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Monday, March 23, 2026

Cataract Surgery Lens Plan

I'm  getting cataract replacement this year.  Currently, the left eye is very near sighted and the right eye is less near sighted and I only wear correction in both eyes for driving and sports. To avoid requiring to use glasses for reading or driving, I'm  going  with right eye at 20/20 and the left eye at about 20/150 (about -3) for near vision.   I won't need any glasses with this vision.  

My brain is already used integrating different focal lengths with my uncorrected vision at 20/400 (L) and 20/200 (R).  Doctor says DMV only requires one eye at 20/50 or better,  I think, to drive without correction

Despite a friend  having excellent results, I decided not to go with multi focal lenses.  
  • I tested multi focal contact lenses about 5-10 years ago and didn't like them.   It was the worst of both worlds for me.  I couldn't see close work and distance vision was a slightly blurry sometimes. 
  • A tennis player on the court before us said he started with multifocal but had to change to single focus and redo his cataract surgery.   
  • My eye doctor said he usually does not recommend multifocal.  He has seen two different people with technically the same conditions get very different results, one good and one bad.
Medicare will still cover glasses 100% to correct vision.  My Medicare Advantage said they would cover contact lenses for 20% copay, which I will probably do for one eye for sports.

I've been testing wearing one contact part of the time to experience how it would be like after cataract surgery.   Although not a perfect replication, I am comfortable enough to proceed with the.  Since one eye is done at a time and the distance eye is done first, I will have a couple weeks to confirm my decison.

For more on Strategies and Plans, check back every Monday for a new segment.

This is not financial nor health advice. Please consult a professional advisor.

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