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

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.

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, and swelling.  Try to be patient as most of the time resolution occurs.  If it still persists after about six months, surgical intervention may help.