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Medical Forum / General / Vision / March 2007Help Choosing IOL - near - mid - far?
Am scheduled for surgery next week - have astigmatism and myopia and granular cataract both eyes. Doing right first - as have had retinal detachment in left and so right safer. Am right eye dominant and left eye has a bit of macular scarring that twists text a bit - so not great for reading. Surgeon needs to order lens and I have been given choice of near, mid-range or distance vision. I read a great deal and I work at a computer - also like to cook. Have chosen mid-range but am a bit uncertain. I read myself to sleep every night - have since childhood. Do not fancy the idea of having glasses on for that! Right now vision is awful - but I can still read without glasses if book/mag/newspaper/recipe is a few inches out. Would near be better or would I go nuts having such a limited sphere? Any suggestions will be appreciated. On Mar 28, 3:37 pm, daub...@preservesmart.com wrote: > Am scheduled for surgery next week - have astigmatism and myopia and > granular cataract both eyes. Doing right first - as have had retinal [quoted text clipped - 9 lines] > or would I go nuts having such a limited sphere? Any suggestions will > be appreciated. I am in a similar situation (just switch left and right) and I am choosing mid, and have no doubts about it. However, if you are a taxi driver you should consider far, and if you are a jewler or make your living repairing watches you should consider near. I personally don't think that wearing glasses for reading in bed is the worst thing in the world. You already know that retinal detachment is more horrible. I'd go for the near if you really, really "do not fancy" (I take that to mean "would hate") readers for reading in bed, with the understanding that you might nead something on your nose for just about everything else. But I would not choose the distance option for the first eye you do, due to the chance you might accidentally end up hyperopic. Personally, chosing the mid range worked out very well for me, then the second eye was set for far. w.stacy, o.d. >Am scheduled for surgery next week - have astigmatism and myopia and >granular cataract both eyes. Doing right first - as have had retinal [quoted text clipped - 11 lines] > > >Am scheduled for surgery next week - have astigmatism and myopia and >granular cataract both eyes. Doing right first - as have had retinal [quoted text clipped - 8 lines] >book/mag/newspaper/recipe is a few inches out. Would near be better >or would I go nuts having such a limited sphere? If you choose near, and this is an age related cataract, then nothing much changes from pre to post-op, so nothing to go nuts about. However, if your myopia is moderate to strong, then you may want to have this reduced to some degree. >Any suggestions will be appreciated. Post your age and Rx. Robert Martellaro ~~~~~~~~~~~~~~~~~~ Optician/Owner Roberts Optical Wauwatosa Wi. ~~~~~~~~~~~~~~~~~~ "Science is a way of trying not to fool yourself." - Richard Feynman
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