Hi Juliegk:
Sorry to respond so late, but I felt I needed to. How have things panned out for you? I hope you are happy with the outcome of your cataract surgery. I am just sharing my experience in the hope of making you feel better about your journey.
I have mini-monovision with single focus lenses in each eye. My astigmatism prevents me from having "perfect" vision.
I researched IOL choices extensively. My surgeon said that I was not a candidate for the EDOF or multi-focal lenses because of my irregular astigmatism (uncorrectable by toric lens). One optometrist I saw declared that he thought I was a candidate for the EDOF lens based on his evaluation of my astigmatism. When I shared these findings with my surgeon, she stated that I would have decreased aquity with EDOF lenses. For my line of work (nighttime driving and very fine print reading) she did not want that for me--and she was right! I know that she was conservative in her recommendations, but she wanted the best outcome for me. My biggest gripe was that she didn't discuss the pros and cons of the lens options, so that I could understand her reasoning. Her answer was a consistent: "You're not a good candidate for that." After much back and forth, she finally did explain: she explained the physics and calculations behind her decision. (Using the best lay terms she could). She also considered my personality, and how she expected my brain to interact with the new lens. She came to her conclusions by applying her years of training and abundant experience There was no way for her to explain all of this to the likes of me. I relied on her genius to find the right solution for me, and I'm glad I did.
After thought: Now that I see what those light adjustable lenses can do, I would have liked to consider those because of my astigmatism. But technology is always improving....maybe I can get my bionic lens in 10 years time...
I hope you are as pleased with your final result as I am with mine!
My thoughts would be:
1. Wait 6 weeks for the first eye to fully heal and then get a refraction (eyeglass prescription) done by an optometrist to see where you actually landed for refraction.
2. If you are happy with the reading vision then you may want to consider using this eye as the near eye in a mini-monovision configuration. The normal target for the near eye is -1.5 D.
3. It is best do a trial with a contact lens in your unoperated eye first. You will want to use a contact that will correct this eye to plano, and also correct any astigmatism. I find Costco is a good place to trial contacts.
4. If you are happy with the vision you get with simulated mini-monovision then you may want to consider doing it with an IOL in your second eye. What IOL did you get in your first eye? A standard monofocal like the Tecnis 1, Clareon, or B+L enVista should be fine. If astigmatism (cylinder) is predicted to be 0.75 D or more, you may want to consider a toric to get the best possible vision without eyeglasses.
5. You probably want to have a conversation with the surgeon about the outcome from the first eye compared to what the target was. The surgeon should be able to adjust the calculation for the second eye based on the first eye, if they are reasonably similar. Using the same lens would also likely improve the accuracy on the second eye.
This is rough calculation but your residual uncorrected refractive error in operated eye is about -2.00 +/- 0.5 diopters. What was the 'target' post op refractive error you and your surgeon chose for your monofocial IOL?
What was your refractie error in both eyes prior to surgery *(glasses distance correction)?
The first thing I would suggest is that you post-pone your surgery on the second eye. Even with small incision/no stitch it takes about 4-5 weeks for the post op vision to stablize. In the meantime I would suggest you do research on the Light Adjusted Lens (LAL). Our practice has switched to it as our premium lens. It can be adjusted post operatively and it corrects astigmatism. It is relatively new and all surgeons do not do this surgery. Many surgeons that dont do premium upgrades do not mention them to patients but that is becoming standard of care to present all options. LINK https://www.rxsight.com/us I have been doing this forum for a long time. Generally it is the best plan NOT to do the second eye till you are happy with the first eye. Often the person ends up unhappy with both eyes.