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Single eye cataract surgery, dominant eye. Near or far?

I'm 66, rather nearsighted. My -10.0 left eye has developed a cataract that two opthamologists (both cataract surgeons) tell me must be removed. My right eye (-6.0) has indications, but they say nothing that an updated prescription can't handle considering the risks of surgery. Suggestion is that I leave -2.5 in the left eye and wear a contact lens most all the time in my right eye to compensate for the distortion. Problem is (beyond the obvious) is that my left eye is also my dominant eye, used for all needed distance vision...(driving, trail running, playing pool....). The bloggers in this situation have reported all kinds of problems. We had originally thought both eyes would need the cataract surgery and that distance vision for both, glasses for up close would work well...but now only one eye...Is there any good solution? Should I find someone willing to do both, or is that just an unneeded risk?
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233488 tn?1310693103
If you have cataract surgery and the target in LE is -2.50 then the glasses RX will be RE -6.00 and LE -2.5    Your LE should see a lot better for distance with glasses or contact lens than it does now because the cataract will be gone and the RX will be -2.50 rather than -10.00 (image size much larger with post IOL).  You already have 4 diopters of unequal refractions (aneisometropia) and may do well with glasses if not then contacts for distance and glasses for near.  After your LE is fixed and heals you can decide then what to do. No need to make a decision right now.  I would suggest you consult a retina surgeon to examine your eyes prior to surgery to see if any small holes/tears/thin areas that might need fortifying with laser or freezing treatment prior to the cataract/IOL surgery.  
Helpful - 1
Thank you. I have had the retinal exam and am all set as far as that goes. I have been near-sighted since I can remember and have used glasses and or contacts for distance, so the decision to continue seemed to make sense to me. (That is, not attempt distance vision correction...the ability to read, computer work as a CPA is important to me. I guess I was most concerned about the image size differential. Yes, I guess I have dealt with the existing aneisometropia (which had come on gradually during many years), but now we are switching from 4 diopters in one direction to maybe 3.5 in the other direction. I'm not sure how the brain processes that, but if it's additive then we are presenting it with a 7.5 diopter move....then again, from what I have been reading in these blogs it seems like everyone processes these changes a little differently and I won't know exactly until it's done. At this point I think I am good, have considered all the options and have a path forward, I appreciate your comments and will see what is best after it all heals. Thanks again.
Thanks.  Over the years it has been my experience that myopic patients that are used to reading and seeing computer without glasses are extremely unhappy if unable to do so after cataract surgery.  If they say they want their post op refractive error in both eyes as 0.00 or good vision at 20 ft/6 m  then I require a second opinion since that is rarely a happy outcome and they usually say "before I had cataract surgery I could read without glasses"  
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