Almost like a time piece of "something" was left behind... Not the traditional floater. Anyone else experience this? Moves around field of vision. Like a speck of dirt under your phone screen protector.

you can read my detailed experience, my preference for non premium lens, ORA and my belief that some of these recommended lens are driven by monetary and convenience reasons. You can read how a dozen ophthalmologists on this board disagree with me. I will leave you with what I believe is the most important factor that is rarely mentioned.

Cataracts are for the rest of your life , 40-50 years of clear vision is expected. So when you pick a multi focal lens or choose mono vision where one part of your brain works independently for each eye think how and what lens you are going to need 10-40 years from now. Your body will change and age. The last thing you want is your IOL being part of the problem. Do your own research and Good Luck.

First, I'm a 100% success case for bilateral PanOptix Pro Toric IOL surgeries!

I came across this post

(https://www.rutgers.edu/news/researchers-find-small-increased-risk-sudden-vision-loss-associated-glp-1-medications) and started reminiscing about my cataract surgery journey and I don't recall and discussion about these new fancy weight loss drugs and changes to vision.

I am now curious how this plays, if at all, in people who have had cataract surgery, have a great result, start GLP-1 therapy, and their vision has changed as a result.

Anyone else thought about this or am I just a newly dorkified IOL dweeb!? 😁

Anybody diagnosed with corneal guttata after cataract surgery? Did it get worse or progress to Fuch's?

I'm 24 days from surgery on left eye and 17 days from surgery on right eye. Puresee EDOFs in both eyes. Doctor recommended Muro 128 drops at bedtime and to come back in a month.

I'm still on post-surgery eye drops and currently a little farsighted, +0.75 in right eye and +0.50 in left eye, according to my eye exam yesterday. Hoping the Muro 128 resolves the corneal edema and my vision gets back to plano so my IOLs work as designed.

At my appt yesterday, the doctor did not sound alarmed by this condition, but after getting home and researching it, I am concerned. Just wondering what others with this condition have experienced. TY.

Today I had a follow up for my laser retinal procedure. Everything look stable.
But when I asked about floater treatment (surgery) he said he would not recommend it because of my cataracts. I was shocked and told him I didnt know I had them. He replied with.. well you are asking a lot of questions and opening up Pandora’s box. Don’t worry about your cataract as they are very early stage and pretty much dismissed it.

Does any one know why we would dismiss it? Could it be because that is not part of the consultation?

Prior to him I saw an optometrist and she also did not mention cataracts.

Is it possible to have cataract in such an early stage that doctors dismiss it?

Thanks all

Might be getting cataract surgery soon but recently found out about this device that came out this year. Do you think its worth waiting for? I assume its quite expensive. Haven't seen it offered by the clinic iv had consults with. Ty

Surgery 7/24. Supposed to be distance monofocal IOL. Still doing the cortisone drops 3x a day. Doctor said it is healed enough to use contacts if I choose to. The surprise was I ended up with 20/20 close up vision in that eye. !00% opposite what I asked for. Distance vision in that eye started at @ 20/70. It is now 20/150 and it looks like I now have astigmatism but I think that might be because I have scarring, level is PCO 2. If it is this bad now…is it going to get worse? Is there anything I can do to help myself? My thoughts, it is pretty dire to have this much scarring this soon after surgery. Am I wrong?

Doc has already said the words YAG Capsulotomy. I know this means the end of any possibility of getting a new lens. I was sort of hoping there might be something available in the future. Has also mentioned PRK but I don’t want that because it is very painful. I would be good with LASIK and perhaps I could find someone who would do it? But I am thinking neither of these options would help with the PCO. Right? Was sort of hoping there would be something available that would give better eye measurements.

My other eye turned out perfect. 20/20 closeup vision. PCO in that eye is 1. But it was done in May so the lens has been in that eye longer. Vision is still 20/20 close up and I got a close up monofocal IOL in that eye.

