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shooting after Cataract surgery

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Post by chopper 8/22/2017, 10:49 pm

I've been dry fire and hold exercise training in the basement since having cataract surgery in both eyes for about 2  months ago. I went to the outdoor range to get some live fire practice in before going to a tournament this Saturday and had a rough go. The glare gave me fits as it seemed the black area was even more blurred than before the surgery, I'm glad I was using a red dot. This condition really broke my concentration. I started with clear lenses, then tried gray lenses, then went to truck and got some polarized lenses, that still didn't help. I'm using an Ultra Dot there is a polarizing filter for it, but didn't have it with me.
 Is there any answer for this daytime glare from you guys that have had the surgery? Different coloured lenses or Merritt aperture, anything ?  Thanks for any help.
  Stan

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Post by xmastershooter 8/23/2017, 2:39 am

A couple of thoughts come to mind:

Have you had a post-op eye exam?  Besides seeing the surgeon who did the cataract surgery, you might also see another doctor who can give an impartial evaluation.

There appears to be 2 areas of concern; glare and blur.

The dense cataract gradually prevented some light to reach the back of the eye for many years.  After removal, there would be much more light entering the eye, which the patients usually appreciates.  It would be important to know if the iris was totally intact after the surgery.  Extra rays of light can enter the eye through a tear or hole and cause glare. Note if the pupil is the same size as it was before the surgery.

After the cataract surgery, there may be a formation of a  posterior subcapsular opacity which is centrally located in the back of the lens capsule.  With indoor dimmer lighting, the pupils are larger and this opacity is of no consequence.  With the brighter outdoor lighting, the pupil constricts and the opacity can cause visual disturbances.

You stated the black area, which I assume is the black bullseye, was more blurred than before the surgery.  Are you comparing corrected vision prior to surgery versus uncorrected vision afterwards?  Although the intraocular implant will correct most of the refractive error, if not all, there may be some residual uncorrected vision.  Often times, eye doctors ignore mild uncorrected vision but shooters should see if they have an uncorrected Rx after cataract surgery.

When you stated that you started with a clear lens, are you referring to a clear safety lens or a post-op corrective lens?  Some more background information may be helpful.

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Post by james r chapman 8/23/2017, 5:43 am

As stated, see an eye specialist
james r chapman
james r chapman
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Post by joem5636 8/23/2017, 7:51 am

I'm still a weak candidate for cataract surgery, but I would definitely choose the single vision lenses. The supposedly multi-distance lenses are really just like bifocals. You might try an aperture to control the amount of light reaching the eye and to sharpen the image.

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Post by chopper 8/23/2017, 3:12 pm

Yes I've had post op exams 1 week after for both eyes. Since I am in a trial study by Symfony multi focal lens company with 2 additional lenses, I'm required to have a 1 month and a 6 month exam. I just finished my 1 month this morning and it lasted 3 and a half hours. Lots of tests and examination.
  Xmaster, I was referring to the black area of the target and the glare is a bit more than before when I had corrected vision vs post surgery uncorrected. I also was referring to uncorrected clear, coloured, and polarized glasses. I will ask about the iris and the posterior subscapular opacity on back of implant.
  I sure wish there were bullseye shooters at that clinic before I gave the nod on the lens implants. It is all done and I'll have to deal with it now. I'm hoping to find some help this weekend, there's an eye surgeon at that tournament I'll ask too. Just maybe some of this glare will leave after a while. The regular vision is better than before no need for glasses and some distance and near vision is 20/20 plus a bit better, it's the glare I'm dealing with.
  Thank you all for any and all input, I'll keep you all posted on my recovery.
Stan

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Post by xmastershooter 8/23/2017, 11:16 pm

After 3 1/2 hours of examination, what did they tell you?  Did you mentioned about the bothersome glare which affects your quality of life?  If not reported, they assume everything is fine and will document as such.  Were the pros and cons of the multifocal intraocular implants discussed before you signed the authorization forms prior to surgery?  Before you buy any apertures, simply look through pinholes of various sizes on a piece of cardboard and see if it helps reduce the glare.  Hope the glare gets better and please let us know of your progress.

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Post by chopper 8/24/2017, 9:56 am

Yes, I made sure they knew  about the glare and it was documented on my record and the record that goes to the study. I do trust my doctor and after the big exam for Symfony the doctor said both eyes are in excellent condition for post op. I am diabetic and my retina blood vessels are still in excellent condition.
  When we were discussing the implants he said there would be glare and halos in both types of implants. The doctor gave all the risks of surgery and what to expect in recover with these implants. He also said the glare would get less, my wife had single focal lenses in both eyes and her glare got better after about 5 months, maybe I'm too impatient. X, I'll try the pinholes in the cardboard which I can see helping. 
  I don't notice any glare when doing everyday task in the same light condition. I'm thinking the concentration on a target my first time since surgery has a lot to do with it. It was bright and sunny that day, I'll have to acclimate to it, I'm sure the same will happen when shooting indoor leagues this winter.

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