👉 Uncover IOL truth at IOL-adviser.com 👈 Check my other videos about cataract lens cataract lenses choices and how to select the best IOL for refractive lens exchange! Videos, you might be interested in: Eye Surgery Explained channel: ruclips.net/video/6gmK4pXzTeA/видео.html Know your IOL options: ruclips.net/video/6gmK4pXzTeA/видео.html EDOF IOL Alcon VIVITY and J&J Symfony: ruclips.net/video/bOxob2Y2BiM/видео.html Nighttime problems with IOLs: ruclips.net/video/pqnb00LBjzQ/видео.html Astigmatism and toric IOLs: ruclips.net/video/SiOR0goC3k4/видео.html Multifocal, EDOF lenses and use of glasses: ruclips.net/video/MI2fOcshkiE/видео.html
Hi Alex, thanks for educating us, there is no other channel that talk IOL in this depth like you do. I am quite new to opthal and have learned a lot about different IOL from your video. But it seems like most of the IOL you talk is either Alcon or JNJ. Do you have experience with other brand like Finevison, At Lisa or Occulentis, why are they not favourable? I'm seen them being used a lot in my hospital.
Hi Alex I appreciate your videos, I’m 23 and had a monofocol lens, I’m having really bad refractive errors and experience halos and starburst around every light source. I need distance glasses to see in the distance even doe I have a monofocul lens for distance. So I need glasses for reading and glasses for distance vision which is very frustrating but also halos and rings around lights do not help do you know why this is occurring thank you very much
Thanks Alex. It was after watching your earlier videos, that I made my choice of going for Tecnis Synergy instead of Alcon Panoptix, though the latter was what my surgeon was recommending because of lesser experience with Synergy. I did go through your earlier video in which you have explained why Synergy performs better in dim light conditions. Although the user experience was lesser, I decided to take the risk of going with Synergy after consulting with my doctor. So far it's good. In my case, the only thing which is not so good is the intermediate vision acuity. Distance and near are fine, but intermediate is still fuzzy. Although I do tend to see rings around lights at night, however that never was a problem for me since I wa used to glare from before. In fact it was another of your videos in which I got to know that even with natural lens you can get to see glares from lights because of high myopia and dry eyes. So the rings are there but I am already neurally adapted to them and they're not a bother. After 30 years of wearing glasses I am free of them. My left eye was operated in Dec 2021. To prevent anisometropia I am using contact lens in my right eye. So far so good. Thank you once again for your videos, which in my opinion provide the best input for someone like me in choosing the right IOL.
Thanks a lot for your comment, and for sharing your experience! What is intermediate and near distance in your case? If you know it from real measures, but not from feeling.. it may give an answer about fuzzy intermediate. This should not be an issue with Synergy.,. Any way, I am glad that you are happy with your vision for now!
Hi. Would you mind coming back and letting us know how your vision is doing over a year later? Are you still having problems with your intermediate vision? Are you still happy with your choice? Thanks for your time.
My doctor recommended Synergy which I did in my left eye about 3 weeks back. My near vision became perfect N6 could read the fine print, mobile & laptop with ease which was +4.75 with glasses. Even though distance vision with this lens was 6/6 but found the far distance vision was not so good, could not read road signs & experiencing halos/starbursts during night driving were highly disturbing. Though Synergy was recommended by my doctor for the right eye, I decided to go for Eyehance after reading a lot on net. This experiment turned out to be a good decision, my far vision improved considerably & near is N6 was 4.5 with glasses & halos not disturbing during night driving. I have got rid of glasses after 30 yrs(now 73 yrs old). Dr, don't u think mix lens should be used more extensively to get better results?
mix of different lenses is a good approach, however depends on medical situation and patient needs. not always an ideal solution but in some cases works great.
Sir I'm 68 years old my right eye operated with TriFocal now for left eye can I combine with Synergy lens or Vivity EDOF lens or any other which will be better suited to me as I'm not satisfied with TriFocal night time Vision glare and contrast. Thank you in advance.
Dr. Alex. Your videos are really informative and highly useful. I have Synergy in my left eye. Vision is excellent but I see halos and glares at night. Can Symfony in my right eye mitigate this problem. Please advise me.