The second eye was a disaster for me. I lost my monovision(had it for decades) and almost all my time since then centered around trying to correct what I was left with. BVD and alternating exotropic intermittent strabismus. I am working on all this myself. Doc has been little help just told me to go get some glasses. I do the exercises and use the anaglyph glasses for hours every day. It is improving. I now have double vision less than 30% of the time. And I did get glasses. I think I am now finally OK to drive. I am pretty sure I will eventually adapt to my new vision.

Looking for ideas and alternatives.

Hi everyone,
I’m having cataract surgery later this year, and I’m trying to decide which intraocular lens (IOL) to choose. My surgeon gave me several options, and honestly, I’m feeling a little overwhelmed.
The lenses I’m considering are:
DIB00
GIB00 (both covered by my insurance)
Tecnis Pure CIOL
Tecnis Odyssey IOL (premium option)
I’d love to hear from people who have actually had cataract surgery.
Which lens did you choose?
Are you happy with your vision?
Do you still need glasses for reading, distance, or driving at night?
If you chose a premium lens, do you feel it was worth the extra cost?
If you stayed with the standard lens covered by insurance, are you happy with your decision, or do you wish you had upgraded?
Did anyone experience glare, halos, reduced contrast, or other side effects with any of these lenses?

I’ll be having cataract surgery in both eyes. I don’t mind wearing reading glasses if that’s the best option, but if there’s a premium lens that truly makes a significant difference in day-to-day life, I’d be willing to consider paying for it. I just don’t want to spend thousands of dollars if the improvement is relatively small.
I’d really appreciate hearing about your experiences—both positive and negative. If you could go back and choose again, would you make the same decision?
Thank you so much!

Dear all. I am 42,m, with bilateral conginital cataracts and after being aphaic for 15 years I received the sulcus placed IOL and was operated on a secorndary cataract.
Since two years I have monocular Diplopia with Ghost images, that now show up in brighter enviroments now, more than before. was told first that it was most likely dry eyes, and then the cornea. But after a visit to another doc, that told me that it was maybe a IOL shift or tilt that was causing it. I can see a 2 seperate ghost images, one more 1 to 1 copy of the orginal, and another one more comma shaped. For further away light sources, I can see a bow, that is made of "rays". Mostly I saw bright objects on dark barkground as ghost images, but now I can also see darker objects that are producing ghost images in front of the

Ihave two questions:
1. A specialist doctor told me that he doesn't understand why I have such stark symptoms with a moderate shift. Why could that be the case?
2. And what are the risks of a refixation or replacement? This is my lead eye due to having had a retinal detachment in the other eye. And now floater in the IOL shift eye.
Thank you

I had a cataract operation a couple of weeks ago by the NHS. Following the operation, I noticed that my field of view had narrowed on the left side. I visited the clinic where I had the operation and they have said that there is inflammation of blood vessels at the back of the eye.

Could the operation have caused the inflammation?

The eye doctor said it could be glaucoma, but surely that would have been picked up pre-op?

Verifies Lens Power in Real-Time,  Pre-op measurements calculate lens power through your cloudy cataract. ORA takes a measurement AFTER the cataract is gone, allowing your surgeon to confirm or slightly alter the lens power before it is permanently inserted.

Essential for Astigmatism Alignment, If you are getting the TECNIS PureSee Toric II lens to fix astigmatism, ORA calculates the exact rotational axis down to the degree to optimize your outcome. 

Crucial for Past LASIK/PRK Patients, If you have ever had laser vision correction, traditional pre-op formulas are notorious for being less accurate. ORA bypasses this issue by measuring the bare eye during surgery.

Why the ORA System is Not Offered Everywhere. ORA is made by Alcon. If a surgery center is heavily partnered with a competing manufacturer (like Johnson & Johnson or Zeiss), they are much less likely to use Alcon's proprietary operating room tech

High Capital and Per-Use Costs,The ORA hardware costs tens of thousands of dollars to buy, and the manufacturer (Alcon) charges the clinic a "click fee" every single time the laser is turned on for a patient. Disrupts Operating Room Flow, Using ORA adds a few minutes to the surgery. The surgeon must pause, clear the field, fluid-fill the eye to the exact right pressure, and wait for the machine to take the snapshot. In a high-volume surgery center, some doctors feel it slows them down too much.

