SHOP PRODUCTS
Houzz Logo Print
chisue

Revisit Cataract Lens Choices Please?

chisue
12 years ago

Today my eyes were measured for cataract surgery that is scheduled for April 11 (left eye) and April 18 (right eye).

I'm having trouble deciding whether to get 'standard' lenses or 'multifocal' lenses. Cost is not an issue. I realize that whichever lenses I get I will see more *clearly* because the cataract will be removed. I also need *corrective* lenses because I have been nearsighted since age 13.

This MD would correct my mild astigmatism separately, so I've been told I don't need 'toric' lenses. These are the only two types of lens I am looking at: Standard or Multifocal.

If you needed your vision *corrected* -- not just made less cloudy by cataract removal -- could you please tell me:

1) Which type lens do you have?

2) What is your resulting range of vision without glasses? Distance/Computer Screen/Reading Stanard Typeface? When do you use glasses?

3) How long did it take you to adjust?

4) Do you have a problem with 'halo's' around lights? When?Only at night (car headlights)? Indoors too?

Thank you SO MUCH! I'm going nuts over this!

Comments (43)

  • alisande
    12 years ago

    Sue, do you know the name of the multifocal the doctor uses? Maybe you can then do a search to see if you can find accounts of others' experiences.

    I've heard negative things about Crystalens, but that's the only one I'm familiar with. My doctor told me he refuses to use them. I tried to Google multifocal lens implants risks but didn't have the patience to wade through page after page of links to eye care centers.

    Have you gotten a thorough explanation of the expected outcome from each of your options? That would be important information to have.

  • ravencajun Zone 8b TX
    12 years ago

    Without doubt the multi focal lens, in fact my doctor and I have already talked about it, I would love to be able to have it done now but I don't have cataracts at this time. For me since I have such terrible vision having the multi focal implants would be the first time in my life that I would be able to wake up and see. I have never had that experience. I have been legally blind since the third grade, I can be corrected with contacts and glasses to some degree, but I have never had the pleasure of just seeing.

    My sister also has similar vision, she did have cataract surgery, she chose to go with the two different prescriptions, near and far, monovision. I tried to talk her into the multi focal but for her money was an issue. She regrets her decision. She still has problems adjusting and she was wearing the same type of contacts before hand. She did agree it was amazing to wake up and be able to see.
    I spoke to a lady at my doctor's office who had him do the multi focals for her and she absolutely could not say enough good things about it, she would definitely make the same choice and urged me to do it to.
    I already know my decision.

  • Related Discussions

    Cataract surgery in my near future!

    Q

    Comments (17)
    rhizo_1 - I just want to say that the procedure is done under a local - at least in Ontario, Canada. My husband had cataracts removed (he still wears glasses - with a strong prescription - but apparently sees better than he ever did?!). Wonderful, I guess. But I am terrified of having to have cataract surgery because I burn off locals and generals very quickly. I saw my husband being given the pre-surgery local - and they wheeled him away a short time later. If it had been me, the local would have worn off before the doctor left my bedside. I am far from being the only person with this issue. I can't take anything that would make the normal person drowsy - it has the opposite affect (and of course the non-drowsy products double that affect). Tylenol 3 is out because of the codeine. Sleeping pills are out for same reason. I once had the Cdn. equivalent of Ambien - well, 5 days later I was still up. So just in case you are one of the people who are very sensitive to being sedated I just thought I would mention it. Procedures in themselves do not scare me. I had a large mole removed from my face - the doctor told me I wouldn't feel anything for at least 2 hours - well it was 5 minutes. The "happy shot" before general surgery does not take and so on. I hope all goes well with your surgery and that you are not like me! But have it done - to both eyes.
    ...See More

    Update on me ..... long

    Q

    Comments (22)
    My, how I wish we could all just sit down together with a couple of those steaming tea pots, and a full cookie jar and just talk, and talk. There are many bits and pieces from your comments that show that several of you have an interest in this topic, and questions that need to be answered. At the time of the failed surgery, my doctor cried as she held me and my daughter in her arms, and we also cried. I could never blame her or "hate" her; she is still my primary eye doctor. I was taken immediately, across the mountain, by my daughter, to a doctor whose name and speciality I can't remember right now. Short version: I was put completely under and he put an implant in that eye. It is still there and I can see with it. That was in November 2004. Redcurls, you mentioned EYLEA, so I googled that, (google is my friend.) Apparently you have Macular Degeneration, not Eye Stroke. I had no pain with my injection, and none since. Hmm. A good head, brains, fortitude, smarts, oh my! If only I had red slippers I would click my heels together and end up where bluebirds fly, and all would be well!! Yayagirl, the retinal specialist told me he might be able to do something about the right eye to make it even better. That would be in the future; and was encouraging. Susanif, has your fil be seen by a specialist? As for the injections, they are given sitting up. I'm thinking that I will be able to drive again, but also preparing my mind just in case. I canceled the insurance only to save money. ;)) Thank you all. I appreciate the prayers and hugs; there can never be a limit put on that. Sue This post was edited by Sue-va on Sat, Jan 17, 15 at 16:39
    ...See More