Hello! Thanks for your question. As written at my web site I am not a doctor, but my scope of expertise and experience allows me to say you - yes, it may help, however it is not a guarantee that it will work. I hope you will have better vision experience. good luck!
Hi Alex. Why so many patients are not happy with senergy? I am sure the material of senergy is superior to panoptix and has no degeneration issue in long term. But why patients seems more happier with panoptix. Please correct me if I am wrong. And do you have any opinion regarding senergy toric for bad astigmatism? Thank you
Hi Sam. I do not know any patients from my experience who are not happy. However, there are a few reasons which I assume may explain what you have seen on the internet. 1. Synergy lens has to be perfectly calculated and placed to achieve the best of its performance. Perhaps doctors who start with lens never worked with Tecnis platform and failed to do it right. Moreover, the way of calculation is different from well known Symfony, and it might be a simple mistake of a surgeon. 2. It is really the best lens in class, thus a patient's expectations might be raised to an unrealistic level, and as a result, a person might be not happy with it, despite clinically superior results. 3. I noticed specific activity from bots under my videos (my professional channel for Ukraine with some professional videos about IOLs) about Symfony lens, this seems to be ordered by competitors. So, I assume this might be a digital marketing war. I want to stress again - if the clinic works with Synergy the right way, and this is a lens that fits patient needs, it gives perfect vision results and performs great, and makes patients happy.
@@iol-adviser obsoletely true. What are disadvantages of using toric version of this lense? Can toric senergy causes lose the power of quality of distance vision? Thank you in advance
@@samtahm749 toric lens has no disadvantages at all, it simply corrects corneal irregularities and that is all. moreover, if cornea has an astigmatism greater than about 0.5D, a toric lens will improve the quality of vision. but should be used only if needed.
Alex, congratulations! Another awesome video! It was watching your videos that I chose Symfony for my first eye (right - dominant). I was fascinated with the quality of the lens and, even though I knew it wasn't a lens for near vision, I took a chance. With it I have excellent vision from 60 cm to infinity. I am 63 years old and I have developed core cataracts in both eyes, making me myopic. When I opted for Symfony, I didn't really realize how much I need near vision in my daily tasks. Now I'm about to have surgery on my second (right) eye, and as my ophthalmologist assured me that I don't have any problems with my eye, other than a cataract, I'm thinking about getting a Synergy for that other eye. I don't know if this mixing of lenses is going to be a good idea? Would you like to comment something? Thanks! And keep up the wonderful work you do!
Thank you for your comment, Leon! Mixing of different IOL is possible, and a mix of Symfony + Synergy works well. It might be my combination for future RLE..
Hi Alex thanks for being so informative. I am considering either Synergy, Panoptix og Lucidis EDOF lenses and heard that Lucidis should be best. What is your take on that? I am really visual and hope for a life without glasses being able to read and with good night vision as well as seing natural colours
Thanks for another good video Alex. I had a video consultation with you last year and you were very helpful in providing me options and lens preferences. I recommend your one on one consultations. As a result, I decided to see an experienced ophthalmologist here in Australia and I am scheduled for surgery end of this month where I will be getting Tecnis Synergy IOLs. It was good in fact as well that the doctor had also recommended Tecnis Synergy to me. I am hoping for a good outcome. Slava Ukraine.
@@monsterwerksvideo Hello from Australia. I've made some videos on my channel about my progress since the implants. Unfortunately for me it isn't going well. Daytime very blurry, near vision is only part that is okay, but still not perfect. Hoping it will improve over time. May need laser corrective surgery to improve vision, but they said it's usually around 6 months before eyes settled enough to consider that.
@@tyvid Thanks for the update. I'll check out your channel, and then talk more about it with my doctor. I'm sorry to hear it's not going as well. Hopefully it's a matter of time and things will be as you'd hoped. Take care.
very interested to hear your explanations. please could you advise what IOL you think best in my case. I need good distance for driving,and good intermediate for computer and clerical work, but I also need good near vision for my job(electronics) to read part numbers of components and for changing them on circuit boards,some parts need to be done under microscope. This is daily activity so cant compromise. However i know that full multifocal comes with risk of glare and halo,which I have a big problem with. my opthamologist suggests eyehance with undershoot -0.5d in dominant eye and mini monovision(-1.25 near eye).but worried also about lack of stereo and depth when using microscopes. any thoughts?
