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Medical Forum / Diseases and Disorders / Glaucoma / January 2004Cataract Surgery
I have had borderline pressures for 20 years which started increasing a couple of years ago. I am now on Lumigan in the evening and Timolol in the mornings which have brought pressures down to around 15 or 16. My Dr. has now indicated that I need to have my cataracts removed. I am very near sighted and have worn contacts for over 30 years and glasses before that. He says he will correct my vision so as not to have to use glasses or contacts. He says he will correct one eye for distance and one for reading. I have heard of this being done but am concerned about my distance vision. I think I should have both eyes corrected for distance and use reading glasses for close up work. I have been using reading glasses for many years and it is not a problem for me. Would appreciate hearing from others that have had cataracts removed and what their experience has been. Would also like to have Dr. Cohn's take on this. Don > I have had borderline pressures for 20 years which started increasing a > couple of years ago. I am now on Lumigan in the evening and Timolol in the [quoted text clipped - 13 lines] > > Don * Hi! I have implant lenses in each eye following cataract surgery. When you want to make the decision regarding normal focus (for your new lenses), you need to think about what it is you do all day. If you drive all day, you might want your new lenses to focus your eye at infinity. If you are a precision machinist, you might want your focus at 3 diopters (1/3 meter or about 13 inches). My plastic lenses focus me at about 1.25 diopters. That is, my normal resting focus is about 4/5 meter, or about 32 inches in front of me. My glasses for distant vision are minus 1.25 diopters -- a fairly minor correction. I can read a book and work at my computer terminal without glasses at all. Good luck! earle * > I have had borderline pressures for 20 years which started increasing a > couple of years ago. I am now on Lumigan in the evening and Timolol in the [quoted text clipped - 13 lines] > > Don Sure, Don...here's the thing about monovision with cataract surgery. If one of your eyes doesn't behave as expected (which can happen even if the measurements taken to calculate the lens implant are accurate), then you will either not be able to read without glasses or not be able to see far away without glasses. I usually try to adjust both eyes for distance and tell the patient he/she will need reading glasses. Almost no one argues with this. You could still wear contact lenses after cataract surgery as an option as well. --Dr. C |
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