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Crystalens HD or Aspheric???

Dear Doctor & patients,

I'm very confused & concerned about getting eye surgery... I'm in my early 50's and can no longer wear my GP contact lenses due to dry eyes.  I had great, crisp correction of astigmatism & severe myopia for many years with my GP contacts, then used reading glasses over them throughout my 40's until I could no longer tolerate my dry eyes...

Now, I am wearing progressive glasses for over 2 years, but  many of my activities are limited, including driving because my vision is not crisp & I do not have the peripheral vision that contact lenses provided.  I've become much less active & it is affecting my work ...

I am a CPA & an avid reader, so my vision is crucial.
With my astigmatism, myopia & presbyobia... what type of implants would you recommend?  I've been told I am not a good candidate for laser surgery, and one surgeon suggested CL HD, followed by yag & then lasix if needed (probably needed...)... meaning 6 total surgeries -- 3 in each eye.

This was from a very high-volume "big name" clinic in Dallas, with little input from the doctor himself -- who briefly looked over my chart after a technician spent considerable time examining my eyes.

Should I get a 2nd (and 3rd opinion)?  I'm concerned about "waxy" vision or ending up with worse dry eye problems, making my vision worse than better.  The information seems very confusing & I'd like more objective information, especially concerning astigmatism & eye surgery...

I've seen some eye docs who prefer aspheric implants vs Crystalens HD, and I am also wondering about the details gearing the procedure more to close (reading) vision versus distant vision.  Is all this considered "wavefront" technology?

And last, but not least, what about significant side effects with the newer implants (like waxy vision, glaring & halos?).  

Thanks so much for your time & any guidance you can provide,

Sincerely,
Dallas CPA
1 Responses
517208 tn?1211644466
MEDICAL PROFESSIONAL
Dear DallasCPA,

After reading your history, I was wondering whether you have a condition such as cataracts or is it just the glasses that are bothering you?  One thing to note is that no procedure is perfectyou’re your expectations need to be realistic.  I would recommend that you ask more questions before you undergo any surgical procedure.

Dr. Feldman

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