Вітаю, Олексій. Дайте пораду військовому, де в Україні встановити Tecnis Synergy. В мене немає астигматизму, але є далекозорість, як я зрозумів мені не потрібна торічна ІОЛ.
Last Sept I had Panoptix in left and Synergy in Right eye. For computer work, Synergy beats Panoptix. I can read laser sharp on my Galaxy S22 Ultra as close as 4-6 inches, 20/20. Panoptix has been 20/25, less sharp. Night driving is hellish...Panoptix bit less Halos, rings, strabursts and Synergy worse than Panoptix. Honestly every person is different... overall happy with Synergy no glasses needed 99% of the time
Ols. Você consegue ver com nitidez as placas de trânsito durante o dia e a noite? E porque você diz que a Sinergy é infernal no trânsito a noite? O que acontece com a visão?
Dam that was bad timing with the stupid attack on your country as was hoping to know more about Vivity. Stay safe and hope you can again post more videos soon..
Vivity will come soon, I am almost ready to continue with videos. just a reminder - private consultations are always available here: www.iol-adviser.com/consultation
(stupid attack?) Did you know that the Ukronats killed Russians in the Donbas for 8 years until 1922, and then Russia came to stop this genocide. 14,000 civilians died, 300 of them children. They won't know about Vivity anymore. Or is it not enough to stop this horror?
Great videos for people who need cataract surgery . l think you mentioned you are from Ukraine, l hope you and your family are safe and this war will be over soon
Thank you for your comment ! Yes, I am for Ukraine, and we had to leave our house as it is located at one of hottest point near Kyiv. Hope I will come back to my videos shortly. In meantime , if you wish to send me any support, it will be highly appreciated here: iol-adviser.com/support
This is inaccurate info. Synergy tri focal doesn't have sharp vision over the whole range of vision but only has sharp vision at 3 distances . Also when light level goes down halos etc increase . I know becouse I have 2 different synergy iol Tri focal installed and they are not that good . Panoptic is better
if Synergy or any other full-range of vision IOL gives bad visual outcomes, it is in all cases certain calculation of selection issue. sorry to hear that you got this experience.
this is absolutely rubbish . i have both the synergy MODEL ZFR00V left eye and ZKB00 DIOPTER +20.5D+ 2.75D ADD in my right eye since april 2023 and the left one only has 2 points of focus and the right has 3 points of focus around 40-50cm, 120 to 300 cm and 500cm . the left is 33cm and then 200cm therfore only 2 points of focus and i also notice it give halos and startburst more . finally they both have bluring in between these distances unlike the good doctor says . dont believe what you are told - i can speak from first hand exoerience . litterally as im writing this, if i move my head back from the laptop screen i get defocus and bluring .
![Noob To Max With DRAGON REWORK In Blox Fruits [FULL MOVIE]](http://i.ytimg.com/vi/LnBMOinoOvA/mqdefault.jpg)
👉 Uncover IOL truth at IOL-adviser.com 👈
Check my other videos about cataract lens cataract lenses choices and how to select the best IOL for refractive lens exchange!
Videos, you might be interested in:
Eye Surgery Explained channel: ruclips.net/video/6gmK4pXzTeA/видео.html
Know your IOL options: ruclips.net/video/6gmK4pXzTeA/видео.html
EDOF IOL Alcon VIVITY and J&J Symfony: ruclips.net/video/bOxob2Y2BiM/видео.html
Nighttime problems with IOLs: ruclips.net/video/pqnb00LBjzQ/видео.html
Astigmatism and toric IOLs: ruclips.net/video/SiOR0goC3k4/видео.html
Multifocal, EDOF lenses and use of glasses: ruclips.net/video/MI2fOcshkiE/видео.html
Great material Alex. I have a symfony in right eye, and a synergy in left, very pleased
Hi Alex, thanks for educating us, there is no other channel that talk IOL in this depth like you do. I am quite new to opthal and have learned a lot about different IOL from your video. But it seems like most of the IOL you talk is either Alcon or JNJ. Do you have experience with other brand like Finevison, At Lisa or Occulentis, why are they not favourable? I'm seen them being used a lot in my hospital.