    WWYD: Dementia and Surgery

    Q

    Comments (54)
    One other perspective fwiw: I have an elderly parent with Alzheimers and we learned the hard way that hospitalization and anesthesia (as well as pain and/or pain meds) can precipitate a condition called delirium - and it's especially common among the elderly and those with dementia. My father was living independently, with a lot of personal care help etc, when he had a minor medical incident. After a day in the hospital he basically shut down, physically and mentally, in what we later realized were classic signs of delirium. It was a six week ordeal, life and death, much of it restrained and/or semi-conscious -- even though there was literally nothing wrong with him physically. He ultimately survived, but never returned to anywhere near his baseline. He was living in a continuing care community at the time and so we moved him to the skilled nursing wing instead of his own apartment. 18 months later, he's now under hospice care. I'm sure that he wouldn't have declined so dramatically and so quickly if it weren't for this episode. There's nothing we could have done differently; the original ER trip was necessitated by an anaphylactic reaction. He had an Epipen but the only prudent thing was a quick trip to the hospital, which had happened plenty of times in the past. Now, having done a lot of reading on delirium and dementia, I would avoid elective procedures and anesthesia with someone who has dementia. One other thought -- we got great help and guidance from the palliative care specialists at the hospital throughout this ordeal. The regular doctors and nurses were terrific, but they were focused on fixing the problem, such as it was, rather than ensuring his quality of life.
    ...See More

    Having cataract surgery

    Q

    Comments (20)
    I had mine done last month. I requested having it done without sedation anesthesia at all. He compromised with my request by having an having a line set for an IV just in case something went sideways. I didn't need it. I wanted to not have to have that possible extra day of tiredness or fogginess after sedation. I was able to drive myself back the next day for my checkup and I was back on my horse the next. I wore close fitting sunglasses to ride until I was done with the drops to avoid dust and debris but other than that it went great. Got to agree you need to be prepared for all the weirdness of lights and sensation that go on during the surgery but I focused on "how interesting'' so I wouldn't get anxious. Glad your surgery went well. The scratchiness will get better soon. Having to fit the drops into a busy schedule is a bit bothersome but no biggie. If you have floaters you will see more of them and at least for me the lights were a bit to bright and bluish for the first week or so. Now all I deal with is great vision and those pesky tiny floaters I didn't notice so much before. LOL I chose the lens that gives me distance and moderate vision. I need to see distance for trail riding and moderate for my phone, rigging and day to day fiddling with stuff. Still need readers for really close up vision or small print. But I can read my phone easily and I can count the leaves on trees at a distance. I love it. My other eye doesn't need the surgery yet but I will get the same lens for it. Never had Lasik on that one so the risk of side effects or a less desired outcome is even lower.. I was warned about possible halos, especially since I had previous Lasik done on that eye. But other than a little bit more light sensitivity it turned out great. No noticeable glare or halos other than the ones that some newer lighting types have a bit for almost everybody if they bother to notice.
    ...See More
  • kudzu9
    12 years ago

    I considered both and went with the monofocals. They've been around longer, and one ophthalmologist I talked with said the multifocals don't let in quite as much light, which can be an issue as you get older. The plan was to put in a prescription that left me a tad nearsighted, but I ended up a tad farsighted. I went from being very nearsighted to being able to see about 20/25 from about 3' away and beyond. For closer stuff, I need reading glasses, or my bifocals. I'm happy with my choice.

    Despite all the computers and measurements, just remember that they can't get absolutely perfect correction most of the time, so, if you want to wear no glasses after the surgery (except for close work), expect to get a Lasik touch-up in order to be 20/20.

    As far as the idea of having one close and one far prescription, I have known several people who have done it and not all of them are happy with it.

  • Rudebekia
    12 years ago

    chiuse, I'm the one who had the surgery last week, just in one eye. I was only a candidate for the monofocal, and had it made with a prescription that gave me book/computer reading vision in the eye. My other eye is great for distance, so I essentially have one eye for each function. This is what I had pre-cataract, so it works fine for me. I don't wear distance glasses, but I do wear reading glasses for the eye that needs them.

  • chessey24
    12 years ago

    I'd go for the multifocal - without my glasses, I can't read or see the computer, etc. I used to wear monovision contacts and they're hard to adjust to and some people never do.

