Organ recital: the eyes have it

DianaCox

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Are there people on here who have had cataract surgery? If so, what have your experiences been like? I’m particularly interested in those who have gotten multifocal or accommodating intraocular lens replacements.

Now that my husband and I have spent beaucoup bucks on getting our teeth upgraded, we are turning our attention to spending discretionary income on our eyes. We both have early cataracts, and apparently our current ophthalmologist, whom we think is a bit too conservative, is not the guy we’re going to continue to “see.”

First, we were told that we had to wait until our cataracts “ripened” to the point where our vision was 20/60 before getting upgraded to clear vision, but apparently that is an outmoded limitation. Second, I am learning that while insurance covers replacing the lens with a single correction (monovision) intraocular lens (IOL), there are a variety of “premium” IOLs that require steepish out of pocket payments to become more or less glasses-free, and more are on the way. There are multifocal lenses, and accommodating lenses that use the muscles of your eyes in a more natural way, but so far have less crisp results. Does anyone have any insight (pun intended) on these products?

In addition to the cataracts, I am very nearsighted (Charles used to be, but had Lasik surgery) and of course we are both presbyopic. We both have astigmatism, and I have a corneal issue that is preventing use of contact lenses. So the bonus of getting a permanent vision correction without glasses is also intriguing. Both of us also have had torn retinas and very annoying floaters that are separate issues we’re also looking into getting treated - in fact, we are seeing a new doctor tomorrow who has experience lasering floaters).

None of these issues are truly awful, of course (NOT glaucoma; NOT macular degeneration; NOT diabetic retinopathy), but overall, the reduction in the quality of our vision is getting to be quite troubling to both of us. He can still see at night (or says he can – perhaps it is compared to me and to keep me from getting behind the wheel at night??), but I am quite uncomfortable driving at night, and walking at night in poorly lit areas leaves me clinging to his arm so I don’t trip (I am not vitamin A deficient at all). Driving during the day is less comfortable than it used to be too, and reading and working on the computer is tiring. It is very annoying.

We have been told much of this relates to the cataracts, even though ours are not bad yet. So if there is any way to get them fixed NOW, I’m all for it, despite the non-zero risk and expense.

The research I’ve done so far indicates that there are LOT of new IOLs coming down the FDA pike, several with prior approvals in Europe. I don’t want to wait and wait for the next best thing to come out, while suffering in the meantime, so I guess once of the things I’m going to ask about is whether the lens I chose is replaceable.

But I would really appreciate the input of my “peers” who are already going through this, if there are any.
 
Yes, I've talked with her about it a little - that was what got me thinking about it, and starting to look into doing it sooner rather than later. I actually didn't know that there WERE intraocular lenses that are multifocal. We see the retinal doc tomorrow, and the cataract guy next Wednesday.
 
Results of the visit to the cataract surgeon - even with the new outlook on doing cataract surgery sooner rather than later, our cataracts are barely there so far, and it's still way too soon for either of us to consider surgery. Yay! On the other hand, I was thinking that was my shortcut to getting my vision issues fixed. But the surgeon also had a suggestion - my expensive progressive glasses, which are NOT helping nearly as much as I like, are really not the right glasses for me. He says I need REGULAR bifocals, with the line across them - old lady glasses. But I need a wider dedicated reading lens for all the reading I do.

I know I should be glad that (1) I don't need surgery, and (2) there may be a solution to my vision issues, but damn - does it have to be an UGLY solution???

Retinologist next week.
 
So far, I have been lucky. No reading glasses needed. But I know that's not going to last.

I don't get the old lady glasses thing. Why not just get readers? They are really cheap and you can even get them in sunglasses if you want.
 
I have a strong nearsighted and moderate astigmatism prescription, plus the way I live is on the computer a lot, while watching TV. I need distance and readers in the same glasses. The progressive reading portion of the lens is apparently just a narrow column and really not that good for reading - I never realized this. So bifocals it is.
 
My radial keratotomy eye had had the mono-focal lens replacement.

Sorry I can't be of more help.
 