Hi! Thanks for your feedback! :)
Other lenses are well known to me, the only problem is time for making videos.. plan to do more.
Thank you so much for your demonstration
But I have q
How long after cataract surgery and synergy iol implantation patient can see clearly
I wann to help answer,patien have diferent neuro adaption every individu, its between 1 - 6 month
Hi Alex I appreciate your videos, I’m 23 and had a monofocol lens, I’m having really bad refractive errors and experience halos and starburst around every light source. I need distance glasses to see in the distance even doe I have a monofocul lens for distance. So I need glasses for reading and glasses for distance vision which is very frustrating but also halos and rings around lights do not help do you know why this is occurring thank you very much
Hi, did u already change your iol to get better result? I also face same problem, if you don't mind please reply
Thanks Alex. It was after watching your earlier videos, that I made my choice of going for Tecnis Synergy instead of Alcon Panoptix, though the latter was what my surgeon was recommending because of lesser experience with Synergy. I did go through your earlier video in which you have explained why Synergy performs better in dim light conditions. Although the user experience was lesser, I decided to take the risk of going with Synergy after consulting with my doctor. So far it's good. In my case, the only thing which is not so good is the intermediate vision acuity. Distance and near are fine, but intermediate is still fuzzy. Although I do tend to see rings around lights at night, however that never was a problem for me since I wa used to glare from before. In fact it was another of your videos in which I got to know that even with natural lens you can get to see glares from lights because of high myopia and dry eyes. So the rings are there but I am already neurally adapted to them and they're not a bother. After 30 years of wearing glasses I am free of them. My left eye was operated in Dec 2021. To prevent anisometropia I am using contact lens in my right eye. So far so good. Thank you once again for your videos, which in my opinion provide the best input for someone like me in choosing the right IOL.
Thanks a lot for your comment, and for sharing your experience!
What is intermediate and near distance in your case? If you know it from real measures, but not from feeling.. it may give an answer about fuzzy intermediate. This should not be an issue with Synergy.,. Any way, I am glad that you are happy with your vision for now!
@@iol-adviserola dr. Então quer dizer que para o intermediário a sinergy não é boa nem para visualizar um computar exigindo para tal o uso de óculos?
Ola. Então para intermediário é difuso? Para trabalhar no computador so se for com oculos? É isso?
Hi. Would you mind coming back and letting us know how your vision is doing over a year later? Are you still having problems with your intermediate vision? Are you still happy with your choice? Thanks for your time.
My doctor recommended Synergy which I did in my left eye about 3 weeks back. My near vision became perfect N6 could read the fine print, mobile & laptop with ease which was +4.75 with glasses. Even though distance vision with this lens was 6/6 but found the far distance vision was not so good, could not read road signs & experiencing halos/starbursts during night driving were highly disturbing. Though Synergy was recommended by my doctor for the right eye, I decided to go for Eyehance after reading a lot on net. This experiment turned out to be a good decision, my far vision improved considerably & near is N6 was 4.5 with glasses & halos not disturbing during night driving. I have got rid of glasses after 30 yrs(now 73 yrs old). Dr, don't u think mix lens should be used more extensively to get better results?
mix of different lenses is a good approach, however depends on medical situation and patient needs. not always an ideal solution but in some cases works great.
Hello, I would like to ask, how are you doing right now? Do you suffer from halos at night? How do you feel driving a car?
Tecnis eyhance has any disadvantages-such as contrast reduction, light scatter,etc in any distance- in comparison to Tecnis 1 piece monofocal?
Sir I'm 68 years old my right eye operated with TriFocal now for left eye can I combine with Synergy lens or Vivity EDOF lens or any other which will be better suited to me as I'm not satisfied with TriFocal night time Vision glare and contrast. Thank you in advance.
