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High Myopia - Is there anybody out there?
Hi everyone.
I'm 35,with really high myopia ( -17 in left eye and -22 in right eye)astigmatism and cataract in right eye not impairing sight. Use rigid gas permeable contacts and get along "fine".
Have had gas bubble in left eye and laser in both for retinal tears/holes.
The only procedure I'm considering is IOL when absolutely necessary.
I've never heard of anyone with myopia this high. i'm really worried about future prospects.
I know people with similar conditions can have different outcomes but can anyone with high myopia ( even if not like mine) please give any input or useful information?
Many thanks.
Wishing you all the best,
Sophia
I'm 35,with really high myopia ( -17 in left eye and -22 in right eye)astigmatism and cataract in right eye not impairing sight. Use rigid gas permeable contacts and get along "fine".
Have had gas bubble in left eye and laser in both for retinal tears/holes.
The only procedure I'm considering is IOL when absolutely necessary.
I've never heard of anyone with myopia this high. i'm really worried about future prospects.
I know people with similar conditions can have different outcomes but can anyone with high myopia ( even if not like mine) please give any input or useful information?
Many thanks.
Wishing you all the best,
Sophia
Sorry,I did not get back earlier.I had not a surgery.There are risks,and they worn you about them.My doctor told me that the implantable contact lens custom made for my case somehow was not a good option and was discontinued from use.I could not understand that,but that is how it went.
How did you do,did you go to get a surgery and what was the outcome?
Take care you all and good luck.
How did you do,did you go to get a surgery and what was the outcome?
Take care you all and good luck.
In my huge desperation and despair after every single visit to any Eye doctor,either it was my retina doctor or optician I need few day before each appointment to start mentally preparing myself and then comes disappointment and despair that I have to overcome after those exams.
I am so glad I found all of you,for I never ever had a talk with somebody who is even close to my condition.
I read lots of stories and completely understand,perhaps I will share my whole story next time.But today,I need to ask you all with high prescriptions where do you get yoursoft contacts from and what kind are they?
It seams like the once I had for years now and unfortunately they were the only once to provide so so vision clarity and comfortability,are now discontinued.My optician found some other once but they are not even close to my old once with comfortability and vision clarity:(
I am so sad and can not explain how I feel about this.
Thank you
I am so glad I found all of you,for I never ever had a talk with somebody who is even close to my condition.
I read lots of stories and completely understand,perhaps I will share my whole story next time.But today,I need to ask you all with high prescriptions where do you get yoursoft contacts from and what kind are they?
It seams like the once I had for years now and unfortunately they were the only once to provide so so vision clarity and comfortability,are now discontinued.My optician found some other once but they are not even close to my old once with comfortability and vision clarity:(
I am so sad and can not explain how I feel about this.
Thank you
Oops, I wish they'd let you edit posts. Obviously when talking about what distance you'd prefer glasses for, I meant to give two different examples. Some may prefer glasses for reading but not for distance to drive, others may prefer glasses for driving but not for reading.
What sort of IOL did you get in the first eye, is it likely a monofocal IOL which was likely set for distance and usually wouldn't give much near vision? There are premium lenses that can provide better near vision in addition to good distance vision, though in most places you need to personally pay more for them, they don't tend to be covered by insurance or government programs. It may be that in some countries there is coverage for them, you'd need to check. There is unfortunately no perfect lens, there are some tradeoffs with each of them, it depends on your needs (and budget) which one is right for your situation.
I see that your profile indicates you are in India. Although I haven't read through all of the discussion on the link Dr. Hagan kindly provided, I will note that he is based in the US and here we have fewer premium IOL choices than in much of the rest of the world. So some of the discussion may likely not bring up options you have in India. I know the new Symfony lens is available there now and I suspect you likely have access to trifocal lenses as well (there are only bifocals in the US) and perhaps the Light Adjustable Lens (which may allow the refractive target to be hit more precisely, which can be a problem in highly myopic people, and which also has variations being tested some places to provide multifocal or extended depth of focus patterns).
You need to determine which visual ranges are most important to you, between distance, intermediate and near, since there is no perfect solution for all three in one lens (the trifocals try for all 3 and have decent intermediate, but not as good as other options, and intermediate range is often used for computers and for social interaction and household tasks). You may need correction for some distance (especially assuming you have a monofocal in the first eye), so you need to decide if so then which distance you'd prefer to need correction for. e.g. some might need correction for reading if you do it alot, but don't mind correction for distance for driving. Others might prefer to not need correction for driving but not mind it for reading.
The trifocals tend to have lower risk of halo and glare than the older bifocals that have been used in the US (though there are now low add bifocals in the US that may be comparable), but still likely higher risk than a monofocal. The trifocals give better intermediate vision than high add bifocals, while still having good near vision. The low add bifocals may give decent intermediate vision (especially the even lower add bifocals available outside the US), perhaps better than a trifocal depending on the add, but not not as good near as a trifocal or high add bifocal.
