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should a surgeon have monovision?


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should a surgeon have monovision?, Ellen - Quincy, MA, 12/12/99
Surgeon Monovision, Rod, 12/12/99, (#1)
Dr. Steinert and monovision, Julie - East Greenwich, RI, 12/13/99, (#2)
monovision..., Ellen - Quincy, MA, 12/13/99, (#3)
Are you aware Dr. Steinert cho..., Gail - Elon College, NC, 12/14/99, (#4)
Monovision, William B. Trattler, MD Miami, FL 12/15/99, (#5)

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"should a surgeon have monovision?"
Posted by Ellen - Quincy, MA on 15:52:59 12/12/99
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I'm scheduled in 10 days with Dr Steinert.
OD -4.75 -.25 X180 OS -5.00 -.25 X005
I tried monovision today with -5.00 and -3.75
lenses. When I had the 3.75 in the left eye my
vision was not tolerable however it's much better
when I reverse that but still a little funny. I do
think that I will need reading glasses in the next
year or so. (I can tell when I wear my -5.00
lenses) I had always thought the right was
dominant but perhaps not.
How have other surgeons done? Monovision or not?
(no microsurgery or loupes used)
Is it reasonable to schedule cases 4 days
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1. "Surgeon Monovision"
Posted by Rod on 18:23:54 12/12/99
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Ellen,

I work for a high volume LASIK center. Near one of our surgery sites, there is a city who has had over 14 surgeons come to us for LASIK surgery over the past year and a half. Not all came at once, (ie. two one month, three the next, two a couple months later), so I'd have to assume there was some interaction between the surgeons as to results. None of these surgeons opted for monovision. From the feedback reports that I've seen, they're all satisfied with their results. Take it for what it's worth, but I can't off the top of my head think of any surgeons that we've performed LASIK on opt for mono.

Rod

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2. "Dr. Steinert and monovision"
Posted by Julie - East Greenwich, RI on 10:21:31 12/13/99
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Ellen,
I am scheduled for LASIK surgery with Dr. Steinert on December 21st. Did Dr. Steinert tell you that he had the monovision himself? He is extrememly happy with it and convinced me to give it a try. He said it is easy to enhance the undercorrected eye should you be dissatisfied.

How did you select Dr. Steinert? I went to him because of a referral and hope I made a good choice. I live in Rhode Island.
Julie

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3. "monovision..."
Posted by Ellen - Quincy, MA on 20:03:33 12/13/99
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let's not forget that "enhancement" means
reoperation and i'd certainly like to make the
correct decision and have this done once.
As for Dr. Steinert, I think he has the best
reputation in Southern NewEngland. It's
interesting you didn't go to Koch who seems to be
the main MD in RI
I'd like to hear from the Lasik surgeons regarding
my question-those who have had the surgery and
what other surgeons have
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4. "Are you aware Dr. Steinert chose PRK?"
Posted by Gail - Elon College, NC on 19:15:52 12/14/99
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He chose it for himself. He performed it on his wife . He also chose PRK to do on his son.
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5. "Monovision"
Posted by William B. Trattler, MD on 23:37:20 12/15/99
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You hit the nail on the head. Determine whether monovision works for you BEFORE surgery. The goal is to perform surgery once, because even though enhancements are safe, there are still risks involved.
Lets address monovision. The key with monovision is to try monovision in contact lenses. Most people ue the dominant eye for distance and the other eye for near. However, some patients prefer the other setup. Therefore, it is important to spend time in contact lenses mimicking what might happen with surgery. If it turns out the monovision is not satisfactory, then consider whether you would be happy correcting both eyes for excellent distance vision. Although you will have to wear glasses when reading (and even the computer), this is an excellent option because it does provide vision that is effective for almost all outdoor activities. It is important that you discuss these options with your surgeon prior to LASIK surgery.
To answer your question - some surgeons like monovision while others prefer to have better distance vision and wear reading glasses. It is a very individual choice.

I hope this is helpful

Bill Trattler, MD
Miami, FL

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