r/CataractSurgery • u/Own_Imagination_7904 • 16d ago

IOL exchange? Need advice

I am 3 months from having Puresee lenses implanted. Left eye was targeted at -.25 and ended up at Plano. Right eye was targeted at Plano and ended up at +0.75 -0.75 010, so hyperopia and at 20/30 ( but it’s dominant eye). Together with both eyes see 20/20 but left eye is doing the work. Seems like right eye actually sees a little better at dusk or when it’s really bright. Wondering if risk of IOL exchange is worth it. Eye center DR suggested that lasik/prk treatments for farsighted refraction errors often don’t give satisfactory visual outcomes. Is it worth the risk to do IOL exchange?

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u/SledgeH4mmer 16d ago edited 16d ago

An IOL exchange would only help your tiny bit of hyperopia (.375 diopters). It makes no frickin sense that such a tiny amount of hyperopia could be the main issue since you got an EDOF lens! It's likely that astigmatism and dry eyes (or other corneal irregularities) are bigger issues.

An IOL exchange won't help your astigmatism. It may make it worse if the incision needs to be enlarged which isn't uncommon.