I have vision problems after laser IOL implant. What to do?

Question

Hello doctor,

After the laser IOL implant, I now have severe aniseikonia. Was it the wrong diopter lens? Can it be undone? Very poor and triple vision. What to do?

Answer 1

Hello,

Welcome to icliniq.com.

I shall try to answer all your queries in detail. Aniseikonia occurs when the difference in refractive error is more than 4 or 5 diopters between two eyes. If you say, you had laser-assisted cataract surgery, which means a Femto surgery, the size of the incision would be perfect. So, basically, the reason for your aniseikonia would be wrong dioptric power, wrongly placed lens, corneal edema and retinal edema. Also, there can be a reason that due to sudden improvement in visual acuity of the operated eye you can have double vision in the non-operated eye. Now, I have told you the option if the wrong lens were implanted. If the power error is less than 2 to 3 D, one can go for contacts or spectacles, but if the power error is more than 4 to 5 D, one has to go for IOL (intraocular lens) exchange. To diagnose rest, you have to go for an investigation known as Pentacam and OCT (optical coherence tomography). Follow up with results.