Cataract Surgery Monofocal: Youtube Eye Doctor Explains

[@vib.3969]

Thank you. I have looked at a lot of videos on cataract surgery and this is the best in terms of clearly explaining monofocal IOLs.

[@GoodOptometryMorning]

Very kind of you to say. I am glad it was helpful.

[@ckp2ator389]

I agree. The problem when informing oneself about this surgery is there is so much variability in individual situations and so much hype about the premium lenses, that one gets diverted from the main purpose of cataract surgery. Monofocal is the most popular choice and not only because it's the least costly.

[@winbrown444]

When your Dr. is the best cataract surgeon in the country, your results are phenomenal.

[@rebeccabello3103]

I've worn monovision contacts (left eye to see closer and right eye to see far) for many years due to computer work at my job and opted for monovision with my cataract surgery. My eyes were already used to balancing this difference. I'm extremely happy with this choice.

[@GoodOptometryMorning]

Thanks for sharing

[@AS-tt8ui]

I picked monofocal lens. No regrets. Sharpest distance and best contrast and night driving. (age 73) Great dim light and no halos with night driving. No glasses for driving needed and cell phone usable just not sharp. Only need readers for reading. There are negatives for all multifocal lenses especially when you get older. As you age the light reaching the retina naturally decreases and multifocal lenses make it worse.

[@missmonasuzette]

Which lenses did you choose? Your results were my plan. I got my first (dominant) eye done and it was supposed to be set for distance. It is the Johnson and Johnson Eyhance lens, which gives a bit more depth of field. Day after surgery I could see up close for about 4 feet, like an eagle. Doc kept insisting he set it for distance and said my eye needed more time to heal, because distance continued to be blurry. I've been back to see him 5 times in the 5 weeks since he did my dominant eye. Last visit he sent me home with a contact for distance in my left, non dominant eye. He has never once explained what happened. He knows he messed up. I'm not a dummy, and I know if I can see my phone and laptop sharply, that there was obviously some kind of mistake made. I was expecting to need reading glasses. (age 68). I now feel that my only option is to have the non dominant eye set for near. For me, near with the Eyhance means that I can see for about 4 feet from my eyes in sharp focus. I'm glad for that, but boy, has this ever been a disappointing journey and to be honest, I'm afraid that he's going to mess the other eye up.

[@AS-tt8ui]

@@missmonasuzette He put the wrong lens in. Find a surgeon that will remove the lens and put the right one in. It can be done . I wouldn't trust your current doctor. You should have received a card after surgery with the name of the lens and the power.

[@Promqueen23]

@@AS-tt8ui Agree!

[@j.scottsomerset8976]

I’m getting cataract surgery soon and this is the best and clearest video of any that I’ve seen. Extremely helpful

[@GoodOptometryMorning]

I'm glad it helped. Feel free to share with your friends

[@terryhenkle3956]

Thanks so much for the information. I'm now ready for my surgery tomorrow!

[@crosisofborg5524]

Why doesn’t any doctor talk about watching TV? They talk about reading and driving but forget the average person doesn’t know if watching TV is distance, intermediate or close.

[@sabetibrahim860]

Distance

[@pohmoh3590]

Watch TV consider distance. I just had cataract surgery on both eyes. Use toric monofocal IOL. Mine is under prescribed IOL where my far vision is slight reduced for near sightedness. I able to read, watch TV, Drive without glasses.

[@saidurrahman2656]

@@pohmoh3590 how much time take for adjustment?

[@priyanthameemeduma2326]

I had monofocal made in India- PEOPLE and the world LOOK SO PRETTY - you would lose your breath.

[@priyanthameemeduma2326]

I have monofocal. 100% curve Computer measured diopter. VISION EXTREMELY CLEAR AFTER JUST 4 WEEKS. 1 eye..other is good to some extent with glasses. Now I fo NOT need glasses. Drs wrong. Gives all distances.

[@micheal-tn3ux]

I wore monovision contacts so I elected to have monovision implants. I can see good enough close up i can actually read a prescription bottle just fine, I can see good enough distance better than my contacts. I threw all my contacts and glasses away. I was very surprised how bright things are now the color and everything. I love them. Not perfect but it works just fine for me. The surgery was a breeze no pain or discomfort, they took real good care of me it lasted maybe 10 minutes after they started.

