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Posts by Benjamin Rivera4

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So, I finally went through with that "capsulotomy" procedure—or whatever the technical term is for using a YAG laser.

The whole thing was wild—they spent about an hour running through exams and checking everything out, then I just sat there for the actual laser part, which took maybe 20 or 30 seconds tops. The doctor basically just cleared away that cloudy bit, and boom—everything is crystal clear again. Honestly? Absolutely brilliant.
Matthew Morris28 said:Luckily, I’ve still got a few years before I need to swap out my lens. If I’d actually listened to the docs at the Mayo Clinic back in the day, I probably would've ended up with opacities on the back of the capsule by now. When I asked them straight up, "Hey, what if that happens?" the doctor just kind of brushed it off like it was nothing, saying, "Don't sweat it, we'll just fix it with a YAG laser." (btw, the procedure is $167/cool). Not really sure how permanent that fix is or if you need to go back for more. From what I dug up two years ago, those kinds of complications aren't super rare with IOLs—you also get issues with eye pressure, or much less often, problems with the macula or vitreous.

Good luck, man. Let me know how it goes.

I’ve already sent out some inquiries to ExxonMobil and General Electric, but now I really need to check when they can squeeze me in at the Mayo Clinic.

So you're saying it used to sting a little during that procedure? Honestly, anyone who can handle getting laser-etched onto the back of their eyeball just to keep their retina from detaching... well, that person's a total legend.

Well, if that's all there is to it, I guess I don't have anything to worry about. Sounds great.
Back again on the IOL implantation subforum.

Because why would anything ever go smoothly when life is just waiting for its chance to screw you over?
If you scroll through these last ten pages, you’ll see my whole medical history—I've had IOL lenses put in both eyes. One eye was done back in 2016, and I still have about -2.5 diopters left in it. Anyway, I started noticing my vision in that eye was getting worse, and since I'm covered under my supplemental health insurance, I went ahead and booked an ophthalmology appointment right away...

Long story short: they found what they call secondary membrane formation—basically, fibrosis of the posterior capsule that holds the IOL in place. And honestly, just... damn it all.

Now I have to schedule a session at a laser clinic or find a private specialist to perform a laser procedure to "clear out" that posterior capsule. The goal is to let the light pass through properly so I can actually see normally again (well, as much as possible).

Has anyone here gone through this kind of procedure before?
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...
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.
Let me try to break this down step by step...

So, here’s my situation: I had a spherical lens implanted in my right eye at a public hospital—that one still leaves me with a -2 prescription—but in my left eye, I went with an aspheric lens at a private clinic, which brought my prescription pretty much to zero. Can you mix a spherical and an aspheric lens? Honestly, I’d say the vision in the aspheric eye feels sharper, though that might just be because there’s almost no residual prescription left to deal with.

Night vision is solid, though obviously better in the left eye. Generally speaking, that -2 eye is actually great for close-up work, while the right one handles distance just fine. I haven't gone out to get specific glasses for driving or watching TV to compensate for that -2 yet, but I definitely plan to.

If I were you, I'd ask about the aspheric option. You can mix them, and frankly, it should provide better quality. Plus, the price difference is practically nonexistent.

That wavy vision you're describing? It’s likely tied to the retina or the back of the eye. My dad actually deals with similar symptoms—he had some issues with his retinal background, so even with his implant, he sees things a bit wavy too. Definitely bring it up with your doctor at your check-up. But hey, if you have to wait a few days for the next appointment, just hang in there—you'll have another follow-up in about a month anyway.

All I’ve ever heard is that some people actually choose to have their multifocal lenses swapped out for monofocals if they just can't adjust to them. Technically, you can have an artificial lens removed from the eye, but please, don't rush into anything. Just wait. I don't know of any specific cases personally, but I do know the procedure is possible.

Let me know how that first check-up goes.
swiftbison7 said: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.

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.
swiftbison7 said: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.

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.

swiftbison7 said: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.

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.

swiftbison7 said: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’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?
swiftbison7 said: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!🙂)

Well, there you go—you've officially cleared the first hurdle...
swiftbison7 said: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, 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.

swiftbison7 said:I’m still feeling pretty lost on a lot of this—honestly, I have so many questions left to ask. For starters, my prescription is sitting at -16.50, which just feels completely overwhelming.
I honestly can't see anything useful from them on my right side—it’s like they aren't even there.
I picked up those thick nails for $16.50—and honestly? It’s a total joke. I can barely see a thing with them.
I’m staring at my equipment budget spreadsheets over at ExxonMobil, and I keep running into this nagging issue—it keeps throwing a negative 19 right in my face.
And then you have my boss sitting there doing all the math by hand—like, manually calculating -14 minus 12 on a notepad—as if we don't have high-powered software right in front of us! It’s honestly wild to watch.
Alright, I’m going to go ahead and upload a photo of my test results now.

