What if you have zero vision problems *other* than cataracts? Lens choice? Outcome
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I am very confused. I'm 41, and like many I spend my working time in front of a computer. My main problem with cataracts is that I experience glare, especially from a bright computer screen, daylight, and so on. My vision is affected, but not that badly. I play baseball, and struggle to see clearly during the day. Less so at night, but it's not perfect. I experience lots of glare (starbursts?) when driving at night. I don't know what to call them, but I've dealt with them for a long time.
During my initial consultation, the doctor established that yes, I have cataracts, yes, they are worse in my right eye, yes, I suffer from significant glare, and all of that. However, I have essentially no problems with eye geometry or refractive errors. I was specifically told that there is no difference in my distance vision and near vision. I can't seem to find any information on what this means for surgery. Most people seem to have either astigmatism or refractive errors when they get cataract surgery. All I know is that during optometry tests my left eye is still approximately 20/20 (mild cataracts) while the right eye cannot be corrected with any lenses because it's just blur and glare, no refractive or spherical errors.
I have read about people that have gotten monofocal implants for distance only, yet don't use or need reading glasses for anything other than microscopic print on a pill bottle. I would love to be able to see archery sights clearly, street signs, baseball, a computer screen, and all of that. I'm wondering whether that rare group that can get away with basic lens implants and need no glasses is related to eye geometry? Is it better that I have no eye problems? Worse? No change? Is it that uncommon to have only cataracts with no other problems?
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amy99928 eric48353
Posted
I am doing the standard lens for the second eye next week. It's free and I hope to recommend it to all afterward. Just wear reading glasses. It's the Alcon AcrySof IQ and actually the opthalmology dept saw some probs w Clareon and lobbied- that is why they only use AcrySof now, no choice, but Alcon maybe addressed the issues by now. They like the lens, I had a second opinion. I have Vivity in right and also tried the YAG to improve the Vivity side effects because my capsule also was cloudy and the YAG capsulotomy only made the Vivity glare and wide halos around lights worse. There is a shadow around every letter and street-light. I supposedly still have 20/20 (formerly 20/15) in optometry tests and do not need reading glasses so that is "nice" but now the sun is too bright I am squinting and light is bouncing off anything metallic or light in color, yellow flowers, white road lines, etc. Also after the YAG laser hole (to let more light in bc my capsule was scattering light) my phone screen is blurry in the dark and I can not read it clearly but I could before. I do not understand how the YAG could help with scattering light when it is scattering more but they did confirm that the capsule behind my new lens was also "trying to form a cataract" and was not clear. I just called a guy Sam whose name badge was huge reading Sean from ten feet away so yeah I think this has been a failure because before the YAG I would be able to read that fine with my Vivity even with the Vivity bad issues. I am reading this on a computer now though without aid and I will have mini-mono she calls it next week because I will be using the Vivity to read and then my dominant eye will have the trustee standard lens for hopefully better definition of borders... I will update.