[@GoodOptometryMorning]

Thanks for sharing.

[@TroyQwert]

I just watched a video about revolutionary new type of lenses. Man! Something really great is happening in lens manufacturing.

[@GoodOptometryMorning]

thanks for sharing

[@MisfitGracie4]

I tried the monovision with Laser Eye surgery. My brain didn’t like it at all!!! After a week, I had to have it to just give me far away vision.

[@jonathancoles7438]

This is the kind of information patients need. From the comments below, I see that I am not the alone in finding the patient education at "Eye Centre" outfits is very poor. They are all about up-selling you from the insurance-covered monofocal lens to a premium lens. The "lens specialist" that talked to me used no technical terms, identifying the lenses by brand name! The most precise information I got was how many $ per eye. Although the doctor in the video sports a UW School of Optometry crest, sadly he is not in Ontario. I want to find out whether there is more than one distance option in the basic monofocal lens covered by OHIP. I don't care about distance vision without glasses. A mid-range focus might work well for me.

[@GoodOptometryMorning]

Thanks for sharing. I am in Manitoba and we are an externship site for Waterloo students

[@rongendron8705]

I suggest that before getting cataract surgery, they get a few pair of glasses that show how someone would see, after surgery, in all options ! For example, (1), with good distance vision & (2), with good, near vision & (3) with both! They should wear each, for at least a few days w/o cheating & see which one that they prefer! Remember, it's for the rest of your life!

[@cheritayoung9791]

Great video and great explanations. My doctor didn't explain anything like this. I have the Toric and cannot see very well at night and had been doing a lot of night driving. Very disappointing for me.

[@mikethomas4210]

What brand of Toric lens do you have?

[@cheritayoung9791]

@@mikethomas4210 That's a good question. I am not sure but will find out. Thank you for reaching out.

[@kimijonghighball9626]

I’m use to seeing up close perfectly well but now it has Diminished where I have to put objects closer to my face but i love driving but now I can’t see very well at all, especially at night. What do you recommend??

[@mikeske9777]

I took the monofocal lens in both eyes. since I frequently drive at night and wanted absolutely the clearest vision possible. I also did not mind to wear glasses for near vision it was not a problem for me. Just getting something that was lighter than the thick heavy glasses for the extreme far sightedness I had was what I aimed for. The IOLs I got exceeded by a large margin exceeded my own expectations as I had better then 20/20 vision int he right eye and 20/25 in the left eye. I still wear glasses but don't need them at all for driving and even for my computer that I have the habit of sitting about 4 feet away. I expected that was going to need some glasses and expected at least +1.50 for both eyes for distance and what I got was no correction int he right eye and a +0.25 in the left for distance. Sure I do need a correction for reading and it is +2.25. Oh yeah I am a 66 year old male. The biggest thing is ask the question and be sure you get the answers completely by the doctor and listen to their advice. I am so glad I did. This was not the first time I had gone through this as my wife 7 years ago had her cataract surgery and I did a lot reading and searching the internet for her as she was already displaying signs of dementia when she got her cataract surgery. I made sure that she got what she wanted and it ended up that after testing and measuring she was not a candidate for the other lens available and so she and the doctor decided it was best she have the monofocal lens for her and she was mostly satisfied with the outcome.

[@GoodOptometryMorning]

thanks for sharing

[@ilyasghauri1012]

Good information. Thank you.

[@GoodOptometryMorning]

Glad it was helpful!

[@mrshappywanderer]

Thank you so much for these very informative videos! Also I am very appreciative of the comments of the patients and their experiences 👍 I had agreed to the more expensive IOL’ at Dr office. However after speaking to my sister who got them and was very disappointed, I am now considering the Mono IOL. Also it seems that many people are very happy with the MONO and having clear vision for driving will be worth it for me.

[@GoodOptometryMorning]

Thanks for sharing your experience.

[@susanx1468]

By the way , I saw perfectly with monovsion laser about 15 years ago. Last couple of years needed glasses. Not too strong. However I developed floaters and when I'm examined the doc looks shocked. There at so many, but I can still see. Thanks for your videos.

[@priyanthameemeduma2326]

Average person will never see the world like a monofocaled person. Girls look like angels ; (No one would know girls - women THIS pretty)- flowers so beautiful..you would drop dead.

