Help with Lens and Targeting Choice
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66 Male. I had retina w/ macular off reattachment surgery 5/2/23 on my left eye. As expected a cataract has formed fairly quickly and I’m scheduling surgery for January. Surgeon will be doing my LE first followed by my RE 2 weeks later. I have worn glasses (progressives now) for 50 years and have no problem with continuing to wear them after surgery to achieve the best vision possible. Surgeon has recommended Tecnis Monofocal lenses with a -3.0d target. Obviously, progressives will be required after surgery. I’m trying to get the best vision possible for night driving as I commute 1 hr each way in the dark. Also, do computer work and paper work at typical distances. Cell phone and Ipad use in addition. I play golf and have been having issues following the ball even before the retina surgery.Current prescript after retina surgery is: RE: -6.75/-1.50/105 Add +3.00, LE: -10.50/-2.00/010 Add +3.00 Thanks for your thoughts !!
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RonAKA BklynBoy1957
Edited
Thinking about your options a little longer I came up with the following to consider:
A. Target -3.0 D in both eyes with non toric monofocal lenses. This will be a minimum cost and the outcome quite predictable. You will need glasses for vision and progressives which you are used to will work well. The thickness and weight of the lenses will be significantly reduced from what you have now. Night vision with glasses and the cataract gone should be very good.
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B. Target mini-monovision with -0.25 D in your dominant eye, and -1.50 D in the non-dominant eye. Dependent on your surgeon's estimate of post surgery astigmatism you could consider a toric lens which would be an extra cost. Normally it is not done if estimated cylinder is 0.75 D or less. If not cost is the same as Option A. Vision with glasses will be just as good as option A, day and night. Eyeglasses will be even lighter and thinner than with Option A.
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So basically there is no difference in these two options considering your vision with glasses. However, there is a significant difference when you consider vision without glasses. With option A your near/very near vision will be very good, but not as good as what you were used to with very high myopia. It does give you the option of popping off your glasses to do very close work. However, with option B you will have very good eyeglasses free vision from the 1 foot to infinity range, but ultimate quality will not be as good as with glasses. Glasses for night driving will be advisable.
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So, I think the best option for you will depend on what you want to see without glasses on. With glasses on, they are the same.