Another Tetraflex or not?

[Medicus]

My questions are as following :-
(1)   I have implanted Tetraflex accommodative lens in my right eye for 1 year and 4 months already but still  have periorbital discomfort and pain after surgery.  The reason of causing dicomfort and pain is unknown even though I had consulted many doctors.  Should I implant the same Tetraflex lens to the left eye or implant another long-standing approved aspheric lens/accommodative lens?
(2)   The operated eye is good for distance vision but not good for the near vision.  Should I try to adjust or make some concession for reading with the left eye?  In such case,  will the eyes  easily get tired and dried-up or not ? My eyes are always very dry already,  normal range is 10 -20 but my eyes are 5 - 6 only.

[Michael J Kutryb, MD]

One last thing - you might consider an aspheric monofocal lens in second eye - since you really didn't get much of the intended effect in first eye.  The proof is in the pudding.

MJK MD

[Michael J Kutryb, MD]

The jury is still out on Tetraflex in United States.  At best it may provide a small amount of near vision (in my opinion.)  Often with lenses like this the surgeon needs to plan on mini-monovision in which one eye is purposely left a little nearsighted.  That is an option for you but I would only do the nearsighted eye for your non-dominant eye and only go about -0.75 at most and make sure you try a contact lens on as a trial to simulate the predicted nearsighted result.  Keep your expectations low with Tetraflex as far as near vision - and you can be very happy.  The dry eye situation needs to be carefully addressed and this could help with pains around the eye.

MJK MD