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Old 10-16-2007, 08:52 PM   #16
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Re: Crystalens problems

EYE-KANT-C, I'm very glad to hear how much better you are doing. I'll check back here later too.

 
Old 10-25-2007, 02:59 PM   #17
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Re: Crystalens problems

I can't see either. I had restor lens implants about 4 weeks ago and everything is still fuzzy. My whole world is airbrushed. May be nice in some situations, but I read alot at work and just can't get my eyes to focus. Im glad you vision improved over time--I hope mine will follow.

 
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Old 11-11-2007, 04:37 PM   #18
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Re: Crystalens problems

can you tell me which eye drops helped with the post-retinal surgury tearing? Thx.

 
Old 11-19-2007, 08:03 PM   #19
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Question Re: Crystalens problems

Hi --

This is an update ... I saw my surgeon today and he seems to be too irritated with me to help with my problems at all.

I still use the same reading glasses as before the surgery (+1.50) which aren't too bad at all, except that the whole reason I had the Crystalens IOL's implanted and went through all the expense ($6,000), pain (and the one eye was QUITE painful during surgery and for 3 months afterward and drooping eyelid -- finally getting better) and now have the crazy flashing lights during the day & night and problems with glare during the day, was to GET RID of the reading glasses.

I did not have cataracts, did not mind contacts and my doctor now apparently is not willing to even let me "rig" my eyesight with contacts that will leave me slightly nearsighted, so that I can get a little better closeup vision. Although he's perfectly willing to let me have monovision with the IOL's -- even though I specifically told him before the surgery I didn't want that.

I'm willing to sacrifice some distance, to re-gain a little closeup and he'll have no part of it, I guess. I'm going to try again to beg them to order me the contacts and if they still won't, I guess I'll try the optometrist at the mall!!! I don't know if they'll do it either.

I really believe a big problem is that not only are the Crystalens IOL's not accomodating, but the one eye is over-corrected, leaving my closeup vision in that eye much worse than before the surgery.

The surgeon claims that a YAG will give me better closeup vision, but I find that hard to believe -- my distance is crystal clear and the amount of POC he finds is trace to +1, which doesn't sound like much at all. From what I've read, Posterior Cloudiness would affect all distances equally and would cause halos, etc. I don't have any of that.

Any ideas???? Comments??? I know I should be grateful I can see as well as I can and I'm dealing with the horrible flashies and glare -- I know I'll have that forever, but the least they could do is accomodate my request for a chance to see better with contacts after all I went through and gained nothing. I'm perfectly willing to pay for the contacts.

 
Old 11-19-2007, 08:11 PM   #20
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Smile Re: Crystalens problems

About post-retinal tearing? Not sure what you mean exactly??? I didn't have a retinal detachment, though I am high-risk for that with mom & sister both having RD and myself being high myopia. That's why I don't want to do the YAG; I've heard too many stories of RD resulting from YAG, though my surgeon says the IOL implants are much riskier than the YAG for detachment. I sure wish someone would have explained all this to me prior to the surgery.

If you mean dry eyes? or excess tearing? I had a dry eye problem with the one eye for a while and I used Visine tears, recommended by the doctors. But then I read that they can throw off your balance and your eye will actually stop making tears once they sense you have enough. I used some prescription drop like Alphagan-P, possibly?? It's like Restasis. That burned a little, but seemed to really help with the terrible dry-eye feeling and I'm a lot better now -- only use the tears occasionally.

Good luck ....

 
Old 11-19-2007, 08:50 PM   #21
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Re: Crystalens problems

EYE-KANT-C,
From what you've typed here, and from what I've read elsewhere, I would recommend holding off on the YAG. I am. I figure since I was disappointed (like you) with the implant surgery because my pre-surgery corrected vision wasn't that bad, it doesn't make sense to do the same thing with the YAG, given the risks. But these ophthalmologists sure do seem to be in a hurry to do the YAG on any disgruntled post-surgery patients. There was someone else on these boards a while back who had the YAG done right away, who said it didn't seem to help.
But all of this is just my opinion.

It sounds like you could do well with another professional opinion, or perhaps two other professional opinions: an opinion from another ophthalmologist on the wisdom of doing the YAG, and an opinion from an optometrist on the contact lenses. But it doesn't have to be an optometrist in the mall. I used to go to a chain optometrist, but I got my last glasses at a high-end store and feel it was worth the additional expense.

