Half way through Friday!
Posted: Fri Oct 18, 2019 4:15 pmIt’s a gorgeous Friday! Hope all are well and happy.
Had my pre op for cataracts today, which did not exactly go as I pictured!
The good news is, I have no sign of macular degeneration. The rest goes like this:
My astigmatism is way worse once computer photograph magnified measuring was done than most people. In fact my left eye, Id be legally blind without glasses or contacts! He was quite surprised once they did the computer mapping, as he fully expected to use the new trifocal PanOptix iol. Most people rate on the scale in 1-2 range for astigmatism, if they have astigmatism and my left eye it rates 11+ !! People who are nearsighted are always more challenging than those far sighted for multifocal IOLs, but when you combine it with severe astigmatism way beyond norm, it gets very difficult to treat. When I mentioned that years ago his former partner (dead about 8 years now) had at one time said eventually I should have lasik surgery, dr Kira said today, had I done that, I might have now been in way more trouble vision wise than I am now. Current research shows people who had lasik or similar, are developing cataracts earlier and are more difficult to treat with their surgically scarred cornea! That info is just recently out.
So, it is what it is and I’ll do what’s best for my case. When Dr walked into room, he was looking at the first mapping done by his tech and was like Wow, I expected to use the new PanOptix on you but I don’t think that’s going to be possible as your astigmatism is way worse than we normally pick up on regular checkups. He had more testing done, he examined my corneas and found slight scarring ( wore contacts age 16-26), then consulted charts used to predict what lens. Center of the chart says yes can do. Next ring, will soon have lens for this and outer ring is, probably never be able to correct for that combo of numbers from the testing. My left eye is out of even the outer ring of probably not ever. He said there is no lens, Toric or otherwise, which will correct for your severity of astigmatism. Your right eye is marginal, but the new implant IOLs require being used both eyes, and your left is way worse than we predicted! No wonder your vision is still symptomatic even with best Toric blended trifocals!
The reason you see so many needing readers, is, most people simply choose not to pay thousands extra! And only Drs trained to use the specialized multifocal s push them because they require getting them aligned just right or are out of focus). And most people are happy with just readers, as well as not having to pay $3000 to $8000 extra! I went into this wanting top of the line but no lens is made able to handle my severe astigmatism! I was always aware of my astigmatism, because even with best correction with available blended trifocals Toric lenses, I still have some distortion esp at night. One thing he said is, if we do the monofocal two different lenses, your night vision should be way better than ever before!
It’s very good news though that though I have a irregular curvature of the back of my retina, which likely i was born with (thus needing glasses since age 2), my macula (where vision is focused) is in good shape for my age.
I need to let him know I’ve decided to go with his recommendation of monofocal with the two IOLs different, one leaning distance, the other leaning to close vision with slight overlap ( of RX not of overlap of lenses!), which he said I should only need over the counter readers and only for closest work. My Curves coach had that by choice and is very happy and most of time does not use her readers, to the point where she has multiple pairs because she keeps leaving them all over the house!
I’m still getting over the mourning the facts vs my expectations as I was determined to have top of line multifocal IOLs, but that just isn’t possible. This Dr is a highly trained, teaches Opthamology and eye surgery at the University and has helped in testing these new multifocal IOLs so I trust him, have known him at least 6 years and have to go with his judgement.
Color me disappointed but adjusting. It’s not like my having poor vision is something new, since I’ve worn glasses since 1950!
Upward and onward. Meanwhile I look funny as he is having me wear scotch tape of the frosted type over the reader section of my blended trifocals on my dominant eye, to get used to how it will be. And yes though the tape is weird, I can see and read fine.
Velda
Had my pre op for cataracts today, which did not exactly go as I pictured!
The good news is, I have no sign of macular degeneration. The rest goes like this:
My astigmatism is way worse once computer photograph magnified measuring was done than most people. In fact my left eye, Id be legally blind without glasses or contacts! He was quite surprised once they did the computer mapping, as he fully expected to use the new trifocal PanOptix iol. Most people rate on the scale in 1-2 range for astigmatism, if they have astigmatism and my left eye it rates 11+ !! People who are nearsighted are always more challenging than those far sighted for multifocal IOLs, but when you combine it with severe astigmatism way beyond norm, it gets very difficult to treat. When I mentioned that years ago his former partner (dead about 8 years now) had at one time said eventually I should have lasik surgery, dr Kira said today, had I done that, I might have now been in way more trouble vision wise than I am now. Current research shows people who had lasik or similar, are developing cataracts earlier and are more difficult to treat with their surgically scarred cornea! That info is just recently out.
So, it is what it is and I’ll do what’s best for my case. When Dr walked into room, he was looking at the first mapping done by his tech and was like Wow, I expected to use the new PanOptix on you but I don’t think that’s going to be possible as your astigmatism is way worse than we normally pick up on regular checkups. He had more testing done, he examined my corneas and found slight scarring ( wore contacts age 16-26), then consulted charts used to predict what lens. Center of the chart says yes can do. Next ring, will soon have lens for this and outer ring is, probably never be able to correct for that combo of numbers from the testing. My left eye is out of even the outer ring of probably not ever. He said there is no lens, Toric or otherwise, which will correct for your severity of astigmatism. Your right eye is marginal, but the new implant IOLs require being used both eyes, and your left is way worse than we predicted! No wonder your vision is still symptomatic even with best Toric blended trifocals!
The reason you see so many needing readers, is, most people simply choose not to pay thousands extra! And only Drs trained to use the specialized multifocal s push them because they require getting them aligned just right or are out of focus). And most people are happy with just readers, as well as not having to pay $3000 to $8000 extra! I went into this wanting top of the line but no lens is made able to handle my severe astigmatism! I was always aware of my astigmatism, because even with best correction with available blended trifocals Toric lenses, I still have some distortion esp at night. One thing he said is, if we do the monofocal two different lenses, your night vision should be way better than ever before!
It’s very good news though that though I have a irregular curvature of the back of my retina, which likely i was born with (thus needing glasses since age 2), my macula (where vision is focused) is in good shape for my age.
I need to let him know I’ve decided to go with his recommendation of monofocal with the two IOLs different, one leaning distance, the other leaning to close vision with slight overlap ( of RX not of overlap of lenses!), which he said I should only need over the counter readers and only for closest work. My Curves coach had that by choice and is very happy and most of time does not use her readers, to the point where she has multiple pairs because she keeps leaving them all over the house!
I’m still getting over the mourning the facts vs my expectations as I was determined to have top of line multifocal IOLs, but that just isn’t possible. This Dr is a highly trained, teaches Opthamology and eye surgery at the University and has helped in testing these new multifocal IOLs so I trust him, have known him at least 6 years and have to go with his judgement.
Color me disappointed but adjusting. It’s not like my having poor vision is something new, since I’ve worn glasses since 1950!
Upward and onward. Meanwhile I look funny as he is having me wear scotch tape of the frosted type over the reader section of my blended trifocals on my dominant eye, to get used to how it will be. And yes though the tape is weird, I can see and read fine.
Velda
and started working outside. Talk about dust!! 
Everything was so filthy dirty! I swept the carpet on the deck and then vacuumed. Then took the hose to the house and gutters, walls and floor of the deck and just gobs of mud came up all over. I had removed all my deck furniture before and ran the hose over all that as well, then left it all in the sun to dry. Took a car full of junk to the dumpster then organized and put away other stuff I had outside. Last thing was to hose off the driveway and my golf cart. I got a cover for the cart so will cover that tomorrow after it all dries out overnight. Looks really nice on the outside now. Don't want the neighbors and returning snowbirds to think I am a slob! 
