Not sure whether to go for lens replacement!

I would advise you not to do lens replacement if you don't have cataracts that are affecting your vision such that you can't correct better than about 20/40 distance vision.

The results are not guaranteed and the result can be quite a bit off from the target just due to the steps the IOLs are available in and the unpredictability of indivdual eye cornea healing.  Can be left with too much residual astigmatism, etc.

Multiocal lenses add night vision artifacts, etc.  So there is no perfect solution yet.

But if one has severe enough cataracts, the only choice is the lens replacement surgery but "glasses free" result is never guaranteed, more often than not will still need glasses at least for some focus range(s).

I agree with NightHawk on this and you will not find many fans here on the cataract forums for clear lens exchange. These are being pushed aggressively nowadays by doctors/surgeons and I have to say at what they charge are motivated by profit.  If they are providing good consultations then they should be telling you that if your reason is to be glasses free - there is no guarantee of that and many are wors off than priorvto surgery.  Someone posted today by name of vlad873 that he/she had a lens replacement 3 weeks ago and is worse off than with glasses.

As mentioned by NightHawk the IOL lenses to correct for presbyopia compromise your night vision and there are halos that never go away.  Also there is at least a 15% reduction in contrast sensitivity.  A person with cataracts already experiences that and has no alternative but to go blind.   I won’t repeat all that night hawk mentioned but in my opinion you are better off as you are.   When the time comes and you experience cataracts - these are often covered by national health and you won’t be outlaying all that money.

The short answer! Don't even think about replacing your natural lens with a trifocal IOL or any other IOL at this time. All multifocal lenses have night vision artifacts, which you don't want to deal with until you may have cataracts in another 25-30 years. Those will also need to get used to (just like getting used to trifocal glasses). And the IOL prescription you end up is not always correct.

I think that it is terrible that some of the ophthalmologists are doing a selling job for this undesirable surgery just to make money.

Any way, it seems that you are able to use contact lenses. So, it is easy for you to try using monovision to see if that helps you avoid reading glasses (it took me less than 5 minutes to adjust to monovision 30 years back).

If your right eye is the dominant eye, try using +1.0D for the that eye and +2.0D for the left eye. With some adjustment left in your natural lens, you will probably be able to read (and do driving etc) fine with that combination. You can try some variations (such as +2.25D, +1.75D etc) for the left eye to see which one you like the best.

Similarly, if your left eye is the dominant eye, try using +0.5D for the that eye and +2.5D for the right eye. Again, with some adjustment left in your natural lens, You will probably be able to read (and do driving etc) fine with that combination. You can try some variations (such as +2.25D, +2.75D etc) for the right eye to see which one you like the best.

Try it out and see if you like this approach. If it works for you, then you won't be needing any reading glasses.The doctors are used to working with patients, who use monovision.and your doctor should not have any problem letting you try it out. If he keeps on pushing lens replacement, find a different doctor.

I had lens implants approx 8 weeks ago now, I went from just using reading glasses to full time glasses,not what I expected.Before the surgery I could read 4 lines on the eye chart,now I can't read the big letters at the top.I had YAG treatment which I thought would clear up the cloudiness on the back of the lens ,but it only made it worst.The left eye is cloudy also along with a shadow/rim in the corner of my eye that very bothersome.

Do a lot of research and ask a lot of questions before you make the right decision.

Good Luck.

I absolutely agree w/everyone else that has posted. It's not worth the potential problems just to get out of readers. I truly understand how you feel, because I've been in your shoes, only worse. My eyes are super-crappy (retina issues aren't going to go away). I was wearing -8.0 (astigmatism) and -8.5 contacts and still had 1001 problems just trying to focus. I needed readers for anything remotely close up. My eyes were deteriorating rapidly and cataracts were starting, so I had the surgery. Truthfully, my expectations were low, but I'm 100% free of glasses and can read to the bottom of the doc's eye charts. I also don't have (so far) any issues, BUT the truth is that if I'd had a bad doc or not the trifocal lenses that I opted for, the outcome could have been so much different. I went through with it because of my trust in the doc and the fact that my eyes would never get any better than they were at that point. Had I had any other options, I would have waited. Readers are a pain, but they beat surgical complications. As Sue.An and others have said here and elsewhere, there are a lot of docs that seem to be pushing the surgery for the money. We have a few of those where I live and...no exaggeration...there are at least 3 people who've lost their sight in one eye because the doc ignores potential health issues.