I’m a cataract surgeon and most of what’s posted above is true. I will offer a few pointers to think about but this post is by no means a medical advice post. I don’t know the history or exam of any of the above patients. I would say that 20/15 and 20/10 have never come out of my mouth before when talking to a patient about anything.
Most patients that are outdoorsy want a distance priority for their vision. Also, It’s extremely important to understand that there is no perfect lens out there. There is always a compromise.
For example, with hunters, doing a multifocal or even an extended depth of focus lens will decrease contrast sensitivity. This could potentially impact low light glassing, etc. In return, you would get better intermediate and/or near depending on your lens choice.
Light adjustable lenses are pretty cool technology. The logistics and process of dialling things in seem to take forever but most of my patients have been very happy with them. I personally like to use them for patients that want distance in both eyes. It’s awesome to dial in 20/20 in both eyes (when patients have other ocular problems, 20/20 might not be attainable but LAL will get it as good as possible). You will get a little intermediate often doing them for distance but not always. I have done mono vision and mini mono vision with them but it’s not my favorite.
It’s important to note that there is no lens out there that will allow everyone to use open sights perfectly after cataract surgery. I’ve had some patients do great and some still struggle. If you’re wanting to do a lot with open sights, I would probably lean toward vivity or diboo but again no perfect option because we don’t have a good accommodating lens out there.