  • socks
    12 years ago

    Would someone be willing to educate me here? You need a lens when you have cataract surgery? You mean it's not just a procedure, but something is placed in your eye? I've never known about this. I have the beginning of a cataract but not time for surgery yet.

  • alisande
    12 years ago

    Socks, "cataracts" sounds like barnacles or something (that's the way I used to think of the term), but a cataract is a cloudy lens. Two eyes + two cloudy lenses = cataracts. Cataract surgery involves removing the cloudy lens and replacing it with a clear lens.

    Medicare (and probably other insurance plans) will cover a non-prescription replacement lens that won't correct your vision, but the patient usually has to cover the cost of other options. I went with "mini-mono" lenses that left me slightly farsighted, like Kudzu. I have fabulous distance vision (for the first time in my life) and rarely need reading glasses. Love this!

  • Rudebekia
    12 years ago

    Yes, the lens is implanted in the eye. Sounds gruesome but they stick it in and it "unfolds" in place! In fact, they gave me an "I have an implant" card that I'm supposed to carry in my wallet in case of an emergency!

  • chisue
    Original Author
    12 years ago

    Socks -- Yes, the surgeon removes the 'orginal equipment' that has started to become cloudy. (Can become completely opague, resulting in blindnes.) The surgeon makes a small cut, 'vaporizes' your cloudy lens and sucks out the debris, then pushes a folded-up new lens through the tiny cut and spreads it out in the same 'sac' that housed your own lens. All in a few minutes.

    Of course you should then see much better. Your 'dirty window' lens has been replaced with a 'clean glass'. The new lens can also be made to a prescription, sort of like contact lenses, to correct vision deficits -- like my nearsightedness.

    I am leaning towards the 'standard' lenses that will only correct my distance vision. People seem to adjust to them more easily. I don't think I'd mind having to wear glasses to read. If I am going nuts just deciding, I don't think I'm a good candidate for a frustrating, lengthy learning curve while I adjust to the multifocal. (What if I *never* adjust? Everything is brighter, but I can't *focus*? I'd have "Visual ADD"? LOL)

    I am a little concerned about the 'middle distance' vision with a standard lens. I suppose I could get a larger computer monitor or zoom up the type size. It would be a little disappointing to still need to wear tri-focals! (I guess they would be the reverse of what I now wear. They'd have no correction at the top, middle-distance correction in the middle, reading correction at the bottom.)

    Still, I'd prefer trifocals to being unable to adjust well or having halo's they can't correct with YAG laser. I've read about those outcomes for some people after multifocal implants. We can fool around adjusting prescriptions in glasses without *surgery*.

    alisande -- The proposed multifocal is ReSTOR. Also, Medicare does now cover a 'standard' lens made to a single correction, but not a 'multifocal'. That's $1800 per lens, out-of-pocket. The lens costs more, and the MD plans on spending more time with you as you try to adjust. In my case $1000 would go to the hospital and lens purchase and $800 to the MD.

    Something I find odd is that I would have to pay the $1800 at least a week BEFORE the surgery. Maybe that's the way of the world these days?

  • ravencajun Zone 8b TX
    12 years ago

    speaking of the card you have to carry, one of my friends had just had her surgery a month or so prior and she was on a trip and ended up on a roadway that the police were doing checks on so each car had to stop and show drivers license and insurance etc, she had hers ready and the officer said why aren't you wearing your glasses and she said she had corrective surgery he told her you are supposed to always present the card with your drivers license, she said oh wait I have the card! It had been so recent she had forgot. But yes you do have to carry that card with your right with your drivers license and present it also in those cases.

    My sister had been able to adjust to the contact lenses that were different for each eye so she thought it would be easy for her to adjust with these lenses and her doctor agreed but it has taken her a really long time and even now she still wishes she had not done it. I tried to talk her out of it, her hope was to avoid reading glasses but she still has to use them occasionally.

    I would prefer to never have to wear any glasses again but if it is only on occasion I can deal with that, I have permanent indentions in my nose and behind my ears anyway LOL But at least it would not be the coke bottle lenses I have to wear now.

    My mother had her cataract surgery done back before implants so she has no replacement lens and has to wear glasses that are very thick. She wore contacts for as long as she could handle them.

    In cataract surgery they use a device that basically liquefies the lens in your eye, at the same time the device is suctioning out the bits of the lens, there is also a drip tube that is putting in fluid into your eye to keep it in balance or inflated. Back in the day I used to be the assist on the scope as we did cataract surgery it is very interesting to watch through the scope. It is a very precise well oiled process and it goes pretty quickly, then the tiny lens which is folded in half is inserted and it pops open and is worked into place and the one little slit in the side of the eye is closed, some people need one stitch some don't. but the cut is in the white area not in the visual area.

