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re: Anyone have Monovision LASIK procedure?

Posted on 3/5/24 at 4:49 pm to
Posted by EvrybodysAllAmerican
Member since Apr 2013
11574 posts
Posted on 3/5/24 at 4:49 pm to
quote:

I want the Monovision LASIK but with the guarantee it'll be exactly what I need lol.


Get fit for monovision contact lenses. Try it out for a while and then decide. it takes some adjusting. Also consider a lens replacement with a multifocal implant as a surgical option.
This post was edited on 3/5/24 at 4:58 pm
Posted by EvrybodysAllAmerican
Member since Apr 2013
11574 posts
Posted on 3/5/24 at 4:56 pm to
quote:

LASIK will not make your near vision worse. You may need readers one day, but it won't be hastened by LASIK



m really torn here. My near vision is fine. My far vision isI' absolute shite.


He's near sighted now. Thats why he can see up close. Once he gets Lasik, he wont be near sighted anymore and will have to focus to see things up close, but wont be able because of his age. You gradually lose focusing ability in your 40-50s . So at 44 years old, he will start needing reading glasses (if not immediatley, then within the next year or 2)
This post was edited on 3/5/24 at 5:00 pm
Posted by Cotten
Tennessee
Member since Jan 2018
1401 posts
Posted on 3/5/24 at 4:58 pm to
My Dad had monovision Lasik about a decade ago and it seriously fricked up his vision. This was after years of wearing monovision contacts.

His depth perception is complete shite. He honestly shouldn't be driving. His Doctor (new eye Dr.) suggested and he's seriously considering a cornea transplant at this point.
Posted by Blutarsky
112th Congress
Member since Jan 2004
10797 posts
Posted on 3/5/24 at 5:32 pm to
I had it done in 2004 and my distance vision was terrible at that time; something like -7.5 in both eyes.

Twenty years later and still going strong.
Posted by mgdtiger
Member since May 2006
2972 posts
Posted on 3/5/24 at 5:41 pm to
I went Monovision. I like it and don’t notice it usually. I also growing up used to go with 1 contact a lot due to allergies
Only issue I have is I have a harder time recognizing people off in the distance. And reading in the dark. But I would do it again. If I didn’t do this I wouldn’t be able to read without readers. The eye that they fixed to see distance definitely got worse on close vision.
Posted by DivotBreath
On the course
Member since Oct 2007
3569 posts
Posted on 3/5/24 at 6:01 pm to
I did monovision about 18 years ago. Adjusted to it within a day and no problems since.

I do use readers now (59 years old) but the LASIK was a game changer for me.
Posted by morganwadefan
TN
Member since May 2023
582 posts
Posted on 3/5/24 at 6:06 pm to
quote:

You may need readers one day, but it won't be hastened by LASIK.


Exactly. I had my LASIK in 2010. Just this year had to get readers because of so much computer time at work. But Doc said the LASIK did its job perfectly. She said eventually we’ll all be needing readers.
Posted by auwaterfowler
Alabama
Member since Jan 2020
2265 posts
Posted on 3/5/24 at 6:07 pm to
Seems like vertigo just waiting to happen…..and/or migraines.
Posted by keakar
Member since Jan 2017
30152 posts
Posted on 3/5/24 at 7:38 pm to
quote:

That's not what I was told, and that is what basically everything I'm reading is saying

Everywhere I read says near vision issues will either possibly or will be more pronounced after full LASIK if your'e over 40-45.



its great when you are young, but not for the old

i had it in both eyes and now im wearing glasses again, just not the super thick ones.

the issue is, when you reach 50 yrs old, your body changes and your eyes gets worse.

if you got lasik at 30 you can go glasses free for 20 years, if you are 40 you can expect 10 years before you may need glasses.

not every person after 50 yrs old is certain to need glases, most just need reading glasses, but odds are high that if you needed glasses before, then you will again

one thing to remember is, you can only get it done once, if it doesnt work, there is no guaranty glasses can restore your vision since it changes the shape of your eye when its reshapes the lens with a laser burning it.

as much as i loved having no glasses for 14 years, if i had a chance to go back to that time, i would not do the surgery again.
This post was edited on 3/5/24 at 10:45 pm
Posted by shel311
McKinney, Texas
Member since Aug 2004
111936 posts
Posted on 3/6/24 at 8:56 am to
quote:

I did monovision about 18 years ago. Adjusted to it within a day and no problems since.

This is what I'm opting for.

Lots of great advice in this thread from all perspectives.

There's no 1 perfect path forward that will 100% guarantee get me what I want, so i just have to choose the best option.

- I can't do nothing, as my distance vision is pretty poor
- I can go full distance LASIK on both eyes, but would really, really want to avoid having to go to readers sooner rather than later
- Monovision seems to be the almost perfect fix for my needs, except for the 20% ish chance that I can't adjust to it then I have to get the other eye done, and I'm back in the situation right above where my near vision will likely get worse sooner rather than later



I will inquire about the monovision contacts, as that seems like good idea, but not sure it's necessary. If the contacts show me that it does not work, then i'll need to suck it up and get both eyes done. I feel like getting the monovision LASIK will give me the same answer either way, but I don't know, will look into that a bit more.
Posted by GeauxldMember
Member since Nov 2003
4574 posts
Posted on 3/6/24 at 9:21 am to
quote:

LASIK will give me the same answer either way


But the contacts will let you dial in the sweet spot that works best for you before making a “final” decision. As stated earlier, some adjust to mono vision easily; for others it can cause issues, as one’s brain might have a hard time making the adjustment. Those issues can include headaches, vertigo and anxiety.

