Can cataract lens cause double vision?

The most common lens problem that can cause double vision is a cataract, a clouding of the normally clear lens due to aging.

Can a single piece IOL cause foggy vision?

Thus, a subtle tilt of the IOL could be exacerbating the problem in this case, although this is quite rare with currently available single-piece acrylic IOLs. The solution is not always satisfying.

Is there an alternative to IOL lens explantation?

“Patients with lens power issues have alternatives to explantation,” Dr. Rosenfeld said. “We can use a piggyback lens implant or do LASIK or PRK on the corneal surface to add or subtract power.” However, the fix is not so clear for patients who are subjectively unhappy with the quality of vision.

Can a premium IOL fix a vision problem?

However, the fix is not so clear for patients who are subjectively unhappy with the quality of vision. While premium IOLs allow patients to experience good distance, medium and near vision, patient dissatisfaction is the Achilles’ heel of these advanced lenses. And the actual problem is often difficult to pinpoint.

What should vision acuity be with multifocal IOL?

Patients are willing to try to adapt to and work with glare if their vision is of high quality. A visual acuity of 20/30 and symptoms of glare with a multifocal IOL are not a promising situation.

Thus, a subtle tilt of the IOL could be exacerbating the problem in this case, although this is quite rare with currently available single-piece acrylic IOLs. The solution is not always satisfying.

What causes a lens to have a malpositioned IOL?

Poor positioning of the lens in the first place. Malpositioned IOLs can result from capsular rupture during surgery, insufficient capsular support for sulcus fixation or a situation in which one haptic is in the capsular bag and the other is in the sulcus.

Patients are willing to try to adapt to and work with glare if their vision is of high quality. A visual acuity of 20/30 and symptoms of glare with a multifocal IOL are not a promising situation.

What are the risks of multifocal IOL surgery?

This case illustrates the “risk” of multifocal IOL surgery that can create the greatest anxiety: the lack of appropriate adaptation of vision through the lens. The problem may relate to the IOL’s alignment in the visual axis (centroid vs center), corneal higher-order aberrations, or a problem with neuroadaptation.