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Monovision with monofocal lens implants?

Posted , 7 users are following.

narda
narda

i would like the hear from people who have had two different lenses, mid and long distance. This is the surgery I am having for cataract and glaucoma in my right eye August 1 and the second surgery in my left eye on August 15. I am very worried about the two different distant lenses. My left eye has only a minor problem at this time. They will be putting in a mid-range lense in my right eyes. Should I have surgery on the left eyes too, they suggest a longer range lense for my left eye. So worried how this will all work.

1 like, 9 replies

9 Replies

  • victoria13635
    victoria13635 narda

    Posted

    I had the long distance lens put in first. It will never be perfect because of macular pucker, but it is more for distance. I then had a near/mid lens put in my other eye. To test it, I purchased reading glasses at the dollar store and popped out the long distance lens in the glasses to give me an idea of if it would work and what strength I felt comfortable with. But, at one time I did have natural near and far vision, one eye each. I love it. 
  • at201
    at201 narda

    Posted

    Most people should not have any problem with having one monofocal lens set for far distance (0 D) and the other one set for intermediate distance (with a net prescription of about -1.25 D or -1.0D). This is what is called mini-monovision and is easier to adjust to. The full monovision (with a difference of about 2.0D - -2.5D) is harder for some people to adjust to, although even that was easy for me to adjust to when I tried it first with contact lenses 30 years back: took  me less than 5 minutes to adjust to it. Right now, I use a monofocal lens set for reading at about 17 inches (about -2.25D) in my left eye and a Symfony lens set for far disatance in my right eye. There are no issues for me due to the difference in the best focus distances of the 2 lenses (my only issue is the unrelated night vision issue of seeing multiple circles around lights in the distance due to the Symfony lens)
    • narda
      narda at201

      Posted

      It sounds like you have a far better understanding of the technical issues than do I.   I was told he would be using a CBOO-AMO lense and a Cypass stint for the glaucoma, all greek to me. I have heard that some people have had problems with your Symfony lense I don't know if the lense they are using for me has the same issues.

    • at201
      at201 narda

      Posted

      A Symfony lens has pros and cons. You can obviously look at those to see if those make sense to you.

      However, I think that in answer to your original question, you should not have any issue with having one monofocal lens for far distance and another monofocal lens for intermediate distance. You will still need glasses  for reading, which is a reasonable compromise to make for most people.

  • Vickiplum
    Vickiplum narda

    Posted

    I can't really answer this one as i have had a new lens placed in my right eye because of glaucoma , they are not replacing lens in my left eye until it is totaly nessersary as i had closed angle glaucoma and was too difficult , at the moment i ts a bit like looking through a clean window with ine eye and a dirty window through the other one so my brain has toi adjust to this which I'm sure will hapoen eventualy , i am wearing reading gkasses brought in the shelf 3+ until i can get the the opticians fir nirmal oerscription gkasses

    • narda
      narda Vickiplum

      Posted

      Thanks for your responce smile 

      The first surgery will be my right eye, glaucoma and cateract, I am not sure if I should have my left eye done yet which only has a mild cateract.

  • johnvnpt
    johnvnpt narda

    Posted

    I can't speak to having two different lens implants, but I was born with my left eye myopic by 10 dioptres and my right muyopic by six, and I had a cataract operation on the right two years ago, leaving me with -10 in the left eye (wiat a cataract that also needed removing) and +1 in the right

    My optician, my optical tecnician who made my lenses and various others were quite surprised at the degree to which my brain adjusted to the difference in images it was seeing. I had no problems until the cataract in the left eye got worse in the last six months and started to refract the light differently giving me a sort of double vision that required temporary prism lenses otrherwise I fell over on rising uneven ground, which is a bit of a problem when you enjoy walking in the welsh countryside !!!!

    I've just (after a two year wait) had my second cataract removed, the surgeon told me the degree of myopia meant the biggest lens he was prepared to use  would leave me slightly short sighted, that was only a week ago so things are still adjusting, and it will be another fortnight before the optician can examine me and prescribe whatever lenses I need, so I can't speak with much authority on how it will turn out...

    • Vickiplum
      Vickiplum johnvnpt

      Posted

      Well, i hope it all turns out good for you eventually , i am having poiblems with the right eye , the one with the new lens ,, at the moment as i keep getting dry eye and need to get certain drops from my doctor to remedy this , the hooefully things will improve
    • narda
      narda johnvnpt

      Posted

      Thank you for your information. It sounds like you are in good hands, good luck.
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