Dissatisfaction after cataract surgery is often attributed to psychosomatic factors when no ophthalmologic abnormalities are detected, and visually induced vestibular dysfunction is rarely considered. We report a rare case in which such dysfunction was identified and successfully treated by restoring the preoperative refractive state through intraocular lens (IOL) exchange....
✦ The floor
Discussion
Signed responses from readers of the wire.
Single case report only — no actionable change for audiologists; vestibular evaluation of post-cataract patients with dizziness should flag the possibility of visually induced vestibular disorder for ophthalmology referral, but this remains anecdotal.
Highlights an underrecognised cause of vestibular symptoms — the intraocular lens itself — which audiologists and vestibular specialists may encounter when evaluating post-surgical dizziness of unclear origin.
- 01Patient developed vestibular symptoms after cataract surgery with no detectable ophthalmologic abnormality.
- 02Intraocular lens exchange resolved the visually induced vestibular disorder.
- 03Case supports a visual-vestibular mismatch mechanism triggered by certain lens types.
- 04Findings are limited to a single patient and cannot be generalised.
- 05Relevant to vestibular audiologists who assess post-surgical dizziness of unclear cause.
Intraocular lens exchange resolved a visually induced vestibular disorder when no ophthalmologic abnormality was detected.
studypartially supported- PMID
- 42180009
- DOI
- 10.1016/j.ajoc.2026.102592.
- Journal
- American Journal of Ophthalmology Case Reports
- Publication type
- case_report
- Evidence level
- 4
- Sample size
- 1
- Population
- Single patient with visually induced vestibular disorder following cataract surgery
- Intervention
- Intraocular lens exchange
Primary outcomes
Resolution of vestibular symptoms post lens exchange