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I got the distance lens about 3 years ago at 58. Literally night and day, with sensitivity to sunlight. I gotta wear shades. When discussing astigmatism with the surgeon the pointed out the procedure was not a permanent fix. I opted to leave it alone since it's not debilitating at this point.
 
I appreciate all of this information.

I try not to drive at night now due to the starbursts from oncoming cars. I have to drive on many two lane roads and get blinded and find it extremely difficult to stay in my lane. The new cars with those super bright lights that are brighter than most ”brights” are murder.

It’s time to go to the ophthalmologist and this thread is very helpful.
 
I appreciate all of this information.

I try not to drive at night now due to the starbursts from oncoming cars. I have to drive on many two lane roads and get blinded and find it extremely difficult to stay in my lane. The new cars with those super bright lights that are brighter than most ”brights” are murder.

It’s time to go to the ophthalmologist and this thread is very helpful.
And the lifted trucks who sit left when stopping for traffic lights, deserve a semi with high beams giving them the same courtesy.
 
I had the implants put in. Went for distance. Done in 2013. Don't really need anything for close up except for really fine print. Dollar general 5.00 glasses take care of the very fine print. Was told ill never have cataracts again with the implants. Had my eyes checked every couple years. Last checked was in November. Still 20/20 both eyes. Before having this done I wore coke bottles with trifocals and stigmatizum. I've never had any regrets and very seldom need anything for smaller print.
My eye Dr. told me at the time if I got the implants in ill never see you again. I'll lose you as a customer. He was right.
 
Ver6y helpful tread, I am in the cataract and lens pipeline now waiting to meet with surgen to discuss options. Several shooters at the club have been down this path and seemed to go for distance rather than multi- focal lens. Now trying to understand various lens and lens quality.
 
Due to cataracts and astigmatism, Dr recommends toric intraocular replacement lens. There are a couple options, surgery done with scalpel by hand or by laser. The other decision, toric or toric with extended depth of field. I am told that I would still need readers. Anyone gone either route? Happy with outcome? Enjoy shooting trap, skeet, and some handgun. The more advanced options keep raising the price. Dream gun, K-80 trap combo is getting pushed out a little farther.
I am leaning towards the toric edof with laser. Thanks, Andy Z.
I had my cataracts removed about 8 years ago by a doc in Philadelphia who was part of Wills Eye Hospital. In the process it solved my strong astigmatism, plus the Intraocular lens that were inserted were Multi-Focal in both eyes, so that I have excellent long distance and close up vision.

I'd needed reading glasses for the 10 years prior, but with the Multi-Focal lens I was able to collect all of them up and throw them in the trash.

I haven't heard of a reputable eye specialist using a scalpel in the last 10 years. 30 years ago that was common, but technology has advanced way, way, way beyond that. You need to talk to some Top Docs.
 
I have "mono vision" implants (cataract surgery) because that is the way my contacts were set up for 20 years. Right, dominant eye is corrected for distance and left eye for reading. If you have a month or two, I suggest getting soft, daily wear contacts set up this "mono vision" way to see if you like it. It seems to me that over the years this has insured my dominant eye stays dominant and prevents cross-over vision when shooting.
 
Had LASIK done back in 2007. Left eye wasn't perfect as the anaesthetic started wearing off. LASIK machine had an overheating issue which reared it's head during my treatment.
Absolutely love it. 20/20 right, dominant eye, 20/30 in left eye.
Readers for books and screen's - get a headache if too much screen time otherwise life is good 👍.
 
The outcomes are not comparable. Laser vision correction always produces the best results. I had LASIK surgery two years ago. I'm no longer wearing glasses, and my vision is much, much better. I have 20/15 vision and a mild astigmatism correction. I'm noticing things I never noticed before. At the time of writing, the cost of LASIK is reasonable. However, I believe it will continue to fall over time. It is a common procedure, and most insurance companies cover it.
 
