Appropriate IOL for amblyopic patient

[roboxtz]

Hi friends,my name is Fausto and i am speaking from Brazil,my english is not that good,so sorry if i do some mistakes.

This is my first post here.In 2008 i passed through a refractive laser surgery by PRK method but remained some relevant degrees in both eyes and my cornea got thin and so plane.To have a good vision i have to wear glasses or contact lenses ( and i dont adapt to any kind of these) and i dont want any of these choices anymore.

My option is to implant lenses due the nowadays state of my cornea(i cant pass through a new eye laser surgery),i have amblyopia on my right eye (10% of vision),and talking to a Doctor here at Brazil through internet he agreed with me when i said dont had any sense implant monofocal lenses on both eyes leaving one to see on a near distance and other to sse on a far distance because it to my ambliopic eye doesn't matter,doesn't has relevant difference,i said to him had sense to implant one multifocal toric lens on my dominant eye (toric because i have astigmatism and would avoid incision on cornea).

Am i sure?Would this kind of lens a good option?

Thank you.

[roboxtz]

The glare and halo aberrations that i got after PRK are minimum,could i lead with additional glare and halo from multifocal lens with no problem?

[roboxtz]

Thank for the replies Doctor.

The implantation of one lens on my amblyopic eye still is not a possibility because the Doctor didn't say that.

But Doctor,implanting one monofocal lenses on my dominant eye i would have only one vision ( far vision),how do i overcome that?

[Ray T Oyakawa, MD]

LASIK or PRK will increase glare and halos with a multifocal IOL.  Why are you having surgery in the amblyopic eye with only 10% vision?  Does the doctor expect significant improvement in vision?  You are not a candidate for monovision due to the ambyopia.

Dr. O.

[roboxtz]

I had PRK.
But just implanting a monofocal toric IOL taking into account the amblyopia would i have one monovision?I make such a question beacause using the monovison technique wouldn't make any difference to me,tha ambliopic eye does'nt affect my global vision in almost nothing.

[Ray T Oyakawa, MD]

I would recommend you just have a toric IOL to correct the astigmatism and not get a multifocal IOL.  You already had LASIK and will probably more glare and halos than usual.

Dr. O.