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  • Blended or "Mini" Monovision for myopia/presbyopia

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    Old 03-06-2017, 08:34 AM   #1
    MissyJane
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    Blended or "Mini" Monovision for myopia/presbyopia

    I am almost 45 and considering Lasik or PRK surgery this year. So far I have been in single vision glasses/contacts but am on the verge of needing bifocals. It is definitely getting much harder to see up close with the contacts in over the past year or so. If I'm in my glasses, I just take them off when I need to see something very small up close.

    Although I'm tempted to do full distance correction, I know I will regret the loss of near vision. I am considering "mini" monovision aka blended vision, where the non-dominant eye is only slightly undercorrected. This gives a little wiggle room for near vision without sacrificing the overall distance vision quite as much as full monovision. I am currently trying this out in contact lenses with the undercorrected eye at -.75 below my normal distance prescription. The first day, I thought I couldn't stand it but now on day 5, it is almost completely tolerable. Unfortunately, I can only stand to wear the contacts about 8 or 10 hours per day so it's hard to get the full experience and whether I'll completely be able to adjust to it.

    If anyone has had some version of monovision correction, I am wondering how long it took you to adjust and whether you are happy with it. I'm especially interested to hear from those with a relatively low difference between eyes and how long it kept you out of reading glasses (at least for everyday tasks - I realize I may still need them for prolonged reading or very small type).

    Last edited by MissyJane; 03-06-2017 at 08:42 AM.

     
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    Old 11-04-2017, 09:11 AM   #2
    chatterxo
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    Re: Blended or "Mini" Monovision for myopia/presbyopia

    You may have had your surgery by now, but just in case... I had LASEK surgery just over three months ago, with monovision. My right eye for distance, left for close work. I've had a tense few months waiting for my vision to get to a good place, but I am now very happy with it if things continue as they are.

    The close vision in my left eye is now good. In the last week I have got to the stage where if I close my right eye I can get it clear enough to thread a needle but can't get focus at that real close range below about 8 inches. As my eyes are still improving it might get better still, but if it doesn't I can still boost my vision with reading glasses for the odd occasion I really need precise close vision.
    My right eye distance vision is now at least 20/20.

    Regarding getting the two eyes working together, I did find I had slight double vision for a few weeks afterwards, and occasionally now I do find that when I get tired last thing at night I get a bit of double vision but I just blink a couple of times and it improves. That is getting less though as my brain adapts.

    Laser surgery isn't a panacea, but for me it made sense as I couldn't wear contacts any more and was fed up with constantly changing glasses. I was aiming to be glasses free for general day to day life, and was of the view that if I only occasionally need them for specialist activities I could live with that, but that is a very personal decision that only you can make!

     
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    Old 11-05-2017, 08:15 AM   #3
    MissyJane
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    Re: Blended or "Mini" Monovision for myopia/presbyopia

    Thanks for your thoughtful reply! I did already have my surgery and ended up going with the "mini" monovision. My weaker eye is now at -.50. It took me awhile to get here though, since both eyes ended up being under corrected after my first surgery back in May. I had my eyes "touched up" at different times so I could try out a more conventional monovision. I had my dominant eye corrected first and the other eye was left at -1.50 (where it ended up after the first surgery). My eyes were this way for 7 weeks. I suppose I could have gotten used to it over time, but I didn't like the amount that it compromised my distance vision. I had the non-dominant eye corrected to -.50 a little over a month ago. I do most things now without reading glasses, although I realize I am still in the early stages of presbyopia and it will get worse. I just need reading glasses now for doing things like plucking my eye brows or trimming a hangnail, etc., and definitely threading a needle, although I haven't tried that yet!

     
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    Old 11-05-2017, 08:30 AM   #4
    chatterxo
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    Re: Blended or "Mini" Monovision for myopia/presbyopia

    Glad you have something that works for you. My left eye is around +2 as my presbyopia is a lot more advanced than yours! I think it shows that it is a really personal thing to get what is really right for the individual!

     
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    lasik eye surgery, monovision, prk



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