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Old 02-14-2016, 09:40 PM   #21
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Rpguy4, thanks for the link to the vitreolysis procedure. I also have PVD in my left eye. The detachment occurred last September and the floaters drive me crazy. I have 2 long tendrils that appear in the center of my vision. My doctor keeps telling me it will get better. And to be fair, they have gotten a bit less annoying. But at this point, I don't know how much they are going to improve.

I'll have to check into the procedure.
DH had the detachment in both eyes years ago and is still bothered by the dark floaters. He is severely myopic. They have improved as much as they will.

I had detachments within 2 months after each of my cataract surgeries in spring of 2014 and 2015 and other than 1 tiny pencil point floater in my right eye I see very rarely, they have disappeared. Unfortunately, the clear, gelatinous floaters in the right eye have not and still annoy me somewhat. The first detachment (left eye) also resulted in retinal detachment.
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Old 02-15-2016, 06:54 AM   #22
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There have been improvements in the YAG laser technology to more precisely target the floaters for the vitreolysis procedure. Check the webinar from Dr. Singh in the link I posted earlier. Considering having the vitreolysis done 1st over the vitrecomy procedure, much less riskier, provided the doctor knows what he's doing. My PVD happened over a year ago, and I can't really say for sure that its gotten any better.
According to my Ophthalmologist and the Retina specialist I went to for a consult, it is also very likely I will have a PVD in my left eye at some point as well.
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Old 02-16-2016, 10:58 AM   #23
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Had my initial evaluation and the recommendation was to either go monofocal for distance or opt for Technis lenses which are supposed to restore closeup/intermediate/distance vision, although there is some increased risk of getting halos or starbursts at night from headlights and streetlights. The mono's would cost me nothing for both eyes, and the Technis would cost $4150 for both eyes.

I have read that the Technis can sometimes create need for glasses at intermediate range. I am unsure of how I want to proceed. Has anyone else on here gotten a multi-focal lense? How about a dropless procedure where they inject with antibiotic treatment during the surgery to avoid weeks of eye drops?
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Old 02-16-2016, 11:34 AM   #24
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I chose monovision and I am very happy with my vision. Both eyes test 20/15. After wearing glasses for many years, I am thrilled to be able to see distances without an appliance sitting on my nose!

I do use drugstore readers for reading and close up work. I also have a pair of bifocals for situations where I need to switch frequently between near and far vision (e. g., shopping - need distance to find appropriate aisle and near vision to read labels)

When I was researching lenses, I read about people still needing glasses for intermediate or reading with the multifocal lenses. I'm not sure of the frequency of this. There are several cataract surgery threads on this forum that might be helpful.

As for the antibiotic, I have not heard of the placement during surgery. I did not find the drops onerous, but others have.

Good luck with your surgery.
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Old 02-16-2016, 11:41 AM   #25
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Like Likes to Lurk, I did not get the multifocals. In my case this was because I was never happy with multifocal glasses. I saved a lot of money and I am very happy with the outcome. I can drive, walk, eat, converse, and watch TV without glasses. I use $3 readers for reading and computer work. I don't mind them at all.

When I need both distance and far, as in shopping, I just slide the readers down my nose enough that I can peer over the top of them.

I never heard of those antibiotics. Only one of the three types of eyedrops my surgeon prescribed was antibiotic, I think? My drops were:

Ciprofloxacin (antibiotic)
Ilevro (NSAID, cuts down on inflammation I think)
Durezol (Steroid)

So, if all that did was eliminate the Ciprofloxacin, it wouldn't have helped me hardly at all. It was the cheap generic one, too; the other two cost about $35 each per eye.
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Old 02-16-2016, 12:11 PM   #26
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I opted for monovision and love the result. No more glasses. I do have prescription glasses for driving as I want crisper vision than the monovision affords. I debated for months between multis and mono and actually put off the surgery until I was completely satisfied with my decision.

That said, my eyes will never be the eyes of a 20 year old .
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Old 02-16-2016, 12:30 PM   #27
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Mono vision and love it! I was legally blind(uncorrected) since age 8. I have a pair of standard bifocals that I do need for reading or detailed tasks. I'll use them occasionally for shooting or golfing but not much need.

I HATED multi-focal glasses with a passion! I wouldn't even consider having the IOLs. I did notice a few new floaters after my surgeries, but their either gone or I've quit noticing.

Never heard about an alternative for the drops. While I had to keep track of them, it wasn't too difficult. The Lotamax they gave me was easy to apply too much, depleting the script early. Actually Walmart pharmacy went to bat for me and got an emergency supply through the insurance. Good luck.
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Old 02-16-2016, 05:05 PM   #28
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I never heard of those antibiotics. Only one of the three types of eyedrops my surgeon prescribed was antibiotic, I think? My drops were:

Ciprofloxacin (antibiotic)
Ilevro (NSAID, cuts down on inflammation I think)
Durezol (Steroid)

So, if all that did was eliminate the Ciprofloxacin, it wouldn't have helped me hardly at all. It was the cheap generic one, too; the other two cost about $35 each per eye.
No, I just didn't state it correctly, the dropless injection is supposed get rid of all the drops.

