What exactly was the doctor's response?
my left eye cataract is not ready to be removed and so the right eye vision cannot be corrected very much - it would be uneven.
What level of vision do you have in your right eye?
I dont know but I have my scrip - can I give you numbers from that? FYI - I am switching doctors . I am very happy about my husbands outcome but it made me a little sadder today about my own.
The script would not help me much.
When you cover your left eye, describe what you see out of the right eye.
is everything blurry at all distances?
meaning it is clear out of the right eye?
I'm not sure if I am understanding you.
Were you expecting to see well without glasses?
I am near sighted. With my glasses off I can see only about 10 feet which is better than the left eye. Can I say this any better?
Did your doctor promise you good vision at distance and near?
Promise? We were not going for better near vision - better distance. Maybe this was not an appropriate question to ask on this forum.
I guess I should say I do not recall him "promising" anything.
Can you tell me what the numbers on your script is?
SPH - right-3.00; left-5.00. Do you want all columns?
no, that should be fine.
Did you ask your doctor if he intended to leave your right eye near sighted or if he was targeting good vision at distance?
no - I didnt know there was a choice. Do you think I am stuck with this or can I ever have the replacement replaced
In general, when cataract surgery is done, the target is to have little prescription left over -- meaning distance is good at distance and you would need reading glasses to see up close.
The difficulty in your situation is that your left eye is very near-sighted.
So, if the right eye had little prescription, and the left eye was -5.00, then you would not be able to tolerate glasses.
The option in that situation would be to wear a contact lens in the left eye or proceed with cataract surgery in that left eye earlier than intended.
It appears that your doctor left the prescription nearsighted in the right eye on purpose, so that the two eyes would be closer together in prescription.
So you have a couple of option at this time.
You can consider exchanging the lens implant in the right eye for a different lens. by doing this, however, you may need to have surgery in the left eye as well to balance out your prescription.
You may consider LASIK in the right eye to achieve the same purpose of reducing the prescription, without the added risk of intraocular surgery.
third option would be to wear contact lenses in both eyes.
I have performed many cataract surgeries. I talk to all my patients in detail about target prescription and what implications that may have on the unoperated eye.
well - I guess part of my problem is communication because I have not understood it at all. Also, to be honest I did not feel comfortable with this doctor. He did tell me that if I had an extra few thousand I could get LASIK.
Exchanging the implant is an option, but carries risk of intraocular surgery.
It is possible that the doctor did not explain in as much detail as he needed to.
because of your pre-existing near sightedness, there are many options in terms of which way to proceed with the lens implant.
that why it is important that i include my patients in the decision making process as to what type of lens i implant.
a second opinion with an in person exam is helpful.
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