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toric single vision or toric mini monovision

I am 49 years old and developed cataracts within a span of 1 1/2 years with both eyes ready for surgery according to my ophthalmologist.  My eyeglass prescription as of July 2018 when my cataract was detected is as follows:  for OD is (Sphere -7.00, cylinder  -2.75, axis 167 Add +1.50) for OS is (Sphere -7.75, cylinder  -1.25, axis 010 Add +1.50).

Doctor told me about trifocal (Alcon Panoptix Toric (astigmatism)) lens but I have basically rejected this option due to possible halos and starbursts.

There another lens called something like M Plus +3.0 which will correct Far and Near vision with SHADOW instead of halos.

After reading some information on this sight, I'm leaning towards Toric single vision (corrects Astigmatism - B&L enVista Glistening Free.  

I mainly due computer work and look at my phone. I do want distance vision of course for driving.  

It seems from reading on this site that mini monovision might be what I should get done.  Correct me if I'm wrong, does minimonovision mean just giving less power in the distance vision in order to increase the mid-range vision?

I see my dominant eye should be set for distance.  If I set the dominant eye with less power for distance.  Then should my right eye be set for mid-range or close up (reading) range? Will my prescription be too far apart for both eyes to work together?  I'm confused?  Any help would be much appreciated.
6 Responses
Avatar universal
Or is a combination of multifocal and monofocal also a possibility?  Would the monovision lens lessen the effect of halo on the multifocal?  I would rather wear glasses than having to deal with halo for 40 years.
Avatar universal
Also, I have always been near sighted.  Is it better for my monofocal lens be for near and computer distance then wear contacts for distance like I always have?
Avatar universal
Thanks in advance for any comments.  I'm glad I found this site BEFORE doing cataract surgery.
177275 tn?1511755244
It seems you have read this link. If not please do so LINK  https://www.medhelp.org/user_journals/show/1648102/Consider-ALL-the-Options-Before-Your-Cataract-Surgery-Working-Through-Whats-Best-For-You--2019-2020-Update        Toric lens are excellent with experienced surgeons and astigmatism over one diopter.  All multifocal IOLS carry: extra expense, extra risk, likely still need glasses, night vision usually challenged.  I saw a 2nd opinion of a man from Kansas City that paid $12,000 OUT OF POCKET for every extra to the cataract operation (femtosecond laser, ORA technology, multifocal IOLs) and he says guaranteed he would not need glasses.   He does need glasses, is much poorer and night vision is problem.  I would not use any of the multifocal IOLs on the market if I was having surgery.    Most myopes that are used to reading without glasses are happier with mini monofocal near bias.   The actual targeted power would vary dependig on what you are use to but  -2.00 to -2.25 in non-dominant eye and -1.00 in mid range eye are popular and glasses usually quite easy to adjust too. Near sighted people that are used to clear near vision without glasses are usually very unhappy if they cannot see up close without glasses after surgery.   Mixing monofocal and multifocal doesn't work well for most people
Avatar universal
Thank you so much for the response.  I need some explanation to better understand your answer.

"Most myopes that are used to reading without glasses are happier with mini monofocal near bias."  

Question 1.  What does "mini monofocal" mean?  Is it aiming for clear vision targetted at two different distances instead of both the same, ie. distance/intermediate or intermediate/near?  

Question 2.  What does "near bias" mean?

I am a legal assistant and primarily read from computer (2 feet distance) and looking down to read (1 feet).  

Question 3.  So a mini monofocal on distance/intermediate should be good for driving and also for computer work but I might need reading glasses for small print correct?


"The actual targeted power would vary depending on what you are use to but  -2.00 to -2.25 in non-dominant eye and -1.00 in mid range eye are popular and glasses usually quite easy to adjust too. "

Question 4. "-2.00 to -2.25 in non-dominant eye"  is this for distance?  If so, should not the dominant eye be for distance?

"-1.00 in mid range eye" - should this not be for the non-dominant eye?

Thank you so much.

1 Comments
Okay you are in the business of suing people so I'm stating you right now I'm not telling  you what to do, your choice.   Full monofocal would be dominant eye left 0.00  no glasses needed 20 feet or further.  reading eye about -2.25.   However this leave intermediate uncorrected and glasses are hard to wear because too much difference between eyes.   That is all I'm going to say.  This information are generalizations only and you will need to do your own research and you and your surgeon make the final decision.
Avatar universal
Thank you for your time.    I do appreciate it.
1 Comments
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177275 tn?1511755244
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