I am 48 years old and have type 2 diabetes. As a result of the diabetes I had leaky blood vessels in my macula that caused minor swelling behind the retina. My Retinologist used a laser to sear some of the blood vessels to reduce leaking. The swelling is nearly gone, things are, and have been stable for some time now. She has given be the green light on cataract surgery since I can barely see through my right eye.
MY FIRST QUESTION is regarding the information that my eye specialist is using to calculate the specifications for the lens. About six months ago, I had a refraction before the cataract got so bad that I could no longer see. This was used for a new perscription for my glasses. About a month ago, another refraction was done. This time I could barely if at all tell the difference between different powers, since the cataract had gotten so bad. When I ask the person who was doing the tests for the lens implant about which refraction they would use, the response was "we use the distance from the front of the eye to the retina, and information about the topograghy of the cornea to determine the perscription. The refractions (taken earlier) have very little to do with the new lens selection. IS THIS CORRECT, OR SHOULD THEY HAVE USED TO OLDER REFRACTION THAT WAS TAKEN WHEN I COULD STILL SEE WELL?
MY SECOND QUESTION regards the recommendation for which lens to implant. I will be receiving financial assistance for the lens and doctor portion of the surgery, and I don't want to opt. for something that is less than best just because of my finacial situation. I have a great need of near vision with the type of work that I do, and would rather wait and do things the best way, than settle for mediocre right now. My doctor says that he is not recommending a premium lens because they have not been tested on people who have had laser surgery such as mine. My other eye also has a mild cataract and I wear a very thick perscription. The doctor says that I cannot wear wear the thick lens (nor would I want to), but that I should wear a contact. He already expects that I will still have to wear glasses after the surgery, so will I end up wearing glasses and contacts at the same time? DOES ANYONE HAVE ANY INSITE ON MY SITUATION.