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Includes Expert Content
Was it really cataracts?
An_255447 posted:
I'm 59. I've known for at least 10 years that I've had cataracts. I've seen halos and rays coming off lights. Within the last couple of years, I've had difficulty seeing items/people in front of bright windows. More recently, driving at night was a trick with headlights overshadowing my driving lane. During the day, reading signs next to overhead stop lights has become next to impossible.

In 9 or 10/13, I noticed a huge vision change in my left eye. It looked like I was looking through a rain-drenched window, mostly on left side. During a basic eye exam in 1/14, I could not read any letters in a basic eye exam using the left eye. The optometrist said I had cataracts in both eyes. Two in the left, one behind the other, and that was what was causing my vision problems. Referred me to a surgeon who agreed. Surgery (with astigmatism lens implant as well) on the left eye was performed on 1/30. Experienced pain on the left side for at least four hours after surgery.

The day after surgery, I had another vision exam with surgeon. I can tell that surgery improved the vision in my left eye because I could read some letters during eye test if I use the right-side peripheral vision. Doctor said my vision has improved by 2 lines. I still see rain-drenched vision if looking directly at a letter or to the left using peripheral vision through the left eye. The surgeon said it's due to a little "extra prescription", as well as slight swelling from surgery on the left side and around the incision area due to formation of scar tissue. This should improve over time. My next appointment with the surgeon is 2/7.

I was to have surgery on the right eye on 2/10, but I've requested it be postponed. I want to have the right eye done to improve that vision, but I'm nervous about getting the same results, Yet, I may not get the same results because I'm not starting with the same symptoms.

Background (all doctors have been informed of this info): 1) I was diagnosed with herpes simplex between my legs 6-7 years ago. Never had an open sore. Virgin when married 35 years ago, never cheated, husband does not have it. Take acyclovir 400 mg 2x/day each. No doctor has ever said anything to me about my possibly having herpes of the eyes. 2) I have dry eyes. Take flax seed oil and fish oil 2x/day each 1000 mg. It helps. 3) Within the last 6 months, I also started taking 10 mg of L-thyroxine and 10 mg of simvastatin 1x/day each. 4) I'm still using the multiple eye drops prescribed by the surgeon daily.

Any opinion about this whole mess and/or recommendation about surgery?
Alan M Kozarsky, MD responded:
Agree with your decision to postpone surgery on your second eye until you and your surgeon are comfortable with the progress on the first eye. Not at all an uncommon situation. Sometimes there are more than one issue causing a vision problem with cataract being only one of them. In these cases cataract surgery produces an improvement of vision but does not result in "flawless" vision. This is something that you and your cataract surgeon need to discuss. If you and the surgeon don't communicate well, a second opinion consultation is always a good idea.

I don't think your other medical issues have any impact on the cataract surgery or recovery.
lieso replied to Alan M Kozarsky, MD's response:
Thank you.
stellagonzalez replied to Alan M Kozarsky, MD's response:
Continue flow water from one eye is a sign of cataracts?

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