Due to cataracts and astigmatism, Dr recommends toric intraocular replacement lens. There are a couple options, surgery done with scalpel by hand or by laser. The other decision, toric or toric with extended depth of field. I am told that I would still need readers. Anyone gone either route? Happy with outcome? Enjoy shooting trap, skeet, and some handgun. The more advanced options keep raising the price. Dream gun, K-80 trap combo is getting pushed out a little farther.
I am leaning towards the toric edof with laser. Thanks, Andy Z.
I can make some generalized recommendations, specifics are easier knowing more details of your case.

Some surgeons are just great ,others like to upsell because, you know, $.

Toric implants are good for people that need them. >1.50D of astigmatism (cylinder) can really benefit from torics. 1.00-1.50 is a gray area, <1.00 doesn't need a toric imo.

Multifocal implants are good for those that want to have both near and far without glasses MOST of the time. And who wouldn't? Shooters however, are not often willing to sacrifice distance clarity to get some near and there usually is some sacrifice. Therefore for most clay target shooters I don't recommend the multifocal implants. I do have one friend that got them and he's happy with them. Good shooter too.

Laser vs scalpel...this is an area of upsell. If your surgeon needs/absolutely has to use a laser, find another surgeon. The laser is only used for a small part of the surgery, making the wound that they work thru. The work is still done by the surgeon, not the laser.

extended depth of focus is new to me. I honestly don't know what this is referring to. Surgeons in my area are not offering this to my knowledge. Sounds like more money though.
 
For those commenting on LASIK, good for you. But this has nothing to do with cataract surgery.

Also with more and more people having had LASIK we are now seeing more that were overcorrected with the LASIK and have now become farsighted, needing glasses yet again but different than before the surgery when they were near sighted. It's still a small percentage and most LASIK are very successful, but it's not perfect. When this happens before age 40 it's often not apparent for years.
 
...I haven't heard of a reputable eye specialist using a scalpel in the last 10 years. 30 years ago that was common, but technology has advanced way, way, way beyond that. You need to talk to some Top Docs.
Some surgeons will say anything to make you think they can walk on water. It's called the God complex.

Some will tell the patient they took the eye out of the socket, laid in on their cheek to fix whatever it was they were fixing. Then put it back in. Wow, sounds impressive! But it is 100% fiction.
 
Discussion starter · #35 ·
Thanks to all for your input. Going with toric distance lens. -2.75 cylinder right eye, -1.25 left. Will have procedure done next week. Still perplexed, during intial exam with optometrist, covered left eye, Doc said, Read lowest line you can. Couldn't read top line. Been shooting weekly derby on Saturdays and skeet league on Sundays. Shooting respectable 16s, okay handicap scores. Better skeet scores than I have for several years. Right handed and right eye dominate. Will be anxious to get back shooting after surgery.
 
Thanks to all for your input. Going with toric distance lens. -2.75 cylinder right eye, -1.25 left. Will have procedure done next week. Still perplexed, during intial exam with optometrist, covered left eye, Doc said, Read lowest line you can. Couldn't read top line. Been shooting weekly derby on Saturdays and skeet league on Sundays. Shooting respectable 16s, okay handicap scores. Better skeet scores than I have for several years. Right handed and right eye dominate. Will be anxious to get back shooting after surgery.
I went back shooting same week he put the other lense in. Waited 3 weeks between each eye.
 
Thanks to all for your input. Going with toric distance lens. -2.75 cylinder right eye, -1.25 left. Will have procedure done next week. Still perplexed, during intial exam with optometrist, covered left eye, Doc said, Read lowest line you can. Couldn't read top line. Been shooting weekly derby on Saturdays and skeet league on Sundays. Shooting respectable 16s, okay handicap scores. Better skeet scores than I have for several years. Right handed and right eye dominate. Will be anxious to get back shooting after surgery.
Good luck, Andy - let the rest of us old geezers know how you make out…
 
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