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  #13  
Old 12-02-2005, 12:44 AM
Dan Abel
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Posts: n/a
Default Re: questions re multifocal lens for cataract repair

In article <5P1jf.105552$qk4.6212[at]bgtnsc05-news.ops.worldnet.att.net> ,
"Dick Adams" <bad.addr[at]nonexist.com> wrote:

- quote -

> "Dan Abel" <dabel[at]sonic.net> wrote in message
> news:dabel-2E81E3.21324128112005[at]nnrp-virt.nntp.sonic.net...
> > Some of us think that "normal" is correction at distance. YMMV.
> > Personal preference is what determines. If you are a little old lady
> > who does nothing but reading, tv, knitting and needlework, all while
> > constricted to a wheelchair, having your vision set to "near" might
> > make more sense.
> A great deal of significant work and innovation is done within arms'
> reach. It's not all needlework, needlebrain! Some other people might
> like to be able to see what their fingers are doing with their naked eyes.


Like I said, personal preference. I would suggest a lot of careful
thought, but it's up to you.


- quote -

> > The once a week you get taken outside, you can either
> > not see (somebody else is pushing your wheelchair), or you can wear
> > glasses for distance.
> Sometimes they lose their eyeglasses and go driving. It happens more
> than one would anticipate. Cataract surgeons, take notice!


Make up your mind! Are you pushing correction for near or far?


- quote -

> > I take whatever my HMO is buying. No way do I have the
> > expertise to provide input into this.
> Is there no hope?


You snipped what I was replying to. The OP was asking what kind of IOL
to buy. What kind did you decide on?

--
Dan Abel
dabel[at]sonic.net
Petaluma, California, USA
Alt 12-02-2005, 12:44 AM
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  #12  
Old 11-29-2005, 06:17 PM
Dick Adams
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Posts: n/a
Default Re: questions re multifocal lens for cataract repair


"Dan Abel" <dabel[at]sonic.net> wrote in message
news:dabel-2E81E3.21324128112005[at]nnrp-virt.nntp.sonic.net...

- quote -

> Some of us think that "normal" is correction at distance. YMMV.
> Personal preference is what determines. If you are a little old lady
> who does nothing but reading, tv, knitting and needlework, all while
> constricted to a wheelchair, having your vision set to "near" might
> make more sense.

A great deal of significant work and innovation is done within arms'
reach. It's not all needlework, needlebrain! Some other people might
like to be able to see what their fingers are doing with their naked eyes.

- quote -

> The once a week you get taken outside, you can either
> not see (somebody else is pushing your wheelchair), or you can wear
> glasses for distance.

Sometimes they lose their eyeglasses and go driving. It happens more
than one would anticipate. Cataract surgeons, take notice!

- quote -

> I take whatever my HMO is buying. No way do I have the
> expertise to provide input into this.

Is there no hope?

--
Dicky
  #11  
Old 11-29-2005, 04:32 AM
Dan Abel
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Posts: n/a
Default Re: questions re multifocal lens for cataract repair

In article <44gjo1dm2e3girib2glhi3aelmt4m7gnl5[at]4ax.com> ,
Roy Starrin <starrin[at]verizon.net> wrote:

- quote -

> On Sat, 26 Nov 2005 14:47:24 -0800, Dan Abel <dabel[at]sonic.net> wrote:
> to me in reply
> > One thing that you should
> > think about real hard is what strength IOL you want installed. If you
> > don't discuss this with your doctor, they may well make this decision
> > for you. This will probably be fine, but I'd rather make the choice,
> > even though my choice was exactly what the doctor would have done
> > anyway.
> O.K. Please discuss with me some of the governing factors, or send me
> please to some references on this. Is there a "Normal" or what
> determines?

Some of us think that "normal" is correction at distance. YMMV.
Personal preference is what determines. If you are a little old lady
who does nothing but reading, tv, knitting and needlework, all while
constricted to a wheelchair, having your vision set to "near" might
make more sense. The once a week you get taken outside, you can either
not see (somebody else is pushing your wheelchair), or you can wear
glasses for distance.


- quote -

> And while you're at it, is there a particular IOL brand you would
> recommend; Why???

I like to have some input into what is happening. I think that this is
pushing it. I take whatever my HMO is buying. No way do I have the
expertise to provide input into this.


- quote -

> TIA - I see meyedoc again on Tuesday


Good luck. I would suggest a Google on this group. Some people here
have provided a lot of good information, much more than I could provide.

--
Dan Abel
dabel[at]sonic.net
Petaluma, California, USA
  #10  
Old 11-27-2005, 07:37 PM
CatmanX
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Posts: n/a
Default Re: questions re multifocal lens for cataract repair

MF IOL's are working very well these days. With a little adaptation,
you are free of glasses altogether and can enjoy great vision. It all
depends on pre-op script and your doctors skill.

dr grant

  #9  
Old 11-27-2005, 05:52 PM
Dick Adams
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Posts: n/a
Default Re: questions re multifocal lens for cataract repair


"William Stacy" <wstacy[at]obase.net> wrote in message news:82nif.24880$q%.2186[at]newssvr12.news.prodigy.com...
- quote -

> Gordon wrote:
> > > Another question: Can one predict what power of reading
> > glasses one will need after two successful monofocal implants
> > for distance (infinity)?
> Assuming you actually get 0.00 residual refractive error, it's pretty
> much straight math to figure the powers of the readers, depending almost
> completely on your desired working distances. It reality, you will
> probably end up with a minor (or not so minor) residual error that can
> be calculated in.

