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Discussion Starter · #1 ·
I've read through a number of the old posts and was wondering if I could trouble those of you who have had cataract removal surgery for an update on your procedure and what if anything you'd do differently, now that it's done. I started noticing a blurring in my vision , thinking it was age , made an appt. for a checkup, this is when it was discovered my master eye has a diabetes related cataract. Naturally I was not really thrilled at the prospect of having a knife inserted into my eyes so I did what a lot of us do and put it off, but soon admitted to myself it's not going away it's something I have to do, so I started researching it. My insurance doesn't cover multi-focals so realistically there out. I found the best surgeon of the ones available to me. I've gone in for the initial ,still have another conference with the DR. & the procedure is set for mid-April. These are the questions I ask of you. To those who have has had the single focal lense What focal distance did you have implanted? What were the effects of the focal distance on your shooting? What if anything would you have done different? Are you happy with the lense you have in everyday use? How is your night vision? Your night driving? Any experiences or recomendations are greatly appreciated, After all I hate walking "Blindly" into this .... thank you..Ray
 

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Had to have both of mine done after my 2nd liver transplant. Had 20/15 vision as a younger man. Woke up one morning and couldn't see the clock on the wall. I was told I had 2 cataracts in each eye. Both the front and back of the lens in each eye. The surgery was painless and quick. I see fine now. Have a little problem reading, but a $4.00 pair of Wal Mart reading glasses fix that.
Do it. You will be glad you did.
 
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My wife had to have both eyes done due to steroid treatment for rheumatoid arthritis related issues - caused eye pressure to rise and needed steroid drops to stabilize and reduce, caused rapid growth cataracts.....

Was pretty much a few hours of waiting and 30-40 minutes of surgery and done. Recoup was a couple of days, some drops and she is good to go.

As far as the cataract stuff, you should be good.
 
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I had cataract surgery done over mid-November-to-early-December this past year.

I had problems with seeing clay targets, and clearly seeing rifle/pistol targets, even with scopes. I also experienced glare, flare, halos, etc. My eyes had increased sensitivity to sunlight, and I generally had a bit more difficulty seeing, even with corrective lenses.

In addition to the cataracts, I had very high astigmatism (+4.0 cylinder), and this contributed to the vision problems, even corrected with glasses. I was not a candidate for any RK, LASIK, etc. Contact lenses also were not a solution.

I discussed seriously with an ophthalmic surgeon in October, and we opted to have the cataract surgery done, and correct my astigmatism at the same time. I'm aged 66, so Medicare would be picking up the tab for the basic cataract correction.

The surgeon and I together selected a toric implant, which I knew to be added cost. However, weighing the additional cost of the toric implant versus the improvement in vision was a no brainer to me. I selected an implant by Bausch & Lomb, called Crystalens, specifically the "Trulign" model. It's a flexible implant, which is actually controlled in part, by the muscles of the eye.

The surgeon took my write up to an independent surgical board which did not know our selection. They agreed, 7-0 with the "Trulign" solution. I also opted to have vision geared to computer screen distance, to far. I would need "cheaters" for close up.

I started a number of eye drops immediately, preparatory to surgery.

On November 13, the first eye was successfully repaired. While in the surgical suite, I noticed an immediate improvement in my vision. The procedure took about fifteen minutes, and owing to a very good tranquilizer (Versed), I sailed through the procedure. Forty-five minutes after surgery, my wife and I were in Bob Evans eating breakfast.

I used addtional drops, including antibiotics, steroids, anti-pressure drops, etc. The next morning, I had my first post-operative exam, and vision in my left, non-dominant eye was already 20/20 at normal distance, and 20/16 for near vision. The next three weeks saw improvement in my vision. The surgeon insisted that I do away with my current glasses, and get used to seeing without them, since one eye had already been corrected. The last time I had on glasses was November 12.

After a two-week post op exam, I had a second operation on December 4. The procedure went as smoothly as the first. However, I was much more aware of what was happening. This was explained by the surgeon pre-op, so there were no surprises. The results of the second eye were the same as the first; immediate improvement.

The next day was the post-op for the right eye, and another follow-up for the left. I again waited for two weeks for the second post-op exam. The right eye was slightly weaker, as was planned, and my vision measured 20/20, and 20/16 near.

I remained on the post-op eye drops until early January, when I was weaned off the steroids. I continued drops which lowered intraocular eye pressure, but discontinued them in 10 days.

I had a second follow-up for both eyes in mid-January. Pressure levels were normal, and my vision was markedly improved over pre-op conditions. I have one another post-op follow-up on February 20.

