Multiple focal lens explant

[aneer]

In had an implant of multiple focal restor +3.0intralocular lens in the right eye two months back. Have had lot of difficulty with night vision with the right eye. I have glare, and also blurred vision.
My left eye still has the natural lens.


Have tried using anti glare glasses. Does not help. My profile does not need multifocal.
I would like to get  this lens  explanted and replace with a mono focal..

What is the surgery like ? What are Likely post operative complications , if any. Can you suggest best surgeons in india    

[Timothy D McGarity, M.D.]

There are plenty of good doctors in India, but I can't make any specific recommendations. IOL exchange can be done years out, but it's easier to do within the first few months after surgery. 3-4 questions need to be answered: what's your final prescription power in the eye with the multifocal? Any early capsular opacity or dry eye? Any higher order aberration such as coma? These questions need to be answered. If there's higher order aberration, then it will be difficult for you to retain the multifocal.
Best wishes,
Timothy D. McGarity, M.D.
www.tmcgaritymd.com

[Timothy D McGarity, M.D.]

Hi, sorry, I've been on holiday. Glasses or contacts can give you a temporary trial. This may help. If it does, then you can have PRK to finish the job. If you need the multifocal removed, then have it done fairly soon.

[aneer]

Thanks for your quick response.
Prescription power in eye with multifocal
  Right eye with multifocal   Distance - sph -1.00 ; cyl 0.50 ; axis 70'
Left eye , natural eye- sph +0.75 ;cal +0.50; axis 150
Do not have dry eye.  Not sure what is higher order aberration. Will revert.
Related question-
Currently , my left eye has natural lens with above power . Have  early cataract.      My key problem is night glare, halo against light which does not allow me to drive at night    Will the implant of mono focal  in my left eye  help me adjust to the problem with right eye.  
Is  implant in left  eye a must.
Thanks doctor for your quick response. Truly appreciate.
Regds
Arun
              ..
          


Reading -near add +2.25 D.S  b/e
Mid distance add +1.50 D.S. B/e

I do not have dry eye
Not sure what is higher order aberration, will check out  

My biggest concern is night driving.
Related question-

[aneer]

I am 57years. Profile in terms of work I do. Need to do office work, read , see presentations and do a bit of driving. I cannot drive at night now since I see huge circles and glare against head lights.
If I do not explant and replace with a mono focal now, I will not be able to do later.
What is retinal tear and macular cyst

Thanks for your quick response. Truely appreciate.

[DavOD]

You don't say how old you are and whether there is a surgery planned for the fellow eye. Also... what do you mean when you say "My profile does not need multifocal."?

It's best to avoid IOL exchanges but, if necessary, it should be done in the first month or two after surgery. Second surgeries are more likely to cause retinal tears and macular cysts - both of which can be treated but better avoided.