This may work. The good news is that waiting several days or weeks won't hurt at all. If you think that leaving the ReStor multifocal in place will work, then give it a try especially if the eye with the multifocal has a final prescription close to zero (little to no astigmatism), there's no capsular opacification, and there's no dry eye or eye surface problems (all three of these issues notoriously interfere with the function of multifocals and if not addressed, then the multifocal won't function well). If leaving the multifocal in place doesn't work, then have it exchanged.
Best wishes,
Timothy D. McGarity, M.D.
www.tmcgaritymd.com
I think you can check yourself for eye dominance, look at an object across the room with both eyes, center it in a small circle made using your hands/fingers, close one eye, then the other, it should stay in place looking with one eye, that’s the dominant, and it will move out of range when viewed only with the non-dominant eye.
Thanks for the info. You answered my question about the halos. I'm hoping a monofocal lens will improve the image of my halos/night vision. My indoor vision with the mulifocal is excellent. My concern with if I got a second multifocal is the night vision. I can read with one multifocal lens in my left eye. I have no longer have correctable reading or intermediate vision in my right eye due to the cataract. I hope trading reading vision with two eyes for at least making sure my night vision doesn't get worse is the right decision. I'm only 43 so I need to be able to drive at night. A greater percentage of the younger patients in the study were satisfied. My surgeon never checked which eye was dominant before the surgery so I don't know which eye was dominant before the surgery. I'm left ear dominant, left foot dominant, and right handed, don't take pictures so I really don't know which eye was dominant before the surgery. Right now I suffer from eye pain and headaches from the eye strain.
I don't want to chance getting a second multifocal and then needing an explant. The explant surgery sounds like it was painful.
I will check the articles you mention, appreciate the information. I did want to answer you so briefly my story is my prior posts explain I originally had the Restor lenses in both eyes, and found that they did not deliver what was promised, creating aberrations and trade-offs that were never disclosed. Once it was decided lens replacement was the only real option, I had the feeling to do the dominant eye first only because I felt it was the one that was more problematic, and just by coincidence found it fit the hybrid monovision concept. The monofocal lens cut down some of the problems such as halos, but never achieved the refractive target of slightly nearsighted to give me back some of my close vision, instead it seems to have fallen into the intermediate to distance range Personally, I don’t believe the neuroadaption thing is all that real, no miracle is going to happen, I think it is more that with time a patient either gets used to it or just resigns to their fate. If I knew then, what I know now I never would have had multifocal implants, but I won’t get into my opinions here.
Its not that I’m doing the hybrid monovision by choice, I need reading glasses to sharpen my vision for anything within arms distance. I am going to try contact lenses and if that improves my vision, then the option could be to do laser surgery, or just use contacts when needed, but will likely still need glasses for some or most close range tasks. Bottom line is the multifocal gives me distance, and some close vision if the lighting is bright enough, but I can no longer easily do what the practical sharp close vision I had being mildly nearsighted allowed. Even though I'm told my vision is 20/20 I often don't feel the quality is all it should be. I don't know if i answered anything to help you, but please let me know
This link is to article that addresses mixing a Restor lens with a monofocal IOL. The issue is discussed on p.63 in a box.
http://www.crstoday.com/PDF%20Articles/0807/CRST0807_08.pdf
This article also has some info on multifocal + monofocal along with other types of monovision. The references at the end are helpful.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3214420/#ref13
I'll keep you posted on how I'm doing. I'm having the surgery in March. I have perfect 20/20 reading and distance vision in my left eye with the Tecnis lens. My problem is the halos and glare. I'm trying to avoid having an explant since I have had a post vitreous detachment in that eye and still have flashes after 6 months.
How's your vision now with glasses? Do you have a halo glare problem now or is hard to tell?
Keep me updated on your progress. I am interested to know how you are doing
I have been reading about hybrid monovision. I have one tecnis lens in my left eye. I am scheduled to get a monofocal lens in my right eye. I am not sure if this will work because my left eye is currently the dominant eye. I don't know by how much or which eye was dominant before the surgery. The lense has been in my eye for almost 11 months.
There is research to support that it works in your type of situation. Keep in mind that you have a new visual system that's going to require neuroadaptation.This probably the study you are referring to
http://www.ncbi.nlm.nih.gov/pubmed/22018364
http://ophthalmologytimes.modernmedicine.com/news/monofocal-lens-bilateral-implantation-allays-discontent
Thank you for responding. If possible an opinion on the following-- Between the added invasiveness of explanting the multifocal and the corneal edema (now much improved), but as of 6 days post-op, my concern is the monofocal vision is of no improvement; much less to think to do the 2nd eye. Do I need more healing time for return of clear vision, my one specific question is ** HOW LONG might it be until, or should it have been apparent already, to judge the hoped for improved, sharper quality of vision in the eye that had the lens exchange?
Right now I’m losing optimism and I am almost at the point of feeling that I am only going to go from bad to worse. Maybe I should resign myself, get a good pair of whatever custom prescription glasses I need, as I basically need to wear reading glasses most of the time for many everyday tasks if within arms reach distance, I lost the one thing I asked not to be sacrificed, the functional close vision, despite the small cataract, from my pre-surgery being mildly nearsighted. I was never made aware the Restor IOLs would diminish my quality of near vision.
Just asking to have unbiased opinion of what to consider before I discuss this at next Dr appointment.
thank you for your kind attention