Dominant or Non-dominant eye for first surgery

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I have noticed a difference in this link with some posters indicating they had surgery on the dominant eye first. My surgeon does his first surgery on the non-dominant eye first, especially if 2 different lenses are being used. It makes sense to me from the viewpoint of how the brain adjusts to new vision. Opinions?

0 likes, 6 replies

6 Replies

  • Posted

    I suspect it really does not make any difference. My surgeon says he prefers to do the worst eye first because he always learns something that may be useful for the second surgery on the better eye.

  • Posted

    Hmm, I had my non-dominate eye done first, but only because it had a bad cataract and the other eye did not.

    But if I was having both eyes done near the same time, I guess it would depend on what IOL I was getting.

    I would want my dominate eye to have the best distance. So I think I would do that eye first and evaluate my close vision acuity and then make a decision on what IOL and / or monovision would best benefit me to obtain the best overall visual acuity I am shooting for.

  • Posted

    I agree with @RonAKA and @rwbill. In my case, the surgeon preferred to operate on the "worst" eye first, which coincidentally was the dominant one.

  • Posted

    I believe that the surgeon, after knowing the patient's expectations, and determining which technique to choose, may choose to operate on the non-dominant eye first. I read on this forum that, in a patient seeking monovision, the surgeon chose to operate first on the non-dominant eye for near vision and then operate on the dominant eye for distance vision.

  • Posted

    My surgeon suggests doing the worst eye first for the brain to adjust to the "new" vision.

    • Posted

      Keep in mind that if you are considering monovision you ideally want to correct the dominant eye for distance, and under correct the non-dominant eye to about -1.5 D to allow reading.

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