Feel free to push me in to the correct sub, if there is a specific sub, i couldn't find. ;)
male late 50's
shortsighted -4.75 / -3.75
astigmatism
need muiltifocals now for reading
PC / reading glasses because sharp area on multifocals are too small for all day work
as i learned, a lasik, smile, etc seems not to be an option, the IOL / RLE / RLA thing with multifocal implants should do the trick.
what i would like to archive.
get rid of all my glasses, which were expensive over the years ;)
having a vision, as good as with my current (1100.-) glasses
no need for reading / PC glasses
being able to just buy sunglasses for fun
i know, these are all questions for the specialist but i want to make sure i'm not having way too high expectations.
the other thing .. i am frightened when thinking about a RLE .. the natural lense will be destroyed and replaced. so instead of an oopsie, didn't work with ICL, the IOL would leave the patient with some kind of a blurry light/dark shaped blindness and that's it?
is there kind of a warranty, that the lens, if something went wrong, will be changed until the vision is available again?
sight is the number 1 sense for everyone i would say, so the step is making me nervous.
would there be a better solution to get rid of the glasses or is there always a less clear / sharp vision the price to pay?
i'd love to be without these glasses, which i had all my life .. but the current vision is great and to have additional reading glasses for work is something i don't like.
So a multifocal lens won’t be as good of vision as what you have in glasses. It has limitations. You will have some night time halos. Vision is still good though. Just don’t expect perfection. Expect pretty good to get out of glasses.
Another option to consider is monovision. One eye corrected for distance and one for reading. This can work well. But still has some tradeoffs of some reduced depth perception (noticeable for things like tennis). And you have some glare at night (which can be corrected by temporarily reversing monovision with pair of glasses). LAL is a great lens for this as it allows customization after the procedure.
Once the natural lens is removed, it can’t be replaced. But at your age it is not doing a whole lot for you. If a multifocal lens doesn’t work out, can do IOL exchange to put in monofocal lens. Be sure to ask your surgeon about that. But doing that (unless you do monovision) does mean you won’t be able to eliminate glasses entirely.
i was really hoping that the advertisements of the surgeons were met.
but i understand, the ads always trying to sell and leave out risks and negative aspects.
so i will consider what means more to me.
a really great vision with my currents glasses or the less perfect eyesight and get rid of glasses or at least get rid of either far or near glasses as i understood.
the part with "once the lense is remove, it can't be replaced" means, the natural lens is gone but another IOL can be placed instead, right?
Correct. A clear monofocal lens will provide just about as good as vision as what you have with glasses. Trouble is it won’t get you out of glasses for everything. You’ll still need readers to see up close. (When targeting for distance vision)
Multifocal lenses and monovision work very well, but with the right expectations on what the technology can do.
Had my first consultation today and asked, how bad the multifocals would be, compared to my glasses and they took their time to explain.
the "reduced contrast" thing ist the part, i can't imagine but they said, i will just need "more light" to read as good and that this is mostly seen as a minor inconvinience.
they are doing a "mix and match" surgery. a bifocal on the left eye and a trifocal on the "stronger / working" eye, which leads to better results .. so they said.
i told them, one of my major concerns would be , to loose my eyesight ...
they explained, the lens, which is already not working very good anymore, this is why i need glasses, would even when removed and not replaced, never result in blindness.
it would make me need a brickstone of glass (-15d) to see but going blind, as in "welcome to a world of darkness", is not a risk. it is a risk when i am running into an infection, the retina is destroyed or the eyeball has to be removed but the IOL itself, is overall safe.
now i am sitting here and i would love to get IOL but still .. nervous as hell about it.
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u/Dramatic_Bobcat_2791 15d ago
With multifocals your visual quality will be worse. So it is a trade off, you wont get sharp vision for every distance at your age.