iol to choose

[Redbreast15]

Hi, I have to decide which kind of iol has to be implanted in my eyes and I am in trouble...I have both yes myopic, - 3,75 S -3,75 D, since I was seventeen, now I am 66 years old. I have always worn rigid and semirigid conctact lens, every day, from early morning to night, without problems. Before cataract I needed +1,50/2,00 glasses to read very small characters, wearing them on my contacts. Now I have -7,5 S and -4,5 D. I had 3 different suggestions: 1) monofocal iol to see well at far, 2) monofocal iol -2.50/3.00 in both eyes to have a very good near vision, and 3) the Symfony lens (available here in Italy). I am accostomed to have a very good near vision even without any lens or glass and I am very sensible to colours. I think that the solution n. 2 might be the more "natural" for me, but also the new lens Symfony seems very interesting even if also "complicated". I would like some suggestions. I have to decide in a few days...
Thank you for any help.

[Redbreast15]

I had my last visit of this year two days ago and the next will be next year.
I have good vision in the left eye, the right eye is a little bit myopic. I was so much satisfied of my far and near vision, but a lot of flying objects and filaments (of the corpus vitreous they told me) are seriously disturbing me.
I always have had a lot of them, with and without contacts, but now I have one of them in the right eye, since two days, that is obscuring a large part of my vision. They prescribed me some integrators, telling me that probably I'll obtain no results. Do you have any suggestion?
Thank you in advance.

[Redbreast15]

I  had my second eye operated five days ago. The near vision of the first eye is getting better, and the near vision of the second is even better, also because it is a little bit myopic. I'll have my visit in two days and I'll know how is the situation. Halos and glares are shining. I hope it's too early.

[SoftwareDeveloper]

I don't know how long you are waiting before the other eye. Again its possible that you are merely still recovering from surgery and your near vision in the operated eye will get better.  If the eye looks like it is recovered well enough to get a good sense of vision, you can use it to estimate where you might want the other eye. You could look at what the prescription for that eye is, if it is say +0.50, then look at whatever strength lens you need to see the print you'd like to see, say +1.50. Then do (reading-add - prescription) so in this example  +1.50 - (+0.50) = 1, and that is how myopic you want your other eye to be able to read that well, i.e. -1.  There is a limit to how much monovision you want to do since it reduces 3D vision, but -1 or even a bit higher is tolerated by most people (if the vision in your other eye is good enough, you might consider a contact lens trial).

Unfortunately the quality of vision people get with an IOL varies with each person. Although most people don't need glasses for anything with the Symfony (except perhaps very rarely for a rare close up task), a  minority of people do need to  wear reading correction with the Symfony. Usually people focus on getting the eyes set right to handle the majority of their tasks well, even if they do occasionally need   glasses.

[Redbreast15]

So it could be better to ask for a little bit (-1.00/1.50) myopic eye to balance the other either it is hyperopic or not. In this case I could not only read and use the computer, but also handle the very small objects I use for my hobby.

[SoftwareDeveloper]

Actually with this IOL you can be a bit hyperopic (even say +1.5) and still have 10/10 far.  

[Redbreast15]

They measured my left eye, and I have 10/10 far, so I am not hyperopic (if I understand well). The surgeon showed me how My sight could be with -1.00, -0.50 either looking at far and reading very small characters. He told me that it's possible to implant in the right eye, on the base of the prescription they already made and that is quite the same of the left, a lens 'a little bit lower which allows me to see the size print I want to see at a comfortable distance. I can choice the add to do this.