyes are fully healed, your doctor will recommend if glasses or contact lenses are needed, after evaluation. Keep in mind that careful monitoring by your doctor and self-checks will help.

Can You Have Cataracts Twice

Blurry Vision 2 Years After Cataract Surgery

So, it is actually impossible to get another cataract. All of that said, there is a secondary condition that can occur after cataract surgery that has extremely similar symptoms. This is often called after-cataract but is medically referred to as a posterior capsular opacity.

Can cataracts return after cataract surgery?

Since the entire lens of the eye is removed during surgery, cataracts cannot return. However, many people experience the clouding of the lens capsule, which supports the replacement lens. This can develop months or years after surgery and can cause vision problems that are similar to those of the original cataract.

Does cataract surgery last a lifetime?

Does cataract surgery last a lifetime? The lens that the surgeon implants during cataract surgery is durable and will last a lifetime, according to Mayo Clinic.

Will I still need reading glasses after cataract surgery?

During cataract surgery, your cataract surgeon will completely remove the affected lens. That means that in addition to removing the cataracts, your surgeon is removing the source of your presbyopia. Now, this does not necessarily mean you can toss your reading glasses just yet.

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Contact Coastal Eye Surgeons Today

Theres nothing we love more than restoring your vision and ensuring your eyes are given the proper treatment — no matter what treatment they need. At Coastal Eye Surgeons, our focus is your vision.

In addition to cataract surgery and YAG treatment, Dr. Omar Shakir specializes in dry eyes, glaucoma, floaters, eye allergies, and more. Contact us today for more information or to schedule your comprehensive eye exam at our boutique-style, friendly, and high-tech office. We cant wait to treat you!

What Is Posterior Capsular Opacification

When you have PCO, it can look like the cataract has reoccurred. The condition is sometimes misleadingly called a secondary cataract, but you cannot develop another cataract once you have had surgery.

During acataract operation, our surgeon removes the cloudy lens from the capsule that contains your lens. They then replace it with an artificial lens called an intraocular lens .

PCO happens when a film of tissue forms in the capsule behind the lens implant, which decreases the clarity of your vision.

We call it posterior capsule opacification because:

  • It appears at the back of the lens capsule
  • The capsule becomes thickened and opaque

PCO can develop in both eyes if you had cataract surgery in both but it may affect each at a different time.

Find out more about the signs and symptoms of PCO in our video below.

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Learn More About Developing After

At Focal Point Vision in San Antonio, TX, our team treats patients suffering from cataracts. During a basic eye exam, we examine your eye health and offer our professional opinion on the best treatment option for you. We can also discuss the possibility of developing secondary cataracts after any cataract surgery. To schedule an appointment to learn about cataract treatment, call our office today.

What Is Pco And Why Can It Cause Blurry Vision 2 Years After Cataract Surgery

New cataract surgery eliminates need for glasses

To understand what PCO is, you first need to delve a little deeper into what happens during cataract surgery.

You probably know that the lens with the cataracts is removed and replaced with an artificial one. This needs to be done because cataracts form when proteins clump together on the lens and prevent light from passing through it. But did you know that the lens is surrounded by a capsuleone that needs to be opened with a laser for the natural lens to be destroyed ?

PCO is caused by proteins once again clumping together, but this time they do so on the small element of the capsule that was left in the eye for the artificial lens to be attached to. This is at the back of the eye, hence the posterior in the name of the condition.

Somewhat confusingly, this has become known as a secondary cataract. The condition can occur from months to years after the cataract removal op but has very similar symptoms to the original cataractsuch as blurred vision.

Thankfully, theres an extremely easy fix. Its known as a YAG laser and can be carried out in a few minutes. Your ophthalmologist will give you some numbing drops and then zap the offending proteins with this painless procedure. Youll return home straight afterward and thats itonly a single treatment is needed for a definitive result. Happy days!

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Is It Normal To Have Hazy Vision After Cataract Surgery

It is very common to have blurry or unclear vision in the days and sometimes even weeks after cataract removal. Most of the time, this is caused by normal swelling in the eye which occurs as a part of surgery. Patients with larger, denser and/or firmer cataracts are more likely to experience more inflammation.

What If My Vision Becomes Cloudy After Cataract Surgery?

Is Blurry Vision Normal After Cataract Surgery

Immediately following cataract surgery, it is, in fact, normal to have blurry vision. Many patients are back to their regular activities the day after cataract surgery. This applies to most activities except for driving. Driving isnt allowed until your cataract surgeon has okayed it.

During early recovery, patients will be able to see, but not in clear, but rather, soft vision. Within 48 hours, many cataracts patients see significant improvement in their vision.

It is possible that your vision could take one to two weeks to adjust and settle. The eye must adapt to the new intraocular lens that has replaced the lens. Every patient is different!

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Floaters And Flashes Of Light

Surgery can cause posterior vitreous detachment, where the vitreous separates from the retina. It makes you see moving spider webs and clouds in your vision, along with flashes of light.

Usually, it gets better on its own within a few months. Because the symptoms are similar to retinal detachment, call your doctor right away to get checked out.

Will My Vision Be 20/20 After My Cataract Surgery

CATARACT. A cataract is a clouding of the lens in your eye and normally ...

Getting better eyesight after years of needing glasses or contacts, followed by years of struggling with the cloudy vision the cataract caused, is the remarkable fringe benefit of modern cataract surgery.

