Hello Oleksii, Thank you for another informative video. I was wondering if you have any more information about the new J&J PureSee? Maybe a defocus graph that compares the J&J PureSee and the Alcon Vivity? I am particularly interested to see how the contrast sensitivity is between them and how it compares to the Eyhance? I currently have a J&J Eyhance in my right eye but unfortunately have a refractive error limiting my distance vision, so looking at options to fix and also an iol for my left eye. Thank you Mark.
I have preliminary information about the PureSee, once I will have more data I will do a review. Drop me a line by email, I'll give you more detailed answer if you wish (you may find in on www.iol-adviser.com). Generally it makes sense :)
I'm interested to know what vision I would experience in between the 3 focal points(the defocus)of say a Panoptix IOL. Is there a way to represent this in a vision exam or with spectacles. Thanks
Hi. Theoretically yes , however practically it does not make any sense. Let me know your concerns and I’ll try to explain in more details based on your needs.
Thank you for your videos. I have my cataract surgery consultation next week. I’ve been trying to educate myself as much as possible, so that I can have an intelligent discussion with my doctor. So many choices. I’m a professional truck driver and also drive at night. I have a mild astigmatism. It’s difficult to know which lens to pick. I’m not trying to be free of glasses , but I do want to minimize adverse side effects. At the same time, I don’t have a premium budget. But whatever is the best choice, is probably worth the costs.
Just wondering what the perceived difference would be going with the toric version as opposed to the non-toric version. I know that’s probably not a question that you can answer without specific examination numbers on the degree of astigmatism. But I’m sure it would cost more with the toric lens. Something I will have to discuss with my doctor.
Toric vs non-toric answer depends on astigmatism type, it's power and your individual perception of astigmatism. If it is a clear lens exchange, or your cataract is not too much affecting vision, you may try to simulate is by trial glasses to see if you (and how) react to residual astigmatism. Honestly, if it's low astigmatism like about 1D..1.5D it might be neglectible, but always better to try and to discuss with your doctor. Higher amount more probablt need a toric IOL, and of course, astigmatism shall be regular (refer to my recent astigmatism video)
@@iol-adviserthank you very much for the reply. I will keep in mind the things you’ve said when my consultation takes place in a few days. It’s very generous of you to give your time and knowledge here. Knowledge is the key to making a good decision.
Hi Oleksii, thanks for your videos. I just had my 1st cataract surgery (right - dominant eye) on Jan 10 wth J&J Eyhance iol. But not doing well so far. I am short sighted wth power 350 on left eye n abt 425 or 475 on the right. On the 2nd night after surgery I started seeing rather long slanted streak of light across light source on the road eg street lamps, car headlights, yellow bulb light. My doc said it is due to my weak cornea (he said I have Fuch's cornea dystrophy). I went to another eye doc for a 2nd opinion and he said he can see folds on the bag covering/holding the iol (he said the bag 'shrinks' to cover the iol and folds can occur during this process) ... and if the folds do not straightened out, he can rectify this using laser and he said I do not have Fuchs cornea disorder! I am going to see a 3rd doc to reconfirm whether I have Fuchs or not. But my main questions to you (hope to get your input) are the following - the 2nd doc said he had done many cases using Eyhance but the overall outcome is quite unpredictable (some patients do well, but some dont). Thus, he had switched to using iol Lentis (edof from Teleon) which has a much better ... more stable outcome/results. Thus, I am in a dilema now as I do not want to do my 2nd eye under my 1st doc, but unsure of Lentis iol, but my vision has not improved so far since surgery wth Eyhance (intermediate is not quite clear, near range is definitely out). My 1st doc has given -50 for my right eye...when I see my face on the mirror (close range), I definitely cant see the fine details eg. to even out my sunscreen after applying, nor see/pick up fallen hair that stick to my face. My 1st doc said he can give me a mini monovision by giving me options of -100 or -150 for the left eye (to ease my concerns not seeing finer details of my face on the mirror) but thinks I cant adjust to -150. And the 2nd doc does not give any mini monovision as he believes it is not good for patients due to the imbalanced power. Thus, I wld like your advice/input on Eyhance vs edof Lentis (Teleon). Fyi - my left eye macular retina has a hole and right eye has a membrane...thus, multifocal is out. Thanks in advance!
