Monday, April 15, 2024

Why Do I Have Double Vision After Cataract Surgery

Getting Started With Cataract Surgery At Eye Center Of Texas

Laser Precision Restores Vision after Cataracts

For the vast majority of patients, there are no long-term issues with their vision after cataract surgery in one eye. And at Eye Center of Texas, we have experience performing over 80,000 successful cataract surgeries. We can help you improve your vision with cataract surgery and make sure you have all the tools and resources you need to make your recovery process seamless.

Are you preparing for cataract surgery? To learn more about cataract surgery and its benefits, call 713-797-1010 or contact us online today to request an appointment.

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Reach Out To Us Today For A Personalized Visual Treatment Plan

As always, if you have any questions, worries, or feel that your side effects are abnormal, please reach out to us as soon as possible. Your peace of mind is as important to us as it is to you. And we’d love to help you enjoy long-lasting ocular and visual health, so contact us today at inVision Ophthalmology Birmingham or pay us a visit in Birmingham, AL.

How Long Does It Take For Vision To Stabilize After Cataract Surgery

The consensus seems to be that it takes 1-3 months. So you should expect your eyes to have stabilized 2-4 months after the surgery. Youll probably have another Ophthalmologist appointment around that time. Thats when you should be ready to have your eyes tested and be given a new glasses prescription if needed.

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Vision After Cataract Surgery

How you see after cataract surgery is dramatically different than beforehand. And in fact, you dont have to wait long to see the improvements.

One of the first things noticed after cataract surgery is a rapid improvement in light and color. Many people with cataracts dont realize the deterioration the cataract is having on these aspects of vision.

This is especially the case with color perception. The most common type of cataract imparts a yellow-orange-brown tint to your surroundings. But because this happens gradually and because it typically happens to both eyes at the same time, it is very difficult to notice that the perception of colors has changed. That is, until the cataracts are removed through cataract surgery. Once the cataract is removed and replaced with a clear artificial lens, colors become more vibrant. You notice much more colors including blues and purples that you just werent seeing before.

But alongside the improvement in color is the improvement in light. Everything will appear much brighter! While this does mean you may want to wear sunglasses when you go outside, it also means that you are able to see much better in low light and dimly lit environments.

Full colors and clarity image by Dan Morris on Unsplash

Blurriness from cataracts for reference

But there is another cool benefit to cataract surgery: it can actually get you out of glasses.

Double Vision Caused By Nerve Problems

Cataract Surgery FAQs

Certain cranial nerves connect the brain to the eye muscles to control eye movement. Some conditions that can affect or damage these cranial nerves and lead to double vision include:

  • Diabetes, a metabolic disease affecting your body’s ability to process blood sugar that can cause nerve damage
  • Guillain-Barre syndrome, a nerve condition in which early symptoms can occur in the eyes, causing muscle weakness
  • Myasthenia gravis, an autoimmune disease in which the immune system attacks neuromuscular junctions involved in eye movement
  • Multiple sclerosis, a chronic neurological disease affecting the central nervous system, possibly damaging nerves that control eye movement

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Double Vision Caused By Cornea Problems

The cornea is the clear layer that covers the front of the eye. Its main function is to focus incoming light into the eye. Problems in the cornea distort its surface, which can create double vision. Such problems include:

  • Infections such as shingles or herpes zoster
  • Scars caused by disease, injury or infection

Learn More About Advanced Laser Cataract Surgery At Laservue Eye Center

Our team at LaserVue Eye Center is eager to answer any and all of your vision correction questions. If you are considering cataract surgery, visit LaserVue Eye Center online to schedule a free virtual Cataract Surgery consultation.

If you have previously received cataract surgery and are experiencing new vision changes, contact us as soon as possible at 1-800-527-3745 or go online to schedule an eye exam.

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What If My Vision Is Still Blurry Even After Cataract Surgery

If youve had cataract surgery and your vision is still blurry or hazy, you may have a common condition called posterior capsule opacification . PCO, also sometimes called a secondary cataract, occurs when the capsule that holds the IOL in place gets obstructed by epithelial cells from the lens.

This causes blurry vision and glare at night, much like the symptoms of having a cataract. The good news is that PCO is easy to treat with a procedure called a YAG Laser Capsulotomy.

During a YAG Laser Capsulotomy, a laser creates a central opening in the hazy capsule, which allows light to pass through it. This then takes care of any blurry vision and lets you finally see clearly after cataract surgery!

PCO can develop anywhere between a few weeks to several years after cataract surgery, but a YAG Laser Capsulotomy is typically not performed until at least three months after the initial cataract surgery to ensure that the eye has fully healed.

Ready to have cataract surgery? Schedule a cataract evaluation at Diagnostic Eye Center in Houston, TX now! Isnt it time to see clearly and say goodbye to your cataracts for good?

How Long Does Vision Stay Blurry After Cataract Surgery

What causes double vision?

