I think anyone, whatever their age, would feel vision-impaired and disappointed with long term positive dysphotopsia. I, surely, empathize with you.
After my “perfect” first cataract surgery, with all the subsequent long term PD symptoms I’ve talked about, I asked surgeons many questions before going forward with the second eye surgery. They didn’t like it. One declined doing the surgery because I asked too many questions. The surgeon who, ultimately, did the 2nd eye reluctantly agreed to the more rounded edge IOL to make best attempt to avoid PD.
Yes, these doctors want compliant, “run-of-the-mill” cataract patients who say something like, “thank you doctor for saving my sight”.
I hope there’s a lot of life left and I’m trying to make the best decisions I can to maximize my sight. I guess most doctors don’t want to make enough effort to help those of us with atypical conditions and situations. That won’t dissuade me though; good sight is too important.
Since you got a more rounded edge IOL for your second cataract surgery, what was the lens used (manufacturer, and design #) and what was your result in terms of PD and also "coordination" between the two different lenses in your eyes?
Also, did you decide against an IOL exchange for the first eye?
Your reply would be most helpful to me as I am still seeking to know what questions to ask when I meet with my surgeon again.