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This site has really been helpful. I’m 50 and scheduled for surgery on my right eye in February with my left eye about 6 weeks later. I was all set to go with a low-add multifocal (Restor 2.5D), until I found this site and have been reading about peoples’ experiences (good and bad) with multifocals and the Symfony extended range IOL’s. I’m now re-thinking my lens choice and instead considering a monofocal set for intermediate distance (around 24”, but 18” to 32” would be my ideal range) coupled with a contact lens for distance. Most of the discussions and literature reference the need for glasses or sometimes glasses/contacts, but I feel the experience of wearing contacts is very different from glasses and I’m wondering if anyone else has done something similar and if my desired solution is even possible.
I’ve worn contacts for distance for 30 years and was considering RK surgery in my mid-20’s (and later Lasik) until I started using extended wear lenses. I just found these so good and trouble-free that I never saw the need to risk Lasik. This is a very different experience from wearing glasses for distance, where you constantly see the edge of the lens in your periphery and images are distorted depending on where you are looking. I’m generally on the computer for 6-10 hours per day and I have an array of monitors on my desktop between 24” and 32” from my eyes. Due to presbyopia, I use 1.25 readers for the computers and 2.00 readers or magnifying glass for close work and the constant on/off is what I find most irritating. If I can use contact for distance, eliminate the glasses for computers and only use readers for close work, I’d be very happy with my results.
Is this a valid outcome to hope for? I know that dry eyes and other issues are somewhat common after this type of surgery. I don’t mind wearing glasses for a few months post surgey if needed and, although I’d highly like to go back to extended-wear lenses, I’d settle for daily wear disposable instead if I couldn’t tolerate extended wear anymore. However, if there is a substantial chance that I would not be able to wear contacts, I’d probably opt for a low-add multifocal or Symfony now instead of the monofocal.
One additional reason is that my surgeon wants to do both eyes within 2 months because of the multifocal lens. The cataract in my left eye has no noticeable effect on my vision yet. It was noticed 2 years ago (the same time as my right eye) but still has no impact on my vision. I believe if I go with a monofocal IOL I would not need the surgery on my other eye until it interferes with my vision, but please give me advice on this. Thank you very much in advance for any advice or comments.
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