74M with presbyopia in both eyes, going to a cataract surgery, seeking for suggestions
I am 74M, Canada. I have presbyopia in both eyes. Both eye visions are 20/40. I don't have issues (such as astigmatism) in my eyes.
I am a photographer:
- I need a high quality distance vision to take pictures.
- I spend a lot of time in front of my computer to process the pictures I take.
- Sometimes I need to read my cell phone.
So the intermediate range is my top priority. I don't like to carry my reading glasses. My goal is to get rid of reading glasses in most of situations. I can use glasses occasionally.
My surgeon suggested a cataract surgery for my right eye, which is my dominate eye. And on June 5, 2025 I chose Eyhance in the measurement. But Eyhance seems not to meet my priority and goal. On July 2, 2025, I met with my surgeon and asked him if I can change my choice from Eyhance to Vivity. He said Vivity has a lot of negative feedback for its losing contrast in low light conditions. And he referred me to another surgeon, who has experience in implanting Puresee lense. So I've been scheduled to meet him on September 2, 2025.
I've searched for the information on Puresee from this sub-Reddit. I found some successful cases and I also found many unsuccessful cases of using Puresee. It seems that all of them used mono-vision, which I mean they only implanted one Puresee in one eye while the other eye either is a nature eye or a different type of IOL or a same type of IOL with different refractive power. In other words, anisometropia occurred to them.
So should I ask my surgeon to implant both my eyes at same time with Puresee IOLs?
Another question: My surgeon asked me to do the cataract surgery, but he didn't mention my left eye. Do you think I should do the cataract surgery in my left eye as well? If so, should I ask my surgeon to target mini-mono?
Posted Jul 10, 2025, 9:49 PM UTC