Regrets - I have a few
Posted , 6 users are following.
I liked the option presented to me of having just one eye operated on (since the left eye is good, just very myopic.) So for better or worse I chose close up vision for the right eye needing surgery thinking I would enjoy doing my art and creative work without needing glasses. I now feel this was a mistake.Yeah the vision at 15 inches is fantastic (with a few extra inches of "good enough" vision) but the range is much too limited and things coming in and out of focus is starting to bug me....Still I was going to suck it up and just get some good single vision glasses which I can now get due to the improvements in the surgery eye, and I would still consider it an acceptable outcome (really, really hated the limitations - and cost - of progressive lenses.)
But then I happened to look at my chart online and saw that she gave me blue light filtering lens - arghhhh!I never knew such a thing even existed. Every computer now comes with a blue light blocker, why on earth do I need it in my eye. So of course NOW I look it up, after the fact, and it only confirms that I would NOT have chosen it, had I known. There is some loss of vision in dim light. One article states that the color difference is probably not noticeable to anyone but artists and photographers. Uh, yeah.... that would be me.
So now the question is where to go from here. The Dr. suggests doing the left eye and setting out the focal point a little further out for more range and I think if I could just get another say 2 or 3 feet I would be happy. Is that going to be possible? Can it work with my left eye being the non-dominant one?
Would it be worth my while to consult with other Dr's to see what else might be possible? I'm afraid I might be seen as a difficult non conforming patient and maybe they would be right LOL. I am not fussy about most things, but am visually oriented.
And then there's the problem.... yes I do see it as a problem.... of having the yellow blue-blocking lens in the right eye. I need to get beyond that somehow. TIA for any insight or advice.
0 likes, 6 replies
SadEyes CD2525
Edited
Get as many opinions as you need to feel confident in your next step. It took four for me.
Good luck.
RonAKA CD2525
Posted
Alcon (AcrySof) use blue light filtering so the colours match those of the natural eye. The lens has a slight yellow tinge. Clear lenses let through more light but the colour is going to be more blue than what a young person sees with a good natural lens.
soks CD2525
Posted
yea. near target with monofocal is too limited range.
RonAKA CD2525
Edited
"The Dr. suggests doing the left eye and setting out the focal point a little further out for more range and I think if I could just get another say 2 or 3 feet I would be happy. Is that going to be possible? Can it work with my left eye being the non-dominant one?"
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It is probably better to have the non-dominant eye as the closer focus eye. However the reverse can work. That is what I am currently simulating with a contact lens in my dominant eye to allow closer vision, and it works quite well.
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What is possible depends on where your right IOL eye ended up. It is myopic and say for example you need a -2.5 D correction for distance you should be able to go for a lens which leaves you with a -1.25 D myopic correction in the other eye, or possibly even as low as -1.0 D. This will give you more intermediate vision, but it will not be crisp in the full distance (without glasses). Most tolerate a differential between the eyes of 1.5 D (anisometropia). Eyeglasses will still be needed for distance vision. You say your left eye is good, just myopic. This means you can simulate the various options you have for correction in this eye with contacts. For example if it needs a -5.0 correction, you could try a -4.5 and a -4.75 contact and see how you like that. Very easy to do at a place like Costco where they will happily give you trial contacts for free.
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I think you are misunderstanding the impact of blue light filtering IOLs. The blue light filter leaves you with a colour balance that simulates the colour balance vision that a young adult has with a natural lens. If you are a photographer and are producing prints, then what you see for colour balance is what your average customer sees. If you have a clear IOL then you will see prints that are more blue than they will see them. This will make you want to colour correct them to look warmer. Then your customer sees them as too warm. For this reason I believe the blue light filtering lenses are the better choice for an artist or photographer.
lucy24197 CD2525
Edited
Do you have any paper stock or paint that you know is really white? What does it look like color-wise? Compare your 2 eyes. You may find that what you see with your blue-filtered vision looks much whiter than what you've been seeing all along. The most important thing is what you see, not what the package insert says. The brain does a tremendous amount of adjustment to the information collected by the eye. It might be worth trying to see what happens if you keep a really white piece of paper near your work and look at it occasionally to see what it looks like and remind the brain what white is supposed to look like. Couldn't hurt, might help.
rwbil CD2525
Posted
The only other advice from the advice already given, is to give some serious consideration to the light adjustable lens which allows the power to be adjust post operatively. I think in your situation where it sounds like you were surprised and not happy with your Visual Acuity post surgery this might be a great option.
I am not sure just how many times you can adjust the IOL, but this can all be discussed with an Opthmalogist that implants the LAL. The LAL requires special equipment so only a few doctors implant it.
If you search on google you will find some really great videos on the LAL.