    The multifocal lens that originally came out had many problems like most things in their early stages the ones today are amazing. I definitely recommend using a doctor that is very familiar with using them however. A doctor that urges you not to use them may do so because he has not had the experience in placing them as another doctor that does them regularly. They do place a bit differently.
    So if looking online for info be sure to check dates to make sure you are reading about the latest and greatest!

  • alisande
    12 years ago

    At least a week before, Sue? Do they want to make sure your check clears? I paid for mine (with a credit card) the day of each surgery. My doctor must use ReSTOR, as I've seen brochures for it in the office. But he didn't offer it to me as an option--possibly because of my severe astigmatism.

    I am a little concerned about the 'middle distance' vision with a standard lens. I suppose I could get a larger computer monitor or zoom up the type size. It would be a little disappointing to still need to wear tri-focals!

    That's why I got the mini-monovision. Would you consider doing that? As the doctor explained it to me, I'd be able to see the computer, piano music, and the dials on the stove, etc.--plus be able to take pictures. That's the way it has worked out.

    It took me awhile to adjust to my close vision, but I'm fine with it now. I thought I'd have to wear reading glasses a lot more than I do. If the light is bright and the text isn't very tiny, I'm okay. Dimly-lit restaurants can be a problem, but I bought a little lighted magnifying glass at Jo-Ann's for $7, and that does the trick. I keep a few pairs of dollar-store reading glasses around the house, but use them only occasionally.

  • chisue
    Original Author
    12 years ago

    Hmmm...Maybe I need to put this off for a while. DH can drive me at night; I'm OK around town where I don't need to read signage.

    I'm trying to think that this MD just had a bad day before he saw me yesterday. I got the distinct impression he thinks I am some 'mouthy babe' because I said I was trying to decide between 'standard' (single correction) and 'multifocal'.

    He pointed to a note he'd made on my chart from my initial eye exam a week ago and said, "You SAID you wanted the standard lenses!" He'd made multifocal sound so difficult to adjust to that I HAD said that. He really got impatient when I said I'd looked for information on the internet and that I'd asked friends with implants how they had fared. He talked over my questioning. He said he didn't KNOW my friends or their vision problems -- their experiences were not relevant. When I asked what his patients' experiences had been -- what they'd chosen -- he was back to, "Not relevant," but he also said most people 'couldn't afford' the multifocals. (I had just said I was not concerned about cost; makes me not only 'mouthy' but a 'rich b****'?)

    Later, he was all smiles at the desk when I was leaving. Maybe he'd remembered a brochure from his insurance company about keeping patient relations smooth.

    Over my lifetime many people have guessed that I am/was a school teacher -- although I'm not. I never thought they meant I was too assertive.

  • linda_in_iowa
    12 years ago

    I had my cataracts done last Nov. My doctor will only do the multifocal implant if a patient wears multifocal contacts for a few months to see if they can tolerate the multi focal. I knew I would not be able to adjust to it. I love having good distance vision now but it is a hassle to wear readers. Medicare paid for everything I think. I also have a good second insurance. I just got bifocals and the only thing I paid was $100 for the Transition lenses and $30 for non scratch coating. I like the frames. After 4 months of only wearing readers, I am having trouble adjusting to the bifocals and only wear them in church.

  • ravencajun Zone 8b TX
    12 years ago

    chisue are you just honor bound to use this doctor? if not I think I might talk to some of your friends that had this done and see who their doctor was. This is an area you really do not want to go into with a doctor you are not confident with. Only go with a very well known respected ophthalmologist who is well versed in all types of lenses and has done implants of the various types.
    One of my good friends from high school had hers done recently and got very poor results and it was her doctors fault she had to have repeat surgery on the eye to fix it. I had cautioned her about that doctor from the things she had told me about him.

    Just be sure and feel secure and confident in who is handling your precious eyes!!

    I too have extreme astigmatism and it may be what keeps me from getting what I am really wanting but hopefully with all the amazing advances they are making by the time I need it done it will happen for me.
    I wore contacts (hard lens) for most of my life could not wear soft lens due to the astigmatism factor, then when I started having dry eyes due to my Sjogrens Syndrome I had to change over to bifocals glasses again. I really miss my contacts.

  • alisande
    12 years ago

    Sue, maybe this is a good time for a second opinion? When we commit our vision to someone's care we shouldn't have reservations about him. At least not very many. :-)

  • dedtired
    12 years ago

    I had my cataract surgery last December, both eyes. I was offered the ReStor multifocal lenses for another $4000. I was willing to pay that much if they were as good as they are advertised to be. After MUCH online research, I decided against them. Yes, the majority of people who get them do like them, but a significant percentage cannot adjust.

