64yr fe glass/RGP contact lens wearer past 50 yrs for myopia. Rx increased from 4 to 6+ in past 15 yrs. astigmatism. Current readers 2.75 to 3.0 depending on task.
Past 3 yrs vision has been more out of focus due to cataract progression.
Had single focus lens inserted into left eye after cataract removal on Aug 29. No complications in recovery. At 10 day visit, distance vision needed 1.75 correction. Tried Accuvue and cannot adjust - spending 10-15 min to insert and same to remove. Eye irritated, red, itchy after 3rd day removal.
Second visit at 4 wks post op shows eye now needs distance correction of 2.5. Opthamologist is referring me to a specialist who will replace the lens and can offer LASIK. She has asked me to think about my options.
I have spent 5 hours online researching accomodative, multifocal, monofocal and LASIK as well as complications when lenses are exchanged/replaced. Very little is posted in the way of peer reviewed literature.
Here is the outcome I desire:
As near perfect distance vision as possible in daylight conditions. I am very willing to continue with reading glasses for computer work and sewing. I would also like to be able to see clearly about 8-12 feet away but that is not as important as clear vision 20+ feet away. I do not want to go back into RGP contact lenses. While the glass contact lenses gave me excellent vision and comfort for 2-3 yrs (1967-1994) the RGPs wear out after only 6-9 mo. At $100 per lens plus solutions this is more than I want to invest. I would rather invest in the correct IOL and/or LASIK.
Q: What lens would give me the best outcome? Does having a second surgery on the same eye present a higher risk than the first surgery? If so, for what? After the lens is exchanged, if my astigmatism is causing focusing problems, will LASIK correct that?Is LASIK a good option now for correcting the 2.25 distance instead of replacing the current IOL?
Do you think the wrong IOL strength was due to wearing the RPG? If so, how long do I need to not wear the RPG in my right eye to ensure a better pre surgery measurement.
I am not diabetic and have no other eye conditions. I am asthmatic with seasonal allergies and reflux and have been on inhaled steriods for 15 yrs (which I am told influenced the progression of cataracts.) I have no other medical conditions.
Thanks for your input. My referral apt is in 2 weeks so I would like to be prepared for the discussion of my options.