Monofocal lens truth - life after cataract surgery 

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Excellent description and functionality of various iol’s and outcomes. Since most of my time is spent on working at near distances, I chose the enhanced iol set for mid and near distance and use eyeglasses for far distance like driving or watching tv. Advantage of this approach is that it’s easier to make correction for vision changes by simply changing the prescription for your eyeglasses, since iol cannot be changed after surgery.

After considerable research, as well as a consultation with Alex, I chose the J&J Eyhance for both eyes 2 1/2 years ago. I did a lot of searching for the right ophthalmologist at the same time, as those lenses were new and not widely adopted. I was incredibly pleased with the outcome. I have 20/20 distance vision and quite good intermediate vision (no glasses needed for anything beyond arm's length). Even my reading quality is good enough if I accept a bit of eye strain, but for reading I use +2.0 reading glasses. What surprised me was the quality and usefulness of my near vision (even at 6 to 8 inches), good enough for anything less detailed than threading a needle. This makes me wonder now if the compromise I made in giving up the 20/15 vision of the standard J&J lens was really necessary.

Your videos are very helpful and I thank you. I've had my dominant right eye done which was supposed to be set for distance. The doc insisted that he needed to correct 1.50 astigmatism in that eye with laser, which he did. The lens he used was the J&J DIB00, +22.5D. The results are that I have excellent near vision to about 5 feet and then it drops off. My dilemma now is what to choose for the non-dominant left eye. He suggested trying Mono Vision and I now have a contact in my left eye to try it out. My concern is whether Mono Vision will work as well for me since the dominant eye should be set for distance, (to my understanding) but my dominant eye is definitely giving me clear, near vision. I am 68 and concerned about losing depth perception as I age, should I choose monovision. Maybe it would be best to have my other eye to match the first one and just wear glasses.

I opted for the Eyehance implants. To further enhance near vision I had the surgeon put -.5 in my non dominant eye. It works, but there's going to be an adaptation period. Blended vision, I've heard it called. Then. To moot all of the above, I ordered top of the line progressives.🤷 Something is bound to work... I hope.

Hi doc, I have cataract, glaucoma and until recently uveitis. Because of uveitis the cataract surgery was delayed for quite a while, while uveitis was treated with steroid tablets (prednisolone) and drops initially and then steroid drops for quite a long time. My doctor opined against any surgery before uveitis is controlled. Now uveitis is almost gone / quiet I'm told and that I should proceed with the surgery asap! My current eye diagnosis is as follows: 1. S/P LPI (both eyes) -- [Status Post Laser Peripheral Iridotomy??], 2. 360 PS (right eye), -- [360-degree Peripheral Synechiae??] 3. Complicated Cataract (both eyes), 4. PACG (both eyes) . -- [Primary Angle-Closure Glaucoma??] 5. Arthritis 6. H/O CKD. .......................... The "complaint" section says: Visual Acuity: Aided. Right Eye: 6/18 p +2.50. Left Eye: 6/9 Plano Add +2.50. Anterior chamber: OD Quiet. OS: Quiet. IOP: OD: 18 mm Hg (NCT). OS: 20 mm Hg (NCT). Iris: OD: 350PS. Lens: OD: lental opacity. OS: Early lental opacity. Fundus: OD: Looks normal. OS: Looks normal. --------------------------- "Surgery Order" says: "1. Phaco with PCIOL (right eye) local anesthesia with Synachiolysis+ iris hook under oral steroid coverage". --------------------------- I was hoping to use "Clareon Vivity IOL" (EDOF) because I work with _computers and near and intermediate vision related work mostly,_ but my doctor says premium/multifocal IOLs are not advisable in my case since (to the best of my understanding of what he said!) if "Synachiolysis+ iris hook" unravels sometime after the surgery or in future, multifocal IOL will become totally useless, even detrimental. Which is a very undesirable situation. He recommends standard monofocal. *MY QUESTIONS ARE:* 1. Is Alcon "Clareon Vivity IOL" a "multifocal" IOL really? My understanding was that it's something different due to new technologies although it covers some of the multifocussing benefits of a "multifocal" lens. Vivity/Clareon is VERY new in my country and I suspect my doctor may not be familiar with it and thinks it is "multifocal". I checked last year and it was not available in my country at that time, but Vivity is now available (probably except Clareon though). *_So my questions are again:_* *1.* Is Alcon "Clareon Vivity IOL" a "multifocal" IOL ? Is it appropriate in my condition in your opinion, especially in case of ""Synachiolysis+ iris hook"? If you think it's okay, then what can I say to my doctor to explain / query this? *2.* What would you recommend as safe & most suitable in my case from the following (available from my Eye hosp): Monofocal Aspheric (Zeiss/Alcon/J&J/Hoya) / Monofocal Plus (Alcon/J&J/BVI/RAYNER). Also: Alcon Vivity (it looks like Clareon Vivity may still not be available here, it's probablly mostly Vivity AcrySof IQ/Restor/SP/Toric/Sert). *3.* What's your view on Monofocal Plus / Enhanced in my condition if Clareon Vivity is not suitable or available? Please help!

On the IOL questionnaire, there is another option for the glasses questions, which is "I am fine with wearing glasses". What I do not want is to be putting glasses on and taking them off all the time. I have tri-focal glasses now with no problems, and I'd be fine wearing glasses all the time after the surgery. I want what will give me the clearest vision, with the least amount of glare and distortion. I don't know if a regular mono IOL or some enhanced version would be better? What I am confused about, however, is all the different brands and manufacturers for the same type of IOL. There seem to be some differences in brands for the same type of lens, based on the comments. How would I know which brand of IOL would be appropriate, and is one brand better than another? How do brands of IOL compare?

if a person uses progressive lenses (glasses) after surgery, will they still need to use different powered glasses to see different distances if they choose a monofocal IOL?

I think one can wear progressive glasses

It's very bizarre but my older brother is highly myopic and has a monofocal IOL (Bausch&Lomb MX60) implanted in 2018 with a +4 power in both eyes. He has 20/20 distance vision and required no glasses for intermediate vision and was even able to read his phone at the normal distance. I can't understand how this is possible. Advance to today and his vision is still 20/20 but now he uses +1 for reading and using the computer. Unbelievable! Please explain! I had cataract surgery recently (the same age as my brother "60" when he had his) and had an Alcon Clareon SY60WF +6.5 in both eyes. My vision is 20/25 and I need +2.5 to +3 readers for my phone and +1.25 for intermediate distance. I heard this is a good result but I really wish I got the MX60. I tried to convince my doc but she said both lenses were on the same level technically. thanks

With monofocal lens to see distance...will I have to wear glasses to see car instruments?