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Cataract surgery pending.

Surgeon never asked about my lifestyle.  If I want to see for reading without eyeglasses, or doing artwork, what would lens settings need to be ?   I also want to be at the computer and watching TV without glasses.  But what would my distance vision be like ?   She plans on setting at Plano for one eye, and minus 1 for other eye, what would my vision be like ?    Thanks. I'm so confused.  An opthalmalogist friend (in another city) suggests I get a second opinion.
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233488 tn?1310693103
I would also suggest you get a second opinion. First of all your vision will depend on the success of the surgery and the health of the rest of your eye.  START BY READING THIS:  https://www.medhelp.org/user_journals/show/1648102/Consider-ALL-the-Options-Before-Your-Cataract-Surgery-Working-Through-Whats-Best-For-You--2019-2020-Update      Now if you have a healthy eye (except for cataract, and the surgery goes well, and you have no corneal astigmatism) in the eye with "Plano" you will have good vision for 20 ft (6 meters) or further but TV a0 feet away will not be clear and computer and reading will be very blurry. In the eye with -1.00  the computer screen will be clear  and in good light with large print you likely will be able to read but very small print, or extended reading will not be possible.  Your glasses RX will be   0.00 in the distance eye -1.00 in the intermediate eye and you would need a reading add of about +2.75 and the glasses would be no line progressives. This would let you use both eyes for distance intermediate and near and read small print and read for extended periods of time. .
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Thank you so much Dr. Hagan for your prompt reply. I do have some astigmatism in both eyes:  on the medical records I got from the opthalmologist, it's 2.23 D on right eye; and 1.24 D on left eye.

I was going to have femtosecond laser-assisted cataract surgery on both eyes, to help with astigmatism.  And the blended lenses (one eye set for plano and one at -1.00.)  But I am going to seek a second opinion as you suggest.

The opthalmologist-surgeon said that I had 20/400 vision in my right eye, but I do not see that in the medical records which show corrected vision of 20/70-1. And uncorrected of 20/150-2.     (My left eye is 20/40 corrected; and 20/150 uncorrected.) So I don't know why she said I was legally blind in my right eye .  

She was going to set my dominant right eye for distance, but I asked about setting the non-dominant eye for distance, and my
dominant eye for intermediate, since my dominant right eye is more near sighted now.    She went along with that. Is that OK ?

I am confused because this opthalmlogist is saying I shouldn't wait for the surgery (costing $4400), whereas my out-of-town
opthalmologist friend, by reading the medical records, is saying it isn't urgent.

Cataract surgery is rarely urgent. And this forum is full of people that rushed into cataract surgery and are very very very unhappy with the results. Plus you are paying a lot of out of the pocket money and I suspect you are going to be wearing glasses for quite a few things and definitely not glasses independent.
Thanks so much, Dr. Hagan. That is reassuring that it's wise of me to wait.

Just one more question if I may:   In "blended vision," with one eye set for distance and one for intermediate, is it OK to have the
dominant eye NOT set for distance, but set for intermediate ?  (Since currently, pre-surgery, my dominant eye is near sighted  ?

Thank you so very much.
There are always exceptions and you need to discuss this with your surgeon. Generally, but not always, the dominant eye is set for distance.
Thanks so much for your help. I really appreciate it !   Good to know there are  exceptions.
Best of luck. Over and out.
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