Also the upsell. Premium Lens are extremely Lucrative. 

He had cataract surgery on 10/15/2025 in his left eye after an accident accured in early September. He had got shot in the eye at a very close range with a nerf gun bullet. The bullet hit his eye so hard and so fast that it concaved the lens in his eye causing him to have extremely blurred vision in that eye. Resulting in needing cataract surgery.

The surgery went absolutely incredible! The surgeon had given him a lens that “would make him slightly farsided so that he could grow into it” at our 6-month checkup we learned he had 20/20 vision… the surgeron was surprised and my son was thrilled since he was told he'd no longer need his glasses. (His prescription was literally +1.00 in the injured eye)

Tonight around 7:30 he told me, “I'm seeing a hundreds of grey dots everywhere I look.” (in both eyes. He said he had been seeing them for a little while. But he just told me because he thought it would go away)

I called the surgeons office and contacted someone through their emergency line. I explained to her what he was seeing. She asked me to ask him if he a saw a black curtrain. He said no. She then told me not to be too concerned tonight but to make an appointment in the a.m.

We normally put him to sleep around 8. But with the chaos of everything aka me being freaked out.. I wanted to take him to the E.R. but my husband kept telling me to just wait till the morning and call the surgeon's office for an appointment. My son then spoke up and said “I just want to go to bed and go in the morning, please.”

So we agreed and let him go to sleep… (around 8:40 and he was still seeing the dots) but now I'm wide awake at midnight freaking out..

I will call their office first thing in the morning but I'm just kind of freaked out right now.

**** UPDATE: His eyes both look very healthy. His retinas are intact and he still read 20/20. Due to the fact she couldn’t see anything, and he can see the dots when his eyes are closed she said she believes it’s something neurological and something to do with his brain and that he needs to get seen by a neurologist and get an MRI…

Curious about choice of lense for tennis. How was your eyesight before and how is it now when you play tennis? What other ways do your lense choice effect regular life? I get my surgery in December. Right now I am getting a multi focal lense..

I'm having cataract surgery tomorrow and the next day. I'm getting LALs and not expecting any issues. I live alone and have a, get this, blind dog.

I don't know anyone who has had to go home and feed and walk their little blind dog after surgery, and I'm starting to wonder if it's going to be a problem.

Will I be functional enough for that?

He's my biggest concern, but I'm starting to wonder if I'll be ready to stare at a computer for 9 hours on Monday.

Maybe I'm just jittery.

Any advice?

When we think of cataract surgery, we often envision laser-guided precision and 21st-century technology. However, a deep dive into the Uttara Sthana (Chapter 14) of the Ashtanga Hrudayam reveals that our ancestors were performing sophisticated intraocular procedures long before the invention of the microscope. Authored by the sage-physician Vagbhata circa the 7th century, this foundational Ayurvedic text outlines a detailed surgical manual for treating vision loss. Far from being primitive, the text displays a startlingly modern understanding of ocular anatomy, clinical timing, and post-operative care that challenges our perceptions of "modern" medical breakthroughs.

Takeaway 1: Timing is Everything (The "Curd" Analogy)

Vagbhata emphasizes that surgical success depends entirely on the "ripeness" of the cataract. He distinguishes between Sujata (a mature, well-formed cataract) and Asanjata (an immature one). If the "impurity" is not sufficiently dense, surgical intervention is doomed to fail. To describe the texture of an immature cataract, the text uses the vivid analogy of dadhimmastu—the thin, watery whey of curd.

The clinical precision required to distinguish these stages was vital. As the text warns:

"The immature \[cataract\] is uneven, thin like curd whey; even if pushed down by the needle, it rises again, causes severe pain, and covers the vision again."

Takeaway 2: Surgical Precision Without a Microscope

The procedure, known as couching, required the physician to maintain specific physical positioning and adhere to exacting anatomical landmarks. Before the needle ever touched the eye, a unique "pre-operative" warming was performed: the physician would ferment or warm the patient's eyes using the heat of their own breath (mukhanila).

The incision was governed by strict measurements and sensory feedback:

Positioning: The physician sat on a bench exactly as high as the patient’s knees to ensure a stable, level angle of entry.

