Grey star
August 11, 2010 | 40,00 EUR | answered by Dr. med. Ralf Berg
Dear ophthalmology experts,
Three years ago, I had cataract surgery on one eye. The surgery was performed relatively early as my vision was not significantly impaired yet. It was recommended by my eye doctor because the cataract was still soft, reducing the risk of the surgery.
The surgery was carried out at a specialized outpatient clinic. During the surgery, the intraocular lens was apparently slightly misaligned. This resulted in some impairment of my binocular vision. Depending on the circumstances, I experience blurriness, overlaps, and occasionally double vision.
Now I am being recommended to undergo cataract surgery on the other eye. This could potentially eliminate the impairments to my binocular vision. Of course, there are no guarantees.
Additional information:
I am a senior over 80 years old.
The visual acuity of the eye scheduled for surgery is only slightly impaired. For example, I can read the text I am typing here on the computer with glasses using that eye.
Before deciding on cataract surgery for the second eye, I would like to know:
How can the impairments to my binocular vision be corrected and what are the risks involved?
How will this second surgery affect the impairments to my binocular vision?
Thank you and kind regards.
Dear patient,
Your question has been in the forum for some time. It is obvious that there is no ophthalmologist in the forum to help you further. Even for me, this question was not answerable in that way. However, in order to give you advice, I have consulted my colleagues regarding your problem and would like to answer as follows: The unanimous opinion was to stay away from the second eye if your vision is still good, as it seems to be based on your information. If your visual acuity is still above 70%, it should definitely be attempted to improve the operated eye first. If you can also live with the occasional blurriness, the majority was in favor of not performing any further surgery initially.
Your complaints/refractive error are likely due to the fact that the intraocular lens is decentered. It is important for the prognosis of whether this can be improved by a follow-up surgery to determine whether these double vision occurred immediately or only over time. In any case, such surgical attempts should only be carried out by doctors with experience in this area. For this, you would need to present yourself with the old surgical report and ophthalmologic findings at a suitable facility. Since I do not know where in Germany you live, nor can I publicly name facilities, I suggest that you contact me by phone so that I can give you specific recommendations here. With many greetings until soon.