However, achieving perfect 20/20 vision after cataract surgery is not a guarantee. Some patients may still need corrective eyewear to see clearly after their procedure. That said, your eye surgeon can provide options that can result in the crisp vision you deserve after cataract surgery.

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How Soon Can Pco Occur

If you are wondering how quickly PCO can develop after cataract surgery, the simple answer is it varies.

PCO grows over time, which can be many weeks, months or even some years after your cataract surgery.

If you have had a cataract operation recently and have problems with your vision, you should contact our eye specialist as soon as possible.

Generally, the younger you are when you have cataract surgery, the greater the chances of developing PCO.

Cataracts & Cataract Surgery Explained

A cataract is the clouding of your eyes lens, an essential part of your vision. Your lens is typically clear and flexible, changing shape to help you see. This lens can become stiff, thicker, and cloudy as you age.

Cataracts develop with time as proteins and fibers within your lens break down and clump together, causing blurry vision. A cataract can feel like youre looking out of a foggy or frosty window.

You may see fine when a cataract initially develops, but vision worsens with time. When cataracts significantly affect your vision, cataract surgery is usually the only way to restore your sight.

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Why Am I Experiencing A Cloudy Vision After A Cataract Surgery

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How Do You Fix Cloudy Vision After

Doctor recommends cataract surgery: Should I Worry?

If you have cloudy vision after your cataract surgery, we can use laser treatment to safely, effectively, and painlessly correct it. This procedure, known as a YAG laser capsulotomy, allows light to clearly pass through the pupil into the eye. With this procedure, your vision is restored in a matter of hours.

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Cloudy Vision After Cataract Surgury


Immediately after cataract surgery I had a foggy or cloudy vision and colors are not as vivid as they were. I’ve never been able to see as good as I did before surgery. The cataracts were not severe, they wanted to do to do so they could put Istents in to get my glaucoma pressure down. They have done the yag surgery, and I have been to several doctors, Duke, Johnson city eye, a doctor from Knoxville and Tn, Kingsport regional eye. Not one of them can find anything wrong. I also had stigmatism . I got the corrective sight vision lens. Has anyone else had this?

1 like, 7 replies

  • Posted 4 years ago

    The only thought I have is that possibly the lens implanted by your doctor was not the correct strength that you needed. Also, I have been told that in order to correct astigmatism you need a Toric lens. Im certainly no expert, but just my thoughts.

  • Posted 4 years ago

    Dealbreaker, I have brought that up and The doctors don’t think so.Deal, that is exactly what I thought. thanks

  • Posted 4 years ago

    Phillis, I will be going back to the doctor in a little while, I’ll bring that up. Thanks

  • Posted 4 years ago

    Dealbreaker, I read your posts. Every doctor I have seen says the lens are clear. Like you I seem to have a milky film, or smoky film over my eyes . Thanks

What Is Vision Like Before Cataract Surgery

Cataracts cause more than blurry vision. There is actually a wide variety of symptoms caused by cataracts:

  • Glare and / or difficulty driving at night
  • Poor ability to see contrast, such as in a dark or dimly lit environment
  • Change in perception of colors
  • Change in the glasses prescription of the eye

Of course, the most common symptom that people have is blurry vision. Cataracts are a clouding of the natural lens inside the eye. As this lens gets cloudy, light has a harder time passing through. Because we use light to see things, this cloudiness makes things more blurry. Details become much harder to make out.

This cloudiness also impairs are ability to see things in low light environments. Cataracts block light and individuals with cataracts often find they need to shine more light on objects to see them.

Blurriness from cataracts image by Dan Morris on Unsplash / modified from original

But blurry vision isnt the only symptom people notice. There are types of cataracts that cause a very high amount of scatter of light especially when lights are shining in the eye. This causes lots of difficulty with glare and this makes it more difficult to see at night. Subsequently, driving at night is often the first activity which is given up once cataracts start to develop.

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Irritation On The Surface Of The Eye

On the very surface of the cornea is a thin layer of cells called epithelial cells. These cells protect and maintain the health of the rest of the cornea. When these cells are perfectly healthy, these cells are completely transparent allowing you to see. But this layer of cells get put through the wringer during cataract surgery.

First off, the main antiseptic used to prevent infection after cataract surgery is betadine. Works great to kill bacteria! But also technically toxic to the eye as well . This will irritate that epithelial layer and make it more cloudy.

On top of this, the eye can dry out more during cataract surgery. An eyelid holder is used to keep the eye open during the procedure. This prevents you from having to worry about holding your eyes open or blinking during the procedure. But blinking serves an essential role for the eyes. Blinking restores the natural tear film on the surface of your eye. Without blinking, this tear film dries up.

During cataract surgery, your tear film is drying up. Now, the surgeon will be constantly artificially restoring your tear film with drops or a thicker gel, but the eye will still dry out a little bit more than normal. This will also contribute to the epithelium becoming sicker and more cloudy after cataract surgery.

This will cause your vision to be more blurry and foggy after the procedure, but this mostly heals up after a good nights sleep.

How Much Vision Will I Regain After Cataract Surgery

Hereâs What We Think You Should Know About Cataracts:

If you have cataracts, you know that living with them can make it harder to accomplish even the simplest of activities. The only way to effectively treat cataracts is by having cataract surgery.

But does cataract surgery mean that you will regain all your vision lost because of cataracts? Keep reading to learn more!

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