[@ozy4644]

how many meters close and far i can see clearly with minivision ..? Please 🙏.. I will surgery

[@tayler2396]

Do you notice any intermediate improvement at all with Tecnis Eyhance?

[@amogh2k]

No answer

[@rachelsin1950]

Thanks for doing these videos

[@susanlownsway1838]

Thank you your vedio cos I have cataract midle of my pupils so that can see much hard to see my back of my eyes they can't see they ultrasound that the see my leftside it ok than rightside still Fogg but not worse

[@peterlevan4719]

If you value your close-in vision...i.e. seeing your watch, doing DIY work, seeing instruments or people inside your car, seeing your phone (texts, etc.)? Please DO NOT opt for the Toric Lens. Since October 2023 my Toric Lens from Johnson & Johnson has left me CRIPPLED. Yes...I can read a license plate at 2-blocks, However, this morning I fell down 8 concrete stairs, head-first, because I no longer have depth perception OR balance. I was shamed into paying $1700 extra for the Toric Lens with the medical staff making me feel like a "cheapskate" for not choosing the so- called "premium lens." The worst medical decision of my life.

[@ItsChrisHawaii]

Have you tried a progressive eyeglasses for close-in vision?

[@ahibadi]

What is the recommended lens for irregular astigmatism?

[@brozbro]

I have progressive glasses. Each lens is different. Can you prescribe a monovision(s) lens to reproduce my current eye vision so that I can continue wearing the same glasses?

[@GoodOptometryMorning]

likely you could

[@muhammadadnanbashir4057]

Is it OK to have a multifocal IOL in one eye and a monofocal in the other?

[@desmondo7042]

most helpful. Goodonya mate

[@Mrdsmith500]

This is what nobody seems to say. I found out AFTER my cataract surgery. I got mono vision lens to see up close. I was told I would need glasses for distance. I assumed that was driving and "far" away. NO, turns out distance only means at arms length. Everything is out of focus greater than 3 feet away. Honestly I think I lost more than I gained. Colors are great now, but that's about it.

[@GoodOptometryMorning]

Thanks for sharing your experience

[@Promqueen23]

Sounds like they put the wrong lens in. Your distance eye should see distance.

[@reneguay1347]

At which distance do you need glassesif you choose distance lenses

[@ckp2ator389]

If I get monofocal lenses set for distance, can I wear a progressive lens type glasses that will take care of intermediate and near distance in a seamless way? I am a presbyopia affected myopic who has been wearing progressive glasses for 30 years and like it. Will I be able to replicate this experience after cataract surgery with monofocal lens (both eyes) set for distance?

[@GailLischeid]

What about light sensitivity cataracts, does all the same apply?

[@GoodOptometryMorning]

I’m not sure what your question is

[@reneguay1347]

Is there a big difference between regular and premium monofocal iols

[@alanzemsky7695]

Great review- if you get monovision with distance- can you still see some intermediate without needing glasses?

[@GoodOptometryMorning]

it depends

[@TheTajkhanable]

Clreaon vivity is the best option

[@mrmprm8732]

Blue light filter essential in the iol?

[@GoodOptometryMorning]

UV filter YES. Blue light filter NO. I would NOT get a blue light filter in an IOL and I would be surprised if an option for that is even available

[@trudijones4856]

very informative! I'm getting cataract surgery in January and am leaning towards having 'near vision' but I am confused as how far i will be able to see with near vison? Also the is a 'glistening free monofocal lens (Envista) that is offered at an extra expense and am stressing as I am wondering if the cost is worth it...

[@coffeecat086]

Your videos are so informative! Thanks for posting these! Also, my prescription is +20 for seeing the room around me. I’m thinking a lens that is for close up would be best since I can’t and haven’t ever been able to see farther than like 6 feet in laboratory conditions. Not so much IRL. Can’t see outside more th an like grass or a car passing right in front of me, otherwise it’s all glare and color and such. Sorry, just found out today they want to send me to eye specialists cause my case is too complicated for rural doctors 😂 but the doctor is hoping they can do the lens so at least I can play with my son. We like playing video games together:) (probably unimportant, but that is a goal😂 so yep, scared hopeful and all that!

