We have narrowed our choice to two excellent surgeons, both with 10,000 operations etc.Both recommended Mini-Monovision over multifocals, but both recommend different directions.
First for patient facts:
Posterior subcapsular cataract (PSC) in both eyes, patient in early 40s and has never worn glasses or contacts! Only 2 Months ago first sign of blurry vision.
Current status-
Left eye cataract: Very dense.
Right eye cataract: Semi dense but changing.
Dominant eye- No one knows truly. Currently Right eye is dominant but that could be because left eye has bad visibility. Patient is right handed and writes and throws with right hand.
SURGEON-A
- Will operate left eye first (dense cataract eye) and set it for plano or -0.20
- Right eye 1 month later or more and set it for -1.0 or -1.20
- So a difference of 1 diopter
SURGEON-B
- Will operate both eyes together or if we prefer, left eye only first. He will set left for -1.60
- Right eye for -0.2 a month later
- Difference of 1.40 diopter, with Right eye set for far unlike Left eye for far like Surgeon-A
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Worst outcome for patient: Needing glasses for near and far!!!!
Ideal outcome for patient: Needing glasses for near only!
Based on the above data, Dr Hagan, would you reccomend Surgeon A or Surgeon B?