Question: I am not happy with the results of my cataract surgery as my prescription is now distance right eye +1.00-.25 x 135, left eye +1.50-.25 x 088 with a +2.25 for near. What are my options?
Answer: First, when you say that you are not pleased, it is not obvious whether you set and understood possible expectations and outcomes from your Cataract Surgeon. Let's start with your near vision. Anyone who has a Cataract removed must have some optical correction for clarity of near vision. Options for near vision correction with Cataracts include eyeglasses, contact lenses, Monovision Cataract Surgery or Presbyopia Correcting Multifocal Lens Implants (IOL). If you wanted to be "glasses and contacts free" for near vision you would need to have either Monovision Cataract Surgery or Presbyopia Correcting Multifocal Lens Implants. It does not appear as if you were either a candidate for these options, presented with and/or elected to have either of these options. Although it is technically a possible option to have a Lens Implant Exchange with these options and have the current implants replaced, the complexity of the second surgery may not be worth the risk. It really depends on the overall health and condition of your eyes. Regarding your distance vision, you do not state what your uncorrected level of visual acuity is without correction at this moment-and how much it bothers you. Again, the options for correcting your distance vision are the same-glasses, contact lenses or a Lens Exchange. Certainly eyeglasses are the least convenient, but also the least risky. A Lens Exchange could very well provide you with "glasses free" distance vision and if you were a good candidate, Monovision Correction may give you "glasses free" or nearly "glasses free" near vision. Multifocal Lens Implants could technically be used for the Lens Exchange BUT they do require near perfect implantation for the optimum performance which may or not be possible depending on the condition of your eyes and their anatomy. Thus, your best next step is to have a frank discussion with your Cataract Surgeon-who knows the anatomy and condition of your eyes postoperatively and he or she can help assess the risk/benefit ratio of the options so that you can make an informed decision.
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