Only one good eye... suggestions needed please

Posted , 9 users are following.

HI team,

Need all your suggestions here..... I am 35 and had a car accident which damaged my right eye(Retina detachment and vision could not be restored 20/400) I was operating with one eye fine till last few months.. my vision gotten worse and doctor said there is tiny cataract in my good(left) eye causing this... He is suggesting to go with Symfony lens... but after reading the above experiences I am really worried... I am ok to set for distance vision and wear glasses for reading... but having halos and wont be able to drive more difficult.. can you guys provide your suggestion what to do in this ? I am going to discuss with my surgeon again on the options... but please throw your thoughts  [sad] .... I just want my vision back.. Please note that I am a software engineer and work on computer whole day... please please respond ... also if not symfony is it better to set lens for near/intermedite and far ?? please waiting for your replys.. really worried ;sad

1 like, 26 replies

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  • Posted

    As I mentioned in your post on another forum:

    My suggestion will be to get a good monofocal lens instead of a Symfony lens. You want to be able to get the best vision you can, at day time and at night time, with glasses as needed. It is easier to use progressive lens glasses, if needed, for reading or for intermediate distance than to fix the possible night vision issues with the Symfony lens.

    To answer your follow-up question on the other forum, most probably you will need glasses to read comfortably at the computer screen also (besides for reading fine print at closer distances). And yes, if you are using readers for reading, your distance vision will be blurry. That is why a progressive lens (without any power at the top) may be a good option. Some people also use multifocal contact lenses. A good optometrist will be able to give you the various options which you can try to see which one you like the best.

     

    • Posted

      Awesome thank you ...it makes complete sense to go for monofocal... Did you used laser tech to remove the cataract or manual ?
    • Posted

      Hi vjkrish,

      One of my eye is Low Vision; it had been diagnosed as amblyopia, retina or vitreous detachment or nerve damage and even birth defect by the various specialists. I can see through it and manage all my daiy activities with it,  including manoeuvring the traffic flow, adhering to the road lane markings and obeying the traffic light signals. But I cannot read prints with that eye.

      When cataract hit that eye, I was aware of it only when I had a sudden lost of vision. So when my good eye had cataract, it made sense to have a monofocal lens too because of the wide difference in Rx. I have no complaints of monofocal lenses, other than I can no longer work at the same pace as before. Having worked for HP in my early career, and later monitoring trouble-shooting hardware in my later career, I will not choose monofocal lenses if I am still working today.

      In your case, you do not have the other eye to take into consideration.  Therefore if a highly qualified and experienced Eye Specialist believes that you are a candidate for a Premium Lens (multifocal like ReSTOR, EDOF like Symfony, Trifocal like PanOptix or atLISA), then you may want to weigh your options.

  • Posted

    I had cataract surgery only in my right eye about 8 months ago.  FYI, the cataract in that eye was first detected by the eye doctor nearly 10 years ago, but only started affecting the vision in that eye a couple years ago.  So in many case it can take quite a few years before surgery is needed unless there was something that caused the cataract suddenly.

    Its best to wait until the vision is affected such that the eye can only be corrected at best to worse than 20/40 before cataract surgery - thats the point where insurance will cover it for medical reasons.  Until then contacts and/or eyeglasses is a better solution since at your current age your natural lens is still superior to any IOL and still has focus flexibility.

  • Posted

    Yep femtosecond laser to break up the old natural lens is very expensive and not considered worth it by many eye surgeons.  I'd advise getting at least 3 different eye surgeon consulations at different clinics to see the variation in recommendations and costs.

    • Posted

      Apparently if the patient is young and his cataract is soft, there is no need for FLACS (femtosecond-laser assisted cataract surgery). "Healio com" has an article on 'FLACS study sees no marked benefit'.

  • Posted

    Guys

    Just and update..Based on preop doctor suggested we will wait for the surgery I ll try to use contacts in addition with readers to see if it can help with current vision,,, scheduled another evaluation in Nov

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