    Later I met a woman who had gotten the ReStor lenses and is just miserable with them. She is going to try to have them explanted and replaced with standard lenses.

    I got the monovision lenses and I am not entirely happy with the result. The difference in the two eyes is disorienting. I have to wear glasses, although I can get along with out them if I want to.

    My night vision has improved and I have no halos or glare. It was so bad before I was avoiding driving at night.

    If I had it to do over I would go with standard lenses for the best possible distance vision. Everyone I know who has them is very satisfied with the result. Popping on some reading glasses at times isn;t that big a deal. I recommend going with the tried and true standard lenses.

    It is very difficult to find unbiased info about multifocal lenses. All the docs are pushing them because they make a lot of money on them. I would think long and hard before getting them.

    I think a second opinion is a great idea. Do you have a good optometrist? Since they see eyes all the time and have nothing to gain or lose through the multifocals, they might give you an honest opinion.

    Does your doctor have a web site? Do they promote the multifocals there? If so, s/he is a salesperson as well as a doctor, which compromises their advice.

  • alisande
    12 years ago

    Dedtired, it could be that you need a longer period of time to adjust. December wasn't that long ago. I forget how long it was before I adjusted to my "mini-mono" vision, but it took awhile. Our situations might be different, though, because I didn't wear glasses. I simply gave up reading. LOL

    Now I read, etc., with or without glasses depending on the situation, and it's fine.

  • dedtired
    12 years ago

    Alisande, I keep hoping that my brain will "get it" sooner or later -- preferably sooner. Do you remember how long it took you?

    I also have to go back for the YAG laser procedure in May. On top of that I have a vitreous floater which is a huge nuisance. It's not the little threads you see floating around but like a glob of vaseline floating by. The floater is not the result of the cataract but a separate issue.

    What I thought was going to be a simple procedure (actually the procedure WAS simple)has become an ongoing PITA.

  • alisande
    12 years ago

    I wish I remembered, Dedtired, but I know it was a lot longer than I had anticipated. I was sure the vision in my left eye wasn't the way it was supposed to be, despite the assurances of my doctor.

    I had the YAG procedure not too long ago. I wish they'd told me that sometimes people need to have this done. I didn't know, and thought I'd have to live with wretched night vision. I learned about YAG only when I called to see if it was normal to see night lights as starbursts. The YAG procedure was a snap, and made a world of difference in my night vision. I think it brightened up my day vision as well. Good luck with all this, DT!

  • kudzu9
    12 years ago

    socks-
    The natural lens has a very high power itself, so when they remove that, you would be left extremely farsighted if they didn't put in a corrective lens. Thus, they insert an artificial lens to offset what you have "lost." They make these artificial lenses in a range of prescriptions, so that people who are farsighted or nearsighted can get that corrected as a side benefit of the cataract surgery. Basically, it's like wearing a contact...only better, because it's just behind the cornea and can't be dislodged, and you don't have to worry about it. I have friends who are hoping to get cataracts so they can get their vision corrected this way!

    Years ago, before these artificial lenses came on the scene, after the cataract surgery was done, people had to wear glasses with a really high power far-sighted correction to get back to "normal." These prescriptions were so strong that it made your eyes look really big.

  • donna37
    12 years ago

    First thing, I think you need to find another doctor and get get another opinion.

    I have multifocal lens, on my cards it says Allergan, AMO and that's all I know about them, but they have done me well. I got them 14 years ago, luckily I was still working and my insurance paid for about half and I paid the other half in installments set up by the clinic.

    I have a great eye Dr. and only need to see him every couple of years now.

    I wore glasses since I was 17 and really needed them before that but no one was really aware of that fact. I was told I was getting cataracts about 10 years before I had the surgery. When it got so bad I couldn't read street signs when I was driving I had the surgery

    I remember seeing 'halos' at first around lights but don't even notice them anymore.

    I was working for the health dept. at the time, I'm an RN, and the first thing I did upon returning to work was get one of the side effects papers regarding immunizations. When we would get a new type in I would take out the paper to read all the info on it and there was LOTS but unable to read the tiny print I would put it on the copy machine and enlarge the print so I could read it. I took that paper with my 'new' eye and could read every bit of it without a problem and talk about excited, my co-workers thought I was crazy bragging about my vision. Wait until they get old!!!

    Having worn glases for over 45 years I was in heaven being able to see so well. First thing on in the morning and last thing off at night was my glasses.

    I can read still without them, but a pair of the very lowest $ store reading glasses does help sometimes.

