[posted elsewhere, but posting here for professionals who wish to share anecdotes from patients, etc.]
I'm a long time wearer of glasses, and considering lens replacement surgery. I've had two examinations and am at the decision to pick a lens and schedule surgery. Looking for any general input, but more specifically input as to your surgery (post recovery period) results, and choice of lenses. More details:
I am 52M, had eye glasses 30 years (stable). Cannot wear contacts, but forced myself to be able to put eyedrops in (in preparation). 🙂 I've been fine with glasses, but they ARE a hassle I suppose, etc. I'm myopic and I've got mild presbyopia now, offset a bit by the myopia, so have been struggling with correcting both. OD (-1.00 sph, -1.25 cyl, 90 axis, add 1.75) and OS (-0.75 sph, -1.50 cyl, 95 axis, add 1.75)). I considered Lasik etc., but was not thrilled with the likely side effect of a big change in close vision. I've done the pre-op tests and qualify for either (for the lens replacement, he'd likely do a toric in one eye). Too young for cataracts yet, and no other eye issues.
Now that I'm, ahem, older :), tried bifocals for the presbyopia and did not like them. I also shied away from various monovision options (want depth of field), and figured if I have the money and am paying for more permanent eye correction, might as well try to correct multiple focal lengths (e.g. don't just get far vision only). I'm active outdoors (skiing, hiking, photography, mtn climbing, scuba) as well as indoors (reading, movies), and use my computer (job) and phone a lot.
Theoretically lens choices for me:
- trifocal (PanOptix) – his only recommendation, really. downsides are apparently reduced contrast in vision, need for more light for detail, potential/probable night halos, potential vision reduction in high snow/rain driving, maybe occasional readers for small print and low light. Otherwise, good far, medium, and close vision.
- vivity – less contrast/halo supposedly, but sacrifices close vision a little for that (or, he says more of his patients needed regular readers than trifocals, and since I said I didn't THINK I minded halos, not recommended over trifocals).
- ?another? – my doc has been around for 35 years, but maybe he didn't mention something, so keeping options open to other things (have you gotten a different lens recently?)
My questions for anyone:
- Any experience with either lens?
- Since doc and I are leaning towards trifocals: what's your opinion on those downsides (halos, heavy rain/snow driving, low light situations, reduced contrast)? how bad (or good) was yours? was it an “annoyance you got used to,” or an “issue you have to deal with?” I can put up (trade off) with some “issues” and think I would in those situations (but you never know), but e.g. not driving if there's a night snowstorm (an “issue”), or even simply at night because of reduced vision, might be a big negative.
- If you got the lens replacement, how often do you find you still need readers (in what situation other than 2 point prescription bottle reading)?
- I asked a lot of questions of the doc (and myself), but what question would you ask yourself before doing this (reflecting, post surgery)?
Thanks in advance for any input! I'm fairly certain I'll move forward with this, just doing due diligence, but welcome input (and lens choice discussion).