Is there anyone who has chosen intermediate focus with cataract surgery

Posted , 10 users are following.

Hello,

I've just found this forum and appreciate any feedback. Usually a decisive person,

I've been going round and round about choosing a focus for cataract surgery.

A life long glasses wearer, I welcome this opportunity to correct the cataracts and

be less dependent on glasses. I know many people who've chosen to correct for distance

however, I do not need glasses to read if less than a foot away and I would like to keep that or close to it.

I'm wavering between correcting for near or intermediate. Knowing no one who has corrected for intermediate, am wondering if anyone on this forum has done so and is happy with that choice.

Thanks for your feedback!

0 likes, 24 replies

24 Replies

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  • Posted

    You aren't the only one. I've procrastinated for more than a year over this decision. Unless the surgeon I'm seeing in January talks me out of it, I've decided on intermediate (as in computer) and near (as in sitting down and reading a book comfortably) as what I want, and distance (which I only use at this point in my life for driving, where I'm almost always using sunglasses anyway) as what I'm willing to use glasses for.

    The one person in the forum I remember having done this is RebDovid. I think if you search for his posts, you'll find threads about his decision and his results and how he feels about it.

    • Posted

      Thank you so much!

      So are you having mini- monovison? I'll check for RebDovid.

      Thank you again!

    • Posted

      Yes, as of right now what I think will work best for me is a setup something like what RebDovid had. Because I've been wearing hard contacts for over 50 years (gas permeable for probably the last 30) and misunderstood when I had to stop wearing them, my appointment with the surgeon I hope will end up being the one for me is now mid-January. Unless he discourages me somehow, that's my plan. I had monovision with the contacts and it worked great for me. My guess this surgeon will be fine with it as a neighbor who used him reports he did all near vision for her optometrist.

  • Edited

    My first suggestion is to think about what you want to see without any glasses. Also consider that both eyes do not have to be targeted for the same distance. You may want to do a bit of research on mini-monovision, so you don't have to settle for just intermediate vision.

    .

    Also consider that intermediate vision in both eyes kind of puts you in no man's land. You will need glasses for reading and for distance.

  • Posted

    I have not, but how would you define intermediate? Best focus at 1 meter maybe?

  • Posted

    @Bookwoman is our resident near/ intermediate vision person here.

  • Edited

    "I do not need glasses to read if less than a foot away and I would like to keep that or close to it."

    .

    One of the problems with categorizing vision as intermediate or near, is that there is no standard definition of what that is. You would be best to become familiar with the diopters scale and use that to specify the vision you want. A starting point would be to look at your eyeglass prescription to see what it says. The way you describe your current vision I am thinking that is near vision, not intermediate, and you possibly need an eyeglass prescription in the range of -2.5? If so that is near vision. I would suggest that intermediate vision would be more in the range of -1.0 D.

    .

    Some people do maintain their myopia and accept they will need distance glasses or progressives. It certainly is an option that some choose. I would just be careful to get enough near vision that you don't end up needing glasses for both near vision and distance vision, or essentially progressives.

  • Edited

    Ron wrote: My first suggestion is to think about what you want to see without any glasses.

    This is the key point. If you want to be able to read well/use a computer, then targeting what I think of as near vision (i.e. around -2.0/-2.5, which is what I wound up with) is probably the way to go. This works especially well if you don't mind wearing glasses for driving, watching TV, etc.

    If you target intermediate (maybe -1.0/-1.5), you probably won't be able to read smaller print comfortably, but some people can. And of course it can depend on what kind of reading you're doing, print vs online. Mini-monovision can split the difference, so to speak, and some people wind up completely glasses-free that way, although it's not a given. In any event, these are definitely things to discuss with your surgeon before you make a decision.

  • Edited

    "intermediate focus"

    That would mean that you'd likely need glasses for both distance and reading wouldn't it?

    The worst of both worlds

    • Posted

      With distance only you're likely to need glasses for both intermediate and reading -- kind of a similar choice. It's pretty individual.

    • Posted

      Actually, I could not agree. If you get distance in both eyes, and are careful not to go positive in both eyes, there should be no problem with intermediate vision. Reading vision is a problem when you go distance in both eyes in virtually every case and reading glasses are needed for sure.

  • Posted

    I chose intermediate (-1.5D) for my first eye but the one week post op result was near (-2.0D). My near/ intermediate vision provides only a few feet of crisp vision. Once outside that range, my vision becomes blurry.

    This result makes best distance for mini-monovison unlikely. Adding to the uncertainty, the final result can easily be .5D off the target in either direction (if not more). My choice now is wearing progressives except for reading and using the computer OR mini-monovision with near bias (-2.0D and -1.0D). The problem again is that there is no guarantee that this target will be successful and will certainly require progressives for crisp vision at best.

    All that said, there are many people who have been happy with a target such as -1.5D but I wanted to share the problems I have experienced.

    • Posted

      "...result was near (-2.0D)."

      .

      Sorry you've had problems. I understand it's not what you wanted, but -2.00 D is actually the result I'm hoping for, so I'd be interested in your impressions. Is your reading vision pretty much always sufficient, or do you sometimes wear reading glasses?

    • Posted

      Hi Phil, I have no reading glasses but find reading and close work to be very good. With the advent of Audible and Libby, I listen rather than read books, mostly when walking my dog (multi-tasking!). I spend a huge amount of time on the internet researching all things cataract surgery and if necessary I increase the font size. To more specifically answer your question, at least at present, I find no need for reading glasses.

      Are you planning to have both eyes set for-2.0 or go with mini-monovision? Actually one of the caratact surgeons I consulted said he would choose -2.0 Clareon monofocal IOLs for both eyes for himself and wear progressives as he believes that would be best quality vision. Also used that strategy for at least one of his parents if I remember correctly. I decided not to do that as I wanted more glasses free time, but I might go that way after all.

      I do notice that my vision is better depending on light. Sunny mornings are best but not sure why.

    • Posted

      Thanks, judith93585, it's encouraging to hear your reading/close vision is very good.

      .

      I am planning for monovision, as I am still 20/20 in my good natural eye, and aiming for the -2.00 D or thereabouts in my cataract eye. My bad eye is currently approximately -8 D because of the cataract, so the new artificial lens should be a big improvement for me.

      .

      My preference is to be mostly free of eyeglasses. I have never worn reading glasses, and I see what a nuisance they are for my family and friends, so I want to shoot for pretty good reading vision. If I end up needing glasses for driving only, I will gladly accept that. I have had monovision for nearly 30 years now, as an intentional result of LASIK, and it has worked very well for me. I expect monovision won't work quite so well with artificial lens(es), but I am optimistic it will work well enough. I'll find out in a couple months when I have my surgery.

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