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Some of you may remember I rejoiced at the fact that my presbymetropia mysteriously disappeared over the past year and that I had excellent vision and accommodation from 25 cm to infinity at the ripe old age of 77, without glasses. Because I'm now semi-permanently on cortico-steroids, with a risk of eye problems, I consulted the island's leading ophthalmologist yesterday evening.
He found a number of things and tha major one is that, possibly due to the GCA, the two eyes have developed very differently over the past year or two. I have a cataract in the right eye and this has induced a myopia, which I have never suffered from. As the transparency is still in the 75%-80% range, it does not bother me from the PoV of undue blur, but it allows me to focus close with that eye, enabling me to read comfortably unaided.
The left eye is 100% transparent and is normally presbyopic. It therefore still gives me perfect distant vision.
What I had not realised was that the gradual onset of this caused me to switch the dominant eye according to whether I was looking at something close, medium or far! Ain't life wonderful?
Anyway, the doc suggested that it is probable that the cataract will develop in the 6-12 next months requiring intervention. He described the operation, pretty much as Doc M did some weeks ago. He suggested that, when the time comes, I do not opt for a muscle-adaptive lens but a straight one, using glasses for closer work. His experience is that the more elderly patients (>65) adapt less well to multifocals and frequently have to have them replaced by a fixed-focus lens complemented by Varifocal glasses. This also is greatly cost-saving, into the bargain.
Zero glaucoma, both retinal discs in perfect condition, no foveal problems, excellent peripheral vision in both eyes. Looks like these old eyes will be good enough to see me into my grave!
He found a number of things and tha major one is that, possibly due to the GCA, the two eyes have developed very differently over the past year or two. I have a cataract in the right eye and this has induced a myopia, which I have never suffered from. As the transparency is still in the 75%-80% range, it does not bother me from the PoV of undue blur, but it allows me to focus close with that eye, enabling me to read comfortably unaided.
The left eye is 100% transparent and is normally presbyopic. It therefore still gives me perfect distant vision.
What I had not realised was that the gradual onset of this caused me to switch the dominant eye according to whether I was looking at something close, medium or far! Ain't life wonderful?
Anyway, the doc suggested that it is probable that the cataract will develop in the 6-12 next months requiring intervention. He described the operation, pretty much as Doc M did some weeks ago. He suggested that, when the time comes, I do not opt for a muscle-adaptive lens but a straight one, using glasses for closer work. His experience is that the more elderly patients (>65) adapt less well to multifocals and frequently have to have them replaced by a fixed-focus lens complemented by Varifocal glasses. This also is greatly cost-saving, into the bargain.
Zero glaucoma, both retinal discs in perfect condition, no foveal problems, excellent peripheral vision in both eyes. Looks like these old eyes will be good enough to see me into my grave!
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