Sunday, March 14, 2010

ocular headache/ toric iols

Question
QUESTION: I can see clearly with my new toric IOLs, but I have dull ocular headaches.  Do you think there could be a correlation between the IOLs and the headaches?



ANSWER: Dear Ann,



Could be if the powers are not well adjusted to or facing some dryness issue.



Try using them sparingly initially and slowly increase the time of use.



If it still persists, revisit your opticia to check the powers



See if this helps.

Best,

Dr Shroff

www.shroffeye.org



---------- FOLLOW-UP ----------



QUESTION: Hi, Dr. Shroff



My torics are not contact lenses but are AcrysofIQ toric IOLs implanted after cataract surgery 7 1/2 and 4 1/2 weeks ago.  The headache is not tooo bad, what I feel mostly is a pressure in the sinus area below the eye.  One eye did get a black eye from the anesthesia shot. That was following the first surgery 7 1/2 weeks ago.  The black eye cleared up, but now appears to be returning and I feel a little tingling in the sinus area there (and the skin sinks in a little). 7 1/2 weeks seems like a long time to still have those types of effects from surgery.  I am 54 y.o.



Thanks so much for your reply!


Answer
Dear Ann,



Sorry, did not pay attention to the IOL part.



You need to get checked for sinusitis which does play up with similar symptoms, esp as there are many eye drops being put frequently after the cataract surgery.



In absence of this, it may be that you need to use some prescriptive glasses, which if not being used can also give rise to such symptoms,.



Both of this can be ruled out by your treating eye doctor.



Revisit the clinic and ask them to check your refraction and see the need for glasses.



Hope this helps,

Best,

Dr Shroff