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Vision imbalance after two eye surgeries
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Eye & Vision Disorders
Question #18171
72 days ago
193

Vision imbalance after two eye surgeries - #18171

Souhaib

Hello Doctor, I had eye surgery twice in the past because of astigmatism (curvature of the eye). After the surgeries, I was told that my right eye vision is about 90%, but in real life I feel that my vision is not balanced between both eyes. My right eye feels weaker, and when I focus or look at objects, both eyes do not work equally. I experience eye strain, discomfort, and difficulty focusing, especially when reading or using my phone. I was not given glasses after the surgeries, even though a small amount of curvature still remains. Because of this, I feel my daily vision quality is poor, despite being told that my vision percentage is good. I would like to know: Could this be residual astigmatism or anisometropia? Should I be using glasses to balance my vision? Is this normal after eye surgery? What tests do you recommend now? Thank you for your advice.

Eye surgery
Astigmatism
Vision imbalance
Eye strain
Blurred vision
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Doctors' responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
72 days ago
5

Hello,

Which surgery you had (LASIK / PRK / SMILE and How long ago it was??

Because First few weeks: very common to feel imbalance, strain, or odd focus

If long time ago : then

1. Yes , there is possibility of residual astigmatism 2. Some patients use anti fatigue glasses post surgery

But need in person evaluation by your eye doctor

3. Yes this is relatively common due to dry eyes issue or healing between eyes was uneven

4. Please consult your eye doctor to check hidden imbalances / dry eye evaluation/ binocular vision assessment

Your symptoms do not mean the surgery failed May need fine tuning Please consult your ophthalmologist asap

I hope this helps Thank you

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
71 days ago
5

Hello dear See after clinical evaluation it seems the eyes are getting accustomed to new vision Probably this is the healing phase so it will take time for proper improvement However for confirmation iam suggesting some tests Please share the result with concerned physician only for better clarification Visual field test Tonometry Refraction test for power Yes glasses can be worn to prevent post operative infection For further evaluation please consult the concerned physician Regards

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Your perceptioin of imbalanced vision could possibly be due to residual astigmatism or anisometropia, both of which may result in challenges like eye strain and difficulty in visual focusing. Residual astigmatism refers to leftover curvature in the cornea after surgery, which seems likely in your case since you mentioned that a small degree of curvature still persists. Anisometropia, on the other hand, is when there’s a significant difference in refractive power between the two eyes, potentially leading to visual discomfort. Post-operative visual imbalance is not entirely uncommon, and the experiences you’re having can happen, even when the surgical outcomes appear successful in terms of vision percentages.

Using corrective lenses, like glasses, could indeed help balance the vision between your eyes, compensating for any existing residual refractive errors. An eye examination by an ophthalmologist or optometrist would be beneficial; this can include a refraction test to determine the precise prescription you may need. Additionally, a topography test can assess corneal curvature issues, while a binocular vision assessment might evaluate how your eyes work together. If glasses improve your symptoms, they may be a non-invasive remedy to help correct any discrepancies.

Further, it’s crucial to discuss these symptoms with your ophthalmologist or surgeon to ensure there are no other underlying problems. Depending on the findings, especially if significant anisometropia is present, contact lenses or even a revision surgery could be considered under specialist guidance. Balancing your visual perception can certainly reduce daily visual discomfort, alleviating the strain and difficulty you’re currently facing. Seeking an expert’s opinion and potentially obtaining glasses for everyday tasks should help improve your quality of life.

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