Cataracts. Can someone give advice if monovision or multifocal lens would be the better option at my age?

No, nobody is going to be able to tell you what works best for you. This isn't a "which is better" type of question. It's a "what works best for you" type of question. Both are decent options. I tend to prefer to put patients in bifocal contacts rather than mono vision whenever possible because you can lose a bit of depth perception and you are messing with binocularity when you go monovision. that said, some patients struggle getting acceptable vision from multifocal contact lenses.

A lot depends on your prescription and whether or not you'd be able to adapt well to monovision. (some people can't).

The best approach is to try one and see how you do. In my practice, I'd start you with multifocal lenses and let you know that the first pair is not necessarily going to be the final pair. Often, it takes two or three (or seven or eight) pairs of trials to nail down what works best for you in a multifocal lens. If that's not working for you (and we might know fairly quickly) then I'd try either monovision or a modified monovision option, depending on your vision demands and how well you are seeing out of the lenses.

Modified monovision means one lens is a bifocal lens and the other is not - either a distance or a near lens, depending on what is needed; but modified monovision can also mean using two multifocal lenses with one weighted more for distance and the other weighted more for near.

Another option is to use distance correction only in your contact lenses and use reading glasses for reading and near vision. I don't use this option with very many patients, however, I do have some going this route. These are typically people with high vision demands at distance (think a truck driver, for example) and low vision demands at near.

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