vivity lens mini mono vision

I suggest getting some very weak, cheap reading glasses to do experiments with. If you put on a pair of half diopter reading glasses and look into the distance, that will show you what it looks like to be slightly myopic. You can punch out one lens and experience being slightly myopic on one eye.There are incredibly cheap reading glasses available on Amazon.

In recent days I have taken to wearing 1.25 reading glasses over my progressives, for computer work. It's wonderful. As an experiment, I left on the readers and went outside for a walk. I found it a little disconcerting at first but quickly got used to it. I did not feel at all at risk for tripping over curbs and unseen stones or whatever in the path. I could see well enough to navigate the world.

Bear in mind that, at 48, you probably still have some accommodative ability left in your eyes (some ability to change focal length naturally). As you age you will lose more of that and become more needful of external help to adapt your vision to different distances. Having one mildly myopic eye sounds good to me. But that's based on theory and experiments with reading glasses, not direct experience with monovision.

0.5 D is not a lot of difference. You could easily get this much difference between the eyes even if you shoot for Plano.

I suggestion you get contacts and simulate monovision and you can see how the distance works out and you can cheaply try different monovision settings.

These would be your choices with my comments on using a Vivity lens:

Both eyes set for distance using Vivity in both - This will give you very good but not excellent distance vision, and OK to Poor reading vision. Hard to predict how good it will be for reading, but for sure reading glasses would be needed for smaller print, especially in dimmer light. Your would also have the issue of reduced contrast sensitivity in lower light.

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Vivity in both eyes with the right set for distance and the Left set for -0.5 D - Distance vision should still be pretty good, and you will be able to read better. Since the Vivity is good for about 0.5 D of extended vision this would be somewhat equivalent to micro-monovision of about -1.0 D total. It is a reasonable option but will still leave you short of very good reading vision. And the issue of reduced contrast sensitivity remains.

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Clareon monofocal set for distance in the right eye with a Vivity set for -1.0 D in the left eye - This will give you very good distance vision and very good reading vision. The Clareon in the right eye will make up for the loss of contrast sensitivity with the Vivity lens. This would be my choice if I was to use a Vivity. I was very close to choosing it but backed out at the last minute, and went with two monofocals.

Thanks , do you think -0.5 D off the non dominant eye will make hardly any or no noticable difference to the quality if distance vision , for example watching TV. l will try and get hold on contacts to try it

A Vivity at -0.5 will give a LogMAR of about 0.1 or a Snellen of 20/25 which is pretty good vision. If you have 20/20 in the other eye, you are not going to notice it with both eyes open and watching TV 10 feet away. The real question would be whether of not it will give you the reading you want.

Hello. I had my cataracts replaced in January and February of this year. Both eyes have Vivity lenses. I was myopic all my life, but on the order of -3 or -2 D, not as severe as some folks. I always had to wear contacts or glasses for distance vision.

For that reason, my doctor recommended that I keep my close vision with an IOL, so that is what we did for the first eye, which was my right eye. I think this is/was my dominant eye, but the doctor never asked or evaluated that, because his initial plan was to use the same IOL in both eyes. Anyway, this eye ended up at around -1 D (although an earlier quick measurement at the opthalmologist office said it was -1.5 D, so maybe it's somewhere in between).

For the second eye, I asked for a little more distance. (Thanks to this forum, I learned so much about options!). The left eye ended up about -0.5 D. I had never tried monovision with contacts, but after reading in this forum, I felt comfortable with it because the amount of difference between the eyes was going to be relatively small. (Also I had remembered getting by OK with one contact lens in the past, when one eye was irritated and I had to remove a contact. In my youth...)

Conclusions:

• I love the results!
• The monovision doesn't bother me at all -- my brain seems to work with the two images seamlessly. Even with my dominant eye being my close-vision eye instead of my distance eye.
• I never wear glasses indoors and I can read almost anything. Sure, things are blurry closer than about 8 inches, but that seems to be a comfortable reading distance anyway for almost everything. I can read medicine inserts if I squint a bit. But the need to read anything that small is rare. I suppose that a jeweler or hobbyist might want clearer vision at 4 or 6 inches, but I sure don't need it.
• I do wear glasses (progressives) when I want the best vision, for example night driving. But I can also go without glasses for walks or daytime driving. I love having the option.
• Watching TV is very comfortable. Yes, the right eye view is a bit blurry, but the left eye is great, and binocular vision even better.
• At night, there is a halo around bright lights (traffic lights or taillights). But it is a single halo extending about one diameter out from the light for the close eye, if I am not wearing glasses. Wearing glasses reduces the effect, due to better focus. There are no streaks, just this halo. It doesn't bother me. I studied some optics in college and I know that the eye is a complex optical system and we just inserted an additional complex component in there...there ain't no free lunch with light.

My cataracts were getting bad, I almost failed a driver's license test. So I had to do something, and I am very happy. I never had any expectation for perfect vision at all distances. But I am so much better off than I was a few years ago. Maybe better than ever.

I do have a clear floater in my right eye now, sort of a filmy effect when I move my pupil right to left -- when I stop moving my eye, it goes away. At first this worried me, but the eye doc said that this was "vitreous degeneration" and could happen to any aging eye (although I guess the cataract surgery can exacerbate it). I got used to it and it doesn't bother me now. Like my tinnitus. 😃

Laurie

He said one eye 20.5 and other 19.5 what does that mean, is that a 1 D difference

Hi John, I have exactly this variant since February: Vivity plano (-0.09D) and 2nd eye a little closer (-0.5D). I am glasses-free, use reading glasses (1.0D) for longer reading, but not absolutely necessary. I can get up to 30cm well. Only in case of poor contrast (e.g. newsprint) and poor light is reading glasses necessary.

I am very happy with it. In the distance, it doesn't really stand out, except when you compare the two eyes. Nevertheless, I honestly admit that next time I would keep the mini-monovision even smaller, so plano and -0.3D. with both vivitys on plano you have excellent remote and intermediate vision and come close to 40-50cm. With my Varainte as described I have in the distance 20/20 and 20/25, combined almost 20/20.

Intermediary even 25/20 combined

Good Luck!