My mom has just been operated on for cataracts in her dominant eye about a month ago. She had an aspheric monofocal IOL counterbalancing corneal spherical aberration implanted to theoretically get +0.1µm of SphAb (~6mm pupil size) in the whole eye. It was successful with 20/20+ for distance without correction. Now in the unoperated eye she can see 20/50- without correction, going up to 20/25+ with correction for distance. She is 62 and has been using progressive spectacles for the last 15 years.
The questions are:
One eye with AsphIOL and other eye cataract with distance vision 20/50- sc, 20/25+ cc, is it time to operate on the second eye? Why?
Which IOL to be implanted in the second eye? Why?
A properly selected aspheric monofocal IOL to provide similar quality between eyes for distance vision?
Monovision on the second eye? How much?
Segmental bifocal MIOLs in the second eye?
A diffractive MIOL? (bifocal?, trifocal?, apodized?)
focality of iol is selected when the first eye undergoes surgery, in your casereport you have selected monofocals, so for the other eye it has to be the same, If she has significant cataract in her other eye and she has no other reason to postpone the surgery , it is better to get other eye operated ,so both eye can get final set of glasses later.
but due to any valid reason she wants to wait for cataract surgery in the other eye, then she can have progressive spectacles in both the eyes with suitable corrections.
Thank you Niveditha,
you stated "in your casereport you have selected monofocals, so for the other eye it has to be the same", and this is exactly my question: why?
Could you elaborate a bit more on the topic?