I was advised that secondary cataracts could develop, and this is a possibility in about 20% of all patients. This post-op will cover development of secondary cataracts, if they occur. I also need to wear sunglasses all the time when outside. My eyes are more sensitive to bright sunlight.

My vision has never been this good in my entire life. Since I've had astigmatism since birth, I've never known what completely corrected vision was like. The colors and clarity are stunning. I had suspected, in 2012, that I may need cataract surgery, and my only regret was not acting a bit earlier.

My surgeon is a real advocate of post-op care. It's more important to him than any pre-op on intra-op care. His staff provided me with several books of word seek games, designed to strengthen the eyes. I just finished those on Sunday. Successive books have increasingly smaller type, so the eyes get a work out.

My out-of-pocket portion ran to about $3,200, and it was worth every penny. My previous annual spend on vision (exams, glasses, shooting glasses, sunglasses) ran to about $500, so the amortization will take about 6.5 years.

I can see the front sights of my pistols, shotguns, and rifles absolutely clearly with no fuzziness.

I'll be on Restasis for the next several months to insure my tear production stays up, but that's only twice daily.

Sorry this post ran a bit long, but there's no easy way to explain how things went, and what my experiences are.
 

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From what i understand when you are considered all "Healed" by the Dr. You are GTG with all regular activities including Big Guns.
 
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Discussion Starter · #8 ·
Did your doctors say anything about not shooting large calibers .308, 30-06 because of the recoil?
No and I've made it clear I shoot a lot, that has been the predominate theme in all our discussions.GI1
 

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Did your doctors say anything about not shooting large calibers .308, 30-06 because of the recoil?
Had both eyes done 3 years ago, and got the special lenses. Shot a 50 round Garand and a 50 round Enfield match the same day about a year ago, and had some bad floaters for a while. Not just specs, but black balls floating around.
 

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I had it done when I was a little kid, my vision out of that eye was never good in the first place but otherwise it still works. They say the cataract insert should last forever but then most of the people who get them are old so 'forever' means ~20 years and then dirt nap.
 

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Did your doctors say anything about not shooting large calibers .308, 30-06 because of the recoil?
I was advised that I could shoot trap, skeet, and rifle after just a few days. The recoil of rifles and shotguns doesn't affect the surgery.

I'm right-eye dominant; and my non-dominant eye was done first. I could still see to shoot right-handed. But my left eye, since it could see better tried to dominate my shooting. I went nuts trying to keep the left eye from taking over. In the end, I just took off a few weeks until the second operation was performed, and my vision went back to "normal".
 

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I Have a bad one in my right eye caused buy surgery and the gas bubble that was injected. Right now I have 20/200 vision.
My operation is this Friday. The Doctor said He can get me to 20/20 (or maybe 20/25)
I opted to do the left one as well so (if all goes well) I will only need a Nice pair of Sunglasses.
I'll let ya knowGI2
Great to hear you guys have sucess and are Blasting away!
 
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I had both eyes done with fixed focus lenses a year ago December. I opted for the fixed focus lenses as they have fewer 'artifacts' than the multi-focus variety.

The new lenses do not have the same coverage as a natural eye lens, so there is a very small loss of peripheral vision. The brain adapts wonderfully, so the shadow area is no longer perceived. The only artifacts I notice are a very rare glint from overhead lighting that catches the edge of a lens at a particular angle.

Before surgery, night driving had become almost impossible; glare off of reflective road signs rendered them illegible. Huge halos surrounded all lights, blocking swaths of my vision. I couldn't find the curb cuts to driveways and I couldn't see pedestrians in dimly lit areas. The killer, though, was I could no longer detect the 'yellow' snow.

After a year now, my vision is so much better than prior to surgery. Everything is brighter and clearer, colors are easily distinguishable, I can read a newspaper without glasses, but I use readers when doing serious reading. I do need the glasses when answering the captcha phrases on log in screens, but other than that I leave them off.

The surgery itself was a piece of cake. I showed up an hour early, they gave some sort of anesthesia, but it wasn't enough to knock me out. I just felt very relaxed. They brought me into the operating theater I looked up and they went to work. For the first eye, I didn't see much of anything beyond shadows; for the second eye, though, I was able see the instruments go into the eye. Kind of spooky, but not a problem, I didn't feel a thing. Each surgery took about 15 minutes, start to finish. They took me back to a resting area for about half an hour and then brought my daughter (who brought me there) into the room and gave us both my care instructions. They did insist that I bring a family member with me for both the care instructions and in case something went wrong.

