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One month post-op Eyhance mini-monovision

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RebDovid
RebDovid

I had Eyhance IOLs implanted on June 27 and August 8 of this year with a mini-monovision strategy prioritizing near and intermediate vision even at the risk of needing glasses for distance. Today, I had my last post-op exam. The exam provides objective confirmation for my subjective feeling that the results have exceeded my expectations.

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Uncorrected bilateral distance vision is 20/20; uncorrected near vision is J1 (equivalent to 20/20). As of today, both eyes, on a spherical equivalent basis, are 0.5 D less myopic than we targeted: -1.5 D (vs -2.0 D) in the first (nondominant/near) eye; -0.5 D (vs -1.0 D) in the second (dominant/distance) eye.

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After some discussion and additional testing of trial frames, the optometrist gave me two prescriptions. The first, which I won't fill, would correct both eyes to plano. The second prescription, which I will fill, is for driving glasses, which I likely only will use in unfamiliar areas and conditions of poor visibility. Like the other prescription, it corrects residual astigmatism in both eyes and corrects my distance eye to plano; it corrects my near eye to -1.0 D (to be able to see a car’s dashboard).

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While results vary from individual to individual, I hope my experience gives some confidence to those considering mini-monovision as well as to those considering the Eyhance IOL.

0 likes, 6 replies

6 Replies

  • trilemma
    trilemma RebDovid

    Edited

    I am glad you are getting such pleasing results.

    How much cyl (astigmatism)? How does that compare to your cyl before surgery.

    • RebDovid
      RebDovid trilemma

      Edited

      First, the optometrist now having posted her summary of my visit to the patient gateway, I need to correct one point in my original post. I misunderstand what she told me about my distance vision. While it is 20/20 in my distance eye, taking both eyes together my uncorrected distance visual acuity is 20/25.

      Post-operatively, I have 1 cyl in my right eye and 0.5 cyl in my left. I don't find a note of my pre-op astigmatism. I do have a note that, if I understand it correctly, projected residual astigmatism of 0.75 D in both eyes. What I can say for certain is that I asked my surgeon about toric lenses, indicating my willingness to pay for them if appropriate, and was told my astigmatism was not great enough for him to recommend them.

  • judith93585
    judith93585 RebDovid

    Edited

    Congratulations RebDovid! I'm happy for you!

    That's very similar to my goal, near-intermediate without glasses with great distance vision although I don't expect the great distance vision!

    • RebDovid
      RebDovid judith93585

      Edited

      Thank you. The results (so far) also exceed my expectations, albeit not my hopes. But that's why I always try to emphasize that defocus curves and similar measurements of visual acuity present average results while each individual patient (data point) may be better or worse.

  • maura04015
    maura04015 RebDovid

    Posted

    Thanks for the update. I do find it encouraging as I'm thinking about both mini-mono and Eyhance.

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