Also, my understanding is that mono vision and monofocal are two different things, with mono vision having one lense for distance and the other eye getting a reading lense. The drawback for me, is that I understand mono vision can effect your depth perception, and since I play softball, I don't want to lose that.
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Old 02-16-2016, 05:50 PM   #29
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My doc told me that there was only one type of patient for whom he would recommend the multifocal or monovision implants: someone who had been happily using multifocal or monovision contacts for years. He said if you were already used to it, then it was probably a good idea.

I was already skittish about the multifocal implants because I had talked to so many people who said they had problems with night driving glare and halos.

But I was curious about the monovision (one near, one far focus), so I told my doc I was interested and did he have any comment about it. He said his only personal experience was trying monovision contacts. He was never able to really get used to it and gave them up after less than two months.

So, like most here, I went with the simple distance-only implants and have been delighted with them. Just had a checkup last week, two years after the procedure, and I'm still 20/20 distance and also 20/20 near vision with simple drugstore readers.

I had worn glasses since I was six years old, and was about -6.50 and -7.25 so this is an amazing new world!
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Old 02-16-2016, 06:15 PM   #30
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No, I just didn't state it correctly, the dropless injection is supposed get rid of all the drops.
Oh, I see! Well, I don't know anything about it, either way. I'd say that is between you and your surgeon.

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Also, my understanding is that mono vision and monofocal are two different things, with mono vision having one lense for distance and the other eye getting a reading lense. The drawback for me, is that I understand mono vision can effect your depth perception, and since I play softball, I don't want to lose that.
I was told that I had three choices:

(1) multifocal
(2) usual ones in which both have the same (single) focal length, or
(3) monovision with one eye corrected near and one far.

The multifocal I cannot get used to, as I mentioned. Never did well with multifocal glasses although I tried very hard to adjust to them. The multifocal glasses have many different focal lengths, and one must tilt one's head just the right amount to hit the one needed. My neck muscles just couldn't move exactly the right amount, so I could never seem to find the sweet spot. So, nothing was ever in focus. Since I couldn't adjust to multifocal glasses, multifocal implants would have been awful for me.

Monovision (one eye corrected near, one far) is not a good choice for me, because I have never tried it before. I would freak out if I was driving and something got in the one eye that has distance vision.

I chose to have the usual lenses, with both eyes corrected for distance, and to use readers for close work.
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Old 02-16-2016, 06:55 PM   #31
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I was fortunate and was able to 'test drive' mono vision (one near/one far). I am only 'slightly' myopic requiring glasses to drive, but rarely wearing them for anything else. My first surgery, I elected distance lens, thereby giving me mono vision. My brain adjusted immediately and I loved being able to see well rather than everything being blurry. Had I not been able to make the adjustment, I would have opted for distance in the second eye as well.

I didn't think I would have issues and neither did my doc as I had been wearing progressives for years.
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Old 02-17-2016, 08:37 AM   #32
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I was fortunate and was able to 'test drive' mono vision (one near/one far). I am only 'slightly' myopic requiring glasses to drive, but rarely wearing them for anything else. My first surgery, I elected distance lens, thereby giving me mono vision. My brain adjusted immediately and I loved being able to see well rather than everything being blurry. Had I not been able to make the adjustment, I would have opted for distance in the second eye as well.

I didn't think I would have issues and neither did my doc as I had been wearing progressives for years.
So are you saying you only went for distance lens in one eye, and just left the other eye alone since you already had good closeup vision? Sounds like an ideal situation for you.
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Old 02-17-2016, 10:37 AM   #33
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So are you saying you only went for distance lens in one eye, and just left the other eye alone since you already had good closeup vision? Sounds like an ideal situation for you.
For a year, yes, then my other eye's cataract started degrading and it was replaced with a closeup lens, the same as my prescription.
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Old 02-17-2016, 10:58 AM   #34
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So, do you have a date for your first cataract surgery, DFW_M5? You should probably count on blurry vision for a couple of days afterwards, because they use some extra-powerful pupil dilating stuff.

So, if you can get someone to drive you around, or else arrange things so that you don't have to drive, that would probably be a good idea just in case it takes a long time to wear off. Also after the surgeries you should get your driver's license changed saying that you don't need glasses or contacts any more.

