This paragraph clinched it for me. I will have one eye for zones 2, 3 & 4 and one for zones 1, 2 & 3.
It is also possible to target zones 2, 3, & 4 with Vivity in the second eye. This strategy to create a slight difference is generally well tolerated and improves the near vision without eyeglasses. Unlike with traditional “monovision,” both eyes still work together as a team. Multifocal lens implants, such as the PanOptix, are able to cover all 4 zones in one lens, but the tradeoff is that they create more rings around lights at night. Like single focus lens implants, Vivity does NOT produce these additional rings and halos at night.
Ok, I am eight weeks out from my left (reading correction) eye surgery and two from my dominant right eye. The day after the surgery for second eye, I had 20/25 vision that has visibly improved since then.
I am very pleased. The Vivity lens “3 out of 4 zones” approach seems to be working and my eyes are cooperating with each other. I have good near vision and it seems perfect at arm’s length, across the room and far distance. No nighttime halos or learning curve.
I can read tablet and phone without glasses (as small a 7pt Helvetica in Pages on my iPad). Found some old +1.25 readers which are almost too strong but help with low light/contrast.
I have depended on distance correction since I was 10 - it is odd to no longer need it.
Five months since my surgeries now, but my eye doctor is puzzled at how my vision is still fluctuating. Should have settled down by now. But no matter what it fluctuates to, it’s still world’s better than when I needed glasses. She told me to pick up a pair of cheaters if I felt like it, 2.00 or even 1.75, but I’ve not gotten around to it. Looks like not all my astigmatism was lasered away, so she gave me a prescription for reading glasses, but the cheaters should be all I need if I decide to. I don’t want ever to have to order glasses again, and I can read okay.
Dry eye syndrome (Keratoconjunctivitis Sicca) can cause fluctuating vision. Cataract surgery can both induce and exacerbate Dry Eye Syndrome.
As can winter.
If I recall, you’re Canadian. [ETA: of are you in Thailand ? Heavy a/c use can do the same thing as described below. So can ubiquitous ceiling/floor fans – moving air moreso than lowered humidity]
AIUI, Canada can get butt cold in the winter, often leading to [wait for it] significant use of indoor heating. Without adequate humidification, the indoor humidity can often plummet.
Low humidity can hasten the evaporation of the tear film layer, really exacerbating an even borderline case.
I had you mixed up. Decorum prohibits me from saying with whom
My nickel’s worth of free advice: find a preservative-free lubricating eye drop and try it for a week or two – check with your cataract surgeon first, to be sure.
But it’s pretty easy to rule in or out ongoing tear film/dry eye/ocular surface issues.
If it doesn’t resolve, and/or gets more intrusive, I might suggest figuring out who in your geographic area is a ‘true’ dry eye syndrome specialist.
There’s lots of serious (and totally benign) diagnostics that can be done, and – when done – can point to the right treatment option(s) (and there are many) for what ails you.
Yes, eye drops are the answer. I had horrible dry eye after having lasik. They kept prescribing drops to me but Restasis did nothing for me and the other one, Xiidra was unaffordable but the sample worked well for me.
So I tried OTC eye allergy drops. Bingo! They aren’t perfect - my eyes go off before the 12-hour timeline. 24 hour drops aren’t worth the price as they stop working well before 24 hours so I use Systane to get me through to the allowed time.
Editing to add that I use humidifiers in my condo to help keep the eyes moist, too. Every little bit helps.
Rub it in. Our high temperature today was -4F (-20C). I love my humidifiers, eye drops, central heating and having a whole day available for the making of my bean soup.
I have a similar problem to the OP (which I realize is three years old, but it’s been revived, so …). It has not been diagnosed yet, what with the holiday season and all, so I’m not sure if it’s cataracts. Affects only my left eye, unusual number of floaters, and exceptionally near-sighted. Nothing that would justify a visit to the ER in the middle of a COVID pandemic, but hopefully will be able to get it looked at soon once everybody gets back to work.
Your best bet, if you can afford it, is to talk to an ophthalmologist, which you can do despite Covid. ERs are not a great place to go for eye issues unless you have a detached retina. But since you have time, read up on possible options for treatment before you go so you know what the doctor is talking about and about surgery/procedure success rates.
Thanks, that’s the plan. I’m in Canada so “afford it” isn’t an issue for medical care, but an ophthalmologist requires a referral. I’ll be in touch with my GP for that as soon as she’s back in the office.
How do things like premium lenses work in Canada? I would assume that the basic implants are covered but you might have the option of paying out of pocket for multifocals etc. like we can in the US. I think I paid about 3,500 per eye for the upgraded lenses (multifocal / toric) and laser.
Re your initial post: if the increase in floaters is recent and sudden, that would seem like an emergency situation. It’s not ideal to go to an ER right now - but a sudden increase in floaters could indeed be a sign of an impending retina detachment.
Depends what you mean by “lenses”. To the best of my knowledge, lenses of any kind (glasses or contacts) are not covered by public insurance here in Ontario, but under certain conditions eye examinations are, particularly those that are a medical referral to an ophthalmologist. Cataract surgery is fully covered, which I imagine must include the artificial “lens” that they implant in your eye. I know nothing about cataract surgery, though, but my guess would be that an extra cost associated with making this lens corrective would be the patient’s responsibility. As I’ve often said, the public health care system will unreservedly cover even the most expensive medically necessary procedures, but they nickel-and-dime you on the small stuff.
All I can say is that after about a week it’s neither better nor worse, and tomorrow I’m going to try to expedite an appointment. I really want to avoid the ER like the plague, pardon the expression. The biggest issue is not the floaters but the sudden near-sightedness in one eye. My distance vision has actually been getting better with age, so this sudden reversal in one eye is a bummer.
As far as “corrective”: basic cataract surgery should cover lens implants of a fixed correction amount - e.g. to give you close to 20/20 distance vision (or close-up, if you opt for that). I expect that part would be medically necessary. The nickel-and-diming stuff would be if you opt for the multifocals as I (and some others on the thread) did.
With the floaters and nearsightedness being so recent, and sudden, I’d definitely make sure your primary care doc knows this could be urgent so they can expedite the referral, ditto the ophthalmologist.
Actual cataract surgery would NOT be an emergency - but if you’ve got something else underlying, that might be.