Retinologist update:

Charles and I just got back from our retinal specialist appointment. The floater in his right eye cannot be fixed by the YAG laser surgery – it is a kind that needs vitrectomy (poking instruments into his eye). On the other hand, he needs that ANYWAY, because he has a macular pucker from an epiretinal membrane that is growing on his retina (epiretinal membranes often form after a trauma to the eye, like posterior vitreous detachment and retinal tears, which both of us have had). It isn’t NECESSARY, but it is medically necessary if it is bothering him (it is) AND he wants to do it. If he does, it will very likely shorten the time until he needs cataract surgery in that eye (which he will need anyway, eventually, but this will hasten it). So the doctor said it isn’t an emergency or even necessary, but whenever he’s ready. The good news is, it is a twofer – he’ll get both things fixed at once. He has an appointment for 3 months from now to decide.

As for me, I have a BIG honking floater in my right eye, that I’ve had since April, that can be zapped by the YAG laser. Because of previous retinal laser repairs of holes/tears in my retinas, I also have epiretinal membranes in both eyes, but not as bad as his, so it’s not worth fixing it (yet) – especially since my floater can be fixed (if I want) without surgery. But this guy says it would be covered by insurance. I’m thinking PROBABLY will be ..

Shaking head, muttering "not for sissies, no it is not ..."
 
All I have to add is to make darn sure the Valium they give you before hand has taken complete effect. When I had my "Custom-custom" (that's what the specialist said to call it) vision correction, the Valium pill stuck in my throat. I was a bundle of nerves. Twisted the head clean off the beanie baby they gave me for stress relief. I am an admitted dental phobic, but a really good patient otherwise.

My experience was very positive. I could see (cloudy) immediately afterwards. By day three I could drive. I highly recommend going glasses-free.

My only complaint is I have to wear "readers" but so do most 54-year olds.
 
My husband had LASIK. (I refused - I cannot bear the thought of losing my glasses-free close vision.) He loved it until the floater/hemorrhage obstructed his vision, and this surgery - to remove the floater and other crystalline debris from INSIDE his eyeball, as well as the membrane that is obscuring the back of his retina, is very different from corneal vision correction. I will likely have the huge floater vaporized with a YAG laser from OUTSIDE my eye. I've had multiple laser retinal surgeries before - I can stay calm without drugs :). I assume Charles will be propofol'ed for his INSIDE the eye surgery.
 
My husband had LASIK. (I refused - I cannot bear the thought of losing my glasses-free close vision.) He loved it until the floater/hemorrhage obstructed his vision, and this surgery - to remove the floater and other crystalline debris from INSIDE his eyeball, as well as the membrane that is obscuring the back of his retina, is very different from corneal vision correction. I will likely have the huge floater vaporized with a YAG laser from OUTSIDE my eye. I've had multiple laser retinal surgeries before - I can stay calm without drugs :). I assume Charles will be propofol'ed for his INSIDE the eye surgery.

I do miss my reading-in-bed close vision that was part and parcel of my nearsightedness. But doesn't presbyopia mess that up as we age? I don't remember exactly, but I THINK I was losing that feature when I had the radial keratotomy and LASIK.
 
I am finally noticing a slight loss of the close, no-glasses vision, but it is much more of a problem when I have my glasses ON. Sigh ... Charles for some reason (perhaps because his presbyopia was already worse?) didn't mind losing his up-close vision in exchange for eagle distance vision, whereas that idea really bothered me. I guess our accommodation as we totter together into senility is that I will read the menus (he always forgets his readers when we go out) and he will do all the driving, especially at night.
 
I was diagnosed with the beginnings of Cataracts back in Feb. Add that to my myopia, astigmatism, presbyopia, and the odd floaters as well as a "freckle". IT'S hell getting OLD.
I tend to read in bed with NO glasses...they actually have always gotten in my way when reading in bed...and I haven't noticed a change there yet.
 
I was diagnosed with the beginnings of Cataracts back in Feb. Add that to my myopia, astigmatism, presbyopia, and the odd floaters as well as a "freckle". IT'S hell getting OLD.
I tend to read in bed with NO glasses...they actually have always gotten in my way when reading in bed...and I haven't noticed a change there yet.
Yup, once you lose your severe myopia, you lose glasses-free bedtime reading...and seeing better underwater!
 

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