HomeAnswersOphthalmology (Eye Care)double visionI have vision problems after laser IOL implant. What to do?

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

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At January 26, 2018
Reviewed AtJuly 9, 2023

Patient's Query

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?

Answered by Dr. Rahul Vaswani

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.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Rahul Vaswani
Dr. Rahul Vaswani

Ophthalmology (Eye Care)

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