    I can't say that I ever had any trouble adjusting to the multifocal lens, and am so glad my eye Dr. recommended them to me. I imagine they are very much improved now as I think they were just coming on the market when I got mine.

  • socks
    12 years ago

    Thank you, everyone! I had no idea that the doctors put something in your eye for cataract surgery. I think I would go with the lens which would leave my eye essentially the same as it was before (except the cloudiness, of course). I've worn glasses since elementary school. You all know so much about this.

    Chisue, are you near a university which might have an eye clinic? Your doctor's attitude is so irksome. I go to the clinic afiliated with our area medical school.

  • chisue
    Original Author
    12 years ago

    Thank you all! It's a big help to hear your experiences and your reactions to my weird appointment yesterday.

    I have a 'pre-surgery check-up' appointment with my internist April 2. I will ask for more names. I already called to ask about this ophthalmologist. Now I'm wondering if he was sending me a message when he had his nurse call back to tell me he thought "Grumpy) is an excellent doctor."

    He is Board Certified. Maybe he IS an excellent doctor -- but he sure displayed 'an attitude' yesterday! Maybe he'd had a bad day. I know they were running behind and that they were having to reschedule surgeries that had been booked for April 26. Maybe he is of an upbringing where women only say, "Yes, sir." He's not 'old'.

    Maybe I wasn't impressed enough that he'd gone to India to practive early in his career. (One of DH's fraternity brothers did the same. It was a good place to 'practice' -- nobody sues.)

    I have to say that he definitely was NOT pushing the more expensive lenses -- quite the opposite. I did wonder when he said he had done cataract surgery on many patients with Alzheimer's. What's THAT about?

  • socks
    12 years ago

    I had the same gender thought, Chisue. My dear girlfriend is confident, well-educated, assertive, and has bumped heads with more than one doctor.

    Or maybe he truly believes the standard lenses are best for you because others have trouble with the multifocal. And being rushed definitely does not bring out the best in anyone.

  • linda_in_iowa
    12 years ago

    After my surgery my opthalmologist told me to go to the DMV and take the eye test to get the glasses restriction off my license. He told me that on each visit. I still haven't done it. He told me I did not have to carry the card with me but to keep it in a safe place.
    My opthalmologist is one of two very popular in town for the cataract surgery.

  • cat_ky
    12 years ago

    I had my surgery done one eye in July of 2009. I drove myself for my eye appt the next day after each of them. I have the monovision, since medicare only will pay for that. I chose distance rather than close up. I dislike having to use reading glasses now, because, I didnt have to before, but, having the freedom to go out shopping or visiting a friend, or just going for a drive at night is wonderful. It gives me the freedom, to come and go as I please. No more halo's on lights, no more night blindness, when meeting another car. Its wonderful. I had a wonderful doctor. He had done hubbys one eye a couple of years before (hubby is blind in the other eye) and we really liked him then. I go for a checkup once a year now. No problem with the middle distance. I have never worn glasses in my life, so having to wear readers, took a bit of getting used to. Now, I just keep a pair in various places in the house, so I dont have to run around looking for them. Everytime, I sit out on the patio at night, and look at the lights around the houses across the field, I am so very glad, I had it done. The lights used to look like big starbursts to me, and now, they look just like they are supposed to look. The cataracts came so slowly, that I didnt even realise that things used to look differently, until after I had the first eye done.

  • dedtired
    12 years ago

    Although I am not entirely happy with monovision (one eye for near the other for distance), I must say that my night vision has vastly improved. Before surgery, I would slow down when another car came at me,especially on narrow roads because the other headlights created such a glare I couldn't tell where the road started or ended. I always wondered why old people step on the brakes so much. The glare is almost entirely gone now and I no longer drive like an old lady at night. I do have much more tolerance for those who do!

    I also like to walk around my street at night. I enjoy the cool and dark. I stopped doing that before the surgery because it was literally like walking into a dark tunnel. Now I can go out and enjoy the stars again.

    I am typing this on my laptop in my lap without my glasses. I also can see the tv about five feet away. It is really the farther distance that I find is a strain on my eyes due to the monovision. I am remaining hopeful that I will adjust to it. I must wear my glasses when driving, which the doctor had said would be the case with monovision or with multifocal lenses. Your distance vision simply is not as sharp as with the standard distance lenses.

    My friend's husband is a neurosurgeon. He had his lenses set to see well at mid-distance for his work and has glasses for distance, although he says he really doesn't need them.

    In the 1950s my great aunt had cataracts removed. The lens could not be replaced and she had to wear coke bottle glasses or contact lenses all her life. Thankfully she adjusted to the contact lenses, which were not so great at the time. Imagine what life was like before this operation could be done. So many of us would become basically blind. That is still the case in many third world countries. Sad.

