Astigmatism correction with Toric IOL

[kayaker328]

I have cataracts in both eyes, but only having surgery on the left at this time. There's a big difference of power between my eyes (given numbers 13 and 6) and already understood I've very nearsignted. I've worn glasses since Kindergarten. My options are standard cararact surgery,  and wearing bi-focals as I do now; or going with a toric for distance and wearing a contact in the other eye and then non prescription reading glasses. It's very temping to go with the toric, but wondering if afterwards I would be happier with the standard iol, and my glasees, sort of business as usual, rather than what sounds like a drastic change with the toric. Either way I won't be able to toss the glasses which is what I had first hoped for. I'm 59 and have never had good distance vision, even with glasses. Can I expect more with the toric than I've ever had with glasses? Is the adjustment as hugh as it sounds?

[JodieJ]

There have to be standards other than acuity to get insurance coverage for cataract surgery.  My acuity in my cataract eye was significantly better than 20/40, and I had no problem getting my Blue Cross to pay for the surgery.  I was a high myope, and my Blue Cross also paid for the surgery in my second eye which did not have a cataract.

[Ray T Oyakawa, MD]

Get a bat or glare test,  most likely it will drop below 20/40--the level insurance will pay for.  It would probably be worse in an year.  

Dr. O.

[kayaker328]

Thank you Dr. O. I have already stated I have cataracts in both eyes. The right eye is currently 20/30 with glasses, therefore not up for surgery at this time.

[Ray T Oyakawa, MD]

Get a BAT or glare test on the right eye.  My guess it has an early cataract.  I would suggest you do both eyes close together and get rid of your glasses.

Dr. O.