I didn't drive until after I did that and passed the Office of Motor Vehicles vision test without glasses, so F drove me around for a couple of weeks.
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Old 02-17-2016, 11:12 AM   #35
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I had mono vision lens replacement years ago & have absolutely no problems with depth perception . My vision is excellent and unless I am reading for a very long time no need for any cheaters .
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Old 02-17-2016, 04:09 PM   #36
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So, do you have a date for your first cataract surgery, DFW_M5? You should probably count on blurry vision for a couple of days afterwards, because they use some extra-powerful pupil dilating stuff.

So, if you can get someone to drive you around, or else arrange things so that you don't have to drive, that would probably be a good idea just in case it takes a long time to wear off. Also after the surgeries you should get your driver's license changed saying that you don't need glasses or contacts any more.

I didn't drive until after I did that and passed the Office of Motor Vehicles vision test without glasses, so F drove me around for a couple of weeks.
March 8 is the date for my right eye. DW is ready to play chauffeur. I wasn't thinking about getting my license changed, but wonder what happens if you get pulled over and explain you had lens implants. I imagine I will have to pop out the right lens in my eyeglasses until the other eye is done. I am also wondering if I will be able to see the speedometer clearly when driving without glasses.

W2R, did your Dr put you on any drops before the surgery? They told me, I would be getting something to take for a week before surgery. How long did you have to keep up with the eye drop regimen after surgery?

The more I read on the subject, I am thinking that the monofocal type lenses will be the best option, especially considering my retinal membrane situation. I really don't mind needing to use reading glasses. The thought of being without glasses is kind of exciting, but going through 2 operations leaves me a bit nervous as well. Nevertheless, it is reassuring hearing from you veterans that have been down this road successfully.
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Old 02-17-2016, 04:42 PM   #37
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March 8 is the date for my right eye.
How exciting! My first surgery (left eye, in my case) was on October 8th, exactly six months before yours. Here's my first post after surgery.

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DW is ready to play chauffeur. I wasn't thinking about getting my license changed, but wonder what happens if you get pulled over and explain you had lens implants. I imagine I will have to pop out the right lens in my eyeglasses until the other eye is done. I am also wondering if I will be able to see the speedometer clearly when driving without glasses.
I can see the speedometer quite clearly, no problem! But, I don't know if that is true for everyone. I can read these words on the computer as I type, but they are not crisp so I prefer using my readers. Reading menus is flat out impossible for me without my readers, because the print is small and many restaurants do not seem to have very bright lights. Reading my digital watch, or small print on labels in the grocery store, or signing credit card slips all require my readers. Other than that I don't recall using my readers at all when away from home.

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W2R, did your Dr put you on any drops before the surgery? They told me, I would be getting something to take for a week before surgery. How long did you have to keep up with the eye drop regimen after surgery?
Yes, I had to use drops before the surgery too for a while. I started them on the 5th. I had my second eye done on October 15th (just one week later), and I was completely done with my eyedrops after about a month. Here's the eyedrop schedule I was on.

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The more I read on the subject, I am thinking that the monofocal type lenses will be the best option, especially considering my retinal membrane situation. I really don't mind needing to use reading glasses. The thought of being without glasses is kind of exciting, but going through 2 operations leaves me a bit nervous as well. Nevertheless, it is reassuring hearing from you veterans that have been down this road successfully.
I am glad I got the cheap single focus lenses that left me farsighted and using readers. I don't mind readers at all, either. I was pretty nervous about the operations too, but mine only took about 7 minutes each and although I was awake for the surgeries, the anesthetist made sure I was feeling quite mellow and calm.
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Old 02-17-2016, 05:20 PM   #38
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I wasn't thinking about getting my license changed, but wonder what happens if you get pulled over and explain you had lens implants.
Walt34, one of our friendly forum members, used to be a cop and told me it is quite common to issue a ticket if you're pulled over and not wearing the corrective lenses you have noted on your license. He said he could easily tell if you're wearing contacts or not, so that's not an excuse. You either have visible (not implanted) corrective lenses (contacts or eyeglasses) or you don't.

What's worse is that if it happened to you, you would immediately be grounded and have to call someone to drive your car home for you.

Pretty scary, and it convinced me to get the restriction taken off my license at the first opportunity.
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Old 02-17-2016, 05:34 PM   #39
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Walt34, one of our friendly forum members, used to be a cop and told me it is quite common to issue a ticket if you're pulled over and not wearing the corrective lenses you have noted on your license. He said he could easily tell if you're wearing contacts or not, so that's not an excuse. You either have visible (not implanted) corrective lenses (contacts or eyeglasses) or you don't.

What's worse is that if it happened to you, you would immediately be grounded and have to call someone to drive your car home for you.

Pretty scary, and it convinced me to get the restriction taken off my license at the first opportunity.
I will get it changed as soon as I can, but being a CHL holder, they usually let you go pretty quickly if you get pulled over
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Old 02-18-2016, 04:39 PM   #40
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W2R, thanks for those links to your thread on this subject. Definitely an interesting topic for many!
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