Reading depends on what I am reading. I wanted to be able to go to a store and read the label without carrying readers and I can do that. And I wanted to be able to go to a restaurant and be able to read the menu, which I can do, so that is good.
But reading a magazine or book is a bit more tricky to do, especially if not to be not straining at all. I sorta have to find the sweet spot and need plenty of light.
I can live with all aspects of MF even the occasional star burst as when I see them I am like that is cool. But when I have to drive a long distance, such as going on a trip, after 1 hour driving in the dark that is all the stress I can take and have to stop at a motel.
But honestly that might be in part due to my right eye being shot and needing an IOL.
My night driving is 2 issues.
One it is darker with a MF. But according to the propaganda Synergy is almost as good at night at a monofocal, if you believe that.
But the 2nd and even more important is I can just not judge distance to cars in front of me, unless they are right in front of me. A car can be a mile ahead of me and hit their brakes and I find myself slamming on my brakes, as I can not tell how far that car is in front of me. I am not sure if this is due to the IOL being darker due to light splitting or normal function of glare from brake lights or not being able to judge distance due to my other eye being so bad.
One thing I should add, is Dr. Chang in that presentation stated what I read and that is the more myopia the greater the Dysphotopsias, which is why I would not be interested in monovision, except micro micro monovsion.
He also showed how Halo size is related to close Add. The greater the add the bigger the Halo, which is why I went with the +2.75.
My thoughts would be that the most likely reason for lack of distance judgement would be the cataract in the unoperated eye.
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On the monovision, yes it does make sense that if one eye is left myopic there should be more dysphotopsias from it. However, with my contact lens mini-monovision (-1.25), I really don’t notice much of an issue with headlights. I don’t see halos at all, and there is a very minimal amount for flare. To me lights in the distance just look a little out of focus with that eye – softer image, but it doesn’t give me a light show.
Another lens that I have read about that might be worth keeping an eye out for is the SC-9. It is hard to get much information on it. It is a refractive EDOF.
I don’t know how it compares to the IQ Vivity, but from what I read the SC-9 is supposed to perform similarly to the Symfony ZXROO at all ranges, yet not have Halos and Glare being it is not a diffractive lens.
Again Clinical Trials and Real World results after 1000s are implanted do not always agree.
I think you’re more than likely right about it depending on your starting point. Although I have to say a sister-in-law who had refractive lens exchange in 2011 has been very happy with her experience and said she hasn’t had any issues with intermediate vision. She didn’t remember which lens. Just knew that it was a bifocal type. (I thought she was nuts for replacing a clear lens, but have to admit it has turned out well for her.)
Turns out that another sister-in-law has the Tecnis MF +3.25 and she said intermediate vision hasn’t been an issue for her either. Her only problem was getting used to the halos. Apparently no one told her about them before her surgery so it was a surprise. That said, neither sister-in-law plays golf or tennis, etc., so I assume their lifestyles are part of the reason it hasn’t bothered them.
Not being able to see in dim light is disconcerting. Having that happen on the way down the stairs would be horrible. With our uncovered transom windows in our bedroom I’ve always been able to see when I awaken during the night. Now I have to get lined up just right to even see the windows. The first time the “black fog in front of my eye” happened I thought I might have gone blind, but turning on a light solved the problem. Now that I’ve gotten used to it, I just make sure I know where my phone is so I can use it to light the way.
Central Alabama. Found a surgeon close by that uses PanOptix, but he did a procedure (not cataract related) on my brother’s eyes which was no longer the standard of care and my brother ended up with unnecessary side effects. No way I would feel comfortable with him or his partner.
Watched the video and found it interesting. When I think back to my grandparents’ cataract surgeries before IOLs with the glasses they had to wear and the many days spent in bed recovering I am amazed at how far we’ve come. But we still don’t have The Six Million Dollar man vision available. That’s what I want (without what Steve Austin had to go through to get it). LOL
I’ve been considering waiting on the 2nd eye. I can get my optometrist to fit a contact for that eye and take my time to make that decision. And of course there’s always the option to wait a little longer for the 1st eye, too.
My top advice is I do almost as much research about the Ophthalmologist as I do about the various IOLs. I read some horror stories and I think some people just pick the first Ophthalmologist they find in the yellowbook (yes I know, no more yellowbooks)
I would narrow down the lens you are looking at then find an Ophthalmologist that has been involved in clinical trials for those lens. Many Ophthalmologist do not even implant premium lens. Companies want their clinical trials to be the best possible, so they pick the top Ophthalmologist to conduct them.
I want an Ophthalmologist that has implanted lots of the lens I am looking at and has first hand experience and his patients results with those lens
I rather drive 4 hours or more to see a top Ophthalmologist in his field. Before I came to this site I use to go to the med help site and just read all the stories of some of the issue people had not just with their IOL but the Ophthalmologist themselves.
Before I did my first IOL I went to several Ophthalmologist and basically interviewed them and I emailed many more.
And I second only do 1 eye and evaluate. You very much might want to mix and match depending on the results you get.