rwbill when you say with cataracts your vision has gotten better do you mean that second sight stuff or when wearing corrective glasses. you are right about thin lens for no myopia cause when i got temp glasses to wear for just the week before cataract measurements when you have go without contacts those glasses were so damn thick instant fun house effect myopic glasses. When will you get that left eye correction? How long have you gone with a contact in just one eye? Im going on ten days and its functional but the blur wasnt noticable as much before the surgery on the first worst eye now the blur in soon to be operated eye seems so much worse with combined with eyhance eye
sorry rwbill i meant say how long with glasses on both eyes. If you have one iol and one uncorrected eye do both eyes work together with glasses at same time
I have gone just over a year now with a contact in my left eye. I suspect I will not get the go ahead to have the second eye done when I am due for my annual eye exam soon. I see a bit of a double image now, but my corrected vision is probably still 20/20, so that will be a no go. Will probably mean another year with one IOL eye, and one mild cataract eye. I don't mind it all that much except for the part of the day when I give my contact eye a rest and wear progressives. Wearing glasses has become annoying.... Seems like it is impossible to keep them clean.
If he has time to talk about news and world events, he has time to test your near distance vision. I think distance is proper measured in their office, but they have never measured near distance (distance to that card they use) when I have gone, so not as accurate.
Looking at the Eyhance defocus curve, if you are getting 20/20 uncorrected distance with IOL Power level designed to hit a -1.0 d, then you are doing much better than the average. Next time ask him did you get all the letters. For example, was it 20/20 or 20/20 - 2 characters. It is also possible the final results are less than -1d myopic.
It would be nice if a doctor actual did a defocus curve with one's results, but I think they only do that if you are in a clinical trial. But you can ask him to test your close vision and try and get the distance to the card.
Even though only a sample of one, it be nice to see what the overall Visual Acuity results were for someone with Eyhance set for -1.0d
Yes both eyes work together even when wearing glasses. I do get a bit of a dizzy feeling when I first switch from wearing one contact to wearing the progressive glasses. But that goes away fairly quickly. I do see a bit sharper image with the glasses on as both eyes get fully corrected for spherical and astigmatism.
Wearing glasses has become annoying.... Seems like it is impossible to keep them clean.
Do you have any sort of anti-scratch/anti-glare or other coating on the lenses? They make keeping glasses clean well nigh impossible; my optometrist confirmed this. For my latest pair I got them without any sort of coating, and now they're very easy to keep clean.
"I had no idea on my end that going -1 for both eyes is not the regular approach and that mono or micro or mini vision is." . I would agree that going for -1.0 D in both eyes is not a regular approach to cataract surgery. Most people are not going to be happy with less than crisp vision in the distance. . Monovision is not a regular or common approach either. I think monovision has been more popular in the past, but is becoming less so now. And the reason is probably $$'s. There is a lot more profit in EDOF or MF IOLs, so if patients express interest in being able to see close and far without glasses they are steered to an EDOF or MF instead of monovision. . I would suggest by far and away the standard and most popular approach to cataract surgery is to target slight myopia of -0.25 D in both eyes, and hope that they both end up somewhere between -0.5 D and 0.0 D. This of course requires the use of reading glasses, but most people or cataract age are using reading glasses or progressives already, so it is not really a change. The patient they typically does not need glasses for distance although they may choose to use progressives for convenience to get the very best distance vision plus reading.
Yes, they have the anti-reflective and anti scratch coating. They are Kirkland Signature™ HD Digital Progressive Lenses. I can't remember if the lenses were available without a coating, but I think not. I expected these glasses would be temporary and didn't want to blow big bucks on them. I had decided the same a long time ago about coatings. The only glasses that have ever gotten scratches were ones that had this so called anti-scratch coating. I kind of think it is all a scam. If you buy glasses at a optometrist with all their recommended options the price can easily get up over $1,000 a pair. In any case when I get my second cataract eye done and get progressives I will attempt to get lenses that are not coated as the coating does make it very hard to keep them clean. . Due to this problem in previous pairs of glasses I have ended up making my own cleaning solution and I may have not perfected that yet.... I was not happy with the solutions sold at Costco, but I kept the spray bottle dispensers and now use 80% distilled water, 30% isopropyl alcohol, and 1 drop of Dawn dishwashing detergent. It seems to work better than the name brand stuff I bought. Part of my problem is that I have a collection of cleaning cloths that are likely in need of a thorough washing. . The bottom line is probably that I have become spoiled by being eyeglasses free for about 95% of the time. As soon as I put glasses on, I immediately focus on the smudges on them....
“ had no idea on my end that going -1 for both eyes is not the regular approach and that mono or micro or mini vision is.”
I too will add my 2 cents to this statement and probably be repeating a lot of what Ron stated.
I think by far the most common thing is to get 2 monofocals implanted with both set for distance somewhere between Plano and -0.5d, because that is what doctors just do and don’t even discuss the options with the patients. Not to mention insurance covers monofocals.
I think monovision was more popular in the older days, but then there were studies showing problems with Full Monovision.
When diffractive IOLs came along I think monovision fell a bit out of favor. Have no idea the percentage of folks doing monovision vs. getting a diffractive IOL. I will add the earlier diffractive IOLs like ReZoom had some serious issues.
But with the addition of the Newer Premium Monofocals, whereby you can get a bit more depth of focus with low rates of dysphotopsias, I think monovision is making a comeback, but this time they are doing micro and mini monovision.
