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Posts by swiftbison7

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Benjamin Rivera4 said:Hmm... honestly, it’s tough to say much more than what I’ve already laid out for you. If I were in your shoes, I’d probably take some time to sit with this—not just for a day or two, but maybe give it about six months—to see if we could design a specific pair of glasses just to nip that tiny bit of residual nearsightedness in the bud when you're looking at things far away.

There are likely other variables at play here that we aren't privy to yet—things like the overall health and condition of your retina...

If I manage to clear my debt, what am I actually going to be living on? I'm just kind of playing it by ear right now.
Even though my left eye is nearsighted, I feel like everything just looks sharper and clearer when I'm wearing them.
Way better.
You basically just gotta chill because once you've had the Iol implanted, it takes a little bit of time for your eye to fully settle in and get used to the new setup, but honestly, you'll know when everything feels totally steady and right.
So, what’s the verdict on life?
I finally got my second eye done too, and they went with an aspheric lens this time while leaving me a bit of a -2 deficit just so I'd have some decent near vision.
It’s been ten days since the surgery and things feel super weird because I honestly can't tell which eye is doing the heavy lifting, though it feels like everything is coming through my left eye with that new aspheric lens.
It’s almost like my right eye—the one they operated on first—just went totally dormant.
The difference in how colors pop, the night vision, and even the way light flashes is definitely all thanks to that aspheric upgrade.
They actually tried to convince me I was just imagining things, but none of their little theories change the reality of what I’m actually seeing, because at the end of the day, nobody else can see through my eyes.
Benjamin Rivera4, did you ever get that sensation where your vision fluctuates between being great and being kind of trash? I’m constantly monitoring my eyes and trying to spot the differences.
I can’t even relax because I’m low-key terrified that things might actually take a turn for the worse.
And that hazy, blurry view I get at night in front of the spherical eye is seriously driving me crazy.
Benjamin Rivera4 said:Hmm... that’s an interesting point. To be honest, I’m just not sure about the availability of aspheric lenses for specific diopter strengths—it's hard for me to weigh in on that without knowing more.

There’s also been some increased eye pressure lately, which might actually be a side effect from the treatment I'm currently undergoing.

As for astigmatism? I haven't really dealt with that personally.

And regarding the corneal curvature—like I mentioned before—that's something my father deals with.

Did you send me a DM, or did I accidentally delete it?😢
So, I just wrapped up my second follow-up appointment.
They tried to tell me I wouldn't be getting the aspheric lens I was promised because they supposedly don't make them in my prescription, which honestly sounds like total nonsense no matter how hard they try to sell me on it.
But hey, a -16 prescription isn't exactly unheard of.
When I pushed for them to just put an aspheric lens in my other eye instead—since I'll eventually move into a much lower -3 range anyway—
they just straight up told me that wasn't possible.
My eye pressure hit 25 this morning, probably because of the Tobradex drops, so they switched up my treatment and gave me some pressure-lowering drops.
It feels like my vision isn't quite as sharp as it was the first time, even though the exam shows my right eye is still at 0.6.
Plus, there are some cylinder values showing up that I can't quite wrap my head around.
The curvature issues are likely due to some thinning in the nerve and the back of my eye.
Got my next checkup in two weeks.
Thanks so much, seriously, your replies mean the world to me right now while I'm just sitting here absolutely fuming about accidentally grabbing the wrong contacts.
I am so ready for my follow-up appointment.
Edit: wait, I just finished reading through everything more carefully and realized you actually have an aspheric lens in your other eye too? Now you gotta tell me, is there any real difference when it comes to vision, colors, clarity, or even those headlight glares at night??
Benjamin Rivera4 said:I just had my second follow-up appointment (it’s been two weeks since the surgery).

Everything turned out exactly how the doctor predicted during my check-up the day after the procedure. On that eye, I’m left with a "tiny" residual prescription of -1.5—which, honestly, feels like nothing compared to the -10.5 I was dealing with before. With that eye alone, my near vision is fantastic; I can even sit back and watch TV without any issues. Right now, I’m using a bit of a hybrid setup: the right eye relies solely on the IOL, while I’m still wearing a semi-rigid contact lens in the left one. It’s actually working surprisingly well for me.

The real headache, though, is the glasses situation. I can't really get a pair of prescription glasses made anymore because the difference in vision between my two eyes is just too massive—my brain basically can't fuse the two images together.

All things considered, I'm pretty thrilled with the outcome, especially considering how bad my vision used to be.

I did some digging into the lens itself, and it turns out they implanted a standard spherical lens from Alcon. To be honest, I have no clue if—or even how much—aspheric or multifocal lenses would actually be an improvement over what I have.