Hi! I'll try to help with the IOL selection. Eyhance is a good and stable lens, however as any lens it needs personalized adjustment at surgeon side and with Eyhance there is a special procedure needed which doctors are not always follow, that's why refractive outcomes are not stable in certain cases. Regarding the Lentis from Teleon. Depending on the Lentis model we may discuss, but as you have a macular hole I'd think about another Eyhance. If you are willing to have better near, I'd suggest to go with Eyhance and minimonovision, but this is a defenitely an option where you shall be ready that images in both eyes will be different. As you had about 1D difference (I assume that the power you mentioned is your pre-cataract refraction) I do not think you will have a problems, but better to discuss with the surgeon why he think you will not tolerate this. Lentis comfort might be a good option but still do not expect a good near vision as the lens is not designed for that, and macular hole is not good condition as well. so I think is better to discuss the Eyhance with monovision options. If possible (if your cataract on left eye is not yet too dense) you may try a monovision with contact lens and see what to expect, at least at far distance. Hope this helps.
@@iol-adviserThanks very much Oleksii for your detailed feedback and suggestions. A lot for me to think over. The Lentis model suggested by the second doc is Lentis Comfort, he said from his experience more of his patients have better outcome for near vision compared to Eyhance which he had done/used a lot previously. Thanks a lot again and really appreciate your feedback : )
thanks for words of appreciation! yes, that's correct as the purpose o the Enhance as other advanced monofocals is to give improved intermediate, while purpose of extended range of vision IOLs which are EDOF like Lentis Somfort, Tecnis Symfony, Alcon Vivity etc is to mitigate presbyopia and thus it gives better intermediate and a bit of near depending on the model. However again, we have to balance between range of vision quality of the light transmission and aberrations and cost. Wish you to take your best decision with your surgeon!
I know your IOL, we have met at ESCRS certain time ago. Drop me a line in direct and we’ll discuss the opportunity. As I’m based in Spain 🇪🇸 it will be even easier that in other cases :) about 1 hour drive between )
I am on the younger side, have cataracts in both eyes, but one is much worse. I am considering getting clareon multifocal in bad eye and waiting on advances in technology for the other. What is your view on this strategy and expected advances in accommodating and other iols in the coming few years
a lot of info that's presented very quickly and jumps around a lot, and no visual aids or pictures or anything. I'm more confused now than I've ever been. thanks for the effort, though
Sorry to hear that. Honestly, the topic is too complex , for instance my professional lecture about that lasts about 90 minutes. I’ll keep your consideration in mind and will dedicate more time for final edition of videos to add more visuals.
What is the best lenses that fit or suits for dislocated lens? Because my eldest son needs to undergo eye surgery becuase of his both lens are dislocated. He diagnos with marfan syndrome which his eyes was affected. Now he is 6 years old and we are still waiting for his schesule for operation or surgery. 😢
sorry to hear that. I do not have expertise in such cases. Normally if an IOL needs extra fixation there are surgical techniques used to use suture, or sometimes PMMA (rigid) lend is used with PMMA haptics. I suggest to discuss with your doctor, and most probably it will be a monofocal lens.
👉 Uncover IOL truth at IOL-adviser.com 👈
Glad to see you are back doing videos and are well . I was concerned .
thank you. had some issues due to the war.. now back to my project and planning never stop :)
thank you for your support! have a great day :)
Hello Oleksii, Thank you for another informative video. I was wondering if you have any more information about the new J&J PureSee? Maybe a defocus graph that compares the J&J PureSee and the Alcon Vivity? I am particularly interested to see how the contrast sensitivity is between them and how it compares to the Eyhance? I currently have a J&J Eyhance in my right eye but unfortunately have a refractive error limiting my distance vision, so looking at options to fix and also an iol for my left eye. Thank you Mark.
