Posted , 12 users are following.
hello. who had monofocal toric or even reg mo offical IOL and was able to see intermediate vision... 2 feet and further...? I understand you must need close up near like your cellphone etc..but a little further? can the long distance monofocal(toric in this case) let you see intermediate decently? like cooking..talking to someone 2 ft away..etc..
thanks!
1 like, 25 replies
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cazms53 ayeaye
Edited
I have monofocal toric iols...the left set for distance and the right for intermediate. My vision is very good from 2 feet and beyond. I can function without glasses for all of my daily activities, with the exception of close reading. If the light is good and the text is crisp, I can read at a closer distance but my preference is to wear over-the-counter readers.
ayeaye cazms53
Edited
thank you!. I just dont know why my dr is putting both for distance...ugh.. ( I have poor vision and adtigmatism) but would love to have one for intermediate too.!!
RonAKA ayeaye
Posted
Your doctor should offer you that alternative, along with the pros and cons of doing it, unless there are reasons why you may not be suitable. You should ask about it before the first eye is done. With monovision it is usually best to have the dominant eye set for distance and the non dominant for nearer vision. However that is not a hard and fast rule, and depending on how the first surgery goes, there may be reasons to switch the strategy. But again all of this needs to be discussed before the first eye is done.
You should be aware that some people do not adapt well to monovision especially if a large under correction (>1.5 or so) is made. I have done monovision with contact lenses with a -1.25 under correction, so I kind of know what I am getting into. Even then I am still just thinking about it. The one advantage of distance monofocal for both eyes is that all you really need for glasses are over the counter reading glasses.
RonAKA ayeaye
Edited
And there is another option that may be attractive to those that have been myopic all their life. That is to use a monofocal lens in both eyes set to allow you to see close up (-3.0 D) with no glasses. Then of course you need prescription glasses to see for distance, and since that would take away the -3.0 for close up, you would most likely need bifocals or progressives to read without taking your glasses off. One potential advantage of that approach would be that the glasses could correct for any residual spherical error and astigmatism.
ara21947 RonAKA
Posted
I think Ron, the key idea is "all you need are over the counter readers" isnt for everyone. I looked at it as "all I need are glasses for distance". Its all about ones personal perspective 😃
Glasses are glasses, choose your view.
I agree his dr should offer alternatives but I went to one like that who didnt offer the option. Odd.
RonAKA ara21947
Posted
OTC readers are much less expensive than prescription progressives. I think each person has to decide what their priorities are. One of the things I have noticed over the past 10 years or so is that my glasses off ability to see up close has deteriorated, and I can see better through the bottom of my prescription progressives. My optometrist has told me that part of the reason is that my eyeglasses are correcting for astigmatism even for reading through the +2.5 add, and that is the reason I can see better with glasses. With IOLs that correct for astigmatism and are set for close up that may not be an issue though.
Swede_in_Vegas ayeaye
Edited
Anyone with experience from 2 monofocal lenses set to distance ?
How close can you still see ?
Very interesting if someone can answer with that experience.
Guest ayeaye
Edited
I don´t have monofocals, but in any case I would find it hard to say what I see at what distance.
Right after surgery things really close was blurry, but when brain adapted things up close up stopped being blurry. It does not mean that I can see everything up close, but things are not blurry, things just lacks details when they get too close.
As an example right after surgery food was very blurry the closer it got to my eyes, and when I was drinking coffee, the coffee cup was really blurry when I lifted it up to drink. Now food and coffee are never blurry, even right up close to my eyes, but it has more details further away.
Lighting plays a big role, also with monofocals, in good natural lighting we all see better.
That said, I can still read the menu at a restaurant in dim lighting without glasses with my premium lenses.
So I think there can be a big difference between what we mean, when we say we have clear vision at a given distance.
Surgeons often spilt vision up into 3 distances, far, intermediate and near, and says that a monofocal can cover one of them, and I think that is still the way to look at it, to not get too disappointed - and if you get better results, it is just a bonus 😃
ayeaye Guest
Posted
thank you for sharing!