Best of luck to you! Honestly, the actual surgery is probably the easiest part of this whole process.

Benjamin Rivera4, I’m reading up on it now and it sounds like you’ve got a spherical lens in your eye too, so I’m wondering how much glare you get from oncoming headlights when you're driving at night, like how's your night vision looking?
I'm heading to my follow-up on Monday to demand an explanation for why they didn't go with an aspheric lens and to see if putting an aspheric one in my left eye would work or how the two different lenses would even "merge" into a single image.
It’s been three days since the surgery and my vision is totally sharp, like I can see letters and stuff way out the window of my building and recognize things on far-off balconies... but there's something weird happening where
the walls and all the flat surfaces in my apartment look all wavy, and even my doors look rippled instead of straight.
Has anyone ever heard of someone getting their lens swapped out because it wasn't working right for them?
Benjamin Rivera4 said:They basically take it, grind it down, and get rid of it—just like that. You don't have your own natural lens in your eye anymore. It’s completely replaced by something artificial.

Honestly, I don't think you even need to sweat this...
I was just looking through the technical specs on this specific page, and honestly, it’s worth a deep dive if you’re trying to wrap your head around how these optics actually perform in a clinical setting. When you're dealing with high-precision equipment like the Sensar AR40e, you aren't just buying a piece of hardware—you're investing in the clarity of the entire diagnostic process. It's a bit like upgrading from an old CRT monitor to a top-tier 4K display; once you see the difference in resolution and depth, there is absolutely no going back to the blurry stuff. The way the light interacts with the lens design here is pretty fascinating. We're talking about highly optimized paths that ensure the Light hits the sensor exactly where it needs to, minimizing those annoying artifacts that can throw off a reading. If you've ever struggled with inconsistent data because of poor optical alignment, you know exactly why this level of engineering matters. It’s that "set it and forget it" reliability that keeps a practice running smoothly without constant recalibration headaches. I also noticed some interesting mentions regarding IOL with specific refractive properties. For anyone working heavily with intraocular lens calculations, having gear that integrates seamlessly with these advanced designs is a total game-changer. It’s the difference between guessing at a patient's post-op outcome and actually having the data to back up your surgical plan. It really brings to mind how much we rely on these tools to bridge the gap between theory and actual, tangible results in the OR. Just my two cents, but if you're looking for precision, this is definitely a heavy hitter in its class.
I’m looking through the specs here, and honestly, I just don't see anything indicating that the Sensar AR40e is spherical. It's driving me a little crazy—I feel like I've combed through the data, but there's just nothing there to confirm it.

I’m just not following you here—what letters are we even talking about seeing out there? Are we discussing being able to make out a license plate from fifteen yards away, or are we talking about actually being able to read a newspaper?

Benjamin Rivera4 said:Hmm... actually, it says here: "Sensar AR40e is a standard spherical monofocal IOL with a 3-piece acrylic feature." I'm not entirely sure, though—you should definitely ask your doctor at your follow-up. To be honest, I don't fully grasp the technical difference between spherical and aspheric lenses myself. If I've got my facts straight, the aspheric ones are supposed to be way better when dealing with night glare...

The fact that you can read everything clearly inside the office but struggle so much once you're outside is a bit confusing to me... again, just run it by your doctor during your check-up. Your eye is probably just super sensitive to Light right after surgery—that's pretty normal. Maybe give it a few days to settle before deciding if the results are truly there.

Check back in with me in a couple of days.

I was actually pretty annoyed because they told me I was getting one type of lens implanted, but then they went ahead and put in a completely different one instead.
I'll hit you guys back in about a week once I wrap up my checkup.
I checked out that link you sent, but it doesn't actually specify if they're spherical or aspherical.
I did find some info over here though, and it looks like they're definitely spherical, just check page 2.
http://www.ijcem.com/files/ijcem0090283.pdf
Benjamin Rivera4 said:They basically take it, grind it down, and get rid of it—just like that. You don't have your own natural lens in your eye anymore. It’s completely replaced by something artificial.

