Cataract surgery for glaucoma - have Vivity in non dominant eye, confused about IOL for dominant eye

I have narrow angles and high pressure in both eyes. I had my first cataract surgery in May this year in my right eye which had the higher pressure. Pressure in right eye went from 39 to 16 post surgery so definitely successful on that front.

My surgeon chose the Vivity toric lens. I am 52 years old and have always had excellent vision. My new lens is set for distance but my distance vision is not as clear and sharp as my natural lens in my left eye.

It turns out my left eye is my dominant eye. I have been postponing my second cataract surgery out of fear of losing my beautiful distance vision. I am not seeing colour the same way with the Vivity lens. It's paler and kinda drab.

My surgeon has offered to do an explant if I'm still unhappy with the Vivity but after speaking with the Alcon consultant he said I probably wouldn't be any happier with a different lens. Basically I am coming to terms with the fact that the surgery is not for vision correction, it is to create more space in my eye chamber and reduce the pressure in my eyes. The right eye looked like I had had an angle closure episode when he extracted the lens. So he is recommending I get my left eye done soon. I realise there is no perfect IOL. It's just hard to accept I'll be saying goodbye to my natural good vision.

I feel like I should have maybe gotten a monofocal lens in my right eye set and the Vivity in my left eye? My surgeon wants to put another vivity in my left eye set slightly short sighted. I'm so scared because that means the distance vision I have in my right eye now will be as good as it ever gets. Not sure if I can live with that. Although the knowledge I can never have a closed angle glaucoma episode would be a big relief. Also the need for glasses will be minimal.

My surgeon does not think I will be happy with a monofocal in my left eye.

My night vision is ok. I do see lights brighter with the vivity eye but the flickering has settled down a lot as has the black disc in my peripheral vision.

Any suggestions would be much appreciated. Anyone else had cataract surgery for glaucoma prevention? Anyone successfully mixed a vivity lens with monofocal lens? Can dominant eye switch after cataract surgery? Thank you.

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