[NOTE: [Part I can be found here.
Part II can be found here.
Part III can be found here.
Part IV can be found here.
Part V can be found here.
Part VI can be found here.]
The good news – really good news – is that my distance vision in my left eye continues to be fabulous. It’s 20/20 or even better, more clear than I ever remember it being, and this is after having endured quite a few years of 20/200 vision in that eye that glasses couldn’t correct except a tiny bit.
The second good news is that I even have fairly good computer-distance vision (mid-distance) in that left eye now. I still use eyeglasses at my computer because it’s a lot better than not using them, but I can actually read the print without them. It’s just not nearly as comfortable or clear as with the eyeglasses. But it’s a ton better than it was before even when I used glasses.
The less-good news, although it may resolve over time: I still have some irritation in that eye, and it’s been two and a half months since the surgery. I think it’s from dry eye – the eye doctor I saw at home said my eye otherwise looked fine – which sometimes occurs or is exacerbated after cataract surgery either for a few months or permanently. I’ve been holding off using drops for it because I tend to be allergic to a lot of things like that, and I’m hoping it might go away anyway by itself over time. But I may start using the drops soon.
Other less-good (but expected) news is that my operated-on eye, my left, has lost its ability to read closeup print without glasses. I was able to do that with the cataract due to a phenomenon called “second sight,” which sometimes happens with cataracts. As the person’s distance vision degenerates, sometimes the near vision gets quite good for a while. I was in that stage, but since I only was allowed to get a monofocal lens replacement, I chose a distance correction and lost the ability to read as well with the left eye. But reading glasses work very well now, which they hadn’t before.
But – more good news – my right eye, the unoperated one, is taking up the slack and I can still read closeup without reading glasses if only briefly, due to “second sight” in my right eye. I have a cataract there, not quite as bad as the one in my left eye was but bad enough. I’m waiting to have that eye operated on, though, because I need a longer break from eye surgery and also because I’m not too keen on losing that ability to read without glasses. It’s very convenient.
I also can’t decide what to choose in terms of lenses with that right eye. I’m not allowed to have a multi-focal lens because the problems in my left eye precluded one, and that sort of difference in the two lenses wouldn’t work well together. I could choose a close-up monofocal lens, and try to have monovision (which I sort of already have had anyway due to the differences in my eyes). Monovision means using one eye for distance and the other for close.
But sometimes I think I should just finally have the two eyes working together, have a monofocal distance lens put into the right one and surrender to the need for reading glasses every time I read anything close up. Another choice I might be allowed is what’s called an extended vision lens in that right eye, which supposedly would give me distance vision nearly as good as in the left, plus better middle-distance vision, but still not closeup vision. But that choice might involve slightly more night halos and glare.
Am I confusing you enough?
Speaking of night halos and glare, I still have them in my left eye. That doesn’t happen to most people who have cataract surgery, at least that’s what I’ve read. Most of them have had problems with night vision – halos, glare, starbursts – before the cataract is removed, but the problems go away afterwards. Patients with multifocal lenses are more apt to have those halo/glare type of problems continue, but I don’t have a multifocal lens; just a monofocal lens. And yet I, along with a certain percentage of monofocal lens recipients, continue to have halos and starbursts around streetlights and headlights at night, although not as bad as before the surgery.
There’s a possibility this condition will improve, but for a lot of people the problem is permanent. I’ve read tons of articles about it, because of course it affects night driving, but no one really knows why it sometimes happens. Some people are so bothered by it that they have the lens taken out and a new one of a different type put in, but there’s no guarantee that would work, and a second surgery has more risks in general. In my case, with the particularly challenging problems that existed in my eye prior to surgery, I think any surgeon would be even more reluctant to do such a replacement. They would just say to live with it, and I think that probably is the best advice.
I wonder sometimes if I’m getting the night vision halo/glare/starburst problems due to the interaction of the new lens with the much-larger-than-normal iridotomy hole I have in that left eye (see this), but no one has been able to tell me whether that’s the case because the size and shape of my iridotomy hole is apparently quite a unique feature. Fortunately I’m able to drive at night, but I just don’t think I’ll be doing lengthy trips at night out in the countryside – something I actually used to do, years ago, when I often visited friends who lived in rural areas.
Because I’m the type of person who seeks to know the why of things, I’m still troubled by the fact that no one knows why I got all that scar tissue in the first place. And why on earth did it suddenly gets so much worse last fall after having seemingly been stable for years? How could I have had uveitis (deep eye inflammation) and not been aware of it? It’s ordinarily quite noticeable and causes significant symptoms, but I didn’t have them. It’s a frightening thought that so much damage could have occurred silently, and it makes me worry whenever my eye feels even a little bit irritated, which sometimes happens (perhaps because of dry eye).
So I’m left with residual puzzlement and fear about how and why it happened. Was the scar tissue from the iridotomy? One doctor said no, another said absolutely, and a third said he didn’t know. And if it was, why didn’t it occur until years later (up to eight or so, by my estimation)? And also, should I have another operation to have the iridotomy sewn shut, and see if that improves things? The LA eye doctor says I could do that because once the natural lens (cataract) is removed and the artificial one put in, the narrow angles that necessitated the iridotomy in the first place open up and are no longer narrow. Therefore the iridotomy hole is no longer needed for drainage. But he also said that the tissue of the iris is fragile – “like wet Kleenex” – and if it’s sewn shut the iris tissue around it might feel the strain. And of course it might not solve the night light problem anyway, although it might. So far no one can say.
So I think I’ll pass on that for now. And I’ll pass on having my right eye done for a while, too.
That’s probably more than you ever wanted to know about my eye. But that’s the story – so far. I remain very grateful that I found a doctor who seemed to be eager to rise to the challenge, and seems to have had the ability to do so.