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issues relating to monocular vision after cataract surgery
I will have cataract surgery in Dec and Jan. My surgeon wants to give me fixed focus IOLs for distance only in both eyes because I have too much astigmatism for any multifocus lens. During my cataract surgery, he will also correct my astigmatism with AK.
My surgeon recommends against monocular vision because of depth perception issues. However, for many years, I very successfully had a distance contact lens in my dominant (right) eye and a reading contact lens in my left eye.
I want to request that a
My surgeon recommends against monocular vision because of depth perception issues. However, for many years, I very successfully had a distance contact lens in my dominant (right) eye and a reading contact lens in my left eye.
I want to request that a
not to be nit-picky, but Alcon makes several models of implants that start with SN60. You will need the last 2 letters to determine if it is meant to mean the spheric, aspheric, diffractive, toric, or preloaded versions of this platform. SN60, to my understanding, represents any model that is a single-piece foldable AcrySof design with the "Natural" blue-light filter. WF means it has a "Wave-Front", or aspheric optic. But I know there is SN60AT, and SN60D3, and SN60TT, also, with different features.
Hud,
Your response was very helpful and answered my question. I didn't realize "SN60" referred to a family of IOLs. So, my surgeon was just using shorthand when he referred to the IOL he uses as the "SN60" (his technician later referred to it as the SN60WF).
Do you agree with Jodie that the SN60WF is the code for the Acrysof IQ?
BTW, one of the reasons for my confusion was based on a Sept 12, 2006 report at the XXIV Congress of the European Society of Cataract and Refractive Surgeons that made six references to the Alcon AcrysofIQ, three references to the SN60, and one reference to the SN60WF, as if they were all different. Following is the link to that report: http://www.escrs.org/EVENTS/06LONDON/
sessiondetails.asp?id=512&category=Free&sessiondate=12/09/2006
Your response was very helpful and answered my question. I didn't realize "SN60" referred to a family of IOLs. So, my surgeon was just using shorthand when he referred to the IOL he uses as the "SN60" (his technician later referred to it as the SN60WF).
Do you agree with Jodie that the SN60WF is the code for the Acrysof IQ?
BTW, one of the reasons for my confusion was based on a Sept 12, 2006 report at the XXIV Congress of the European Society of Cataract and Refractive Surgeons that made six references to the Alcon AcrysofIQ, three references to the SN60, and one reference to the SN60WF, as if they were all different. Following is the link to that report: http://www.escrs.org/EVENTS/06LONDON/
sessiondetails.asp?id=512&category=Free&sessiondate=12/09/2006
Since your surgeon uses Alcon lenses, there is another lens that you might discuss with him/her. It's the new (this year) AcrySof Toric IOL. It's reported to be a more predictable, permanent way to correct astigmatism compared to limbal relaxing incisions. It's considered a "premium" lens, and my surgeon would have charged me $1000 beyond the amount covered by my insurance. I would have paid it, but it didn't come in the power that I needed. However, if you're only mildly to moderately myopic, it might be ideal for you.
Jodie,
My surgeon has said that toric IOLs tend to rotate, creating new vision problems. He didn't specify brandnames but seemed to imply that all toric IOLs, presumably including the AcrySof Toric IOL, have that tendency.
I'm becoming very comfortable with the plan to get monovision. In fact, I'm now looking forward to having it done and not having the eye strain that's getting increasingly worse.
A major part of the reason for my comfort level is your first post, relating what a cataract surgeon told you about monovision, for which I thank you very much. Another part of the reason is the third answer from Forum-O.D.-RMP, indicating that a later problem should be easily correctable with glasses.
My surgeon has said that toric IOLs tend to rotate, creating new vision problems. He didn't specify brandnames but seemed to imply that all toric IOLs, presumably including the AcrySof Toric IOL, have that tendency.
I'm becoming very comfortable with the plan to get monovision. In fact, I'm now looking forward to having it done and not having the eye strain that's getting increasingly worse.
A major part of the reason for my comfort level is your first post, relating what a cataract surgeon told you about monovision, for which I thank you very much. Another part of the reason is the third answer from Forum-O.D.-RMP, indicating that a later problem should be easily correctable with glasses.
Monovision would absolutely be my first choice correction if I could still do it. I had a very hard time adjusting to it during the first week, and I would have given up if my optometrist hadn't urged me to try a little longer. But having good vision at all distances (without halos, glare or concerns about lighting) makes it a great option for those who can tolerate it. (For what it's worth, did you know that former President Reagan was a big monovision fan?)
I hope your outcome is all you hope for. Best of luck!
I hope your outcome is all you hope for. Best of luck!
Nothing has beat or surpassed the Tecnis lens which has the most valid and published studies to date. I will be anxious to see comparisons. In a recent study by Franchini,which compared four models, Tecnis, IQ, B&L and Staar using a ray tracing program and eye model, the Tecnis demonstrated the best results in depth of focus and overall was most balanced. According to Franchini, the Tecnis IOL remains unsurpassed and the gold standard IOL when compared with its aspherical counterparts.
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