I will also add I think the older diffractive IOLs left many doctors with a bad taste in their mouth. With the passage of time and if the newer diffractive IOLs continue to have high patient satisfaction you might see more and more doctors offering and suggesting diffractive IOLs.
Yes I do agree with you about test day after surgery check up. Got pre op for second eye earlier today and check up on first eye all is healing well and I read the smallest print on chart easily on first corrected Eyhance For all here why why why do Dr have to even mention second eye syndrome I would not have had that seed planted if nobody mentioned it. rwbill I will follow your advice as you worded and get them damn measurements. Last eye test day after 20 20 the chart had a few lines smaller to larger and I read every line and every letter perfectly same as day after surgery. I thought I was just going in today for standard covid test pre op in my area that protocol but Dr Magic thoroughly checked both eyes. I donated to Paws of War few times in thanks to Dr, Paws of War brings animals home that Service Members found overseas. Great charity amazing results. rwbill I will get you those visual acuity results for Eyhance just give me instructions on what to ask
to help with actual experience with Eyhance for those considering let me word it better
Day 1 no blur clear vision at all distance intermediate and near using contact in uncorrected eye to balance use -1.25 readers for fine print able use laptop and all print in sunlight in house Day2 pre op check up read 20/20 no blur saw every line and letter clearly inbetween to next eye done 14 days apart immediate visual sharpness no glare no halo good nightime contrast no blurry no pain if second eye heals same as first i will need no vision correction outdoors and indoors reader -1.25 for small print which is no biggie. My vision is beyond anything I could have imagined. in comparison my unoperated contact corrected eye is very very inferior in every way
Ron now i getting nervous rwbill said same that -1 both eyes is not regular approach. Do you think that leaving out monovision a better target for both eyes would be less than -1? Is that a more common approach? I always wanted crisp distance vision myopic whole life couldnt imagine how people see distance sharp without contacts or glasses Now I do am i going to mess up distance if both eyes set to -1?
Never heard of second eye syndrome before now--googled it and it looks like it happens pretty regularly. The nurse mentioned on the day of my second surgery that sometimes the eye can feel a little more gritty/uncomfortable after surgery on the 2nd eye. That wasn't the case, although I did have a little more discomfort with the 2nd eye than the first during the surgery. Not much, and when it happened I said something and they added more drops. It seems like I had a lot more drops for the 1st eye than the second, so it might have just been a different person applying the drops and not using as much. On the plus side, for my first eye by the end of the surgery the light was making me crazy with wanting to blink. It wasn't a problem with the second eye.
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Glad your surgery/recovery is going so well!
First, Second Eye Syndrome, very interesting. Learn something new everyday.
Second, there is nothing wrong with shooting for -1.0 (D) for each eye if that's a good fit for you.
But I am surprised how good your results are, which is why I asked what your close vision is and the distance to that card.
Just looking at the Eyhance defocus curve, I would expect with -1.0 (D) (myopic) you would see 20/32 (logMAR of 0.20) at distance and you would have 20/32 vision at 16". And your absolutely best vision 20/20 being around 40".
You are clearly beating the numbers on distance if you are seeing 20/20 or better, so curious if you are also beating the number on close vision. They are probably not going to do a complete defocus curve so we can only use the distance and close numbers to get a rough idea if you are actual -1.0 (D) myopic. IMHO you are either less than -1.0 (D) myopic or a statistical anomaly, which in your case is a GOOD thing.
About all I can say is that if it was my choice I would have chosen to be -1.0 in the non-dominant eye, and -0.25 D in the dominant eye. That should give reasonable reading plus good distance. But if you are willing to wear glasses or contacts for distance, then that works too. The bit of an issue with contacts is that if you correct the distance then you need reading glasses for close up.
i just found online Snellen chart and walked ten feet away. I can read all lines even the smallest line with only tiny bit of contrast making it less sharp if that makes sense. Definitely not that myopic blur. Sixteen inches away in room with artificial light its night out with only operated eye open I can see text without readers easily During daylight or outside I see the text even better. but i feel more comfortable with -1.25 readers maybe because im so used to wearing them to see screen better in the past with my contact lenses on. I can read the whole Snellen chart with no bluriness 16 inches away. Intermediate like TV is where eyhance shines. I hope this helps. Outside I can see well into distance no blurry at all. I can only assume that Eyhance somehow gives what seems like on paper a little advantage but when placed with correct diopeter by Dr it gives us a small advantage. Dr Magic is the Man I pray my new right eyhance eye will work in harmony with left eye will update
reading now in dimly lit room with contact in unoperated eye have to wear readers with contact but i will need -1.25 readers to read small print with Eyhance thats so OK with readers perfect small text but at same time on high contrast things like eye drop bottle i can see ok without readers still learning only 13 days since left eye
sorry Eyhance gives a large advantage.
1)Not sure you can printout out a Snellen chart and it will be accurate size. Probably need to buy it.
2)The Snellen chart needs to be placed 20 feet away, that is the top 20 part of the equation; 20/X vision.
3)Close vision is usually done with a Close Vision Chart like a Jaeger eye chart that consists of short blocks of text.
Lucy what scare me is that i wont wake up from that versed. i looked at paper in cute little discharge bag and said versed. i do say it was great just talking to anesthesiologist then waking up remembering nothing is that usual? i thought most people were relaxed but did see things