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I am getting cataract surgery on the 21st of this month.

Posted , 5 users are following.

Di72082
Di72082

I have Monovision and have worn glasses for over 30 years. I tried contacts for Mono vision  but my eyes would never adjust. I do a lot of computer work so my eye doctor said he thought close up reg lenses would be good but I am having second thoughts and think I should get lenses for far away. Can anyone help me with this? I need to made a decision next week. I don't mind wearing my glasses for computer work. 

1 like, 14 replies

14 Replies

  • at201
    at201 Di72082

    Posted

    What are the distances for which you have glasses prescription right now to get monovision? How happy are you with those (leaving aside the vision issue due to cataracts?

    Depending on your answer, my suggestion may change. However, my first suggestion will be to get your dominant eye set for far distance and the non-dominant eye set for about the best vision at intermediate distance of about 26 inches. With that combination, you should be able do most things without glasses, needing them only for reading fine print at a close distance.

    • Di72082
      Di72082 at201

      Posted

      Hello I have a card for my prescription... 

      OD is SPH -0.75, CYL -1.00, AXIS 095

      OS is SPH -0.75, CYL -1.00, AXIS 085

      ADD +2.50

      ADD +2.50

      My dominant eye is the one that is seeing ghost and blurry vision the worst. I knew I was developing Cataracts for the past 5 years but now it has really been bothering me so need to get the Cataracts taken care of.

      My Doctor found out I don't drive so he said up close lenses but I don't mind wearing my glasses for computer work every day and reading. HE also explained my eye in this way..Most are smooth as glass and my surface is like a potato chip so I can't have some kinds of lenses. He said Regular for me..what ever those are..but I am assuming Mono focal from what I have read. What ever I decide, He will do the first eye on the 21st and the second eye on March 6th.. Thank you for any help!

    • at201
      at201 Di72082

      Posted

      Looking at your glasses prescription, it does not look like you have been using monovision with glasses.

      All that means is that you should try to keep the difference in your eyes prescription difference to about 1D or less, which makes it easier to adjust to.

      My first suggestion above may have resulted in a difference of about 1.5D between the 2 eyes. So, I will modify that slightly.

      1. If the near vision and the intermediate vision is more important to you, you should aim the dominant for the best vision at about 26 inches and the non-dominant eye at about 17-18 inches. You will then be able to read most of the material and work at the computer without glasses, but will need to use glasses for far distance or for driving.

      2. The alternative is to have the dominant eye set for about -0.25 D and the non-dominant eye set for about -1.25 D (corresponding to the best focus at 32 inches). You should be able to see well beyond 23 inches, but will need glasses for reading or for computer work at 20 inches away..

      Your choice of option 1 or 2 is strictly your decision and depends on your life style. Neither of them is the right decision or the wrong decision by itself.

      All this assumes that you don't have astigmatism or any other visual issues after the cataract surgery.

      Finally, please make sure that you know what your first eye ends up after cataract surgery to see if you achieved the target vision or how far you are from the target before making the decision for the second eye. The best target for the second eye will depend on what you actually achieve for the first eye. If you have a choice, just for that reason, I will suggest having a difference of about a month (instead of 2 weeks) between the 2 surgeries.

    • Di72082
      Di72082 at201

      Posted

      Hello 

      I don't believe I have bee using Monovision with my glasses, I know they are definitely bifocals. I think I should have a consultation with my eye Doctor to discuss this with him to see if he is going to do these things because I do not know  but I can ask him if he is going to do this? I would like to know, Do you agree?

      I am so use to wearing my glasses I am leaning toward option 2. 

      I will definitely wait between surgery for a month to be sure I achieve the best target.

      Thank you so much for your help. 

      May I ask if you are an eye Doctor? 

    • at201
      at201 Di72082

      Posted

      To answer your question, I am not an eye doctor. Have just picked up some information over the years.

      I think that you should definitely go with option 2 if that is what is your desire is. In that case, the surgeon should not have any concern about the dominant eye being set for about -0.25 D. Then, you can ask him if he has any concern  / advice about having a mini-monovision by having the non-dominant eye set for about -1.25 D or -1.0 D to get a little better intermediate vision. It is important to ask him all the relevant questions, but make your own choice.

  • Di72082
    Di72082

    Posted

    I want to thank you for your help. I will make an appointment with him next week and discuss these things with him.

    I hope you Have a nice evening!

    • charlene60770
      charlene60770 Di72082

      Posted

      Good luck and praying it all works well for you. Happy to hear you are waiting long in between your eye surgery dates.   Before I was using my right eye for closeness and left for distance for over 30 years with biofocals.  Dr insisted I have to have my Right eye for distance since it is my dominant eye. I tried to tell him my brain was already set for 30+ years this way.  Not sure if that is why I am having so many issues yet at 7 months and 3 weeks later.  Right eye is still blurry and not seeing distance yet, aggravating!!  My lenses are the same for both eyes.   R 22.5 D +2.5   L 22.5 D +2.5   right done on 6/14/17 and left done on 8/16/17   2 months apart.  I am now currently seeing a cornea specialist. 
    • Di72082
      Di72082 charlene60770

      Posted

      Yes I have been using glasses for over 30 years also.  I am a bit nervous about even having lenses put in during my Cataract surgery with all the troubles I have heard others have.  My right eye is my dominant eye too I see better close up with my right eye and my left eye for distance.  I am going to call to get an appointment to talk again with my Doctor but I guess we are all different. Good luck at the Cornea specialist and keep me posted. I hope that all goes well for you! 
  • charlene60770
    charlene60770 Di72082

    Posted

    Thanks and hope all goes well and you get answers to make you feel more comfortable.   I sometimes wish I would have pursued my dr to do my cataract the way my eyes are use to, but to late for that now.   Sometimes we try our best to put the trust in our doctors....maybe I should have gotten another opinion before hand.   We only learn from mistakes, but not sure if it was a mistake or not.  It had to be done, just wish my outcome could have been like MOST cases.   Good luck and prayers for you.   Charlene  

     

    • Di72082
      Di72082 charlene60770

      Posted

      Keep me posted on what you find out. I think I am going to have a talk with my eye doctor again, to feel more comfortable. 
    • charlene60770
      charlene60770 Di72082

      Posted

      Good idea---I wished I would have ask more questions before mine....I was just trusting him and even the Cornea specialist has agreed with him. Extremely DRY EYES, left is healed.  Right has still some scales,but slowly improving. 

      Charlene

       

    • Di72082
      Di72082 charlene60770

      Posted

      When we go into this surgery and speak to our eye Doctor, we SHOULD be able to trust the Doctors will do everything correctly. We put our eyes in there hands.  Some tell me, oh trust him and forget about a consultation , but they are my only eyes and I feel I have a right to ask more questions. Hope your eyes keep improving each day!
    • charlene60770
      charlene60770 Di72082

      Posted

      absolutely true--we are putting our trust in them. I only have 2 eyes and i prefer to still be able to see afterwards.  I have to this day NO doubt my eye Drs both did the best for me and I suppose they can't see everything that can or could go wrong. Just still praying all this can be resolved and able to see like I thought I would afterwards.  between the 3 actually have seen me and are helping have all been there for me when I need them.  Why things go wrong I have no clue...they aren't gods and can't predict,but I still put my trust in their hands. I am improving SLOWLY but at times it has been stressful in different ways.  If I had to do it all over again I don't even know if I would do anything different except maybe get another opinion. Can't change what is in the pass,but I can do my best to make changes for the future.  Everyone have a wonderful day. 

  • Ally01381
    Ally01381 Di72082

    Posted

    wearing Glasses for computer work is a good option thank you
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