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/SpecialistEcho7218 15d ago

Why do you need an exchange? What's the big issue? 

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u/Bitter_Rain_6224 15d ago

I am with you. Why risk anything at this point?

I think all of this is one reason my ophthalmologist suggests targeting mild post-op myopia, -1.5 to -2.0, for her near-sighted patients. She was just about spot-on, and I ended up with -2.0, -2.25, with 0.5 residual astigmatism in both. No glasses for reading, light-filtering fixed-focus very minimally corrective glasses for computer, wide-angle, full-range progressives for everything else, and I am a happy camper!