 
Old 11-21-2007, 09:48 AM   #22
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Re: Crystalens problems

Thanks for the post, SP. The mall doc has been here in town for many years (I used to go to him long before I ever heard of retinal detachment -- he's actually the one that told me I was high risk and he then worked for the opthalmologist I go to now for a while). So I do trust his skills. I also plan to see the Retina Specialist for a 2nd opinion on the YAG. I will see if the contacts help first ... that is, if I can get anyone to prescribe some for me. I'm still waiting to hear back from my original doctor so see if they'll order them for me. It's worth a try, in my opinion, certainly rather than go right to a surgery that may be completely unnecessary. I really wish someone would tell me what the symptoms of PCO really are...

Can anyone describe symptoms of PCO to me??? Is it halos? Glare? Flashing? Blurred vision at all distances? Blurred vision at specific distance ... like just at near or just at far? Ghosting? Double vision? I really don't have any symptoms at all, that I can really tell, so I feel my problem being only some difficulty reading which is easily corrected with reading glasses (and I believe contacts would do the same thing) so I don't really think my PCO is really a problem at this point.

Any opinions????

 
Old 11-25-2007, 01:46 PM   #23
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Re: Crystalens problems

Even though I'm not going for the YAG yet, I do have some PCO. Because of the starburst glares and halos that have been with me since the surgery at night, it's difficult to say for certain that the softening of these glares is the PCO, but I think it is. By softening, I mean that there's the effect of a translucent, white film over the glares/halos. And sometimes words on a page look a little gray, like they did with my original cataracts (which weren't that bad). Eventually the PCO would cause corrected vision to drop below 20/20, as with cataracts. Right now I'm holding out for that development, but I suppose I may cave and get the YAG before that happens.

 
Old 11-26-2007, 07:23 AM   #24
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Re: Crystalens problems

SP --

I looked over your previous posts, but I didn't see it listed: what type of IOL's do you have? It's hard to see the computer screen, so I may have missed it. What I noticed is that like I said, I don't have any "softening" or cloudy appearance, like you described (and my mom says she has with her cataracts -- mostly at night -- bad halos). I also don't have "greying" out of words on a page, just blurriness, which is completely corrected with my reading glasses.

That's why I don't think my PCO is affecting my vision. I also read somewhere that if vision is worse in lower light, that could be PCO problems. But mine seems the same no matter what the lighting is. Just blurry up close and very clear for distance.

I'm still waiting to hear from the doc's office, whether or not he'll let me try the +1.25 contact for the really bad closeup eye. (I think it's overcorrected and this may help, if reading glasses help, why wouldn't it?) So if the contact doesn't work, that will tell me that the YAG may help. I'd rather try the contact first to be satisfied that my problem can't be corrected with refraction change.

Thanks for your input. Best of luck if you do get YAG. I saw that it increases chances of retinal detachment, macular degeneration, etc. etc. The chances of RD are 2%-4%, I think in a normal risk person, and I'm high risk, so not in a hurry to take a chance on going blind.

I sure wish someone would have told me all this before my surgery, which I really didn't even need -- since I didn't have cataracts and no one told me that the lenses "might not" let alone "probably wouldn't" accomodate for near vision. There's no excuse for the lack of patient education, in my opinion. I'm using the same readers I did before the surgery and gained absolutely nothing from this procedure and lost $6,000, endured a good deal of pain, and will forever have to deal with the daytime glare and dangerously blinding lights at night.

If anyone has more input on PCO (Posterior Capsule Opacification) after cataract surgery, please post here. I am looking for info on symptoms to determine if my slight PCO is really affecting my vision.

Thanks!!!!

 
Old 11-26-2007, 09:09 AM   #25
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Re: Crystalens problems

I've been following your threads, Eye and SP, and thought I'd mention what my surgeon suggested this morning, as I am still having distance problem with Crystalens in left (dominant) eye. Intermediate and upclose are fine, but when distance comes into the equation, even being in a fairly large room, the left eye feels like someone put Vaseline on top of the lens. It doesn't just "recede" and let the right eye take over (ReStor), it's like it competes with the right eye.

My surgeon put a -.75 contact lens in left eye. If the lens actually does accommodate, it should be able to give me good intermediate vision. If this works and takes away the "vaseline-eye" problem, then he is going to exchange the Crystalens for one with a different prescription equal to the results I am seeing with the contact. I can't tell much yet as my eye is still very dilated, but if this works, at least it gives us more information.

