Monday, August 29, 2011

LASIK for Blurry Far Vision with Multifocal Lens Implant

Question: I have a question about LASIK Surgery for distance vision correction after a ReSTOR® Multifocal Lens Implant. I had a ReSTOR® Mutifocal lens put in my left eye 3 weeks ago. My intermediate and close vision is good, but far distance is very blurry. I have put off doing the right eye because of this. If I have the right eye done will they sync up and I will be able to see at a distance better? Would LASIK Surgery help with seeing better at a distance. I understand that it takes several months for brain and eyes to learn to work together. Am I expecting too much too soon. Would it be better to go ahead and do the other eye now?


Answer: In general patients having ReSTOR® Multifocal Lens Implants see pretty well at distance shortly after their surgery. The fact that you describe your distance vision as "very blurry" is a bit of a concern. There are several things to consider in concert with your Cataract Surgeon.

First, the nature of the optical design of the ReSTOR® lens does in fact cause some small number of patients to have difficulty with their distance vision-in some cases it gets better and in others is does not. They also sometimes experience a "smudge" in their vision or what they perceive as blurriness due to a disturbance in their contrast sensitivity from this type of Lens Implant. This type of optical problem usually goes away after a month or so and if it does not and it is the only reason for the reduced vision at distance may warrant exchanging the lens if it is that disturbing. LASIK Surgery would not be of any help in this situation. You also state that your intermediate and distance vision are in fact good. There is a possibility that you may be slightly overcorrected at distance which is causing the far vision blur and making the near and intermediate a bit "too good". Your Cataract Surgeon should be able to easily measure the refraction of your eye and determine whether this is the case. If it is the case there are several options including a) the ReSTOR® can be exchanged for a different power which requires another intraocular surgery b) wearing a mild eyeglass prescription for seeing at distance or c) as you have questioned, depending on the degree of correction to be altered you could be a candidate for a LASIK Surgery to achieve the desired distance vision. BUT-all of these options and their timing should be guided by you Cataract Surgeon IF and only if there is indeed a small residual refractive error that needs to be corrected. It is absolutely worth exploring this with your surgeon and if you do not get a satisfactory explanation and plan then consider seeking a second opinion with a top Cataract and LASIK Surgeon in your area.

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