Dr. Alex. Your videos are really informative and highly useful. I have Synergy in my left eye. Vision is excellent but I see halos and glares at night. Can Symfony in my right eye mitigate this problem. Please advise me.
Hello! Thanks for your question. As written at my web site I am not a doctor, but my scope of expertise and experience allows me to say you - yes, it may help, however it is not a guarantee that it will work. I hope you will have better vision experience. good luck!
Hi Alex. Why so many patients are not happy with senergy? I am sure the material of senergy is superior to panoptix and has no degeneration issue in long term. But why patients seems more happier with panoptix. Please correct me if I am wrong. And do you have any opinion regarding senergy toric for bad astigmatism? Thank you
Hi Sam.
I do not know any patients from my experience who are not happy.
However, there are a few reasons which I assume may explain what you have seen on the internet.
1. Synergy lens has to be perfectly calculated and placed to achieve the best of its performance. Perhaps doctors who start with lens never worked with Tecnis platform and failed to do it right. Moreover, the way of calculation is different from well known Symfony, and it might be a simple mistake of a surgeon.
2. It is really the best lens in class, thus a patient's expectations might be raised to an unrealistic level, and as a result, a person might be not happy with it, despite clinically superior results.
3. I noticed specific activity from bots under my videos (my professional channel for Ukraine with some professional videos about IOLs) about Symfony lens, this seems to be ordered by competitors. So, I assume this might be a digital marketing war.
I want to stress again - if the clinic works with Synergy the right way, and this is a lens that fits patient needs, it gives perfect vision results and performs great, and makes patients happy.
@@iol-adviser obsoletely true. What are disadvantages of using toric version of this lense? Can toric senergy causes lose the power of quality of distance vision? Thank you in advance
@@samtahm749 toric lens has no disadvantages at all, it simply corrects corneal irregularities and that is all. moreover, if cornea has an astigmatism greater than about 0.5D, a toric lens will improve the quality of vision. but should be used only if needed.
@@iol-adviser What is your thoughts about Eyhance toric lens? Can the patient get intermediate and near vision with that lense? Thank you in advance
Alex, congratulations! Another awesome video! It was watching your videos that I chose Symfony for my first eye (right - dominant). I was fascinated with the quality of the lens and, even though I knew it wasn't a lens for near vision, I took a chance. With it I have excellent vision from 60 cm to infinity. I am 63 years old and I have developed core cataracts in both eyes, making me myopic. When I opted for Symfony, I didn't really realize how much I need near vision in my daily tasks. Now I'm about to have surgery on my second (right) eye, and as my ophthalmologist assured me that I don't have any problems with my eye, other than a cataract, I'm thinking about getting a Synergy for that other eye. I don't know if this mixing of lenses is going to be a good idea? Would you like to comment something? Thanks! And keep up the wonderful work you do!
Thank you for your comment, Leon! Mixing of different IOL is possible, and a mix of Symfony + Synergy works well. It might be my combination for future RLE..
@@iol-adviser That sounds like an interesting topic for a new video.
Hi Alex thanks for being so informative. I am considering either Synergy, Panoptix og Lucidis EDOF lenses and heard that Lucidis should be best. What is your take on that? I am really visual and hope for a life without glasses being able to read and with good night vision as well as seing natural colours
It's been 2 years since your comment, I'm very curious about your journey. I hope you are well?
Thanks for another good video Alex. I had a video consultation with you last year and you were very helpful in providing me options and lens preferences. I recommend your one on one consultations. As a result, I decided to see an experienced ophthalmologist here in Australia and I am scheduled for surgery end of this month where I will be getting Tecnis Synergy IOLs. It was good in fact as well that the doctor had also recommended Tecnis Synergy to me. I am hoping for a good outcome. Slava Ukraine.
Do you have any update about your experience post surgery? I'm going to be getting the Synergy IOLs as well, in the US.
@@monsterwerksvideo Hello from Australia. I've made some videos on my channel about my progress since the implants. Unfortunately for me it isn't going well. Daytime very blurry, near vision is only part that is okay, but still not perfect. Hoping it will improve over time. May need laser corrective surgery to improve vision, but they said it's usually around 6 months before eyes settled enough to consider that.
