Eye Care Expert Forum
IOL prescription
About This Forum:

Our Ask-A-Doctor Eye Care Forum is where you can post your question and receive a personal answer from physicians affiliated with the American Academy of Ophthalmology.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

IOL prescription

In April 2009 I had cataract surgery in my right eye with a B&L Akreous +15.00 IOL(clear). In April this year I undertook YAG treatment. The vision for right eye is -0.50 Sphere -0.50 Cylinder. Now I decide to go for left eye cataract surgery. Presently, the left eye vision is -7.00 Sphere and -0.75 Cylinder.  I am under a different doctor and he wants to put tinted Alcon IOL (not clear), will it be compatible ?
I want to read computer, books and cook without using glasses, what prescription for my left eye do you think I should have ? I am seeing the doctor tomorrow, I will appreciate your prompt valuable advice. Thanks for all the help in the past years.
1731421_tn?1358826971
I can't tell you what the prescription of the IOL should be. That is determined by IOL biometry. I perform IOL biometry with the LenStar®. You want to be able to do intermediate and near tasks (computer=intermediate and books=near). It's very difficult to obtain one eye which can simultaneously see intermediate and near without the aide of glasses. It's much more feasible to get an eye to see either intermediate or near, not both. The only way to do this is with a multifocal IOL. These multifocals are best implanted in both eyes. Probably the best for you will be to aim to make your next eye about -1.50 to -1.75. This will allow you to see the best.
Next question: different colored IOLs...probably won't make any difference. I've done this on a number of patients and have never had any issues, but I
ve heard reports of patients being miserable with this combination.
Best wishes,
Timothy D. McGarity, M.D.
www.tmcgaritymd.com
Blank
Continue discussion Blank
This Forum's Experts
233488_tn?1310696703
John C Hagan III, MD, FACS, FAAOBlank
Discover Vision Centers of Kansas City
Kansas City, MO
2078052_tn?1331936700
Doreen Fazio, M.D.Blank
Amerisight Institute and Valley Eye Center
Van Nuys, CA
1731421_tn?1358826971
Timothy D McGarity, M.D.Blank
Timothy D. McGarity, M.D. P.C.
Columbia, MO
711220_tn?1251894727
Ray T Oyakawa, MDBlank
Sharper Vision Centers
Torrance, CA
1573381_tn?1296151159
Houman Vosoghi, MDBlank
Valley Eye Center/Darin Eye Center
Van Nuys, CA
1991824_tn?1331936603
William Goldstein, MDBlank
William S. Goldstein, MD
Shelby Township, MI
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
242532_tn?1269553979
Blank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating: What Your Closet ...
Jul 09 by Roger Gould, M.D.Blank