I hope you get some good news from your doctor, Eye.

jefields

 
Old 11-26-2007, 08:06 PM   #26
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Re: Crystalens problems

EYE-KANT-C, I have the crystalens in my left eye and a Restor in my right.
I totally relate to your "buyers remorse" over the whole procedure, and also to your feelings of being cheated and lied to. Over time I've resigned myself to what I have and learned to try to focus (no pun intended) on the positive aspects of my vision, e.g., I can see forever into the distance on a clear sunny day. But those feelings of resentment are always just under the surface.

The most encouraging thing I can share with you is that over time your brain will "learn" to filter the messages it receives from your eyes. There is a technical term for this, but I can't find it at the moment. What really amazes me now (2 and a half years later) is that individually, if I cover one eye or the other, things are a bit blurry, but together, things are clear (not up close). And even my up-close vision has improved. The Restor eye can see up close at a specific distance, but at first the blurriness of the crystalens up close totally negated things (plus the ghosts in the Restor eye). Now I don't see the ghosts up close, and the crystalens only helps as it can (not much) rather than adding its blur messages.

jefields, If your crystalens allows you to see up close and midrange, I would think that would be preferable to losing the close vision. You can always wear -.75 (a low prescription!) glasses for driving or watching movies and such. But we each have our own lifestyles. For me, having been nearsighted for my whole life, losing that near vision has been a great loss. Anyway, be sure to check with your doctor as to how similar the new implant would be to what you see with contacs. I was given a contact to try prior to my implants, but I don't seem to recall it being the same as the post-implant effect.

 
Old 11-27-2007, 04:37 AM   #27
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Re: Crystalens problems

Seriousperson, thanks for your remarks about the contact lens. That is a good question for the surgeon tomorrow morning. You mentioned in the preceeding paragraph that at first the blurriness caused by your Crystalens at near range negated the good vision you were getting with your ReStor. That's what is happening with me and the Crystalens with distance. Like, when I walk into a large room like a supermarket (or even my art studio), I immediately felt my left eye separate from the right eye...if that makes sense. The blurriness became very apparent and "in your face", in a manner of speaking and kept the right eye from seeing well. I'm not experiencing that strange feeling with the contact in. And like you mentioned, neither eye sees great by itself, but when you use them together (I'm speaking intermediate and near now), the image is so much better. It's sort of a synergistic effect I wasn't aware existed.

I'm wondering if my surgeon might suggest leaving the contact in and not exchanging the Crystalens. I'll let you know what happens.

jefields

 
Old 11-29-2007, 07:00 AM   #28
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YAG No Big Deal, Assuming Dr

.......................

That's why I don't think my PCO is affecting my vision. I also read somewhere that if vision is worse in lower light, that could be PCO problems. But mine seems the same no matter what the lighting is. Just blurry up close and very clear for distance.
....................


Thanks for your input. Best of luck if you do get YAG. I saw that it increases chances of retinal detachment, macular degeneration, etc. etc. The chances of RD are 2%-4%, I think in a normal risk person, and I'm high risk, so not in a hurry to take a chance on going blind.

I sure wish someone would have told me all this before my surgery, which I really didn't even need -- since I didn't have cataracts and no one told me that the lenses "might not" let alone "probably wouldn't" accomodate for near vision. There's no excuse for the lack of patient education, in my opinion. I'm using the same readers I did before the surgery and gained absolutely nothing from this procedure and lost $6,000, endured a good deal of pain, and will forever have to deal with the daytime glare and dangerously blinding lights at night.

If anyone has more input on PCO (Posterior Capsule Opacification) after cataract surgery, please post here. I am looking for info on symptoms to determine if my slight PCO is really affecting my vision.

Thanks!!!![/QUOTE]

 
Old 11-29-2007, 07:23 AM   #29
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YAG No Big Deal, Assuming Dr's Good

.......................

That's why I don't think my PCO is affecting my vision. I also read somewhere that if vision is worse in lower light, that could be PCO problems. But mine seems the same no matter what the lighting is. Just blurry up close and very clear for distance.
....................


Thanks for your input. Best of luck if you do get YAG. I saw that it increases chances of retinal detachment, macular degeneration, etc. etc. The chances of RD are 2%-4%, I think in a normal risk person, and I'm high risk, so not in a hurry to take a chance on going blind.

