Double Vision after Cataract Surgery

Question: After cataract surgery in my right eye I have double vision. Objects viewed with ONLY that eye appear about one third larger than the same object viewed with only my left eye. I have seen 5 eye doctors and no one seems to know what is going on.

Answer: While it is impossible to tell much without a thorough examination, there are things to consider as double vision after Cataract Surgery is not typical. First, you do not state whether your left eye requires any type of optical correction. If your left eye has any considerable degree of refractive error, such as nearsightedness and you are attempting to wear eyeglasses, this can cause a problem of unequal image size-called aniseikonia. This would be an obvious and easily detectable problem by the eye doctors that you have seen. You do not state whether there might otherwise be a considerable difference in either the axial lengths or corneal curvatures of the two eyes-this too could possible cause a type of aniseikonia, however it most likely would have been observed well before your Cataract Surgery. Some type of anomaly of the Retina-especially the Macula-in EITHER eye must be ruled out, including pre-retinal membranes and subtle sub-retinal fluid. While it is easy to concentrate on the eye that had the Cataract Surgery, certainly the unoperated eye needs to be carefully examined, as we are sure they would have been, by your Cataract Surgeon. Please consider yet another opinion by scheduling a consultation with a top Cataract Surgeon in your area.

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