what is your opinion?

[mada_drs]

i understand but my vision procentually is 50%-60% to the left eye and 90% for right eye with corection so i think your solution is not possible for me :(( the doctor told me another option is to do laser surgery now in order to improve only my near vision, and use glasses for distance vision ,until an accomodative crystallin appears on the market.what do you think?  thanks for your advices

[Sandy Feldman, MD, MS]

Dear mada drs

I would speak with your doctor and research IOL implants on the internet at the time you undergo cataract surgery.  IOL implant technology, like all technology, changes over time.

Sandy T. Feldman, M.D., M.S.
ClearView Eye and Laser Medical Center
San Diego, California

[JodieJ]

As a dental student, you need the sharpest possible near vision.  Have you tried traditional bifocal glasses?  Or you could have single-vision glasses made for close vision only.

Can you wear contact lenses?  Have you tried contacts that give you the best possible near vision?  You could wear glasses over the contacts for distance vision.

They also make bifocal contacts with the same type of design as bifocal glasses.  Usually the distance vision is on the top of the contact and near vision is on the bottom.  (I think it's called a "translating" design.)  There are both hard contacts and soft contacts (an example is the lens by Gelflex) with this design.

Maybe one of the forum ophthalmologists has more suggestions for you.  

[mada_drs]

I have also  tried  progressive  glasses but i can' t really adapt  with them,now  I am using progessive  contact lens  but neither them help that much.i also use -surgycally  magnification .  Either way , i will proceed the surgery for iol implants two years from now,but i would aprecitate  if u could recomand what suits me best

[JodieJ]

I think you have some mistaken ideas about what multifocal/accommodating IOLs can do.  You definitely should do more research about this.  There are many problems associated with these IOLs, even when they are implanted in healthy eyes.  Based on your previous post, you already have some eye damage.  You are young (and a dental student!), and I really think you should focus on getting your best vision using glasses or contacts (which don't involve a risk of additional damage to your eyes.)  Attempting an IOL exchange in order to get a Crystalens makes no sense to me.  

[mada_drs]

sorry for having opened another topic, the question was for dr sandy, about changing a monofocal implant with a multifocal one