Use of contact lens in one eye with iol in other eye - high myopia
Posted , 2 users are following.
The surgeon has just written to suggest the use of a contact lens in the right eye, to use the existing monofocal iol set for distance in the left (non-dominant eye).
The right eye is -15 sphere. -0.75 cyl x172 6/6+ The left eye (with the iol is +0.5 sphere = 0.75 cyl x10 6/6+
There is a small cataract starting in my right eye, but vision seems reasonably good with glasses.
I tried a distance contact lens in my right eye briefly in the optician's consulting room, but the vision wasn't very clear - the optician thought that might be due to the small cataract. Therefore the result was not conclusive.
The range of focus seems greater in my right eye - either because the spectacle lens has a larger range of focus, or because I have a very small amount of accommodation left. (I am 63 years old). My concern is having to wear different glasses, or progressive glasses with a small area to see clearly at near, armslength and full distance focus.
My work involves reading, smartphone and laptop (near), playing the organ (armslength), reading students' music while teaching (about 3-4 ft away).
I have posted previosly, but am starting a new discussion about the combination of iol and contact lens.
0 likes, 9 replies
at201 r28705
Posted
2. My suggestion will be to just use a regular contact lens for the right eye, which gives us the best focus at about 32 inches. This is only a small amount of monovision, which you should be easily able to adjust to.
You may still need to use reading glasses when you are trying to read fine print at about 16 inches.
r28705 at201
Posted
reading and smartphone 15 or 16 ins
laptop: 17 ins
piano: 18.8 - 20 ins
harpsichord: 19 - 23 ins (The large range is due to the angle of the music desk)
teaching: 32 ins
I could connect a separate screen and keyboard to my laptop bring the distance nearer to that of the organ and piano.
The above range of distance I need is what is concerning me about monofocal iols !
Could the optometrist check how advanced the cataract is, and whether I do in fact have some accommodation left ?
at201 r28705
Posted
This will be a good test for the future when you may need an IOL.
r28705 at201
Posted
Thanks - I'll ask the optician, then see how much the accommodation I still have gives some range of focus.
I suppose I can use progressive specs to cover the different reading distances if necessary?
Can the contact lens correct the astigmatism in that eye?
at201 r28705
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r28705 at201
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have a greater range of focus than a monofocal iol?
at201 r28705
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r28705 at201
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at201 r28705
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