Blurred vision after cataract surgery may last for a week or two, and this is nothing to worry about.Complete healingof the eye can take up to eight weeks.3 If you have had this procedure recently, be vigilant forsymptoms such as eyeswelling and redness, persistent pain, vision loss, flashes of light, or floaters in front of the eye.If these symptomsoccur, contact your eye surgeon as soon as possible.3

Blurred vision after cataract surgery is not unexpected, however, if it persists or occurs after alength of time aftersurgery ,it can be a sign ofposterior capsule opacification.

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Double Vision After Cataract Surgery What To Do

The proper medical name for double vision after cataract surgery is diplopia. Ironically, diplopia can also occur prior to the procedure being performed. This side effect might mean that a surgical revision has to be made at a future date, or it can simply be something that passes after a short period. If you have floaters after cataract surgery or are suffering from double vision, here are a few things that you can do to lessen the irritation.

Simply closing your eyes, allowing your body to rest and staying away from strong lighting can help to clear up double vision after cataract surgery within a few hours. Since your eyes have recently been operated on, you have to realize that your body is still adjusting to the trauma. Having impaired vision after cataract surgery is just natures way of telling you to slow down in most cases. If you have been partaking in any rigorous activities, you should stop immediately.

When double vision for cataract surgery doesnt improve, it is definitely time to go to your ophthalmologist. Advanced equipment can be used to scan your eyes and determine your visual acuity. Remember that the level of vision that you have post cataract surgery may not be permanent. It may get better, but it may also get worse.

Symptoms That Cause Concern

“The sooner we get to any of the potential postoperative complications, says Starr, the better the outcome will be. Early treatment, experts agree, can eliminate almost every problem.

If you have one of these symptoms, which are very rare, call your doctor immediately:

  • A sudden decrease in vision
  • Redness in or around the eye that persists after two days
  • Continued sensitivity to light
  • Fever, nausea or vomiting
  • Sudden increase in floaters, or flashing lights
  • A shadow in your peripheral vision a shade appearing in your field of vision or dark spots

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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.

Why Do I Have Poor Vision After Vitrectomy


The surgery involves making multiple cuts on the whites of the eyes. If these stitches are very close to the cornea, they change its shape causing blurry vision. If the vitrectomy was done to repair a large hole in the retina, the damage to the retina may not fully recover. Such vision loss may persist.

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This Is Why You Have Blurry Vision After Cataract Surgery

Cataract surgery is very successful. Removing a cataract and replacing it with a new artificial lens leads to a remarkable improvement in vision. But as quick as the recovery is after cataract surgery, it still isnt instantaneous. And some individuals can notice some blurry vision after cataract surgery.

The vision will be blurry immediately after cataract surgery. Beyond that, the prescription of the eye or dry eye are the biggest causes of blurry vision after cataract surgery. There are also less common medical reasons such as swelling, infection, and even after cataracts.

Lots to cover today, so let’s break it down into a few different categories

  • Blurry vision right after the surgery
  • The very common reasons why vision can be blurry beyond that
  • Less common medical reasons worth knowing about
  • The severe causes of blurry vision

In The Hours Following Surgery

The post-surgery rejoicing is a combination of the contrast with how clouded your vision was before the surgery and the crystal clear new lens that was implanted.

So, enjoy the terrific visionbut dont let it distract you from the care you need to give your still-healing eye for as long as the doctor feels necessary.

The new lens is surrounded by tissue that was cut, stretched, and sutured, so the healing could take up to a few months. Be sure to give your eye lots of rest, take your prescribed medications, and protect it as needed and instructed by the doctor.

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Analysis Based On Anaesthetic Technique Used For Cataract Surgery

The 86 patients for whom anaesthetic data were available were categorized according to the mechanism underlying their diplopia. Sixty-four patients received infiltrational anaesthesia . Twenty-two of these had a superior rectus stay suture. Twenty-two patients developed diplopia after cataract surgery with topical anaesthesia only. Three of these were classified as having extraocular muscle restriction/paresis. Two of these three had superior rectus stay sutures this information was not available for the third patient. The breakdown of these patients based on the underlying mechanism is shown in . categorizes the underlying mechanism in patients having stay sutures. shows the change in anaesthetic technique over the years studied .

Figure 2

Mechanisms underlying diplopia in cases of infiltrational anaesthesia versus topical anaesthesia . Group I Extraocular muscle restriction/paresis. Group II Decompensating preexisting strabismus. Group III Undetermined. Group IV Other.

Vision Imbalance After Cataract Surgery

Why is my vision cloudy after cataract surgery?

Did you know that, if an individual needs cataract surgery in both eyes, the procedure is typically scheduled on two separate days? Ophthalmologists perform cataract surgery days or weeks apart so that a patients eyes have time to stabilize after each procedure. It is common for individuals to experience blurred vision immediately after cataract surgery, but this typically subsides within a few days.

