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Cataract Surgery, Prism & Astigmatism

I will be having cataract surgery on both eyes in the next few months. I have significant myopia and prism - which I understand that the surgery will not correct, so that I will still need corrective lenses after the surgery. I also have significant astigmatism. The surgeon has suggested using toric implant lenses to correct the astigmatism but I am wondering whether basic monofocal implants might be a better choice since I will need to wear glasses after surgery anyway and the glasses can correct both the astigmatism and the prism.

The toric lenses would cost a total of $2400 more than the monofocals which I can deal with so I am only concerned with making the best long-term choice.

Interested in thoughts and informed opinions on my choices.

Thanks on advance, Joel
6 Responses
233488 tn?1310693103
MEDICAL PROFESSIONAL

Considering Cataract Surgery? Read This First

Eye expert John Hagan, MD, FACS, FAAO discusses factors to consider and discuss with your eye care team before embarking on cataract surgery.
Avatar universal
I was diagnosed with astigmatism and high cylindrical power +4.50. I had C3R procedure in July. The doctor advised toric lenses. That procedure is for a term of minimum 5 years and rest depending on care n precautions taken.
233488 tn?1310693103
MEDICAL PROFESSIONAL
I -
Avatar universal
I  am very short sighted with astigmatism and prisms. My question is this; Can I have corrective surgery or wear contact lenses so I no longer need to wear glasses please?

Thanks very much for your time and trouble in advance
233488 tn?1310693103
MEDICAL PROFESSIONAL
No it is not possible with refractive surgery to completely eliminate the need for glasses in patients 40 or over.  You can often improve your vision without glasses, reduce dependence on glasses with the refractive surgery.

There are other factors such as glasses RX, corneal thickness, other eye problems and your expectations out of what you would gain from the sugery.

If you want to explore these you would need to see an Eye MD ophthalmologist that does refractive surgery.


JCH MD
233488 tn?1310693103
MEDICAL PROFESSIONAL
I might add that any benefit you have from prisms in your glasses cannot be duplicated by refractive surgery.
JCH MD
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