  • 3katz4me
    12 years ago

    Monovision is the practice of correcting one eye for distance and one eye for near vision. Some people can adjust to this and thus avoid reading glasses. I tried this with contacts and it drove me nuts. I now have multi focal contacts where both contacts somehow allow you to see both close up and distance. I could adjust to this much better than monovision. I'd seriously consider this for cataracts but not monovision. My correction with multi focal contacts is not quite as good as it is with my progressive lense glasses - close up vision not quite as good. I chose to have perfect distance vision vs better closeup correction. I like that I can drive to the store, go shopping and read labels - all without glasses. If I were going to do serious reading for an extended period of time I might wear some light readers. However I wear contacts mostly in the summer for sailing and other water activity so much of the time just wear my glasses.

  • alisande
    12 years ago

    I should explain that the "mini-monovision," which I have, isn't as extreme as monovision; it's a modified version. Following the surgery I have perfect distance vision, but am slightly farsighted (after being severely nearsighted all my life). Glasses are sometimes required for very close work (like my rug hooking) or very small and/or dimly lit print. I suspect the mini-mono is easier to adjust to than the classic monovision.

  • Michibilly
    11 years ago

    I had this surgery this last spring; right eye in April, 2012, and left eye in May, 2012. I LOVE them and would do it again in a heartbeat....however... they are not perfect and they will not be as good as your old 20/20 vision, even if they test at 20/20.

    I can read easily with sufficient light, but sufficient light for these lenses means a lot more than with or without glasses. I have several new desk lamps about the house to get that extra light when natural light is not around. I also have to be closer to the laptop screen than I used to; hard to get used to at first, but after a few weeks, being closer to its screen is automatic. If you have larger pupils as I do, you will find that you now need more light than others, perhaps.

    I do see concentric circles in oncoming headlights, or sometimes when I look directly at some lights, but again, you get used to it, and it has not affected my night-driving.

    One of the strange effects that I was not told about is the issue with looking at shiny, metallic surfaces. When I look at my own credit card with its silver numbers, I have to turn it around at different angles in order to read the numbers. I also noticed that when I trim my fingernails, I have to hold my hands considerably farther from my eyes than I used to; however, I have some old, weak reading glasses and I can use them for that job.

    I do notice a small semi-circle that I can see on the edge of my left eye, but I've gotten used to it (it's due to my larger pupils). The ReStor lenses have UV protection, but I still wear sun glasses as I always have.

    There are some small annoyances with these lens, but compared with wearing glasses? No contest; they are spectacular. Vision in my right eye was restored to 20/20, and my left eye to 20/25.

  • imn2crafts
    11 years ago

    how does one go about having a cataract removed if they do not have 4,000 or insurance to help pay for this. I cannot see street signs so have to know how to get somewhere day or evening. I am not old enough for medicare yet and am getting alittle scared of the empacted it will have on me.. anyone have this issue that can send me in some sort of direction...Deb

  • curlybutterfly
    10 years ago

    Thanks everyone for all of your input!! I REALLY need help too with this decision. I would like to know (for those with and without multifocal lenses), just how close up can you see CLEARLY, and clearly enough to EASILY thread a needle? I've been nearsighted my whole life and I cannot imagine losing that. I do not care so much to have perfect distance vision but really want that close up vision. I do a LOT of arts and crafts (close detail work)and I think I'd mess up if I chose the lens for distance only. I am thinking I would like to get the multifocal if possible. I've even heard somewhere where you can have one multifocal type in one eye, and another multifocal in another to make up for "lost areas of focus" (my take on it). I wonder if this is true. Also what is a mini-mono? Thanks for your input in advance!

  • alisande
    10 years ago

    I have the mini-mono, so I can answer that question. One eye has a lens that gives me perfect distance vision, while the other focuses closer, enabling me to use the computer, play the piano, and see other things clearly at that sort of distance. I can read large print, and smaller print in good light, but for fine print and/or dim light (or threading needles) I need reading glasses. I buy cheaters from the dollar store in different strengths, depending on what I'm doing. When I'm hooking a rug, for example, my face is rather close to the work, so I need different glasses from ones I'd use for reading a magazine.

    I know what you mean about nearsightedness. I used to take off my glasses to see things up close. It took me awhile to get used to putting glasses on to achieve the same thing. But after wearing glasses since 1st grade I really love going without them now. The mini-mono has worked out very well for me.

    I also like my collection of cool, non-prescription sunglasses. :-)

  • curlybutterfly
    10 years ago

    Thanks Alisande for your input. May I ask how do you put on make up (with readers) if you cannot see real close up? I will agree that non prescription sunglasses are pretty cute :-).