Also, multi-focal lenses have come a long way in recent years and continue to improve. If you can use contacts to push the surgery out a couple more years, you might be able to comfortably opt for multi-focal lenses.
Posted by LaLadyinTx
Cypress, TX
Member since Nov 2018
6590 posts
Posted on 3/6/24 at 9:21 am to
quote:

LASIK will not make your near vision worse. You may need readers one day, but it won't be hastened by LASIK.


This. I have never had LASIK, but I did wear monovision contacts for about 20 years. Now that I'm in my 60s, the variance between the 2 eyes is too much and I have to wear readers. I wish I had done LASIK 20 years ago. You will still probably end up wearing readers at some point in the distance future.
Posted by LaLadyinTx
Cypress, TX
Member since Nov 2018
6590 posts
Posted on 3/6/24 at 9:24 am to
quote:

hey told me it should be 2-3 weeks. My buddy said they told him it could take up to 6 months.



It took me a few weeks to adjust to wearing monovision contacts. I think if it's taking up to 6 months, it's probably not going to happen.
Posted by Carson123987
Middle Court at the Rec
Member since Jul 2011
66880 posts
Posted on 3/6/24 at 9:25 am to
quote:


LASIK will not make your near vision worse.


It certainly did for me. Granted, it's only for extremely close vision (within a few inches from my face) but it is 100% worse and it was not like that before. If you need to hold something up to your face and read some small text, forget about it.

My normal near vision is the same (was perfect before), far vision is much better. Best $3300 I've ever spent and would do it again in a heartbeat
Posted by shel311
McKinney, Texas
Member since Aug 2004
111936 posts
Posted on 3/6/24 at 9:43 am to
quote:

But the contacts will let you dial in the sweet spot that works best for you before making a “final” decision. As stated earlier, some adjust to mono vision easily; for others it can cause issues, as one’s brain might have a hard time making the adjustment. Those issues can include headaches, vertigo and anxiety.

I may be missing something but my point is, the end result would be the same either way.

Meaning, if I try contacts and it's a mess and doesn't seem to work, I'd then get the full distance LASIK and deal with readers if needed.

If I go monovision LASIK and it's similarly a mess and doesn't seem to work, I'd also get the full distance LASIK and deal with readers if needed.
Posted by shel311
McKinney, Texas
Member since Aug 2004
111936 posts
Posted on 3/6/24 at 9:44 am to
quote:

It took me a few weeks to adjust to wearing monovision contacts.
Can you explain more on what that means? Like, what does it look like for those first few weeks?
Posted by shel311
McKinney, Texas
Member since Aug 2004
111936 posts
Posted on 3/6/24 at 9:47 am to
quote:

It certainly did for me. Granted, it's only for extremely close vision (within a few inches from my face) but it is 100% worse and it was not like that before. If you need to hold something up to your face and read some small text, forget about it.

My normal near vision is the same (was perfect before), far vision is much better. Best $3300 I've ever spent and would do it again in a heartbeat
Interesting, hadn't thought of it that way.

I'm on my phone a fair amount and work from home on a computer. My concern with full distance LASIK is needing readers basically all the time for work and being on my phone. But like you said, it's not like either of those exercises ever has me looking at a screen right in my face.

Going with the monovision LASIK but this does give me hope if I do need to do the 2nd eye, that I won't just need the readers all the time like I fear.
Posted by Bunk Moreland
Member since Dec 2010
57834 posts
Posted on 3/6/24 at 9:55 am to
The one thing Lasik screwed up for me is my contrast sensitivity. In a poorly lit area, like a dark restaurant, it's darker and worse for me than before the procedure. On the flip side, it's brighter on a sunny day than before -- to the point that I absolutely need sunglasses. That said, I would do it again. Those troubles are no worse than what I had to deal with in glasses and contacts. Outside on a nice day is like a high-def TV for me. I do still get a bit of dry eye, though.
Posted by Carson123987
Middle Court at the Rec
Member since Jul 2011
66880 posts
Posted on 3/6/24 at 9:57 am to
quote:

I'm on my phone a fair amount and work from home on a computer. My concern with full distance LASIK is needing readers basically all the time for work and being on my phone.


I don't think this will be a problem at all. I can't speak for every doctor and specific procedure (I had the CustomVue IntraLase all-laser procedure done by Fay Woo at EMC), but I'd imagine it will be perfect for your use case. Like I said, the deterioration I've experienced is for a <.01% use case so it's negligible.
Posted by ChatRabbit77
Baton Rouge
Member since May 2013
5873 posts
Posted on 3/6/24 at 10:58 am to
I should have waited to get LASIK after medical school. Left eye was -5.5 before, right was -5. Lasted about 4-5 years before its back to -1.25 and -1. I was told that I might need readers at 40 when I got the procedure. If your career requires a lot of reading, I would maybe look at other options.
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