I sure wish someone would have told me all this before my surgery, which I really didn't even need -- since I didn't have cataracts and no one told me that the lenses "might not" let alone "probably wouldn't" accomodate for near vision. There's no excuse for the lack of patient education, in my opinion. I'm using the same readers I did before the surgery and gained absolutely nothing from this procedure and lost $6,000, endured a good deal of pain, and will forever have to deal with the daytime glare and dangerously blinding lights at night.

If anyone has more input on PCO (Posterior Capsule Opacification) after cataract surgery, please post here. I am looking for info on symptoms to determine if my slight PCO is really affecting my vision.

Thanks!!!![/QUOTE]

I've had the YAG in both eyes, less than a year after 2006 cataract surgeries. Now, last of Nov. 07, I'm seeing halo's again, and headlights behind me really bother me at night, also low light as in most churches, so now that you all are mentioning all this, suddenly I wonder if I may need my YAGs done again?

I'm an advanced diabetic with proliferative retinopathy, just had a series of four 1000-burns laser treatments to seal off rogue blood vessels which can cause blindness, will have a new dye test, angiography, in late January to see how many more there are and how well I'm healing. Had a lot of diabetic damage before finding a good retina specialist, and could only have the basic mono IOL's, to make it easier to get in to do retinopathy treatments.

I felt the very same way you do, emotionally, grieving, for over a year, that the cataract surgeons, two fairly young brothers who thankfully have left town since then, told me nothing in advance. They seemed to turn out to be just frankly brats, not a bit empathetic about my feelings.

Now I'm here looking for Dancin'Boots who's also had an epithelial membrane as I do, can't remember if she had a vitrectomy yet and if it was the kind requiring face-down healing for six wks or more. I know I can't sleep that way, but the problem may not come up. Sometimes they can use a saline solution instead of a gas bubble so you don't have to drink your coffee through a straw and try to sleep on your stomach on a slanted thing with your head in something like a toilet seat. I may have some of this wrong. The doctor was running late yesterday, had taught a seminar class elsewhere, and didn't tell me anything about possible surgery, which would include several things, scars, etc.

She's done a lot of procedures on me, including Yags, Kennalog injections, retinopathy treatments, that with the numbing drops and her skill were 98% painless, so I'd trust her. Nobody else.

Re healing, "These things take time." Maybe longer for you for some reason. Have you been tested a few times for diabetes? Sure hope you soon feel better. BEEN THERE. Absolutely. SeriousPerson and KeelaC and others will remember all my bitching.

Since the series of 4 retinopathy treatments, where the laser counts the burns so she can stop before 1000 on each eye at a time, my left eye IMPROVED, from 20-50 to 20-40 in 3 or 4 months, but my worst eye has the epithelial membrane growing pretty fast, causing vision damage from 20-80 or 70 sometimes to 20/100 yesterday, and she just says I need to continue my slow healing until end of Jan., then new tests.

Retinopathy blood-vessel sealing is not to guarantee any improvement in vision, but just to slow the proliferation, so I feel very blessed to get an improvement in even one eye. She said I could get prescription distance glasses now. I've been using dollar store ones too, waiting to get more stabilized. Just got new +6.00 reading glasses from online.

Prescription ones are supposed to be better. Hi to SeriousPerson. We probably discussed pretty long ago that I've also studied art, Assoc. Degree, and used to draw when sitting in classes, sometimes give the prof my impression of her or him, and work on family portraits at home. Main calling is classical music, and I'm still paying dues to the International, Local 5 Detroit, though past retirement age. Just playing a wind instrument, oboe, in a community band, no pay, since a $100 per service church organ job and orchestra jobs had to be given up re vision.
You can't get close enough to a music stand playing violin out in front of you, or share a stand with anyone else. I have to bend forward really close, but I'm hidden. Also have some asthsma, and they're discontinuing the albuterol bronchodilater because of the propelland possibly damaging the ozone. I'm trying to recruit a replacement in case I have to quit. The new version doesn't work as well on my lungs.

Difficulaties only make you love and appreciate life even more, right? Who knows, if I do have a vitrectomy just maybe I'll get some vision improvement in my worst eye too. She's not promising, of course.

 
Old 11-29-2007, 09:14 PM   #30
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Re: Crystalens problems

Hi Eagle
I didn't know there would ever be a need to do a YAG more than once. Do you know for sure that is happens?

 
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