Mini Mono Vision infomration Required for Cataract surgery decision

[ndesai]

Hello Everyone,

I am 46 yr. old, have astigmatism in both eye and have already done cataract
surgery in right eye, Toric IOL set to distance in my right eye and thinking of doing
left eye with mini monovision using Toric IOL, I have a surgery next week
for Toric, Distance, I am thinking of getting mini Mono Vision -1.25 done in my left eye, so based
on my reading in the forum, I have few questions, so I would like some answer
so that I can make informed decision to go with Mini Monovision

1>What I am expecting from Mini Monovision is that I should be able to have better
intermediate/distance vision, which will ALLOW me to read computer, dash board in car
and so on, is this realistic expectation ?

2>I am thinking I should not expect to read from Near distance when it is set for intermediate
in left and distance in right ? I will need to have reader for reading near

3>I spend 10-12 hrs. on computers and using one eye for intermediate for that long
will make my eye tired ? if that is the case, can I use progressive glasses over mini
mono vision to work on computers ? which will allow me to read intermediate without
glasses during temporary activities and for prolonged I can use glasses

4>Will few days is good enough test to check whether your brain will accept mini mono vision  ?

5>When I called Dr. office they told me since I have astigmatism, getting test contact lens to simulate
mini mono vision might not be readily available, it will take some time and it won't
be covered by insurance, what are my options to test my adaptability with mini mono vision ?


5>Is difference between two eye should be -1.25 to get mini monovision,which will
allows you to get intermediate range in one eye(non-dominant) and distance in other
eye(dominant), is this correct ?

5>Are there possible to have Glare/Halo using Toric IOL just due to
using Mini Mini Mono vision ?

6>Are there any downside of using mini mono vision over long term ?

7>If at some point, if brain do not like mini Mono vision, can I use progressive glasses
over mini mono vision for all distance ?

8>Because of mini Monovision, do I loose crisp vision in distance ?

9>I can use progressive glasses over mini mono vision to get crisp vision for all the distances, is this
correct ? if I need crisp vision for certain activities and having mini mono vision would not
prevent me from using progressive glasses for better vision, is this correct ?


I will really appreciate your response in this regard, so that I can make educated decision
for mini mono vision and also can set my expectation accordingly.

Thanks for taking time.

-Regards,

[Craig10x]

No problem....It's automatic...the brain fuses the two images together...some have the impression that with monovision and mini monovision you are seeing out of one eye or the other (depending on the distance)  that is not really the case...both eyes are working together and the brain sorts out the best image from the two...

But it does take a while to get use to it...also try not to do a/b comparisons closing one eye or the other...i was doing that for awhile but realized that i would adopt faster if i didn't do that (lol)!

The less the amount of monovision of course, the quicker it is to adapt to it...in the case of mini, it shouldn't take long at all...

Let us know how you make out...

[ndesai]

Thanks for the info

One more thing, since using mono-vision we are using one eye for intermediate/nar vision and one eye for distance, so when we are focusing on distance and when we are focusing on intermediate/near, is it normal for eye to see things from the start or do u have to develop habit to look accordingly ? What I meant is will there be any habit/training we need to develop to look accordingly ? since both eye is looking at same object, where one eye can see clearly and other can not based on the distance from the object, but will combined image is good enough for brain to interpret and see image from the start ?

-Thanks

[Craig10x]

Actually, i had glare in the same situation (watching my flat screen tv) and only with that (both after cataract surgery with full monovision and after the lasik touch up change to mini-monovision)....

But the glare was worse before the touch up change and the picture on the tv was not as clear...it was hard to watch for me where as now it is not...

Also, the computer screen was clear but not sharp before the touch up, after the touch up, very sharp!

I do have to read further away then i did before (several inches) that was the only sacrifice i made going from full monovision to mini, but i feel it was worth it to get the extra sharpness in mid and distance...

I have a 32 inch tv but when i went to a friend;s house that has a bigger set (50") i didn't notice any glare on the tv...

I'll probably have to experiment with lighting in my apt to see if perhaps turning certain ones off reduce the screen glare...but the glare may be improving on it's own, at least it seems that way to me...

To answer the other questions:  After the cataract surgery, my reading/intermediate vision capability was mostly there after just the first few days...though i think it improved a bit after i was able to stop use the medication eye drops...

And after the lasik touch up, the differences i noted when just a day or two i would say, but after lasik it seems to continue to improve as time goes along...depending on how your eye(s) heal after lasik, it could take up to a few months before you reach the maximum vision i think but for the most part, you notice the difference in just a day or two...

[ndesai]

Hi Craig10x,

Thanks for the reply.

So you did not had Glare prior to lasik ? I meant after Cataract ?

Also with full mono vision, after the surgery, how long did it took you for reading/intermediate vision capability ? and after lasik touch-up, how long did it took you for getting better reading/intermediate vision ?

-Regards,

[Craig10x]

I had the dominant eye (right) done first and non dominant (left) done 4 days later...My cataract was pretty much along in the right eye at the time of surgery and left eye was also coming along, so we couldn't really do the "test" in advance...

My doctor made the left eye at -2.25 diopters (which is more like full monovision) to maximize reading capability...some people find that to be fine but for me it took away a bit too much from mid and distance...

It's much easier to do the "test" after both eyes are done of course, and i got a very accurate picture of how it would be like after the "lasik touch up" to slant it more toward the "mini monovision"...

I do get starbursts at night around street lights and traffic lights and that seems to be a permanent thing for me, but it doesn't really bother me that much...in fact, in looks kind of pretty at night (lol)....I had that even after the iol surgeries, it wasn't brought on by the "lasik touch up"...

Glare i only get a bit of when watching my lcd tv screen, but it has only been about 3 months since i got the lasik touch up so that may improve over the next few months...I don't have any glare in any other situation then watching the tv...not even in the movie theatre...

[ndesai]

Hi Craig10x,

By the way, how long did it took you before Glare went away after the surgery ? and also how long did u waited after the First surgery for going in for the 2nd surgery ?

Do you still have any Glare/Halo after the surgery ?

-Regards,