I am a 45 year old male with moderate to severe myopia pretty much dependent on glasses to see anything far or near. I was also diagnosed with pigment dispersion about 20 years ago and have had my IOP monitored regularly. In the past 6-12 months I have noticed a significant decline in the vision in my right eye and was diagnosed with Cataracts I would really like to correct my vision. However the complication is that I would only have an IOL in my right eye leaving a large imbalance my glasses are spherical -5.75. I have done a lot of research in this excellent forum. I am leaning towards a mini monovision maybe -0.5 and -1.25. If I understand correctly this would give good distant and mid range vision but likely would need glasses for reading and small work. I work on computers and cell phones all day so the mid range is important to me. And would like distance for sports and driving. My question is how to handle the imbalance between the two eyes. Should I correct my right eye to -1.25 with a monofocal IOL and use a contact lens in my left eye to correct to -0.5. In this case what would happen at night when I removed my contact or if I could not wear contact for some reason? Would I be able to function with glasses that only correct my left eye and no correction in right? Would I need to put a patch on my left eye? My other thought would be to eventually correct my left eye with Lasik however I am concerned it will affect the IOP pressure readings and that likely eventually I will develop cataracts in my left eye and the IOP calculations could be harder. Are these valid concerns? Would having an IOL or ICL put in my left eye with no Cataracts visible be too risky? Please let me know if you have an opinion or other things I should consider Thanks in advance for your advice
2014-12-23 11:10:01
I was in a situation similar to yours. I developed a cataract in one eye only following retinal surgery. My Blue Cross paid for my cataract surgery for BOTH eyes and this option worked out very well for me. Glasses will not work for you after you get your first eye done and an ICL is very problem-prone. Your options for your left eye would be full-time contact lens wear LASIK or early cataract surgery. I had measurements done for both LASIK and cataract surgery beforehand but I was so pleased with the results of my first eye that I chose early cataract surgery. My vision with an aspheric monofocal IOL (in the eye without a cataract) is at least as good (and slightly better at night) as my best-corrected vision before surgery.
2014-12-23 11:13:37
