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Post Cataract Surgery, my Eyes Seem to Be Different Sizes. Is This Possible?

asked 1 year ago by MomBlair in Lake Wales, FL
Latest answer by Joseph W. King, MD
Question viewed 457 times
Tags: eyes, asymmetry, cataract

I had cataract surgery with lens implanted in both eyes. My right eye was focused for distance and the left for close-up. Should one eye now be smaller than the other?

The operations were about two weeks apart. My eyes now seem asymmetrical. I noticed it and others agreed. One of my friends even noticed it without being prompted. Is this common?

4 answers to Post Cataract Surgery, my Eyes Seem to Be Different Sizes. Is This Possible?

+1

The size of your eye does not change but lid position may.

The eyelid may droop more after cataract surgery. This is not common however. Patients sometimes become more observant of their eyelid position once their vision is clearer and glasses are no longer needed.
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The eyeball size does not change with cataract surgery

The eyeball size does not change with cataract surgery. On rare occasions, the lid can droop (ptosis) after ocular surgery giving the appearance that the eye is smaller. Your “blended” or “mini-monovision” is an excellent way to become less dependent on spectacles, though it may take a few months for the brain to adapt. A few individuals are unable to adapt and glasses or contact lenses may be needed post-op.
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Different Sized Eyes Following Cataract Surgery

The appearance of your eyes may be different after cataract surgery. Sometimes, there is more swelling in one eye than the other and your two eyes are at different stages based upon the separation in time. Other things that cause droopiness of your eyelids is stretching of the eyelid muscle due to the eyelid holder used at the time of surgery, a reaction of the eyelid due to irritation of the front surface of the eye and the incisions that were made, reaction to the eyedrops... more
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Eyelid Lag Post Cataract Surgery

It is not uncommon to see a mild upper eyelid lag for about one to two weeks after cataract surgery. This is in no way permanent. The cause is typically a combination of a swelling reaction by the upper eyelid muscles to the surgery itself and a mild reaction to one of the postop eye drops. The steroid eye drop, which is used for approximately two weeks postoperatively, can cause that upper eyelid muscle to relax a bit while you are using it. Once the steroid is stopped, and a few weeks... more

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