I have preliminary information about the PureSee, once I will have more data I will do a review. Drop me a line by email, I'll give you more detailed answer if you wish (you may find in on www.iol-adviser.com). Generally it makes sense :)
great video :)
Thanks 😊
What do you think about Zeiss at Lisa lenses? Thank you
good lens, but honestly with no "Zeiss" heritage, they simply purchased one IOL manufacturer about 10 years ago..
I'm interested to know what vision I would experience in between the 3 focal points(the defocus)of say a Panoptix IOL. Is there a way to represent this in a vision exam or with spectacles. Thanks
Hi. Theoretically yes , however practically it does not make any sense.
Let me know your concerns and I’ll try to explain in more details based on your needs.
Wow , hard to figure out, but I'll try.
Hi. Let me help you.
What questions do you have after that video?
What shall be explained better?
Thank you for your videos. I have my cataract surgery consultation next week. I’ve been trying to educate myself as much as possible, so that I can have an intelligent discussion with my doctor. So many choices. I’m a professional truck driver and also drive at night. I have a mild astigmatism. It’s difficult to know which lens to pick. I’m not trying to be free of glasses , but I do want to minimize adverse side effects. At the same time, I don’t have a premium budget. But whatever is the best choice, is probably worth the costs.
For your case I believe that bilateral Tecnis Eyhance will be the best choice.
@@iol-adviserthanks for the tip
Just wondering what the perceived difference would be going with the toric version as opposed to the non-toric version. I know that’s probably not a question that you can answer without specific examination numbers on the degree of astigmatism. But I’m sure it would cost more with the toric lens. Something I will have to discuss with my doctor.
Toric vs non-toric answer depends on astigmatism type, it's power and your individual perception of astigmatism.
If it is a clear lens exchange, or your cataract is not too much affecting vision, you may try to simulate is by trial glasses to see if you (and how) react to residual astigmatism. Honestly, if it's low astigmatism like about 1D..1.5D it might be neglectible, but always better to try and to discuss with your doctor. Higher amount more probablt need a toric IOL, and of course, astigmatism shall be regular (refer to my recent astigmatism video)
@@iol-adviserthank you very much for the reply. I will keep in mind the things you’ve said when my consultation takes place in a few days. It’s very generous of you to give your time and knowledge here. Knowledge is the key to making a good decision.
Hi Oleksii, thanks for your videos. I just had my 1st cataract surgery (right - dominant eye) on Jan 10 wth J&J Eyhance iol. But not doing well so far. I am short sighted wth power 350 on left eye n abt 425 or 475 on the right. On the 2nd night after surgery I started seeing rather long slanted streak of light across light source on the road eg street lamps, car headlights, yellow bulb light. My doc said it is due to my weak cornea (he said I have Fuch's cornea dystrophy). I went to another eye doc for a 2nd opinion and he said he can see folds on the bag covering/holding the iol (he said the bag 'shrinks' to cover the iol and folds can occur during this process) ... and if the folds do not straightened out, he can rectify this using laser and he said I do not have Fuchs cornea disorder! I am going to see a 3rd doc to reconfirm whether I have Fuchs or not. But my main questions to you (hope to get your input) are the following - the 2nd doc said he had done many cases using Eyhance but the overall outcome is quite unpredictable (some patients do well, but some dont). Thus, he had switched to using iol Lentis (edof from Teleon) which has a much better ... more stable outcome/results. Thus, I am in a dilema now as I do not want to do my 2nd eye under my 1st doc, but unsure of Lentis iol, but my vision has not improved so far since surgery wth Eyhance (intermediate is not quite clear, near range is definitely out). My 1st doc has given -50 for my right eye...when I see my face on the mirror (close range), I definitely cant see the fine details eg. to even out my sunscreen after applying, nor see/pick up fallen hair that stick to my face. My 1st doc said he can give me a mini monovision by giving me options of -100 or -150 for the left eye (to ease my concerns not seeing finer details of my face on the mirror) but thinks I cant adjust to -150. And the 2nd doc does not give any mini monovision as he believes it is not good for patients due to the imbalanced power. Thus, I wld like your advice/input on Eyhance vs edof Lentis (Teleon). Fyi - my left eye macular retina has a hole and right eye has a membrane...thus, multifocal is out. Thanks in advance!