Honestly, I don't think you even need to sweat this...
I was just looking through the technical specs on this specific page, and honestly, it’s worth a deep dive if you’re trying to wrap your head around how these optics actually perform in a clinical setting. When you're dealing with high-precision equipment like the Sensar AR40e, you aren't just buying a piece of hardware—you're investing in the clarity of the entire diagnostic process. It's a bit like upgrading from an old CRT monitor to a top-tier 4K display; once you see the difference in resolution and depth, there is absolutely no going back to the blurry stuff. The way the light interacts with the lens design here is pretty fascinating. We're talking about highly optimized paths that ensure the Light hits the sensor exactly where it needs to, minimizing those annoying artifacts that can throw off a reading. If you've ever struggled with inconsistent data because of poor optical alignment, you know exactly why this level of engineering matters. It’s that "set it and forget it" reliability that keeps a practice running smoothly without constant recalibration headaches. I also noticed some interesting mentions regarding IOL with specific refractive properties. For anyone working heavily with intraocular lens calculations, having gear that integrates seamlessly with these advanced designs is a total game-changer. It’s the difference between guessing at a patient's post-op outcome and actually having the data to back up your surgical plan. It really brings to mind how much we rely on these tools to bridge the gap between theory and actual, tangible results in the OR. Just my two cents, but if you're looking for precision, this is definitely a heavy hitter in its class.
I’m looking through the specs here, and honestly, I just don't see anything indicating that the Sensar AR40e is spherical. It's driving me a little crazy—I feel like I've combed through the data, but there's just nothing there to confirm it.

I’m just not following you here—what letters are we even talking about seeing out there? Are we discussing being able to make out a license plate from fifteen yards away, or are we talking about actually being able to read a newspaper?

Let me show you where I found info saying they were spherical before I even get into your link.
I'm gonna check now, and man, I really hope you're right.

We're talking streetlights, license plates, newspapers, road signs... and inside the clinic, basically being able to see everything clearly all the way to the back row.
So, it's officially been the first 24 hours since they popped that IOL with into my right eye, which was basically sitting at 10% vision before this.
I had my surgery done at Light, specifically under Dr. Igor žuljati.
It didn't even take ten minutes, honestly.
They used ultrasound to clear out my cataract and popped in an IOL with everything set.
So I just went through my discharge papers today and realized they totally missed the lens that was supposed to be implanted during my pre-op checkups back before I caught COVID in March.
So they told me I was getting an aspheric Bausch & Lomb, but then I look at what actually got implanted and it’s this Johnson & Johnson Sensar AR40e which Google says is just a standard spherical monofocal.
So, what's the actual deal with the difference between them? I totally missed asking at my checkup this morning because I just didn't catch it, but I'm super curious to know!
I just got my discharge papers and now I'm kind of obsessing over whether an aspheric lens would have been a better call since that's exactly what the doctor's description mentioned.
Everything looked crystal clear when I was sitting in the exam room, but honestly, once I stepped out into the bright sunlight, things got a little blurry again.
I just finished up my retinal laser treatment, and on March 21st, I’m getting a monofocal aspheric IOL with implanted in one eye.
I'm honestly not quite sure yet if I'll be seeing Dr. Zuljan or Gabric for the procedure.
I am seriously so stoked to finally see everything clearly again!🙂)
Benjamin Rivera4 said:So, I actually had surgery on my eye—the one where I’m sitting at a -2.00—and honestly? I haven't touched a single pair of glasses since. It’s kind of wild, but my near vision is absolutely stellar now—I can read fine print, go over blueprints, and spend hours staring at my computer screen without any issues at all. To be fair, though, my distance vision isn't exactly perfect. For anything far away, I usually just pop in a contact lens in my other eye to balance things out.

So, now that I’ve finally had my second eye surgery done—leaving me with just a tiny -0.5 correction in the other one—I’m basically using my glasses strictly for distance now. And honestly? It’s been a total game-changer. I can actually see clearly whether I'm looking at something right in front of my face or way off in the distance. For me, this setup is absolutely perfect. I’m already thinking about getting a specific pair of shades tailored just for those long-distance road trips on the highway.

It’s like you can’t even get a clear view anymore—and I don't mean just with contacts or glasses, either. The whole thing is messed up because the light isn't hitting the retina correctly; instead, it’s being refracted all wrong, so only bits and pieces actually make it through to focus properly. It’s honestly such a struggle. It reminds me of when you have a windshield that’s been spiderwebbed by a thousand tiny cracks—you know, like after a nasty impact or just years of wear? You simply can't look through it clearly until you get it replaced entirely. It’s just not functional.

Honestly, you probably can't even manually determine a prescription anymore—it’s just not how things work now. These days, picking out the right lenses involves running every single possible measurement through high-tech diagnostic machines to make sure everything is spot on.

I’m just way overqualified for this one.

