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So far I'm very happy!

Posted , 11 users are following.

judith93585
judith93585

Many thanks to everyone for patiently answering the countless questions I've posted over these many months. My second cataract surgery was completed last week! I chose to target -1.5D for the first eye for reading and computer and -1.0D for the second eye for distance. So far I'm very happy!

1 like, 25 replies

25 Replies

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  • judith93585
    judith93585

    Posted

    Hi Julie,

    My RE was between 4 and 5D. LE between 5 and 6D.

    • soks
      soks judith93585

      Posted

      if you were a high myope you made a great decision by opting for a target between -1 and -2. you are used to great near and not so great far so this setting is recommended for high myope.

  • henry35359
    henry35359 judith93585

    Posted

    I am very happy for you. You have what you want . -1.0D and -1.5D

    Great choice.

  • judith93585
    judith93585

    Posted

    Thank you Henry! Actually I won't know my final result for weeks but I like what I see today 😃

  • RonAKA
    RonAKA judith93585

    Posted

    I am glad to hear that things are working out for you.

  • judith93585
    judith93585

    Posted

    Thanks Ron! I was so undecided between -1.25D and -1.0D up until 2 days before the surgery when I had an appt with the surgeon to check my -1.5D eye. We had a good talk and I finally felt comfortable going with the -1.0D lens, and I'm so happy I made that choice. I noticed that the after surgery cards show that this is just one step up from my previous lens. The targets and power: apparently targeting -1.5D (-1.75D) recommended a +16.5 lens and -1.0D recommended a +16.D lens. I had no idea just one step up would make a huge difference in visual acuity.

    • RonAKA
      RonAKA judith93585

      Posted

      Actually the IOL power difference between the eyes is somewhat meaningless. There are two factors which go into the calculation of the power. Once is the power needed to correct your eye to plano, and while it is likely that will be similar, it is unlikely to be the same for both eyes, especially if the eyeglass correction needed for each eye was different.

      .

      You could have exactly the same target for both eyes, but still would need a different IOL power in each eye. And, layered overtop of that is the target difference. Not much can be determined by the actual IOL power used. What is important is the outcome refraction. Hopefully the refraction will settle close to your desired -1.0 D. Once it does settle, then a pair of progressive eyeglasses is likely your best option. With progressives you will get the best distance vision and also have the ability to see near if needed.

  • judith93585
    judith93585

    Edited

    Regarding your post: Actually the IOL power difference between the eyes is somewhat meaningless. There are two factors which go into the calculation of the power. Once is the power needed to correct your eye to plano, and while it is likely that will be similar, it is unlikely to be the same for both eyes, especially if the eyeglass correction needed for each eye was different.

    You could have exactly the same target for both eyes, but still would need a different IOL power in each eye. And, layered overtop of that is the target difference. Not much can be determined by the actual IOL power used. What is important is the outcome refraction. Hopefully the refraction will settle close to your desired -1.0 D. Once it does settle, then a pair of progressive eyeglasses is likely your best option. With progressives you will get the best distance vision and also have the ability to see near if needed.

    Thanks Ron! Can you clarify,

    How does this work if your power is not plano?

    Since my LE cataract was worse than my R, I'm assuming visual acuity is not a factor in the calculation of power ... ?

    I'll be very interested in my final refraction! This process has been all consuming, and I'm not over it yet!

    Many thanks!

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