The Symfony has good distance and intermediate vision (better than trifocals) but not quite as good very near as a trifocal. Any lens, even a monofocal has some risk of glare&halo issues. The Symfony is reported in studies to have comparable risk to a monofocal for issues with glare&halo, which still means that some will have glare&halo issues, but they may have had the same issues if they had received a monofocal instead. People posting to the net tend to be the minority that have issues, so you can't tell by the posts how frequent a problem is, you need to rely on the results of studies. I got the Symfony rather than a trifocal since good intermediate vision was more important than good near, and due to the lower risk of visual artifacts like halos. To me the only reason not to consider the Symfony rather than a monofocal is if the cost is an issue, or if you want to be very cautious since the Symfony has only been out on the market a bit over a year so its possible larger studies will find issues the initial ones missed. (there are a number of small studies by now though, and the lens is the same material and overall shape as the widely used Tecnis monofocals&multifocals that have been out for a number of years).
You can use a bit of monovision with the Symfony or a monofocal to give better near vision.
If you do have a monofocal in your first eye, you could consider adding a corneal inlay to get better near vision in that eye if they are approved there. Cornea inlays are placed just under the surface of your eye in a procedure that should be lower risk than something like cataract surgery, and is usually reversible if you don't like it. The Kamra inlay and the Raindrop inlay tend to be the most widely approved and used inlays at the moment, I don't know what is available there however. Although they are usually used to give better near vision for people with presbyopia, they have also been tested with people with monofocal IOLs to give them better near vision. The results I've seen suggest the Raindrop may be a better bet since it reduces contrast sensitivity less, i.e. it may have better low light vision, but its best to confirm that.
Worst case it is also usually possible to replace the monofocal lens you already received, but as with the initial surgery that does involve risks, and it depends on the state of your eye what lens options are available. For instance if you had a YAG procedure for PCO, usually a replacement lens can't be placed into the capsular bag so you can't use some lenses like the Symfony or trifocals, but there are multifocal options that are available for placement outside the bag.
I see that your profile indicates you are in India. Although I haven't read through all of the discussion on the link Dr. Hagan kindly provided, I will note that he is based in the US and here we have fewer premium IOL choices than in much of the rest of the world. So some of the discussion may likely not bring up options you have in India. I know the new Symfony lens is available there now and I suspect you likely have access to trifocal lenses as well (there are only bifocals in the US) and perhaps the Light Adjustable Lens (which may allow the refractive target to be hit more precisely, which can be a problem in highly myopic people, and which also has variations being tested some places to provide multifocal or extended depth of focus patterns).
You need to determine which visual ranges are most important to you, between distance, intermediate and near, since there is no perfect solution for all three in one lens (the trifocals try for all 3 and have decent intermediate, but not as good as other options, and intermediate range is often used for computers and for social interaction and household tasks). You may need correction for some distance (especially assuming you have a monofocal in the first eye), so you need to decide if so then which distance you'd prefer to need correction for. e.g. some might need correction for reading if you do it alot, but don't mind correction for distance for driving. Others might prefer to not need correction for driving but not mind it for reading.
The trifocals tend to have lower risk of halo and glare than the older bifocals that have been used in the US (though there are now low add bifocals in the US that may be comparable), but still likely higher risk than a monofocal. The trifocals give better intermediate vision than high add bifocals, while still having good near vision. The low add bifocals may give decent intermediate vision (especially the even lower add bifocals available outside the US), perhaps better than a trifocal depending on the add, but not not as good near as a trifocal or high add bifocal.
The Symfony has good distance and intermediate vision (better than trifocals) but not quite as good very near as a trifocal. Any lens, even a monofocal has some risk of glare&halo issues. The Symfony is reported in studies to have comparable risk to a monofocal for issues with glare&halo, which still means that some will have glare&halo issues, but they may have had the same issues if they had received a monofocal instead. People posting to the net tend to be the minority that have issues, so you can't tell by the posts how frequent a problem is, you need to rely on the results of studies. I got the Symfony rather than a trifocal since good intermediate vision was more important than good near, and due to the lower risk of visual artifacts like halos. To me the only reason not to consider the Symfony rather than a monofocal is if the cost is an issue, or if you want to be very cautious since the Symfony has only been out on the market a bit over a year so its possible larger studies will find issues the initial ones missed. (there are a number of small studies by now though, and the lens is the same material and overall shape as the widely used Tecnis monofocals&multifocals that have been out for a number of years).
You can use a bit of monovision with the Symfony or a monofocal to give better near vision.
If you do have a monofocal in your first eye, you could consider adding a corneal inlay to get better near vision in that eye if they are approved there. Cornea inlays are placed just under the surface of your eye in a procedure that should be lower risk than something like cataract surgery, and is usually reversible if you don't like it. The Kamra inlay and the Raindrop inlay tend to be the most widely approved and used inlays at the moment, I don't know what is available there however. Although they are usually used to give better near vision for people with presbyopia, they have also been tested with people with monofocal IOLs to give them better near vision. The results I've seen suggest the Raindrop may be a better bet since it reduces contrast sensitivity less, i.e. it may have better low light vision, but its best to confirm that.
Worst case it is also usually possible to replace the monofocal lens you already received, but as with the initial surgery that does involve risks, and it depends on the state of your eye what lens options are available. For instance if you had a YAG procedure for PCO, usually a replacement lens can't be placed into the capsular bag so you can't use some lenses like the Symfony or trifocals, but there are multifocal options that are available for placement outside the bag.
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