
Suggest Treatment For Higher Order Abberation In Eyes

Need to undergo evaluation to find the cause.
Detailed Answer:
Hello Sir,
Welcome to Health care Magic
It seems from the history that you are having problem of seeing double images or ghost images and you have undergone cataract surgery and vitrectomy on both the eyes in the last 9 months. Your ophthalmologist has told you that you are having higher order aberrations.
Aberrations are caused by irregularities in the refractive medium which cause distortion of light resulting in symptoms like ghost images, double images, loss of contrast, loss of sharpness of image, glare....
The lower order aberrations are usually the common refractive errors like astigmatism ,myopia....
The higher order aberrations are less common and are usually caused by Irregularities of the corneal surface which occurs in severe dry eyes, corneal scars...
Irregularities in the retinal surface as in macular edema, macular degeneration, epiretinal membrane....
Irregularities in the lens or in the intraocular lens as in subluxation of the lens or tilting of the lens...
Since you have undergone cataract and vitrectomy surgeries, first thing to be done is to rule out the retinal causes like macular edema which is common following vitrectomy surgery. If it is so it can be corrected by the treatment of macular edema.
The corneal problems causing aberrations can be corrected by use of spectacles or by use of contact lenses.
Hence first thing to be done is evaluation for causes of aberrations as mentioned above. The retinal causes for aberrations can be evaluated by ocular coherence tomography and the corneal causes can be evaluated by orbscan or wavefront analysis.
The modern lenses are effective in preventing corneal aberrations and if spectacles are not able to correct contact lenses will correct them.
The retinal causes need evaluation and treatment.
Hence I advice you to consult ophthalmologist first retina specialist and later cornea specialist if needed for examination and treatment accordingly.
If you know few more details like
Visual acuity without spectacles and with spectacles
Refractive power of glasses
Indication for vitrectomy
If you can give me the above details, I can answer you more accurately.
Hope I have answered your question and the information is helpful to you.
Thank you
With regards

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