50 years old, LASIK 11 years ago went from -12 to 20/20. aggressive cataracts in both eyes removed 20 months ago. mono-focal iol implanted- I was never told or asked about preferences. Vision is horrible and getting worse.Have every higher order distortion and aberration possible. Right explanted due to tilt, shift and out of sac 10 months ago.Left needs to be explanted-same reason. Many eyeglasses- bifocals, progressive, IPSEO and contacts (hard, soft, gas perm , DUETTE) with no relief. now in 22mm scleral lens but this works only for a few hours a day and at 1 focal point only and they hurt. Now being told multi-focal piggyback might be option but not done in the US yet. Any info on this iol? any other suggestions or new iols that might be helpful?
In general, a monofocal IOL is preferred after LASIK, so as not to induce further decreased contrast sensitivity. Your particular situation is more complicated due to the positioning of the implants. You did not say where you live, but I would consult Richard Mackool in NY, Michael Snyder in Cincinnati, Samuel Masket in LA, or Mark Packer in Oregon.
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