Help Choosing IOL - near - mid - far?

Am scheduled for surgery next week - have astigmatism and myopia and
granular cataract both eyes. Doing right first - as have had retinal
detachment in left and so right safer. Am right eye dominant and left
eye has a bit of macular scarring that twists text a bit - so not
great for reading. Surgeon needs to order lens and I have been given
choice of near, mid-range or distance vision. I read a great deal and
I work at a computer - also like to cook. Have chosen mid-range but
am a bit uncertain. I read myself to sleep every night - have since
childhood. Do not fancy the idea of having glasses on for that!
Right now vision is awful - but I can still read without glasses if
book/mag/newspaper/recipe is a few inches out. Would near be better
or would I go nuts having such a limited sphere? Any suggestions will
be appreciated.

 

I am in a similar situation (just switch left and right) and I am
choosing mid, and have no doubts about it. However, if you are a taxi
driver you should consider far, and if you are a jewler or make your
living repairing watches you should consider near. I personally don't
think that wearing glasses for reading in bed is the worst thing in
the world. You already know that retinal detachment is more horrible.

 

I'd go for the near if you really, really "do not fancy" (I take that to
mean "would hate") readers for reading in bed, with the understanding
that you might nead something on your nose for just about everything
else. But I would not choose the distance option for the first eye you
do, due to the chance you might accidentally end up hyperopic.
Personally, chosing the mid range worked out very well for me, then the
second eye was set for far.

w.stacy, o.d.