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Dr. Dan B.
Dr. Dan B., Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 3193
Experience:  Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
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I received a consultation for Lasik procedure today. I do

Resolved Question:

I received a consultation for Lasik procedure today. I do not qualify and am told I need cataract surgery. The recommened procedure is for TECNIS MULTIFOCAL LENS. I have never wore contacts or glasses. I have had RX glasses (for what I felt was due to diminished eyesight due to age). These were prescribed several years ago and I typically give up on wearing them as I have been unable to adjust to them. In particular a RX Bi-focal pair of glasses. When worn they caused dizziness, blurriness, halo's and was scarry and miserable. (I can wear reading glasses when needed just fine - without complication) My concern is if choosing the TECNIS MULTIFOCAL LENS (as opposed to monofocal) I could experience some of the same "adjustment reactions/sensations" to this implanted lens. Of course, I never 'adjusted' to ANY RX prescription glasses - bifocal or otherwise. I have never needed glasses growing up and perhaps my eyes have a greater sensitivy in attempts to wear them. I fear my brain with take longer to figure out what eyes need to do to see properly and correctly via the multifocal. IF I were to experience any of the sensations that the RX glasses caused - I would want them removed. Do you have an opinion in regards XXXXX XXXXX? It seems most persons receiving cataract correction have worn glasses or contacts for many years and perhaps would have less of a focused adjustment with lens replacement?
Submitted: 1 year ago.
Category: Eye
Expert:  Dr. Dan B. replied 1 year ago.

Doctor DanB : Hello and thanks for your question. Based on everything you've told me, I couldn't agree more.
Doctor DanB : I do not think you would be a good candidate for the multifocal lens. There is a definite adjustment period where the majority experience halos around lights, glare, and a decrease in contrast sensitivity.
Doctor DanB : In addition, multifocal lenses have multiple zones of different powers that allow for clear vision at multiple focal planes. Because multiple focal zones are available to the eye at once, the brain must adapt to these new lenses to learn which zone to look through for a particular visual task, but this can degrade contrast sensitivity.
Doctor DanB : Knowing that you are quite sensitive to these types of changes (as evidenced by your difficulty wearing prescription glasses in the past), I agree that a mono focal lens and OTC reading glasses are likely your best bet. Dies this make sense?
Doctor DanB : Do you have any other questions about this?
Customer:

Thank you for your prompt reply. Your answer makes complete sense an addressed one of main issues I have in choosing a corrective procedure that will improve my vison Without making me go "crazy" in adjustment phase. I will investigate further on monofocal procedure as adjustment phase should be less evident?

Doctor DanB : Much less evident. Should be more similar to what you're used to now.
Customer:

Thanks so much and have a great evening.

Doctor DanB : Youre welcome. You too. Good luck. Your feedback is important to me and will help me improve my encounter with future customers. Please rate your encounter with me by providing positive feedback (by pressing the smiley face); any bonus you may feel prompted to provide would be welcomed and is appreciated. If you feel like your concerns are not resolved or you have a problem or issue with anything I have said or haven’t said, please don’t issue a negative feedback rating—My goal is your satisfaction and I would rather work together to solve your concerns, until you are satisfied, than have you leave our encounter unhappy and unsatisfied. My opinion is solely informative and does not constitute a formal medical opinion or recommendation. For a formal medical opinion and/or recommendation you must see an eye doctor. Thanks for your inquiry!
Dr. Dan B., Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 3193
Experience: Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
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