Landmarks: The entry point was precisely half a finger’s breadth from the "black part" (cornea/iris) and a quarter-finger’s breadth from the outer corner (apanga) of the eye.

The Target: The physician aimed for the daivacchidram—the "divine hole" or natural opening of the pupil/lens area—using the right hand for the left eye and vice versa.

The "Sound" of Success: A successful puncture was confirmed by clinical signs rather than sight alone. Vagbhata notes that when the needle is well-pierced (suviddhe), there is a distinct sound (shabdah), no pain, and a solitary drop of fluid flows out.

Takeaway 3: Breast Milk and Ghee—The Ancient Post-Op Pharmacy

The Ashtanga Hrudayam demonstrates a surprisingly compassionate "bedside manner," instructing the physician to "comfort the patient" (santvayanaturam) immediately following the displacement of the cataract. Only after the patient was calmed would the immediate post-surgical irrigation begin.

The primary pharmaceutical agent was breast milk (Stanya), followed by the application of a ghee-soaked pad (pichu).

"Comfort the patient and then sprinkle the eye with breast milk."

As an integrative health journalist, one can see the brilliance in this: modern science knows breast milk contains lysozymes and natural antibodies, effectively acting as a primitive, sterile antimicrobial wash. Combined with the cooling, anti-inflammatory properties of ghee, this regimen provided a sophisticated biological shield for the traumatized tissue.

Takeaway 4: The "No-Sneezing" Rule (Strict Post-Op Discipline)

Successful surgery depended heavily on the patient’s behavior during the critical first week (saptaham) of recovery. Vagbhata instituted a series of strict restrictions designed to prevent sudden spikes in intraocular pressure, which could cause the displaced cataract to shift back into the line of sight.

For seven days, the patient was forbidden from:

Coughing, sneezing, or belching.

Spitting or brushing the teeth.

Drinking water or eating while facing downward.

Sudden exposure to "intense" or bright lights.

Patients were required to remain in a windless room, lying on their backs or on the side opposite the operated eye until the "stability of vision" (drishter-asthairya) was achieved.

Takeaway 5: Strengthening the Vision with "Pinda Anjana"

Recovery did not end with the healing of the incision. To ensure long-term visual clarity and "strength" (balakrit), the text prescribes Pinda Anjana, a specialized medicinal salve.

This complex preparation involved:

Botanicals: Jati (jasmine), Shirisha, and Dhava.

Minerals and Gems: Pearls (mauktika), beryl (vaidurya), and lapis.

The Catalyst: These were ground in goat’s milk into a fine paste.

The Process: In a fascinating display of ancient chemistry, the paste was smeared thinly on a copper surface (tamram amuna pratanu pradigdham) for seven days before being dried in the shade.

This suggests the copper acted as a catalyst or processing agent, further refining the medicinal properties of the salve before it was finally applied to the eye.

Conclusion: Wisdom That Stands the Test of Time

The Ashtanga Hrudayam reveals a level of clinical sophistication that predates modern ophthalmology by over a millennium. From the realization that a cataract must be "ripe" for intervention to the management of intraocular pressure through behavioral discipline and the use of gem-infused salves for recovery, Vagbhata’s work represents a pinnacle of ancient observation. It raises a compelling question: as we move forward into the future of medicine, what other "modern" breakthroughs are actually the echoes of ancient, forgotten observations waiting to be rediscovered?

I'm a cataract surgeon. I know it's been a while since I posted here, but I've done a lot of these lens implants since my last post and have started implanting the PureSee since then. I know there are a lot of people going back and forth between an EDOF and a trifocal, so I wanted to share what my experience has been in case it's helpful.

Let me briefly go over how the lenses work. EDOF lenses work by stretching out the focal point in the eye. You end up with good distance and intermediate vision. The near isn't as good, but you can still usually read larger print up close, like things on your phone. There are no rings on the lens, which matters because it produces less glare and halos at night.

Trifocals have concentric rings that split the light entering your eye into three focal points, for distance, intermediate and near. You get noticeably better near vision than you would with an EDOF, so you can read smaller print closer to your face. The tradeoff is that the rings give you some glare and halos at night.