Hi! I'll try to help with the IOL selection.
Eyhance is a good and stable lens, however as any lens it needs personalized adjustment at surgeon side and with Eyhance there is a special procedure needed which doctors are not always follow, that's why refractive outcomes are not stable in certain cases.
Regarding the Lentis from Teleon. Depending on the Lentis model we may discuss, but as you have a macular hole I'd think about another Eyhance. If you are willing to have better near, I'd suggest to go with Eyhance and minimonovision, but this is a defenitely an option where you shall be ready that images in both eyes will be different. As you had about 1D difference (I assume that the power you mentioned is your pre-cataract refraction) I do not think you will have a problems, but better to discuss with the surgeon why he think you will not tolerate this.
Lentis comfort might be a good option but still do not expect a good near vision as the lens is not designed for that, and macular hole is not good condition as well.
so I think is better to discuss the Eyhance with monovision options. If possible (if your cataract on left eye is not yet too dense) you may try a monovision with contact lens and see what to expect, at least at far distance. Hope this helps.
@@iol-adviserThanks very much Oleksii for your detailed feedback and suggestions. A lot for me to think over. The Lentis model suggested by the second doc is Lentis Comfort, he said from his experience more of his patients have better outcome for near vision compared to Eyhance which he had done/used a lot previously. Thanks a lot again and really appreciate your feedback : )
thanks for words of appreciation!
yes, that's correct as the purpose o the Enhance as other advanced monofocals is to give improved intermediate, while purpose of extended range of vision IOLs which are EDOF like Lentis Somfort, Tecnis Symfony, Alcon Vivity etc is to mitigate presbyopia and thus it gives better intermediate and a bit of near depending on the model.
However again, we have to balance between range of vision quality of the light transmission and aberrations and cost.
Wish you to take your best decision with your surgeon!
Happy to be involved in future videos with our innovative inverted meniscus IOLs, as new trends in 2024 #ArtIOLs Thanks for the informative video!
I know your IOL, we have met at ESCRS certain time ago. Drop me a line in direct and we’ll discuss the opportunity. As I’m based in Spain 🇪🇸 it will be even easier that in other cases :) about 1 hour drive between )
I am on the younger side, have cataracts in both eyes, but one is much worse. I am considering getting clareon multifocal in bad eye and waiting on advances in technology for the other. What is your view on this strategy and expected advances in accommodating and other iols in the coming few years
Get well soon, I am 38 years old and have cataract disease. I also have one eye worse. I wonder what you did.. we have similar ideas
a lot of info that's presented very quickly and jumps around a lot, and no visual aids or pictures or anything. I'm more confused now than I've ever been. thanks for the effort, though
Sorry to hear that. Honestly, the topic is too complex , for instance my professional lecture about that lasts about 90 minutes.
I’ll keep your consideration in mind and will dedicate more time for final edition of videos to add more visuals.
What is the best lenses that fit or suits for dislocated lens? Because my eldest son needs to undergo eye surgery becuase of his both lens are dislocated. He diagnos with marfan syndrome which his eyes was affected. Now he is 6 years old and we are still waiting for his schesule for operation or surgery. 😢
sorry to hear that.
I do not have expertise in such cases. Normally if an IOL needs extra fixation there are surgical techniques used to use suture, or sometimes PMMA (rigid) lend is used with PMMA haptics.
I suggest to discuss with your doctor, and most probably it will be a monofocal lens.
Great info. Many thanks.👍
My pleasure!
What is the difference between an advanced monofocal lens and an EDOF lens or are they the same?
Here is the answer
Advanced monofocal cataract lenses - the IOL truth vs hype
ruclips.net/video/FELcSubHATc/видео.html
♥