Once the eye has healed but before the second procedure has taken place, patients may experience vision imbalance, also known as anisometropia. This is the result of one eye having been operated on and the other still having cataracts. Anisometropia can cause imbalance, double vision, and difficulty with depth perception.

Whether or not you are experiencing vision imbalance after cataract surgery, it is best to take it easy the first few days after your procedure. Allowing your eyes to rest may reduce the amount of vision imbalance you experience, and it will make your overall recovery much smoother. If you are still experiencing vision imbalance after a few days post-surgery, try seeing if any of your glasses provide relief. Alternatively, you could purchase a cheap pair of reading glasses from the drugstore. While a pair of these glasses arent likely to eliminate the imbalance altogether, they may lessen your symptoms. Furthermore, individuals who wear contacts may see if wearing a contact in the eye that wasnt operated on helps.

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What Is Posterior Capsular Opacification

You may notice that your vision becomes cloudy or blurry after your cataract surgery even months or years after the procedure. Providers call this posterior capsular opacification, or PCO, and its normal. Its also called a secondary cataract.

PCO happens because a membrane called the posterior capsule becomes cloudy. The posterior capsule once held your eyes lens and now holds the intraocular lens in place.

If your vision starts to blur again, you may need a posterior capsulotomy to restore your vision. A laser makes an opening in the cloudy capsule. This procedure can give you clearer vision again.

Multifocal Lens Adjustment Period

Multifocal lenses make it possible for you to once again see clearly at multiple distances. Some patients experience an adjustment period with new multifocal lenses that can cause blurred vision or a 3-D shadow. Most patients adapt to the multifocal vision immediately, while others experience these symptoms for about a week as their eyes get used to the lenses.

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Uncommon & Serious Complications

Serious complications from cataract surgery are very rare. If vision loss does occur, it is likely the result of infection or bleeding within the eye.

It is possible that in a small number of patients, vision does not improve after their cataract surgery. If this is the case, it is likely that they have underlying eye disorders, such as diabetic retinopathy and age-related macular degeneration. The presence of these conditions will likely require a combination of further treatment, such as medications, surgery, and vision aids.

However, for an overwhelming number of the people receiving cataract surgery, the procedure is painless, quick, and without significant problems, side effects, or complications.

When To See Your Healthcare Provider

Cataract Surgery stock vector. Illustration of extra

Your ophthalmologist will tell you know how long it will take to notice an improvement in your vision after cataract surgery. Many people will notice a difference in one to three days, but it may take several weeks for your vision to fully recover.

Your ophthalmologist also will schedule follow-up appointments to monitor how your eye is doing after surgery. In addition to these follow-ups, you should call the ophthalmologist after cataract surgery if you have the following:

  • A sudden loss of vision
  • New flashes of light or other changes in your line of vision

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What Is The Recovery Period Like After Cataract Surgery

Like any surgical procedure, there is a recovery period after having cataract surgery. When you have laser cataract surgery, there is a shorter recovery time than traditional cataract surgery, because using the LenSx laser softens the lens before removing it.

This results in less swelling and faster visual recovery for cataract surgery patients. It is quite common for cataract surgery patients to experience symptoms like blurry or cloudy vision for the first few days after surgery.

It can take your eyes some time to get used to the new IOL. Your eyes may also be red or bloodshot, but this should go away after a few days.

You may feel some slight pain or discomfort but it shouldnt be more than a slight annoyance. You can take over-the-counter pain relievers to take the edge off any pain you may be in.

While recovering, make sure youre taking it easy. For the safest recovery, try to follow these tips: Do not bend over with your head below your waist for one week after having cataract surgery to reduce putting pressure on your eye Avoid any heavy lifting for at least one week after cataract surgery Do your best to not come into contact with common irritants like pollen, dust, and dirt Do not go swimming or use hot tubs the first week after you have cataract surgery Avoid rubbing your eye after having cataract surgery for at least one week Be very careful to not bump into anything like walls or doors after having cataract surgery

Factors That Affect Surgery Outcomes

There are certain things you can do to protect your vision before and after cataract surgery, explains NEI. Wearing eye protection, such as a hat and sunglasses, goes a long way to block harmful ultraviolet sunlight from damaging your lenses.

Smoking has also been linked to increased risks of vision problems, so it is important to quit smoking if you can. Researchers have also found that consuming a healthy plant-based diet can be very beneficial in reducing your risk of experiencing age-related cataracts, which can occur again after surgery.

As with all surgeries and medical interventions, each individual is likely to respond slightly differently. Your personal health and response to the operation are some of the greatest factors that will affect the outcomes of your surgery.

Be cautious about what activities you do directly after surgery and give your body enough time to recover. Do not engage in any activities that will put added pressure on your eyes. You will likely to able to return to light daily activities relatively quickly, but it is important to be patient with the recovery process.

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