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Mini-monovision (dominant eye set for near sight) ?!
Hi All,
I am in-between of two cataract surgeries where my first/left - non-dominant eye - has been set for 0 diopters:
I can see well for intermediate to distant but I can not read an average text on the monitor - which was the original plan and would be important in relation to my job.
I wanted to go for near-sight and my original specialist told me that my eye's and brain can tolerate well 1.5 diopter of difference. My planned surgery on the right/dominant eye has been skipped for Corona and my specialist is sitting in quarantine ever since.
This specialist - who is sitting in quarantine - has told me nothing on the importance of the dominant eye should be set for distance. However the doctor who would replace her is telling me that my distant sight can be affected when my dominant eye would be set for near sight. If we go this way I should accept the consequences he tells me. (The communication with the 'back-up' doctor is a little bit of a rush.)
What can be these consequences?
To what extent is it dangerous to correct the dominant eye for near sight when the non-dominant is taking over for intermediate/distant?
Thank you for a feed-back and opinion on the subject:-)
I am in-between of two cataract surgeries where my first/left - non-dominant eye - has been set for 0 diopters:
I can see well for intermediate to distant but I can not read an average text on the monitor - which was the original plan and would be important in relation to my job.
I wanted to go for near-sight and my original specialist told me that my eye's and brain can tolerate well 1.5 diopter of difference. My planned surgery on the right/dominant eye has been skipped for Corona and my specialist is sitting in quarantine ever since.
This specialist - who is sitting in quarantine - has told me nothing on the importance of the dominant eye should be set for distance. However the doctor who would replace her is telling me that my distant sight can be affected when my dominant eye would be set for near sight. If we go this way I should accept the consequences he tells me. (The communication with the 'back-up' doctor is a little bit of a rush.)
What can be these consequences?
To what extent is it dangerous to correct the dominant eye for near sight when the non-dominant is taking over for intermediate/distant?
Thank you for a feed-back and opinion on the subject:-)
First: read this article very carefully: https://www.medhelp.org/user_journals/show/1648102/Consider-ALL-the-Options-Before-Your-Cataract-Surgery-Working-Through-Whats-Best-For-You--2019-2020-Update
So generally the dominant eye is set for distance and the non-dominant eye. "Distance" is 20 feet or 6 meters and the residual refractive error is 0.00 If you see well at distance without glasses say 10 feet to greater than 20 feet you have had a good result and what was planned for. PLEASE POST YOUR GLASSES PRESCRIPTION POST OP FOR BOTH EYES IF YOU HAVE IT. It would not be expected that you would see clear in the operated eye at 3 feet or read with it. If your operated eye is 0.00 and 1.5 D is the maximum most people will tolerate (my experience also) the Dominant Eye will be aimed at -1.50 . That should give you good vision in that eye for computer screen but reading for long periods or small print will assuredly require glasses. Because of eye dominance if you do things like target shoot/hunt, play sports, you will probably need glasses for some distance tasks also.
So generally the dominant eye is set for distance and the non-dominant eye. "Distance" is 20 feet or 6 meters and the residual refractive error is 0.00 If you see well at distance without glasses say 10 feet to greater than 20 feet you have had a good result and what was planned for. PLEASE POST YOUR GLASSES PRESCRIPTION POST OP FOR BOTH EYES IF YOU HAVE IT. It would not be expected that you would see clear in the operated eye at 3 feet or read with it. If your operated eye is 0.00 and 1.5 D is the maximum most people will tolerate (my experience also) the Dominant Eye will be aimed at -1.50 . That should give you good vision in that eye for computer screen but reading for long periods or small print will assuredly require glasses. Because of eye dominance if you do things like target shoot/hunt, play sports, you will probably need glasses for some distance tasks also.
4 Comments
Thank you for your answer.
Op has been postponed temporarily.
Op has been postponed temporarily.
Okay, not something you want to rush into. I do a lot of post cataract surgery consults on unhappy patients done elsewhere. I saw a man that spent out of pocket $12,000 US for every possible option on each eye with what he said was a guarentee he would need glasses for nothing. He needed glasses and was very unhappy with his night vision. His surgery done at a "everyone here will push you to upgrade to out of pocket charges and trash a standard monofocal IOL" place
Hello!
I am over it and I am very lucky.
It looks to have been the correct decision to go for mini-monovision even with close correction on the dominant eye.
I will have my spec prescription only in 1 month time however I am doing quite well without.
For reading (small letters) at this point I am using general reading spectacles from the Supermarket around the corner --> 1 Diopter.
Based on yesterday's 1 week control I am having 1.5 D close correction in the dominant right eye (1.33 D was planned) and - as said before - I have 0 D in the left non-dominant for distance view.
I should also admit that I have never ever had more difference between the two eyes than 1.25 D.
This may conclude to the result that my dominant eye is working now for close and the non-dominant for distance and it is still working out well.
On the 3rd and 4th day after op I had sometimes easy dizzle in the head however it has gone away.
The two eyes are cooperating well not in any (everyday) situation I experience any trouble with it so far - target shooting not tried yet.
2x monofocal = multifocal :-)
This is now the 11th day after op.
Thank you for your advice.
I am over it and I am very lucky.
It looks to have been the correct decision to go for mini-monovision even with close correction on the dominant eye.
I will have my spec prescription only in 1 month time however I am doing quite well without.
For reading (small letters) at this point I am using general reading spectacles from the Supermarket around the corner --> 1 Diopter.
Based on yesterday's 1 week control I am having 1.5 D close correction in the dominant right eye (1.33 D was planned) and - as said before - I have 0 D in the left non-dominant for distance view.
I should also admit that I have never ever had more difference between the two eyes than 1.25 D.
This may conclude to the result that my dominant eye is working now for close and the non-dominant for distance and it is still working out well.
On the 3rd and 4th day after op I had sometimes easy dizzle in the head however it has gone away.
The two eyes are cooperating well not in any (everyday) situation I experience any trouble with it so far - target shooting not tried yet.
2x monofocal = multifocal :-)
This is now the 11th day after op.
Thank you for your advice.
We love happy stories with great endings. Glad it all went well, thanks for posting.
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