Hey
@BrentM
Dry eyes are a common problem for people over 40 years old as our tear production drops in half by then. Very frustrating. That's when artificial tears come in handy (systane, tears plus, and a bunch of others.)
I do hope your ribs, clavicle, and shoulder are healing up and you are getting stronger each day. You really took a beating. Hopefully you will make out okay w/time.
Just to be clear, no doctor will promise or guarantee you will end up with 20/20 vision after cataract surgery, even if you pay extra for a premium/advanced technology lens. They can hope for that. They can expect it should happen based on their pre-op exam of you, but there are no guarantees how your particular eye will respond to the surgery.
Ophthalmologists like to underpromise & overdeliver versus telling a patient 20/20 will happen and then - for whatever reason - it doesn't. Too many variables. If someone is "guaranteeing" 20/20 after cataract surgery, have them put it in writing along with what you get if they fail. You'll start to hear a lot of hemming and hawing and see 'exceptions' being inserted into that guarantee.
Also, no ophthalmologist I know of will "guarantee" you won't need glasses ever, for anything, after cataract surgery even if you pay for premium lenses. They may EXPECT you won't need glasses after surgery but no one will promise that because there are just too many variables at play. People are not machines (we are all very different!) and surgery isn't always going to go as planned. That's just how it is.
I have not heard of the "4500 lense". To the best of my knowledge, the only lens that is adjustable AFTER surgery in the USA is the LIGHT ADJUSTABLE LENS (LAL) by RxSight (
https://rxsight.com/patients/). The lens power is adjustable postoperatively using a special UV light source machine. Once ideal prescription is found, lens can be 'locked in' to that prescription.
EDITED: I think Brent was inferring that the lens that costs $4500 is the one that is adjustable, and that would be the LAL, which is correct.