Conflicting surgeons opinions on suitability of multifocal IOLs

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Hello, when i knew i had to have my cataracts removed, i went to the same surgeon who did my Lasik in 2003, because i was 100% happy with those results. He did mini monovision giving me perfect distance vision in right eye and excellent close vision in left eye. Discussing IOLs with him, he specifically told me i was not a candidate for multifocal lenses. For various reasons, i did not get my surgery done with him.

Today (8 months later) i had an appointment with another highly recommended surgeon who said i was an excellent candidate for multifocals. Based on the first opinion, i had gone prepared with questions about monofocal IOLs and mini monovision, but he threw me off-track completely and i left wondering what could be the reason/reasons for such opposing opinions. Where i went today is a multi-surgeon "state-of-the-art" type set-up, whereas the first one was a long-established single owner surgery. Could it be that different and more sophisticated instruments/measurements give different results? Or what other reason could there be? I'm 63 and feel there's been a slight deterioration in my vision in the last 8 months.

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  • Posted

    I recently underwent cataract surgery with a trifocal IOL. It cost me a lot out of pocket and delivered poorer vision with rings and halos. So much so that I underwent a 2nd corrective surgery few days ago with a monofocal lens to match the nearsightedness that I had before 1st surgery. I am happy to report no impairments as with the 1st lens. My vision is now compatible and comfortable with the numerous glasses I have. Bottom line - avoid the trifocal IOL.

  • Edited

    The issues with multifocal lenses are potentially optical side effects and in particular halos and flare around light as night. Other issues can be difficulty reading smaller print in lower light levels, or having distance gaps where vision is not so good. Having previous laser surgery can elevate the risk of having the optical side effects.

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    Using monofocal IOLs even in a monovision configuration is a much lower risk. It should give you just as good or better vision than you were getting before with the Lasik monovision.

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    Oops, I just realized this was an old post I think I responded to earlier. I hope I said the same thing as I did before...

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