Monovision plan ?
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I have cataracts in both eyes and want monovision. I saw the surgeon again today. He had earlier said he would set the left for distance, and then we’d discuss the right after the left had healed. That made sense but seemed pretty wide open.
Today I said, the best case possibility that you’ve outlined – that I’d need glasses for driving, the theater, extended reading, and small print – would be amazing, but I know there is variation. I then asked how the results on the left would affect the decision on the right. He said, you’d tell me what you’re missing – computer, or reading.
I asked about the issue of making the eyes too different and he said he’d make the near eye mildly myopic; not too different.
I then asked if he thought I’d be able to read my phone (big phone, big font). He then said I would be able to see headlines (as in print), nothing too tiny. I started sharing results of contact trials and he interrupted me and sternly said he can’t get the precision of contact lenses and his concern was that I would never be satisfied. I was stunned but realize how my approach could have made me seem like the patient who wouldn’t be satisfied. I could get few words out thereafter.
I asked if it would make sense to undercorrect the left to make room for more close vision in the right; and he said that is unwise; a slippery slope. That made sense to me because you could aim for 20/40 but if you get less, then your distance eye isn’t that helpful uncorrected.
I am left uncertain as to what he might aim for on the right, and how conservative he would or would not be in terms of “mild myopia.” Should I know that?
He would use Technis monofocals: toric in the left (distance) eye; non-toric in the right.
Tecnis lenses may be good for monovision. John R. Wittpenn, Jr. MD used the non-toric monofocal lenses and targeted 0.5 to 1.00 diopters in the near eyes of 26 patients. The patients wound up with good distance and being able to read print; and rarely used glasses.
My surgery date is set for tomorrow. If I postpone it would not be until late August.
I would appreciate your thoughts and comments.
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Guest claire5773
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claire5773 Guest
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britkennels claire5773
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Congratulations, Claire! Since my surgery, I've been mainly lurking, but I really enjoy reading the "happy endings" of others.
Salty0 claire5773
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Claire, I found this site after my surgery in which I had two cataracts removed and lenses replaced with a toric lense and a standard lense it was only after the second surgery which was a month later that I started to experience problems such as double vision, reduced vision, binocular vision and a burning gritty feeling in both eyes. Additionally, after trying to read for any length of time I could not get my eyes to focus back to normal distance vision. It was stressful driving because I couldn't read road signs thank God for smartphones and gps. 4 months now and a little less gritty feeling and a lot less burning but there's still the visual acuity issues. All of the issues I am experiencing are listed as possible side effects of the steroid eye drops which were prescribed by my doctor, who now agrees that this maybe the entire basis for my problems. They found very little scar tissue, the lens have been perfectly placed, she's not recommending any further surgeries duch as "YAG" , she's confident this is all about my reaction to those drops and her is backed up by an independent specialist that I was sent to by the practice to be absolutely sure there weren't any other issues at play. So I would recommend to anyone who is experience similar problems after surgery to be very careful and not jump to the first solution offered no matter how enticing that may be.
claire5773 Salty0
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