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.

swiftbison7 said:I honestly can’t wrap my head around why people are still debating this—it feels like we’re stuck in a loop! I was reading through some comments earlier, and swiftbison7 brought up a point that really hit home for me regarding how we approach these kinds of systemic issues. It’s not just about one single policy or one specific moment; it’s about the entire framework we’ve built. Think of it like a massive infrastructure project—say, rebuilding a major highway system like the ones out in California. You can’t just patch one pothole and claim the road is fixed if the entire foundation is crumbling underneath. That’s exactly what we're seeing here. We keep trying to apply these "Band-Aid" solutions to deep-seated problems, hoping they'll stick, but they never do because the underlying structure hasn't changed. And then you have voices like Benjamin Rivera4 chiming in with those much more cautious perspectives. While I respect the caution—really, I do—I think there’s a danger in being so hesitant that we end up paralyzed. If we wait for the "perfect" moment where every single variable is controlled, we’ll be waiting until the next century. Sometimes, you have to start moving, even if the path isn't perfectly paved, just to get the momentum going. It’s easy to look at someone who is overqualified for a role and say, "Well, they’ll figure it out," but that ignores the reality of how much friction exists in our current systems. We need more than just talented individuals; we need a system that actually allows that talent to shine without getting bogged down by red tape and outdated logic. We need to find the Light at the end of this tunnel, but we won't find it by standing still and arguing about whether or not to take the first step.

I’m just way overqualified for this one.
swiftbison7 said: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.

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!
Man, you really hit a rough patch there. Where did you even end up having the procedure done?
Keith Morris3 said:So, I had surgery to fix my detached retina about two months ago, and ever since then, I’ve been dealing with this constant inflammation in my eye. Because of that, I’m pretty much holding off on getting the second eye done for now. I was wondering if Mirko could weigh in on how he handled the massive difference in prescription after his own procedure? Right now, one eye is sitting at -6 while the operated one is at -1.

Hey everyone, sorry I've been MIA for a little while.

So, here’s my situation. After the surgery, my prescription in that eye ended up at about -1.5. Right now, I don't wear any extra glasses or anything for that eye—it’s actually fantastic for reading and close-up work.

On my other eye, the prescription is -12, so I just stick with my contact lens like I always have. That eye gives me great distance vision. This setup works for me because the brain is pretty amazing at merging two different images, even when there's a gap of about 4 diopters.

That's how I'm getting by—I even passed my medical exam for a new job I picked up recently!

The reality is that you can't really fix a massive gap like -12 in one eye and -1.5 in the other with standard glasses—the difference is just too extreme. But contact lenses? They can handle it just fine.

My doctor did suggest I come back in a few months to get a custom lens made for the operated eye, but I haven't gotten around to doing that yet.

As far as comfort goes, I don't have any issues—no scratching, no irritation, nothing. It honestly feels like there's nothing in my eye at all.

I think I mentioned this in the thread already, but my IOL is just a standard spherical monofocal Alcon lens. If I remember correctly, Steven Stewart5 has an Alcon aspheric monofocal.
My son received a liver from a young man who passed away around age 25. I find myself thinking about his parents all the time—how, in the absolute darkest moment of their lives, they chose to show such incredible humanity and ended up saving several lives in the process. It feels like a moral duty to me, a real obligation, to make sure I sign my own donor card too.

On another note, regarding pediatric transplants... there are people out there today living perfectly healthy, normal lives because they underwent liver transplants as children twenty years ago. We don't see many older recipients because, frankly, those procedures weren't even attempted much back then. But transplant medicine today? It’s nothing short of miraculous—the techniques and medications have come such a long way.

I’m not going to waste much breath on user "shadownomad43"... I'll just leave this here. ☕

shadownomad43 says:
If the One who created us had intended for us to have the ability to swap or donate organs, He probably would have thrown in some patented zippers along with everything else He gave us—or maybe He would have just given our organs the ability to regenerate so we wouldn't even need donations in the first place.