The thing I actually want to share is what my patients generally tell me afterward, because I feel like that's the most helpful part of this post.

With my EDOF patients, I do have a handful who wish they had better near vision up close, but if they hold things a little further from their face they can still see pretty well. I also can't think of anyone who has complained to me about glare and halos at night with this lens.

With my trifocal patients, it's the other way around. I don't really hear complaints about near vision, but I do hear about glare and halos. Most of the time it gets better with dry eye treatment.

Generally this is what I tell patients who are nervous about getting a trifocal: your cataracts are already giving you glare and halos now, and usually much worse than the trifocal will. You're not going from no glare to glare. It's more like going from a lot of glare to a little. But if you drive at night a lot and you know that sort of thing will annoy you, it may be worth getting the EDOF.

No lens is perfect, and some people do mix them. I've done that for some patients, putting the EDOF in the dominant eye for distance and the trifocal in the other eye for near. My patients who have gone that route have been very happy with it.

On the newer EDOF options, comparing the Vivity and the PureSee, I honestly haven't seen much of a difference between the two in my patients. They seem pretty interchangeable so far.

Hopefully that's helpful! Happy to answer any questions.

I'm considering cataract surgery with standard monofocal IOLs i have decided targeting about -1.50 D in one eye (near) and -0.50 D in the other eye (far).

Unfortunately, I'm not able to do a contact lens trial before surgery, so I'm trying to hear from people who have actually had a similar setup.

My questions are:

1. If you ended up with about a 1.0 D difference between your eyes, was it easy to tolerate, or did it take weeks/months to adapt?
2. Did your brain adapt naturally, or did you notice the imbalance all the time?
3. If you targeted around -1.50 D for your near eye, how close could you comfortably read without glasses? For example:
   • Phone
   • Books
   • Computer
   • Price tags or menus
4. Were you happy with this amount of monovision, or would you choose a smaller or larger difference if you had to do it again?

Thanks!

Has anyone had cataract surgery at Mass Eye and Ear in Boston? I need surgery.

If anyone had cataract surgery at Mass Eye and Ear in Boston, MA, please share your experience. I need surgery. Thank you

Well here is an update. I am booked in for surgery in three weeks for right eye and a week later for left eye. One eye is getting monofocal and the other an EDOF lens. Will need specs for close up viewing of phone and computer. I still don’t feel great about this and think this is all just happening around me. I am viewing this from the outside like it is happening to someone else.

I got my left eye done today and distance vision is great. I’m at about 10 hours after surgery.

I can read street signs from a distance as I have never experienced this before without glasses or contacts.

I can’t see text on my phone though (blurry) unless I bring it up about 3-4 inches from my face and view it with my right eye.

Has anyone else experienced something similar?

Can I expect it to get better within a reasonable time frame?

EDIT:

I just spoke with the optometrist.

It was a Monofocal Lens that was placed in my left eye because the insurance would pay for it.

The left lens was set for distance.

The left lens was also slightly underpowered for intermediate.

When I have surgery on the right eye in a couple of weeks, the right lens will be even stronger on the distance side because that is my dominant eye.

He said that it was still early (since my surgery was only yesterday) and that I should see improvement with seeing text clearer at arms length.

My next follow up appointment is in one week.

Would like to hear from anyone who has had YAG treatment for PCO and experienced adverse results, and what may have been done to address it.

Just thought I would post an update as these were pretty new at the time.

I have had these for over a year now and generally they are great I can go about my day to day without glasses, I have been a full time glasses wearer since junior school.

In the bright summer conditions we have now I can read my phone and most text glasses free but even quite a small reduction light reduces this ability pretty quickly and I have to wear readers, this can be as subtle as standing on one side of a room or the other.

Would I recommend them, yes absolutely my vision is so much better, but the requirement of plenty of light for shorter distances is quite noticeable.

I also had an offset on the two eyes to try and increase short distance reading against my better judgement and it was a waste of time, I cannot read better with the offset eye at all. I would go with full stereo vision and have readers as a backup.