Eyehance lens replace for cataracts outcome

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Hi,

i am 26 years old and have diabetes (good control)

I've just come back from the 3rd appointment with my consultant regarding cataracts and agreed to go ahead with the surgery as the glare and cloudiness is very annoying now.

I thought i was going to be able to get a enhanced depth of focus lens like the symfony lens but my consultant has said i will be better with the tecnis eyehance as its less risk. Note before my cataracts i had great vision and no prescription was needed.

My question is how has the outcome been for poeple with this lens in both eyes? I think i understand i will need glasses for close up like maybe reading my phone? but will i need them to see my computer screen? I am starting with my left eye which is dominant and I believe with no prescription at all to see how it goes before deciding what to do with my right eye.

And if i do need glasses for my computer screen/phone is vision good and clear with the glasses?

thanks,

Jon

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  • Edited

    Another way of thinking about cataract surgery is to consider having two solutions for the vision issues post surgery. My suggestion is to think about a Plan A (not necessarily the better solution, but a different one) that gives you eyeglass free vision that is pretty good, but not likely perfect. As I suggested earlier that may be best done with a mini-monovision configuration using the Eyhance lenses. With a -1.0 D offset you should easily get good 20/20 distance vision, computer monitor vision, and most likely good iphone vision as well. It will not give super small print vision especially in lower light. For that you can keep a pair of +1.25 readers nearby to use infrequently, or use plan B.

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    Then at the same time think about a Plan B which essentially gives you perfect vision for distance and close up, but with progressive glasses. No matter how good your surgeon is there is always going to be some residual spherical and cylinder (astigmatism) error. This can be a miscalculation of power, or error induced by the surgery, and in almost every case a mismatch between the available powers of IOLs and what you really need. Unlike eyeglasses and contacts IOL's come in steps of 0.5 D not 0.25 D spherical power, and in 0.75 D steps of cylinder, instead of 0.25. For these reasons the progressive eyeglasses will always give you the closest to perfect vision. And if you go with mini-monovision, the eyeglasses will also correct for this intentional error. These glasses can also be used for reading glasses of course.

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    The thought here is that for everyday purposes without the hassle of glasses you are good to go just as you get out of bed in the morning. And then for special purposes like driving at night or reading very small print you have glasses to give you the best possible vision.

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    I am essentially doing this arrangement now with an IOL in my distance eye, and the non operated eye under corrected by -1.25 D using a contact, and I like it a lot. I have progressives that give me the best possible vision but the only time I wear them is to give my one eye a rest from the contact.

  • Edited

    I have both eyes Eyhance. I could not ask for better vision near intermediate and distance. My near vision needs no correction cept maybe -1.25 readers for tiny tiny print. For perfect distance vision last night I saw in the dark a bike on back on suv a block from my home with the spare wheel. been myopic whole life. I asked for -050 contacts to sharpen distance even more. I dont wear em cept when I want total crispy distance. Can watch tv without glasses or contact easily but I prefer -1 distance for extra crispness. I ask for -1.25 both eyes Eyhance to keep just enought myopia and my near vision intermediate incredible. I have no loss of any quality of vision for what is just monofocal iol. No halo no spiderweb nothing. great contrast. I can easily read phone better in bright light but some might prefer low grade reader. I am typing right now laptop and glasses totally unnecessary . There is a tiny bit of visual inbalance the right eye landed a tiny bit more myopic than left but a month and a half into new eyes I have totally adapted, If needed tiny -0.50 contacts for perfect clarity distance and on cell or reading book close up tiny -1.25 glasses. My whole life myopic at -5 to -5.75 contacts. Now total liberation Again Eyhance both eyes chose -1.25 both eyes

  • Edited

    Dr laughed at me when I ask for -050 contact that prescription is the lowest made. But with our eyes we see the world each individually and one tiny blur etc can drive us insane. My eye grew better every day and the difference was so minimal but I saw it. Now its all good and if I choose -050 contact phenomenal with little loss of near easily corrected if i need to read tiny print. Dont let them tell you you read chart you see good the chart is a piece of paper on wall and doesnt reflect how we use our eyes. Instinctively we know what will work. After this forum the Drs tell me I know more than them Thanks guys

  • Edited

    I am a 37 year old female that will need catract surgery due to steroid use from Uveitis treatment. Right now I believe I will go for the Eyhance toric in both eyes. I would like to undercorrect so I can retain some close up vision. My surgeon said he would not go as far as -1. He said somewhere between -.5 and -.75 would probably still produce a good result. i am torn on what myopic target to select. My doc said -1 would prob give me 20/50 distance. Anyone know what distance vision the other targets would produce ? My goals are decent distance vision, good computer vision and maybe being able to read a menu in good lighting without glasses. i am not experienced at reading defocus curves. I also don't think i want the eyes at different targets since i won't be able to test it first. Would appreciate any insights from the group. Thanks!

    • Edited

      I might start with -.25 or -.50 (at the most) in your dominant eye first to make sure you get fairly good distance vision and then see how it goes. I agree that starting at -1 is too much. You will not get good distance vision. So I'd try "first minus" in the dominant eye first and if you feel you need more near vision after that you could under-correct the non-dominant eye more (maybe second minus). As long as you get pretty good distance with the first eye, the two eyes together should still give you good distance even with the second one set a little more near sighted.

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