Cataract surgery poor outcome.

[Tom45s]

3 months ago I had cataract surgery in one eye, right one. I wanted my right, dominant eye set fo -0.25 to -0.5 for distance. I have Tecnis Eyhance lens. The postoperative result is -0.25 with -0.50 astigmatism. Now I can not see clearly at any distance, neither far nor close. I can not make monovision, as my right eye is to weak for distance and to strong for close. One good thing is I can clearly see computer screen. And no distance, no close reading vision.

And I see some foggy patch, when I see on the left, my vision is flickering. I thought the outcome will be far more better.

Should I explant this lens or implant multifocal lens in my left eye?

[John C Hagan III, MD, FACS, FAAO]

As a generalization it is not advisable to do anything to the second eye until you are happy with the first eye; and explant and replace IOL only as a last resort and only with an independent second opinion.  That being said something else must be going on if you are not seeing well at distance.  NOTE: distance is 20 feet or farther (6/6m).  Your post operative refractive erro 0.25 and -0.50 of cyclinder is within the accuracy of any IOL formula and without out glasses you should be able to see at least 20/30 if the rest of your eye is normal and with a +2.00 cheap reading glass you should be easily able to read.     To comment further I would need your glasses prescription for distance and near and your vision with those lenses. If your RE cannot be corrected to 20/20 with glasses both distance and near something is wrong and a second opinion would be appropriate with the best cataract/IOL surgeon you can get to.