Re: toric IOL: choose near or distance vision

Dear Silviaelli,

Subject: No one can tell you what you should do.

I had cataract surgery. The man was excellent, and the results good.

I chose "far" vision, since I did not have clear distant vision since
I was eight years old.

The result is that I have 20/20 vision in each eye. I check this
myself.

Further, using my own trial-lens kit, I have a refractive STATE of
+1/2 diopter.

In "normal" words -- this is a perect result -- exactly as I wished
it to be.

Further, I am typing this into my coputer (and reading it) with no
lens
on my face. (Measured distance is 25 inches.)

But, as a matter of choice, and scientific interest, I am wearing
a +2.75 diopter lens for all work less than 25 inches.

This is far better than wearing a minus lens 16 hours a day
seven days a week.

If I do no "close work", then no glasses at all.

Further, I play tennis, and it is great not to have those
negative lenses on my face.

So that was MY choice -- and I was lucky about the result.

Good luck to you,

Otis






On Oct 22, 3:19 pm, silvere2 <sylviaelli...@xxxxxxx> wrote:
   I'm facing cataract surgery and my trusted experienced
opthalmologist asked if I wanted near or far vision as the outcome.
This is an agonizing choice and I'd like your opinion.
   All my life I've been nearsighted (with bad astigmatism doc says
won't be eliminated completely by IOL).
   I can see pretty well unaided at a distance of about 6 inches and
am afraid to lose this vision. But everyone says life after surgery
will be better overall.
   Should I pick near vision so I can read, apply makeup, see
computer?  Or should I pick distance vision to drive, see TV, watch
people across the street?  I realize glasses (or cheap readers) will
be needed to get the opposite vision of whichever I pick, and no
outcome is 100% predictable.
    For those of you who've actually picked one or the other, what
were the surprises afterward?  For you with medical expertise, what
was the general choice of most folks and what are their regrets
afterward?

Details: I'm mid fifties, retired computer person, cataracts for about
8 years, now using toric contacts for monovision (not fond of mono).
Will get toric IOL with LRI. Not worried about surgery, just the
choice of outcome.

last glasses RX was
R= -8.00 sph, +2.75 cyl, 85 axis
L=  -7.5   sph, +1.50 cyl, 80 axis

.

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