Near vision after surgery

How is your near vision after cataract surgery? I know those who get IOLs for distance have to use readers, but I’m asking those who have Symfony or mono vision. 

I chose mono vision. 

I asked the doctor what it should be for near vision . He said it’s measured on a J scale 1-2-3...10. I am a two. One is best ; with surgery they aim for a three  .

I can see good at arm’s length (22”) and even closer - about  14”.

I’m not sure if that will change when I get my other eye done for distance. 

It appears that you have chose near monofocal for the operated eye.  Until how far can you see clearly till it gets blurry in that eye?  14 inches to what distance?

Yes, a monofocal for near vision.

About 14" to 27" seems clear.

Symfony, 3 months ago.

With a Snellen chart at 14",

First eye used to read J1 a couple weeks after surgery, now has regressed to J7/8. Can read a book clearly at arms length.

Other eye J7, but a book at arm's length is quite unclear - text appears ghosted and offset. It varies though... sometimes it clears up and sharpens... until I blink and it gets unclear again.

Maybe 16-25"? It's hard to know what size text to use when checking myself.

I have monofocals set for distance and hardly ever need reading glasses unless it's tiny print or if I want to read an entire book and don't want my eyes to get tired.

Also, they can't guarantee people who get premium IOLs like Symfony or trifocals will be able to read without glasses and plenty of people can't.

And monovision (including mini-monovision) compromises depth perception and contrast sensitivity.

And I have read about quite a few cases of people with monofocals set for distance who don't need glasses at all, not for any reading or anything else.

I have Symfony lenses in both eyes and can read newsprint unaided in good light.

I have Symfony lenses both targeted for plano and read J1 - never need glasses.  Do need good lighting.

And my vision is 20/20 in one eye and close to 20/20 in the other eye, so my distance and intermediate vision are also excellent. My first operated eye is the 20/20 eye and I could see fine basically at all distances even before I had my 2nd eye surgery. I only needed over the counter mild readers for very small print right after my first surgery (and that improved over time). I drove to the doctor the day after my first surgery and could see my car's speedometer and the rest of my dashboard perfectly with no glasses (it was crystal clear).

So I hope people reading this don't buy into the hype about premium lenses and save their money and stick to standard non-toric monofocals set for distance (and if you have bad astigmatism you can just wear glasses for that, it's not worth the risk of having toric IOLs).

That's what my sister got and she needs reading glasses for EVERYTHING. I didn't want that.  I wonder why you have such a different experience.

 

Yes, I know that but I've had monovision contacts for 20 years and did fine with them. I considered getting the Symphony but my dr actually recommended monovision for me and  I have a sister and a father with macular degeneration. if i were to get it, I was told my vision would be better with this than a multifocal or extended depth of  focus IOL.

I agree on the toric comment. Andi, what was your pre-surgery, pre-cataract prescription?

Do you know what your eyeglasses Rx is now for the operated eye to get 20/20 distance vision? If its -2.0 or more full monovision could be difficult if you get the other eye set for plano (best distance vision).

She's one of the 5% of people with monofocals set for distance who have that outcome. The other 95% have the outcome I have.

I was pretty nearsighted but I had Lasik 15 years or so ago.

And even though my Lasik turned out ok, I wouldn't advocate anyone doing it after I have met lots of people online who have serious complications (some can occur many years later).

Same goes for other forms of refractive surgery (just writing this for anyone who might read it later on at some point).