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I'm considering IOL exchange in my LE 12 years after the original implant (I have a ReZoom multifocal IOL) & also had YAG laser 6 years ago. I've been dealing with halos/dysphotopsias since the beginning and started noticing fog around text & diplopia symptopms after the YAG. I'm a self described perfectionist and probably should never have selected a multifocal IOL but I was only 17 yrs old at the time and didn't do any research beforehand...
The reason I've been able to get by all these years is because my RE is natural & can filter out the LE disturbances. I recently discovered I have a developing cataract in my RE and the vision is getting dimmer (so my theory is that the RE now has trouble filtering out the LE problems). Below is a short timeline that covers my eye history:
2007- original cataract surgery with ReZoom mIOL set for intermediate. Noticed halos & waxy vision from day one but it was tolerable (however I was never amazed with my vision - it was just OK).
2013- YAG treatment and vitrectomy in the same month. These surgeries cleared up some haziness I had prio but now I see fog around words & diplopia is more noticeable and disturbing.
2019- visited Dr. Steve Safran in New Jersey and he said he could exchange for 3 piece monofocal IOL with 2% chance of "something going wrong". He does IOL exchanges all the time so I trust he would be the best for my situation.
All in all, I can't decide if I should move forward with the exchange for a monofocal (the recommendation is to use a Softport AO aspheric lens). I currently refract to 20/15 in both eyes which is amazing so I would hate to attempt this surgery & somehow end up worse than I am now. At the same time I don't want to live the rest of my life dealing with these symptoms so I can't decide if it's really worth trying.
Any opinions are greatly appreciated since I'm starting to feel afraid of the future. I'm only 29 years old with hopefully 50+ years left to live so this decision isn't easy knowing the long term consequences it will have on my life
Thank you all for your support,
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