[@ozy4644]

Video game😂... Very interesting ❤

[@darianprotho6622]

🙏Wish you luck. It's good to spend time with your family. 👍😃

[@TheTajkhanable]

Whih lens is better monofocal or clreaon vivity which is best for far intermediate

[@MrPistolpete1234]

I’m due to have monofocal tori lenses in a couple of weeks. I’m having them for distance and am told I’ll need reading glasses just for computer etc. I play a lot of pool as a hobby. Would I need glasses for that? Or is that considered distance. I’m talking if I’m looking at my cue on the white ball with my head quite near it

[@GoodOptometryMorning]

Vision for sports is always tricky. If you want to play pool without glasses you want to think about if you want to see clearly at the cue ball or at the ball you are aiming at (I realize this distance could vary from 1-6feet). If you are choosing monofocal lenses for distance the surgeon might be thinking 20ft ie for driving....if you get it clear for 2 ft or 6 ft then you will need to have glases for driving. I would recommend a discussion with your surgeon so you are both on the same page.

[@MrPistolpete1234]

@@GoodOptometryMorning thanks for the reply. This is my concern. I was told I’d need low strength reading glasses, I.e. the ones on the shelf in a store. I thought just to crispen up slightly blurred texts etc. I’ve now heard how bad peoples near vision can be at the expense of distance. With glasses and contacts I’m fine all round, so I’m wondering whether to bother. It seems like a new set of problems

[@thomassamuel6889]

Hi Doctor: My doctor advised one eye as mono IOL and other eye Toric IOL. Your advice greatly appreciated

[@annshorey6819]

If you just have one I done with a monofocal and you only have to wear readers what about the other eye that you don't get done that needs how does work

[@GoodOptometryMorning]

I am not sure what you are asking

[@mariesmith5670]

How can you drive if you can’t see your speedometer?

[@usus-eo9il]

Thank you

[@GoodOptometryMorning]

You're welcome

[@WORDversesWORLD]

The selling point is not needing glasses, but we all know even after cataract surgery some are still required to wear them. And we know that even after cataract surgery some folks still can't drive during low light or rainy days. So my question to you is this. After removing the old lens, why replace it with anything at all. Why not use glasses, less is more!

[@vegnewb]

Hi Dr. Nelson, I have heard that, when choosing a monofocal lens, most people choose their lenses set for far distance. Why is that? It seems like it would make more sense to chose near vision because most people are looking at their phone a lot, and also, you need near vision to be able to put in your contact lenses. Right? Thank you in advance. 🙏

[@maxmoody3074]

I chose distant mono because I drive 2 hours a day, I don't live with my face in my cell phone or on the computer, I won't wear contacts and I love being outdoors. I hope that helps. :)

[@vegnewb]

@@maxmoody3074 Both eyes distance?

[@vegnewb]

@@maxmoody3074 And, how often are you needing to wear glasses?

[@maxmoody3074]

@@vegnewb , My cataract surgery for both eyes is scheduled for next month. I wear glasses all the time, when I'm doing anything that I need to see details. Reading or working.

[@ckp2ator389]

I had been thinking of getting near or intermediate for monofocal since I do a lot of work at those distances but am currently leaning toward distance because I figure I can get glasses similar to my current progressives that will take care of intermediate and near. I don't mind wearing glasses and if most people pick distance, don't complain and went through the same thought process, I give that weight. Also, I looked at the Alcon website comparative chart for their IOLs and it describes their monofocal lens as giving distance vision. So I'm also thinking of the manufacturer's assumption of how the lens is going to be used. I'll probably also talk to people who are nearsighted (I know at least one who recently chose the standard lenses) and see how they are getting on.

[@marymaryquitecontrary]

Q: With monovision (eyes each "set" for different distances), do the eyes appear unmatched to an onlooker?