@@tyvid Thanks for the update. I'll check out your channel, and then talk more about it with my doctor. I'm sorry to hear it's not going as well. Hopefully it's a matter of time and things will be as you'd hoped. Take care.
very interested to hear your explanations.
please could you advise what IOL you think best in my case.
I need good distance for driving,and good intermediate for computer and clerical work, but I also need good near vision for my job(electronics) to read part numbers of components and for changing them on circuit boards,some parts need to be done under microscope.
This is daily activity so cant compromise.
However i know that full multifocal comes with risk of glare and halo,which I have a big problem with.
my opthamologist suggests eyehance with undershoot -0.5d in dominant eye and mini monovision(-1.25 near eye).but worried also about lack of stereo and depth when using microscopes.
any thoughts?
Вітаю, Олексій. Дайте пораду військовому, де в Україні встановити Tecnis Synergy. В мене немає астигматизму, але є далекозорість, як я зрозумів мені не потрібна торічна ІОЛ.
Great Video Alex!
Last Sept I had Panoptix in left and Synergy in Right eye. For computer work, Synergy beats Panoptix. I can read laser sharp on my Galaxy S22 Ultra as close as 4-6 inches, 20/20. Panoptix has been 20/25, less sharp. Night driving is hellish...Panoptix bit less Halos, rings, strabursts and Synergy worse than Panoptix. Honestly every person is different... overall happy with Synergy no glasses needed 99% of the time
Ols. Você consegue ver com nitidez as placas de trânsito durante o dia e a noite? E porque você diz que a Sinergy é infernal no trânsito a noite? O que acontece com a visão?
thank you for sharing your experience
On 3/22/2023 I received SYNERGY lens, and I am incredibly happy! It is de facto autofocus!
Dam that was bad timing with the stupid attack on your country as was hoping to know more about Vivity. Stay safe and hope you can again post more videos soon..
Vivity will come soon, I am almost ready to continue with videos.
just a reminder - private consultations are always available here: www.iol-adviser.com/consultation
(stupid attack?) Did you know that the Ukronats killed Russians in the Donbas for 8 years until 1922, and then Russia came to stop this genocide. 14,000 civilians died, 300 of them children. They won't know about Vivity anymore. Or is it not enough to stop this horror?
Great videos for people who need cataract surgery . l think you mentioned you are from Ukraine, l hope you and your family are safe and this war will be over soon
Thank you for your comment !
Yes, I am for Ukraine, and we had to leave our house as it is located at one of hottest point near Kyiv. Hope I will come back to my videos shortly.
In meantime , if you wish to send me any support, it will be highly appreciated here:
iol-adviser.com/support
Дякуємо, Вам!
This is inaccurate info. Synergy tri focal doesn't have sharp vision over the whole range of vision but only has sharp vision at 3 distances . Also when light level goes down halos etc increase . I know becouse I have 2 different synergy iol Tri focal installed and they are not that good . Panoptic is better
if Synergy or any other full-range of vision IOL gives bad visual outcomes, it is in all cases certain calculation of selection issue. sorry to hear that you got this experience.
Fight the good fight, my friend, Shche ne vmeria Ukrainy.
Thank you Paul!!!
👍
You talk too fast for me but I want to know what you are sharing! Love your accent but I have to re-watch several times :::)))
this is absolutely rubbish . i have both the synergy MODEL ZFR00V left eye and ZKB00 DIOPTER +20.5D+ 2.75D ADD in my right eye since april 2023 and the left one only has 2 points of focus and the right has 3 points of focus around 40-50cm, 120 to 300 cm and 500cm . the left is 33cm and then 200cm therfore only 2 points of focus and i also notice it give halos and startburst more . finally they both have bluring in between these distances unlike the good doctor says . dont believe what you are told - i can speak from first hand exoerience . litterally as im writing this, if i move my head back from the laptop screen i get defocus and bluring .
sorry to hear your experience, but I am pretty sure that there is a residual refractive error, probably in both eyes according to your description
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