How important is picking the dominant eye before cataract surgery?
Posted , 3 users are following.
I am having Cataract surgery on Monday for my distance eye. the second I will be done at a later date for close vision. Their surgeon has an optometrist who took two seconds to tell me I was right eye dominant, but I have clouding in my left eye, so I might have favored my right. not by much and looking at lines of sight through my left eye, I appear to favorcleft. I have done the triangke and thumb tests at home, but am not sure they were accurate. But, I am not a professional and am uncertain as to how important it will be to make sure the distance eye is my dom eye. I do not know if their optometrist will be there Monday and my Optometrist has not tested for that and if they defer to me, I have no clue.
0 likes, 1 reply
RonAKA joseph54594
Edited
It is not really important. I am left eye dominant and had my right eye done first and for distance. This is called crossed monovision. I did not object to it as I am right handed and do some shooting using my right eye for sighting, so I wanted the best distance vision in my right eye. While it seems to be convention to do the dominant eye for distance there are some that advocate crossed monovision is actually better. I can't really confirm that as I have not tried the other way, although possibly I did many years ago when I was doing monovision with contacts.
.
I think the short story is to do the eye you want the best vision in for distance with a distance IOL, and not worry about it. Here is a study which found no significant difference between standard dominant eye distance and crossed monovision.
.
Crossed versus conventional pseudophakic monovision: Patient satisfaction, visual function, and spectacle independence Fuxiang Zhang 1, Alan Sugar 2, Lisa Arbisser 2, Gordon Jacobsen 2, Jessica Artico 2