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I am a 63 yr old female.Had cataract surgery on both eyes one week apart in March. Doc discussed various visual outcomes and I told him my current vision was acceptable with reading and computer vision and only wore glasses for driving with minor correction. I said I wanted the IOL's that insurance would pay for. He asked me then if I wanted monovision, but did not explain to me what this was. Not knowing the difference between monovision and monofocal, I agreed to the procedure. You can imagine my surprise post surgery when one eye was set for near and the other eye for distance! Had he explained what monovision was, I would have never agreed to this, having tried several types of contacts several years ago for near and far vision. My optomitrist told me I wasn't a good candidate for these type of lenses. In addition to the monovision IOL's, my vision now is quite unacceptable. Pre-surgery vision was RT: Sphere -0.75, Cylinder -0.50, Axis 020, Add +2.50. LT: Sphere -1.25, Cylinder -0.25, Axis 060, Add +2.25. Post-surgery vision is now RT: Sphere -0.50, Cylinder -1.75, Axis 005, Add +2.25. LT: Sphere -1.25, Cylinder -1.75, Axis 015, Add +2.25. You can imagine my concern when my astigmatism (Axis) increased -1.25 in right eye and -1.50 in left eye. My dr said that my cataracts were ptobably masking this astigmatism?? I now have uncorrected astigmatism and double vision in both eyes. His options to correct this are either PRK or trifocal glasses I would need to wear all the time! Both options I would have to pay for. My questions are: 1) Can cataracts 'MASK' astigmatism pre-surgery or is this bull? I have read a lot about surgically induced astigmatism, but dr seemed put off by this suggestion. I know any kind of cut in the eye can increase astigmatism, but this much? 2) Do I have any recourse due to his lack of explanation of the monovision procedure? If he had explained this procedure to me, I would have shared my prior experience and told him this was NOT acceptable.
Anyone else with a similar experience? I plan to get a second opinion from another opthalmologist this next week.
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