I am seriously counting down the days until this whole process is over because the waiting game and having to redo all these scans and tests is driving me absolutely crazy.
My doctor told me she has to rely on manual checks since the machines aren't always reliable, which makes me wonder if she'll undercorrect me... but then again, -12 feels like way too little since that's what my gut tells me.
image

https://i.ibb.co/NVmGJn9/0-B419-ECD-...00732-F217.jpg
I'm still pretty confused about all this because my prescription is sitting at -16.50.
I can't see a single thing with my right eye using those.
Even with these heavy-duty lenses at -16.50, everything is just a total blur.
When I check the automated readings over at Light, the results show -19.
But then when the doctor runs the manual calculations, it comes out closer to -14 or -12.
I'll go ahead and post a photo of my actual results here.
Benjamin Rivera4 said:Well, I’ve actually had artificial lenses implanted in both of my eyes—both cases were due to cataracts.

I had the right eye done back in 2016 (if I recall correctly, I mentioned this earlier in this thread) over at the Mayo Clinic. They went with a standard spherical lens because, let’s face it, Medicare doesn't cover the high-end stuff. Even after the surgery, I was still left with about a -2 prescription (it was -10.5 before the procedure). Honestly, I didn't run into any issues following that one.

Fast forward to 2019, and I started noticing some trouble with my left eye. During a checkup at the Mayo Clinic, they told me cataracts were starting to develop there, too. Since my job is pretty fast-paced and demanding, the blurry vision started becoming a real problem. I couldn't afford to wait months just to get an appointment at the Mayo Clinic, so I booked an exam at LensCrafters instead. I ended up having the surgery on December 21, 2019 (yeah, a Saturday!). This time, they implanted an aspheric lens, leaving me with a residual prescription of roughly -0.5 (down from -12.5 beforehand).

And man, am I thrilled with it. I’ve never seen better in my entire life. As soon as I walked through my front door after the procedure, I tossed every single pair of glasses I’d owned up to that point straight into the trash...

Now, addressing what you wrote, based on the info you provided.

When it comes to an IOL implantation, the surgeon usually aims for a slight nearsightedness in the calculation—something minor that remains after the surgery. You definitely don't want the eye to shift into being farsighted (+).

Regarding laser retinal treatment: I actually had that done myself, though way back in 2005. Looking at your numbers, it seems your prescription is -16. From what I understand, with severe myopia, there's a much higher risk of retinal detachment because the eye is physically elongated. To prevent that, they use lasers to basically "weld" the layers of the back of the eye together. It’s a little uncomfortable and takes a bit longer, but hey, you'll survive.

Aspheric lenses are perfectly fine. But things like Symphony or multifocal lenses? That's a whole different ballgame—not something I even considered. Back when I was at the Mayo Clinic during the 2016 Republican National Convention era, I heard stories about people getting those fancy lenses at private clinics only to have them removed later at the Mayo Clinic.

That "10% vision" part... I'm assuming that's because the cataracts have progressed quite a bit? You really shouldn't have waited this long, but honestly, once the surgery is done, you're going to be absolutely floored by how clear everything looks with the new lens.

Before the procedure, they'll give you a sedative to help you relax, and once you're on the table, you just need to let go. The actual lens replacement only takes about 10 to 15 minutes. The surgeon will talk you through everything they're doing as they go...

As for the retinal laser, if it's the same thing I went through... yeah, it's a bit unpleasant, but just keep your eyes on the prize. Crystal clear vision for the rest of your life!

Thanks so much for the reply, I actually had one done before I turned 20.
I'm doing the laser stamps preventatively.
My doctor is recommending it again now.
I didn't wait too long after the diagnosis, but the cataracts suddenly tanked my vision from 40% down to 10% this past year.
Maybe it was just a really stressful year, I guess stress can definitely mess with things.
How was it for you after the lens swap where you were at -2, did you still need to wear contacts or anything?
Because my daughter is at -2 and if she isn't wearing her contacts, she can't even recognize people, and since I can't really tell what "good vision" even feels like anymore, I don't even know how to judge if -2 is bad or not.
Regarding the multifocal stuff, I was hoping for the ones they offer at Light, but my doctor shot that down immediately because she said it would be too much of a shock to my eyes, my brain, and my whole world.
She also mentioned some other option that's around $1500, but I can't remember the name of it.
It's something that isn't strictly monofocal, but my doctor will look into it during my exam this Sunday.
So, someone here is currently going through the whole lens replacement process, and honestly, I just finished my checkup at the Eye Center for cataracts—I'm sitting at -16 diopters with only about 10% vision left in my right eye, and let's just say I walked out of that clinic in absolute tears.
The plan is to have Gabric perform the surgery using a Bausch & Lomb aspheric monofocal IOL, which means they’ll leave me with a little bit of nearsightedness after they finish up with some laser retinal protection first.
I'm definitely not a candidate for anything fancy like Symphony or those multifocal options because my blood pressure is hitting 18/19, so I can't really brag about my health stats, I'm just praying to God that I'm in good hands.
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