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]

You are very welcome...yeah, i pretty much have gone through what you are now...As far as some people preferring 20/20 in both with the sacrifice of the mid and near, i think it is usually those who need very precise and super sharp distance vision...say like a pilot or a golfer as examples....

But with my new (closer to mini monovision) set-up, i find i am able to do drive, go to movies, do computer and even light reading....all without any glasses at all...with perhaps only a tad less distance sharpness then i would have the other way....i prefer the versatility as you do....

Keep us posted...i'd love to hear how you are doing with it....

[ndesai]

Hello Craig10x,

Thanks for all the information

Today I had discussion with my Dr and I have ordered contact lens to try it out, which means for now, I have cancelled my surgery, to try mini mono vision with contact lens and based on that I will decide to do the same with Toric IOL. Ofcourse this will add additional expense, but I think that is the best way to do it

I was told right eye is still heaing but my right dominant eye has 20/30 vision, so based on my experience with Contact, I may end up with -1.25 to -1.75.

For now, I would prefer that I can have Near/Intermediate/Distance Vision and if necessary, I can always put progressive to make it more Crisp. Doctor told me I may get intermediate Vision with Mini-Mono vision but might not be Near ?


Why would someone who can see Near/Intermediate/Distance may go with 20/20 with both eye ?

I will keep you posted, seems like I am pretty much in the same boat, as you were few years back

-Regards,

[Craig10x]

And keep in mind that if you go 20/20 in both eyes, you will be very dependent on readers since anything with, say 2 to 3 ft of you will be blurry..so that includes reading and computer of course...that shouldn't be the case if you go mini-monovision...

If, after 6 months to a year, you decide you would rather be 20/20 in that eye and are willing to put up with using readers a lot, then a lasik touch up should do it for you...

I think generally most eye surgeons prefer that route (lasik touchup) instead of removing and exchanging the iol lens because it is far less invasive way to go...

Either way you go there usually is some compromise, you can't obtain perfection with this but you can make things work pretty good...only you can make the final decision...just decide which way sounds better overall to you...

[John C Hagan III, MD, FACS, FAAO]

Craig10X answered many of your questions. The other questions have been discussed in detail and you can aaccess those discussions on Mini-monofocal vision  with distance bias using the search feature and archives.

JCH MD

[ndesai]

Hello All,

Can you all share your experience with Mini-Mono vision and also answer few of my above questions ?

-Regards

[John C Hagan III, MD, FACS, FAAO]

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