[@GoodOptometryMorning]

great question! no, no one else could tell

[@andrewbrierley7650]

Yes i had monofocal lenses fitted poeple that know iv had the procedure can tell because my eyes look different but poeple who didnt know me before dont know. However it doesn't matter to because no my distance vision is brilliant. Yes i have to wear reading glasses but before the procedure i had to wear glasses all the time and take them off for reading. So i have swapped round from wearing glasses in my day to day life to now only wearing them for reading which is hardly ever so all is good. I had 1 eye done and then the other eye done 1 month later. For that month i was definitely cock eyed for a month my friends comented on it regularly. Mu friends and i have noticed that my eyes look bluer than they was before. Im glad i had the procedure and wish i had it done sooner. I did only wear glasses for 2 and a half years

[@sabetibrahim860]

Yes

[@annshorey6819]

If I get monofocal lens 4 near how far will I be able to see without glasses I stay in the house most of the time will I be able to see everything in the house refrigerator the sink be able to do dishes watch TV my computer laptop and tablet and all that kind of stuff and will I have to have glasses and just as soon as I go out the door

[@susanx1468]

I had laser surgery about 15 years ago. Does that make a difference For cataract surgery? Monovision

[@missmonasuzette]

I had my right eye (dominant) done first about 5 weeks ago, with Johnson and Johnson Eyehance which was supposed to be set for distance, laser assisted to correct moderate astigmatism. (1.50) As it turns out, the lens is set for near, even though he said afterwards that it was in the right position for distance. I don't know what happened, but it appears that there has been some kind of error. I have sharp focus for about 5 feet and then it drops off, but I can tolerate it inside of my house. My close vision tested at 20/10 and I can read the smallest paragraph on the paper they have you hold at the doctor's office when they test you. Phone, computer, cooking, etc are all wonderful. I do love that close vision clarity, but I expected to wear reading glasses for close up, and now I will definitely need glasses for outside and driving. I have a contact in my left eye now to see if I can tolerate mono-vision before the next surgery, and I do not like it at all. To me, so far, it's a sacrifice in visual quality just to not wear any glasses. Therefore, my only option is to have the second eye set to near and hopefully it will match the right eye. I have to admit I'm a bit nervous about that considering the circumstances thus far. That said, it may be a blessing in disguise for me in the long run that the lenses are set to near, because I will only need glasses for watching tv inside my house, and am ok with wearing glasses outside and to drive. I can get away with going on walks without them but it's just not as enjoyable. Driving is another story.

[@Promqueen23]

Sounds like they did the opposite of what originally was agreed on. Good luck

[@GoodOptometryMorning]

Thanks for sharing your experience.

[@ckp2ator389]

Your experience seems to be what people who choose intermediate distance would want, except you get the bonus of near vision, too. But if it wasn't what you chose, I can see it's disappointing. I'm getting intermediate (my intent anyway) at the strong suggestion of my opthalmologist and optometrist since I am very myopic, and most of my everyday living is at arms length. I'll wear progressive lens glasses to handle the other distances since I don't like having task specific glasses.

[@priyanthameemeduma2326]

You get BOTH distance intermediate and close. MY experience- natural lens curvs 85%. Monofocal 100%. It can bypass any astigmatism. Mine 3

[@spinozareader]

Why can't I have one lens strength for near vision and the other for distance (as I do with my contacts)?

[@natem2367]

Pretty sure you can but it will be more of a difference bc the new lenses will not accommodate like your natural ones

[@Promqueen23]

You absolutely can. He described monovision lenses and mini monovision lenses.

[@GoodOptometryMorning]

You can that is mono vision

[@12397bmw]

My father is trying to get cataract surgery, but they claim his eye is to active and that he needs general anesthesia, but from what my dad told me they didn’t give him the anesthesia eye drops should I contact the doctor?

[@temtationeyes]

Good video. I was natural monovision for yrs so didn’t wear glasses. As both eyes got worse, I got glasses but still just wore them to drive & see far. Past few yrs I’ve worn them as they make most all vision better, but not good enough due to cataracts. I see so we’ll with my left eye close-took me a while to understand distance monofocal would ruin that. My Dr didn’t tell me so I cancelled surgery when I read about it. I’m not sure how I’d do with monovision lenses but I wish I could find a Dr who would discuss it. So far they suggest light-adjustable for that. I think regular lenses mini monovision would easily work for me. Frustrating.

[@darianprotho6622]

Have you had your surgery done? What is your final decision? I am going to have a cataract surgery and my opthalmologist suggest monovision but I heard that it cause you to lose sense of depth perception and even glare at night. So I plan to have monofocal distance vision.

[@munkchip9117]

Thought from your labcoat, that you are in Ontario. Disappointed that you are not.

[@67daltonknox]

In 2023, "Nature" canvassed ophthalmologists to ask them which IOL they had had themselves, or would have when needed. More than 60% said monofocal.

