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Medical Forum / General / Vision / May 2007How can I see between Cataract surgeries?
I've searched, but cannot find a post that addresses this problem. I'm scheduled for cataract surgery on my left eye (the worst cataract) in June. I have a lot of astigmatism, so I'm aware I'll still need glasses for distance as well as for reading after the surgery. I have rheumatoid arthritis and am on immunosuppressant drugs, so infection is always a concern to me. I also am a writer on constant deadlines, so can't be away from work for long. My doc is willing to do my eyes a week apart for this reason, but I would be more comfortable having them done a month apart to be sure there's no infection and also to time the surgeries to be smack in between my Remicade (immunosuppressant) infusions, as my rheumatologist prefers to reduce the risk of infection. all that is to ask the question: how will I work in the month between surgeries? I am VERY nearsighted, so will still need glasses for my right eye, but the left eye will not need the extreme correction in my current glasses. my glasses are frameless, so i can't exactly pop the lens out of the left eye for a month. when i explained this dilemma to the opth., that's when he suggested doing the eyes a week apart, but i'm not comfortable with that option. so any thoughts on what i can do for that month so i'm still able to work? thanks for your help, diane If you cannot wear a contact lens in your unoperated eye, you will probably have a difficult week. You might consider patching one eye in order to get your work done. I suggest that you get new glasses made shortly after your second surgery. Most optical shops permit a free remake within 60 days. You'll undoubtedly need one because your prescription will probably change a little, but at least you'll be able to function more comfortably. Best wishes for successful surgeries. > I've searched, but cannot find a post that addresses this problem. > [quoted text clipped - 24 lines] > > diane a contact lens should do the trick > a contact lens should do the trick- Hide quoted text - except i can't wear them. :( maybe i could tough it out (wearing one) for a month. i'll talk to the doctor about it. thanks for the input. diane > I've searched, but cannot find a post that addresses this problem. > [quoted text clipped - 17 lines] > the opth., that's when he suggested doing the eyes a week apart, but > i'm not comfortable with that option. If you can't pop out the lens, then have your lens supplier put in a plano one. Won't cost much. Dr Judy > If you can't pop out the lens, then have your lens supplier put in a > plano one. Won't cost much. > > Dr Judy- Hide quoted text - good idea. i hope i'll be able to see okay for a month without feeling too spacey. i'll check into this. thanks diane >I've searched, but cannot find a post that addresses this problem. > [quoted text clipped - 24 lines] > >diane Diane, Another option is to use an implant that matches, or comes as close as possible to the pre-op Rx, or the Rx of the right eye. Robert Martellaro ~~~~~~~~~~~~~~~~~~ Optician/Owner Roberts Optical Wauwatosa, Wi. ~~~~~~~~~~~~~~~~~~ "Science is a way of trying not to fool yourself." - Richard Feynman > Another option is to use an implant that matches, or comes as close as possible > to the pre-op Rx, or the Rx of the right eye. > > Robert Martellaro do you mean an IOL that does this robert? i am extremely myopic and can't wait to be able to see better, so i wouldn't do that. but thanks for thinking about it. diane >> Another option is to use an implant that matches, or comes as close as possible >> to the pre-op Rx, or the Rx of the right eye. >> >> Robert Martellaro > >do you mean an IOL that does this robert? Yes. An intraocular lens (IOL) implant. >i am extremely myopic and >can't wait to be able to see better, so i wouldn't do that. but thanks >for thinking about it. You'll see better because the cataract/lens is being removed. If you mean see better without glasses then it's somewhat of a mixed bag. Distance vision will be much better- you might only need glasses for night driving and near work. Near vision though will not have that "magnifying effect" that you have now when you remove your glasses. However, if you're a -8.00D myope than I'd probably opt for the myopia reduction, and would definitely do so if it was much higher than -8.00D. However, your concern was with the downtime between surgeries. Matching the Rxs eliminates this problem, and leaves the post-op situation essentially status quo. As mentioned by others, the only other option (except to grin and bear it) is a CL in the right eye, along with updating both eyeglass lenses. Removing the left eyeglass lens might or might not be more comfortable than leaving the old lens in place. I'd guess that myopes might prefer the lens removed, however the replacement lens will probably have to be a multifocal design for reading capability. Try it both ways before you decide. Tough choices. Posting your Rx would be allow me to share the choices my clients made in similar situations. Hope this helps Robert Martellaro ~~~~~~~~~~~~~~~~~~ Optician/Owner Roberts Optical Wauwatosa Wi. ~~~~~~~~~~~~~~~~~~ "Science is a way of trying not to fool yourself." - Richard Feynman >>Near vision though will not have that "magnifying effect" that you have now when you remove your glasses. However, if you're a -8.00D myope than I'd probably opt for the myopia reduction, and would definitely do so if it was much higher than -8.00D.<< Oh, i'll miss being able to remove splinters so easily! i love that closeup vision, but i'll give it up to be able to see more clearly at every other distance. here is my prescription as of 12/4/06 (it's worsened since then because the cataract in my left eye is growing like crazy.) OD -8.50 +1.50 x 85 OS -9.00 +2.00 x 90 I'll definitely go for the myopia reduction. I have, however, changed the surgeries so i'll only have 2 weeks between the surgeries rather than a month. thanks for your input diane > I've searched, but cannot find a post that addresses this problem. > [quoted text clipped - 24 lines] > > diane I had a similar dilemma a couple of months ago with surgeries scheduled two weeks apart. I was highly myopic. Small amount of astigmatism that was corrected during surgery and had multifocal IOLs so don't need glasses for reading post op. I did try popping a lens out of my glasses but that was awful. The image size discrepancy was too large for me to manage. Instead I wore a contact lens in my non-operated eye during the day. For early mornings and evenings I did without contact lenses or glasses. Although I couldnt have driven like that, I found that I could manage well enough to see the tv, read, take my daughter to school on foot. It wasn't a great two weeks, lots of moderate headaches but it was manageable. yikes, kiticat, this sounds awful. how am i going to drive, much less work, for those two weeks? i'll see about getting a contact, but i've never tolerated them well because of Sjogrens (secondary to RA). diane > I had a similar dilemma a couple of months ago with surgeries scheduled > two weeks apart. I was highly myopic. Small amount of astigmatism that [quoted text clipped - 10 lines] > > - Show quoted text - You might try a focus night & day for the 2 weeks non-stop. They work pretty well on dry eyes, and breathe better than any other lens on the market. I couln't wear cls very well but managed to wear one of those for a few nights without any problem. w.stacy, o.d. >yikes, kiticat, this sounds awful. how am i going to drive, much less >work, for those two weeks? i'll see about getting a contact, but i've [quoted text clipped - 5 lines] > > is "focus night and day" a brand? thanks, diane yes, made by Ciba. It's approved by the FDA for 30 days non stop wear because it is so oxygen permeable that it doesn't cause any significant stress to the cornea when you're asleep, unlike just about all other lenses. >is "focus night and day" a brand? > [quoted text clipped - 3 lines] > > thanks, william. i'll check into it. diane What you will do is be prepared to use one eye between surgeries, and which eye will depend on how well the surgery goes optically. You may use the operated eye without your glasses, although you may need some over-the-counter readers for near work. You may or may not need to patch the other eye. If you don't see well enough with the operated eye to function, then use your old glasses and you may or may not need to patch the operated eye. w.stacy, o.d. >I've searched, but cannot find a post that addresses this problem. > [quoted text clipped - 26 lines] > > |
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