I was 66 years old when I had my surgery and I only had to pay my $15 office visit charges; Medicare advantage took care of the rest.
 

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I just had my eyes examined last month after 2+ years post-op my right eye is still 20/15 and my left has degraded to 20/20. I wear 2.0 readers when needed. I'd worn glasses for over 40 years now I've got 6-10 pairs of polarized sunglasses and who knows how many readers. payed less for them all than one prescription pair.
 

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Well, it's been two years also. Vision degraded some what about a year ago and I got new glasses. I could still get by with out them if I had to, but I like the view I have now.
I have the self darkening lenses but I have to take them off to shoot my peep sighted
Kimber due to the sight picture darking, other wise, OK.
 

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Discussion Starter · #16 ·
Diabetes, cataracts,and you

Update, I went for my pre-op last week and was informed my blood sugar was too high for surgery. SO everything has been postponed until July in order to allow me time to get a better handle on this problem. I've been pretty committed about getting this done and as a result of that, eliminating sugar from my diet, and my wife's good cooking , my blood sugars are now at a third of what they were running last week and still dropping. I forsee no problems being able to have the surgery in July. Diabetes caused this Cataract Problem to begin with, and I don't EVEN have a bad case of Diabetes I don't require insulin. So you folks out there Pay heed to what your doctor says, YOU CAN GO BLIND.
 

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One more update:

In April, I developed what's referred to as "secondary cataracts". These develop in about 20% of all cases, and they have to do with a cloudiness in the sac around the eye. I was scheduled for procedures on consecutive Fridays.

Each procedure took about five minutes, with each eye being fully dilated. The surgeon used a laser to disintegrate the "cataracts". The left eye still has a decreasing size "floater" that I only notice when light enters my eye at a particular angle. It's decreasing in size, and should be completely dissolved in another month.

I do have a condition which predates the cataract surgery, but is not related to either the cataract surgery or the implants. I have a macular crease in the right eye. The macular crease is a result of slight separation of the macula on the edge. A small crease develops, and mine happens to be vertical. It causes a slight distortion in thin vertical lines.

I discussed this condition with the surgeon and a macular specialist. It was decided that nothing should be done surgically. In the interim I used a steroid which reduced the level of natural fluid for a time, and the condition was reduced by about 60%. The treatment, if done surgically, is to remove the fluid from the macular area, and replace it with saline. Over time the saline is absorbed and replaced by more fluid. However, at my age (67), there is no upside to surgery, and great risk. When using normal vision, I have to concentrate very hard to see the waviness.

It does affect my vision using a scope. Vertical reticules do have some waviness. However, I can also shoot left handed, and I just need to get used to shooting that way again.

My vision (aside from the macular crease) is much better than I had hoped. I'm an active trap shooter, and the targets are tack sharp with no haze. I've experimented with various colors of shooting lenses, and I've settled on a Randolph Ranger lens, a purplish "color mag" lens which causes the targets to really pop, and enhanced overall contrast.

I'm experimenting now with changing over to left-hand rifle shooting with scopes. I'm a natural lefty, but always shot right-handed because of eye dominance. I can see extremly well at 200 yards with standard 52B targets. The edges between black and white are very clear, with no haze at all.

When shooting pistols, the front sight is tack sharp with the left eye, but slightly less so with the right eye. However, I can see very well with iron sights on my M1's and M1A, and my high power rifles with Redfield Palma rears, and Olympic fronts are extremely sharp.

My doctor has one happy camper in me.
 

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Have first surgery scheduled for July 16 and second on July 30. Unfortunately I have severe astigmatism in both eyes but they are 'irregular' distorsions' of the lens so the toric lens will not correct my problem. Will have to look at alternates after the surgeries. Expect vision to be better than now as I am about 20/50 in both eyes with current glasses and new ones will only bring me up to maybe 20/40 with the cataracts.
 

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The Surgeon used a Lazer to correct my astigmatism before he did the new lenses.
I paid extra for the "Better" Lens out of pocket.
I have 20/20 without Glasses now in my good eye, we won't talk about the other one but it is way than it was.
Can you check this out with your Dr or get a second opinion?
 
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I have a secret desire to GET cataracts so I can get the free clear lens replacement and have 20/20 vision again. I found what I thought might be a few hopeful symptoms, but those did not pan out. Meantime we have a very elderly family member who had the operation and is gently mocking everyone, saying she's now the only one in the family who doesn't need eyeglasses.
 
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