  • alisande
    10 years ago

    I don't use glasses to put on makeup. Of course, it's always possible that my makeup doesn't look as good as it should, but I think it's probably fine. LOL

    Actually, I'm pretty picky about how makeup looks, and I can see well enough to be confident about it. A bigger concern was what to do if I got something in my eye. For that, I bought a small magnifying mirror. It works very well, and could be used to apply makeup if necessary.

  • dedtired
    10 years ago

    I am surprised by how small of type I can read without reading glasses with my monovision. Unfortunately my eyes still feel kind of strained by the difference in the two. My discomfort comes from the unevenness of my vision rather than an inability to see things. If on,y my brain could adjust to this, It wold be amazing.

    However, I just went upstairs and tried to thread a needle and I cannot do it With my reading glasses on, no problem. I also need a lot of light to see well.

    I also had great near vision before my cataract surgery. I'd always take off my glasses to read or work at my desk or at a restaurant. I had to put them back on to see far. I miss that too, especially being able to read in bed at night without glasses.

    If I could do it over, I would get good distance vision and use readers. You also can get bifocal type glasses where the top part is clear glass and the lower portion is your reading prescription, so you don't have to keep taking them off and on. Good luck with your choice.

    I use a magnifying mirror for makeup.

  • chisue
    Original Author
    9 years ago

    I regret starting this. I have not had my other eye done.

    The surgery improved the distance vision in my operated eye but did not correct for my astigmatism (as promised), so I still need a corrective lens for that eye. I gained minimal improvement of light into the eye and lost the ability to change focus in that eye. The operated eye will always see a larger image than the non-operated eye.

    I feel misled by the advantage of cataract surgery...for me. At least I can still remove my glasses and see close work with my un-operated eye, but I tire from constantly trying to cope with two different size images.

    Just be certain you will gain more than you will lose before having this surgery.

  • dedtired
    9 years ago

    Amen, Chisue. Everyone should get a second opinion about whether it is truly needed and an honest answer about the result. Eye doctors have a lot to gain by encouraging you to do it. I still feel I got talked into it and could have gone longer without it.

  • curlybutterfly
    9 years ago

    Thanks everyone SO MUCH. I do agree it is a VERY serious thing, hence my many questions. I'm really afraid to do it but at some point I'll have to make a decision. At the present time, it's my left eye that 'carries' my vision. I may just put up with it for as long as I can stand. What I REALLY wish I could understand is WHY a person cannot just get the clouded lens out, put a clear one in, and continue with the same type of vision they had before instead of forcing you to do the opposite of what you've been used to your whole life (which is nearsighted for me). I'd be happy to wear glasses so I could see clearly.

  • alisande
    9 years ago

    What I REALLY wish I could understand is WHY a person cannot just get the clouded lens out, put a clear one in, and continue with the same type of vision they had before instead of forcing you to do the opposite of what you've been used to your whole life (which is nearsighted for me).

    Weren't you give that option, CB? I was. In fact, what you describe is what Medicare will pay for. I had to pay $2,000 extra to get the mini-mono corrective lenses. I'm very glad I did, but if you just want clear lenses, I would think you should be able to have them.

    Is it possible your eye doctor is promoting expensive procedures/products?

  • curlybutterfly
    9 years ago

    Dear Alisande, My regular optometrist (& the first cataract Dr I saw) told me that I had to either do the multifocal, the one eye far/one eye near, or distance and wear readers. I am so nearsighted and don't mind it because of my artwork etc, and my optometrist told me they won't leave you nearsighted only anymore. I am seeing another cataract Dr. in early June. I was originally thinking I'd get the multifocals because I wanted to keep that near vision if at all possible. I thought the only lenses Medicare will pay for are the distance correcting lenses(which means readers if I'm not mistaken which I might be). Thanks for your kindness in answering my posts. :-)

  • alisande
    9 years ago

    Of course it's possible I'm wrong about this, but I clearly remember my doctor saying they could just replace the cloudy lenses with non-corrective clear ones, and it wouldn't cost me anything. He said Medicare would not pay for corrective lenses of any type. That was in 2011, so maybe things have changed since then. Medicare is always changing something.

    He also said his office (which is a very large one full of various eye specialists, and he's one of the founders) will not use the Crystalens product. I don't know about other multifocal lenses.

  • curlybutterfly
    9 years ago

    Alisande, that's very interesting. When I go I will report what he tells me. I know it probably sounds crazy to even consider not correcting my vision, but I love being able to see up close! I have made a note about what you said about the Crystalens product. Did he say why? I do think that they are 'pushing' the Restor lens (or at least the Dr. I already saw). Thanks again!