Monofocal monovision or distant

[reachspring1]

Thanks for this excellent forum. I have read extensively the past threads and benefited from the experiences of others. I had cataracts in both eyes and just couple of days back got one of the cataract (right eye) replaced with Tecnis Monofocal set for distant vision (Plano or zero).

After surgery, my operated right eye vision is now AWESOME. I can see excellent Distant and Intermediate vision. For Near vision, I can see little bit, not very clear, my smartphone messages reading would be little bit blurred. I can figure out time in watch but little hazy still. But for distant or intermediate vision is EXCELLENT and couldnt have asked for more. I have 20/20 vision in operated eye now. Can see TV excellent. Color texture and contrast are too good. Currently with my operated eye I can read news paper headlines without any trouble of assistance. No Halos or ghosting etc.,  Night vision is great.

My question is - What monofocal should I opt for my second cataract eye? Should the monofocal be set for Distant again or for Intermediate? What would be the trade offs compared to distant and distant option? My goal is to have decent near vision, I am ok with having reading glasses (I have worn glasses for many years so not a problem) for finer print.

Thanks much for such great service and for any advise..

[shirdisai]

Hi

Did you go ahead with the mini-monovision? Do you like it?

[wanlien3]

Looking at your response, I would agree that mini-monovision sounds like a good idea for you. Target something like -0.5D in your other eye, and you will see slightly better for near, but still need glasses for fine print, which you are prepared to do.

Depth perception is not affected by such a small difference in the refraction. For stereopsis to be affected significantly the difference needs to be in the region of -1.75 to -2.00D.

[KayakerNC]

I had Presbyopia and Astigmatism pre-cataract surgery vision, so no way to make an accurate comparison.
I can only say that my vision is now close to a 40 y/o's vision.   Eventually surgery will get you to a 30 y/o vision, but that is in the distant future, and only if the FDA gets out of the way.
If I close one eye, the non-dominant eye is clearer a few inches closer for reading.  With both eyes open, there is no overlap.  
No loss of depth perception, and contrast is better than ever.

[reachspring1]

Thanks KayakerNC..!  This is what even I am trying to target.

My question is - Do you observe anything abnormal with this setup? Do you loose depth perception with your settings? What do you miss when you compare to both eyes set to Distant option?

Greatly appreciate your inputs..!!

[KayakerNC]

I have the toric versions of Crystalens, Trulign, and after discussing the pros & cons, on the advice of my surgeon, went with the 2nd (non-dominent) eye targeted for a little closer vision, 1/4 to 1/2 diopter.
I am using 1.25 drugstore readers for very fine print, and no longer bother taking reading glasses with me at all times.
Google "Blended Vision" or "Mini-monovision".
Monovision is kind of extreme and a lot of folks can't and will never get used to it.
Discuss it with your surgeon.