Maybe the One who created us actually wanted us to learn how to step up ourselves—as human beings—and figure out how to replace an organ when it starts to fail.
Angela Foster43 said:I can’t quite recall where I claimed that contact lenses could actually solve a problem with vision issues like myopia.

Sent from my iPhone 13 using Reddit

Right here...

Angela Foster43 said:Generally speaking, provided there aren't any complications, an intraocular lens is placed in the posterior chamber.

It is also possible to place an intraocular lens in the posterior chamber alongside the natural lens—I believe companies like Alcon perform this—but one has to be careful that the lens and the implant don't touch, otherwise you risk developing cataracts.
They have specialized equipment to measure that specific gap between the lenses.

Ultimately, contact lenses remain a perfectly fine solution, so once cataracts eventually show up, that myopia can simply be corrected by adjusting the lens strength.

And my response to that was...

Once cataracts begin to develop, it shows up as an increase in your prescription, and for a little while, you might find relief just by using stronger lenses or glasses. But once those cataracts really progress, they distort the way Light bends so much that simply cranking up the prescription in your optical aids won't help anymore.

So, what's the actual issue here?
Angela Foster43 said:@Benjamin Rivera4
@Steven Stewart5

I suppose I should ask what exactly about my previous post bothered you, or rather, where you find yourself disagreeing?
In my experience, contact lenses serve as a perfectly fine way to correct myopia—which, if we are being precise, is an issue of optical error rather than a direct result of cataracts.

One doesn't simply rush into cataract surgery the moment they notice a change.
Since cataracts involve clouding the lens, there are instances where that clouding isn't even located on the visual axis.😉
Furthermore, every surgical procedure carries its own inherent risks. I mean, why undergo surgery for a cataract if your vision is still at 70 or 80 percent?

A private clinic will likely push you toward cataract surgery at that level of vision, mostly because they want to line their pockets.

?
Nothing rubbed me the wrong way, really—I was just pointing out what I felt was inaccurate and offering my own perspective. Honestly, I thought the tone of my post was perfectly fine; I wasn't trying to be aggressive at all.

My point was simply that once cataracts start progressing, contact lenses can't fix them. And yeah, once those cataracts get moving, they aren't exactly known for stopping—they just keep getting "stronger," which usually leads to needing surgical intervention pretty quickly after a diagnosis.

There is absolutely no reason for anyone to feel like I was "attacking" them.
Not much to report yet...

So, here’s the update: my operated eye is sitting at -1.5, and my near vision is actually fantastic. As for the other eye, I’m sticking with my contact lens like usual, and my distance vision is looking solid. Honestly, now that things are clearing up, I finally realize just how much that cataract was messing with my life. It’s like someone finally cleaned a dirty window—I had no idea it was that bad until it was gone.

For now, I’m functioning perfectly fine this way, and I’ll just play it by ear regarding what steps I might take down the road.

Anyway, take care, man—we'll talk soon. Definitely hit me up after your final check-up to let me know how everything went!
@Steven Stewart5:

How's the vision holding up on your other eye—is the remaining prescription feeling alright?

And honestly, how’s your quality of life treating you now that you've got this "new" way of seeing things?
@gigobanda:

So, how’s life treating you with that new toric lens? And more importantly—how did that second eye procedure actually turn out?

Also... I gotta ask... how are you holding up with that light sensitivity issue?
Angela Foster43 said:Generally speaking, provided there aren't any complications, an intraocular lens is placed in the posterior chamber.

It is also possible to place an intraocular lens in the posterior chamber alongside the natural lens—I believe companies like Alcon perform this—but one has to be careful that the lens and the implant don't touch, otherwise you risk developing cataracts.
They have specialized equipment to measure that specific gap between the lenses.

Ultimately, contact lenses remain a perfectly fine solution, so once cataracts eventually show up, that myopia can simply be corrected by adjusting the lens strength.

Not quite, though. Look, I’m definitely not a doctor, but... from what I understand, once cataracts really start setting in, it usually shows up as your prescription changing. For a little while, sure, you might get by with stronger glasses or even contacts. But here's the thing—once those cataracts advance, they mess with how light bends in your eye so much that simply cranking up the prescription doesn't help anymore. It's like trying to fix a cracked windshield by just putting on thicker sunglasses; it won't work. Eventually, you have to go in, remove the natural lens entirely, and swap it out for an artificial one. That's just how it goes.