Question: Four months ago had cataract surgery using ReSTOR® Multifocal Lens Implant in both eyes including corneal relaxing incisions for previous astigmatism. I am adjusting to the various distances for reading and computer and the need for good lighting. However my distance vision is blurry so have a problem reading street signs until almost on top of them. It has been suggested that more relaxing incisions should be done and in the office.
Answer: It is impossible to know whether you might need additional relaxing incisions as it is not obvious whether the cause of your distance blur is indeed uncorrected astigmatism. Generally if one has a meaningful amount of uncorrected astigmatism it would also impact clarity at other distances and not just distance vision. Before having additional relaxing incisions you might want to get a second opinion and definitive reason for the decreased distance vision. While it could very well be due to the astigmatism, it could be due to other causes or just an inability to tolerate and get the desired performance from that lens implant design-which does cause a considerable contrast reduction. And, it may be that an alternative to the relaxing incisions might provide the beast clarity.
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