[@susanlownsway1838]

So that I wait 6 0r 12 months then they do 1st my rightside then after my leftside but I compuse my lefgtside is food but not bad I can see near the close even reading the can't see much so foggy the foggy my righside realy bad blocking my eyesight coz the carpet is in the midle so I compuse I need help with one choice closer or far far see clearly closer I can see even reading so the dr said need glasee after surgery but ii be the choice witch but my choice far cos I can see closer far not I'm not driving goin my husband the to drive goin works and I always looking my screen my tablet and cell phone that's just rightside is bad can't see cos blocking the caract to my sight so plz help me witch I choice is it good I choice far pls help me thank a lot

[@sahmadi1000]

They fix your far distance problem but at the cost of loosing your close vision. I am not happy about that.

[@GoodOptometryMorning]

Truth be told...by the time most people need cataract surgery their natural lens has already lost all it's focusing ability anyway...(ie Presbyopia)

[@deeheart9988]

Why do we have to have a lens put in?

[@sabetibrahim860]

What do you mean?

[@deeheart9988]

@@sabetibrahim860 years ago people had cataract surgery and no lens put in eye. Now Dr says lens put in eye. I don't want to do that.

[@temtationeyes]

Before IOLs, cataract surgery resulted in lack of focus at all distances. People wore thick glasses or contacts to see at all. I’m not sure what kind of vision people got that way, but it was the common procedure before the ‘80s, according to what I’ve read. I’m not sure doctors still do this.

[@pohmoh3590]

Hi. I just had cataract surgery on both eyes. Use toric monofocal IOL. Mine is under prescribed IOL where my far vision is slight reduced for near sightedness. I able to read, watch TV, Drive without glasses. Is this similiar to mini monovision?

[@fjdkfdfjdf33]

My, my At Waterloo, Napoleon did surrender Oh, yeah And I have met my destiny in quite a similar way

[@GoodOptometryMorning]

mama mia!

[@musicfun2606]

I really don’t like the sound effects. They’re very annoying. Otherwise, good videos.

[@GoodOptometryMorning]

gotcha

[@mariannejennisch9293]

Toric is fine but insurance will not help.

[@kibbybaby21]

My lens caused me to have a lazy eye

[@ozy4644]

I have to😅

[@thehoonta5312]

Its not the Ken's it the procedure it stretched you eye lid you don't have lazy eye😅

[@perpetuapinto5854]

Is monofocal a better one because of diabetes Probably the number changes

[@GoodOptometryMorning]

I’m not sure what your question is

[@choppergirl]

Monofocal lenses swck. I didn't want them but they put them in anyway a month ago. I'm probably going to have someone else do it all over again and put something more bleeding edge cutting edge in. I don't know why they are still using this old tech of monofocal and multifocal lenses, when they've had stuff out for 3 years or more now who's focal length can be changed by your ciliary muscles.

[@GoodOptometryMorning]

thank you for sharing

[@DonnyHooterHoot]

My wife had hers done a couple of months ago. After witnessing that, NEVER for me, I'd rather be blind.

[@Promqueen23]

What happened?

[@thehoonta5312]

You wouldn't say that if you went blind 😅

[@PaulFitzpatrick-jx3ps]

Stick to football

[@GoodOptometryMorning]

football?

[@annshorey6819]

If I get monofocal lens 4 near how far will I be able to see without glasses I stay in the house most of the time will I be able to see everything in the house refrigerator the sink be able to do dishes watch TV my computer laptop and tablet and all that kind of stuff and will I have to have glasses and just as soon as I go out the door

[@ckp2ator389]

From what I've read "arms length" or intermediate is exactly that, beyond 3 feet will be blurry without glasses. My opthalmologist has a sheet that I sign before surgery stating that I understand I will need glasses for distance and near. I know I'm going to need glasses for watching TV (which is 10 feet away in my house). I think I'll be wearing progressives like I do now, distance correction on top, progressing to no correction in the middle, then magnified for reading on the bottom.

[@annshorey6819]

If I get monofocal lens 4 near how far will I be able to see without glasses I stay in the house most of the time will I be able to see everything in the house refrigerator the sink be able to do dishes watch TV my computer laptop and tablet and all that kind of stuff and will I have to have glasses and just as soon as I go out the door