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correcting for "plano" versus "modified-mono" vision

To: Ray T Oyakawa, MD and Michael J Kutryb, MD and any other MD who wishes to advise,

I appreciate the wealth of knowledge shared by the professionals and the patients on this site.

A few questions I have:
Is it possible to have good distance vision with the Alcon toric lens when one has modified or mini-monovision -- i.e. if surgical eye is corrected to "plano" and the second eye is corrected to the mini-vision.  Or can one only get good long distance vision (15-20 feet, reading street signs, watching a play) if one has both eyes corrected to "plano" or if a different lens is used -- e.g. one chooses a non-aspheric lens or a more standard lens?

In your experience with the Alcon toric lens (versus other lens options), is achieving a desired target of “plano” for good long distance vision difficult to attain?   If a target of 2 meters is chosen is that close enough to “plano” to give good long distance vision and avoid the risk of “overcorrecting”?   Could a person end up with "good computer vision" when the goal was "good long distance vision" and that patients can end up with varying results as on a bell curve.

If one is considering a IOL explant/exchange on the surgical eye, is it advisable to “redo” the biometric measurements (especially if there was a difference between the 2 eyes).

Would Lasik be more advisable than "lens exchange" to correct the vision to "plano" in the surgical eye?  Assuming the person is a good Lasik candidate.

Thank you for your time and consideration.      Sincerely,   rsdixon      
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Avatar universal
I am also in the process doing the research. In one of the topics, there are many members share their result of distant, intermediate and close vision with the IOL set to plano.
You can search the discussion using the topic "How is your vision after Cataract Surgery?"
This is a pretty long discussion and I think you will get something you looking for.
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Avatar universal
Dr.  Oyakawa,

thank you for the response you left on 9/7/10.  It appears you have erased the response above and left simply the comment, "answered".  Unfortunately, I hadn't fully digested the information -- could you please respond again?  
From what I remember of your response:
You had stated, that you didn't understand my question:  "If a target of 2 meters is chosen is that close enough to “plano” to give good long distance vision and avoid the risk of “overcorrecting”?" By 2 meters I meant approximately 6 feet + some inches -- would the diopter chosen to achieve that distance be the same diopter if one were going for "plano" (which I interpret to be good long distance vision - 15-20 feet out)

And in regards to the the Alcon toric lens specifically, whether it is a more difficult  to achieve a target of "plano" or 0.5 than if one chose to use a standard lens (that doesn't correct for astigmatism).

I did understand your statement about how a surgeon might set a target at 0.25-0.5 (instead of plano 0.0) in order to avoid overcorrection.  And if one were to choose that target what expected range of good sharp vision might be expected.   6 feet, 3 feet, 10 feet?  By sharp vision I mean clear, not blurry -- as if one were corrected to 20/20 with eyeglasses.    

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