In other words, fucking up is not entirely out of the question?

Residual error can be calculated into that.

--
Dicky

  #8  
Old 11-27-2005, 05:37 PM
William Stacy
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Posts: n/a
Default Re: questions re multifocal lens for cataract repair

Gordon wrote:

- quote -

> Another question: Can one predict what power of reading
> glasses one will need after two successful monofocal implants
> for distance (infinity)?
> Thanks again, Gordon

Assuming you actually get 0.00 residual refractive error, it's pretty
much straight math to figure the powers of the readers, depending almost
completely on your desired working distances. It reality, you will
probably end up with a minor (or not so minor) residual error that can
be calculated in.

w.stacy, o.d.
  #7  
Old 11-27-2005, 01:23 PM
Roy Starrin
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Posts: n/a
Default Re: questions re multifocal lens for cataract repair

On Sat, 26 Nov 2005 14:47:24 -0800, Dan Abel <dabel[at]sonic.net> wrote:
to me in reply

- quote -

> One thing that you should
> think about real hard is what strength IOL you want installed. If you
> don't discuss this with your doctor, they may well make this decision
> for you. This will probably be fine, but I'd rather make the choice,
> even though my choice was exactly what the doctor would have done
> anyway.
O.K. Please discuss with me some of the governing factors, or send me
please to some references on this. Is there a "Normal" or what
determines?
And while you're at it, is there a particular IOL brand you would
recommend; Why???
TIA - I see meyedoc again on Tuesday
Roy
  #6  
Old 11-27-2005, 02:47 AM
Gordon
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Posts: n/a
Default questions re multifocal lens for cataract repair

Thank you all for your appends, which have really helped!

For the past week or so, the San Jose Mercury News has
been running a 5.5 x 9" ad captioned with six highly visible fonts:
"New Breakthrough Eliminating the Need for Vision Corrective
Glasses of Any Kind." The doc claims to be a "UC Berkeley,
UCSF trained surgeon." And for the worriers, the ad includes
this reassuring testimonial from a Mr. David Barton: "Having
the cataract surgery with the ReStor lens put in, was as easy
as going to the barber shop." My last trip to the barber shop
took me to Fort Campbell, Kentucky -- and it lasted eight weeks. :-)

Fortunately our ophthalmologist, described as "best student
ever" by his/her Stanford ophthalmology professor, is merely
offering the multifocal repair for our consideration. "60%" is the
stated patient satisfaction rate within the practice.

Patient satisfaction figures probably have positive biases. Some
patients cannot admit a mistake, some are happy to have dramatic
even if suboptimal improvement of vision, some are too depressed
to provide feedback, and others are thrilled mainly to be rid of their
glasses. Therefore, we are using a multifocal satisfaction rate of
50% in deciding.

Another question: Can one predict what power of reading
glasses one will need after two successful monofocal implants
for distance (infinity)?

Thanks again, Gordon

  #5  
Old 11-26-2005, 09:47 PM
Dan Abel
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Posts: n/a
Default Re: questions re multifocal lens for cataract repair

In article <31sgo11k3n5ifhidkc82had530mn9a0she[at]4ax.com> ,
Roy Starrin <starrin[at]verizon.net> wrote:


- quote -

> Further, I was advised that only if I had some overiding consideration
> that dictated that I could not/would not wear glasses should I
> consider them.
> I am not adverse to wearing glasses, therefore, after I have the
> single vision lenses "installed" if I have to wear them. fine with me.
> Right now I'm wearing tri-focal.


Might as well get used to the idea now. If you currently wear
trifocals, you'll be wearing some kind of glasses. At a minimum, part
of the time. At worst, all of the time. One thing that you should
think about real hard is what strength IOL you want installed. If you
don't discuss this with your doctor, they may well make this decision
for you. This will probably be fine, but I'd rather make the choice,
even though my choice was exactly what the doctor would have done
anyway. Also be aware that the people on this group, including the
doctors, don't agree on this.

Of course, one option is just to continue wearing trifocals. I tried to
talk to a woman at work about these options. She cut me off. She wore
trifocals, she liked trifocals and that was that. That's what she
wanted, that's what she got and she was happy. The top segment of her
new lenses after surgery had no correction.

--
Dan Abel
dabel[at]sonic.net
Petaluma, California, USA
  #4  
Old 11-26-2005, 01:39 PM
Roy Starrin
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Posts: n/a
Default Re: questions re multifocal lens for cataract repair

On 25 Nov 2005 13:43:37 -0800, "Gordon" <gordon.slishman[at]gmail.comwrote:
- quote -

> Since 2005 a new multi-focal lens implant has been available ?)
> (4) Does anyone have a heartfelt opinion pro or con?
We kicked this around a bit in a thread I initiated on 30 Sept last,
titled: Some Cataract Questions. You might look for it.
I came away from that and some separate message contacts with
respondents with a firm idea to NOT use them.
First, in research, I found that a small percent of the folks who
receive them ask to have them removed. It was only in the multfocus
type of lens that I found such a statistic. I was advised to do this
and did: Ask your eyedoc if he will remove them and replace them with
single vision lenses, at his expense, if you can't adapt to them.
Further, I was advised that only if I had some overiding consideration
that dictated that I could not/would not wear glasses should I
consider them.
I am not adverse to wearing glasses, therefore, after I have the
single vision lenses "installed" if I have to wear them. fine with me.
Right now I'm wearing tri-focal.
Go back to meyedoc Tuesday to determine "when"
LOL, YMMV
Roy

 

Tags
cataract, lens, multifocal, questions, repair
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