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Post-cataract op eyewear

 Poster: A snowHead
Poster: A snowHead
Anyone out there that has had cataract ops done?

Due to various ongoing retina problems I will shortly be having both eyes done for cataracts, with monofocal lens implants (good for medium & long vision in theory). For those of you who have had cataract ops done, assuming your long and medium sight is ok without correction do you bother with anything for short-range vision while skiing or just stick on a pair of 'reading glasses' as and when needed?

Trying to think ahead as to what will work best... though I may end up with some correction anyway for longer range (its a long and complicated story) so it may be a moot point, but does it work to ski in 'progressive' glasses?
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 Obviously A snowHead isn't a real person
Obviously A snowHead isn't a real person
@offpisteskiing, I opted for long range vision and have variefocal specs for reading and computer. These are quite fancy/expensive and I don't want to lose them, so I just pop a magnifying glass in my pocket for reading piste maps and menus.If the light's good I don't usually even need that.
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Well, the person's real but it's just a made up name, see?
@offpisteskiing, I've not had a cataract op, but my Father did many years ago and one interesting thing about it I remember him telling me was the immediate post op effect on colour perception. Cataract tissue tends to have a yellowish tinge which filters out some of the blue and violet colours, but your brain gets used to that and things still look normal. Immediately after the cataract is removed as the retina is now receiving more blue and violet light than previously those colours look particularly vivid, however over time the brain adapts to the new normal. I wonder if anyone else who has had a cataract op noticed the same thing?
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@offpisteskiing, I opted for varifocals to try and regain some accommodation. You'll lose most or all of your ability focus on things (accommodation.)
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 Anyway, snowHeads is much more fun if you do.
Anyway, snowHeads is much more fun if you do.
It is normal as the haze on the lens you are born with is a murky brown yellow one ,so most are astonished at the colors they see post cataract,as the sight slowly degrades people get used to living with bad vision. The latest generation lenses are really quite remarkable, trifocals and non diffractive extended depth of focus.

Most still go for distance vision correction with readers for near vision as a lot of surgeons harp to the conservative side or patient cost considerations but what cost is your sight, I’d easily pay extra for non spec vision when the options are out there.

The technology to aid the surgeon to implant high tech lenses is out there to improve the outcomes so why not.
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@Alastair Pink, generally two types of cataract, cloudy white and yellowy/brownish AIUI. My yellow one meant that after removal, yes some colours changed. A shirt I thought was burgundy was actually a blue and purple check. In bright sunlight I could also 'see' the veins of the retina as a kind of shadow as the brain had not yet learned to 'filter' them out.
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Then you can post your own questions or snow reports...
@offpisteskiing, Haven't had cataracts but I once went skiing without wearing contact lenses, I had hard lenses then that needed building up wearing time gradually. I found that my distance perception was off, I could see moguls well enough but not where my corrected vision would expect them to be.

Think I would want consistent distance perception rather than progressive lenses.
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 After all it is free Go on u know u want to!
After all it is free Go on u know u want to!
@rjs, first couple of days skiing in varifocals was interesting... It seemed to affect my balance, the dull weather wasn't helping either.
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@Alastair Pink, That is very common in people after cataract surgery, almost the first thing they notice actually. The cloudy natural lens effectively gives everything a brown/yellow tint but as it is gradual, people don't notice it. Then you instantly return to a normal red/blue/yellow colour balance after surgery which you do notice!

@offpisteskiing, Before the surgery, decide what your visual requirements are and then discuss those with your surgeon. Basically, the options are good unaided near vision, good unaided distance vision (assuming the surgery goes well and depending on the nature and extent of your retina problems), one eye set up more for near and one eye set up more for distance (depending on your tolerance of this and prescription) and multifocal/extended depth of focus intraocular lenses.
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I had cataract ops on both eyes a couple of years ago and they significantly improved my unaided vision. Now I wear varifocals with a transition coating. I use then for skiing without any issues.
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@DrNo,
Quote:

Before the surgery, decide what your visual requirements are and then discuss those with your surgeon. Basically, the options are good unaided near vision, good unaided distance vision (assuming the surgery goes well and depending on the nature and extent of your retina problems), one eye set up more for near and one eye set up more for distance (depending on your tolerance of this and prescription) and multifocal/extended depth of focus intraocular lenses.
I was only offered the first two. Must have had a noddy surgeon. Confused
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And love to help out and answer questions and of course, read each other's snow reports.
@Hurtle, I doubt it! Option 3 doesn’t work for a lot of people so may not have been possible for you and option 4 also isn’t an option for some people, is not available on the NHS (OP is based in France and I’m not sure how things work there) and some surgeons don’t offer those lenses so that’s probably why!
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@DrNo, thanks, that's comforting to know. Does unsuitability for Option 3 have anything to do with astigmatism? I always wanted differently focused contact lenses during my 42 years of wearing them (gas permeable ones) and was always told that I was too astigmatic for them.
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 You know it makes sense.
You know it makes sense.
I haven't had cataract surgery but I do ski in full on progressive s. They have three different lenses in them, close, computer distance and long distance. I don't notice any issues. All progressives are a bit weird when you first get them. They take a bit of
brain training
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 Otherwise you'll just go on seeing the one name:
Otherwise you'll just go on seeing the one name:
Hi all,

Thanks for all the replies... The surgeon is aiming for as good as possible unaided mid and long vision (due to the nature of my work areas) - only have the option of fixed focal length as had multiple ops last year for detached/torn retina (and the other eye took up the baton in Jan this year) and in France if there is a history of retina problems they will not use a multi-focal implant. They are trying to correct an astigmatism due to a complication from one of the surgeries with the implant so hopefully that works.

The cataracts are rapid onset (following vitrectomy) so no colour degradation noticeable just increasing blurriness...

Definitely hoping I can avoid having to wear glasses for skiing as I experimented with various solutions this winter before the right eye went pete tong and none of the options worked for my particular case (tried OTG goggles none of which really seemed to fit, and in-goggle inserts which gave a massive double vision effect...!!
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 Poster: A snowHead
Poster: A snowHead
@Hurtle, potentially though astigmatism doesn't necessarily mean that option 3 wouldn't work. Often a trial with different contact lens is needed though so that may have been a factor.
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