Dr. Allen, I’m afraid there is an impostor faking your account. I was given a whatsapp number and they acted shady . Just had to let you know! Is there an e-mail I can report it to you details?
Question for you. What happened to the prior reversal drops? I know I had received them years ago, but when asking about them recently was told there are no longer any reversal drops.
@@WhiteWith2DreamyEyes I got strange behavior from that scammer. He came up with offering drugs. And he makes spelling mistakes Dr. Allen would never make. It’s a fraud.
Remember that closer distances also diminish the depth of field - so holding a book/label close to your eye (i.e. where the subject is more magnified) means that less is in focus. So this suits reading larger print, and people with longer arms.
* I am 54 yrs old * Had Lasik surgery for mild distance correction 20 yrs ago * Reading vision started deteriorating about 7 yrs ago. Up to 2.5 - 3.0 now with readers. * Started using Vuity 2 weeks ago. * Insurance is paying for mine 100% with pre-authorization. * Finding it difficult to apply 1 drop/day correctly…the drop leaks out of my eye. Instructions are very specific. * On days where I feel I nailed it perfectly, it does improve my vision, which is pretty cool. * The drop takes about 30 minutes to kick in for me and lasts for about 2 hours, so far. * As I understand it, there is a cumulative benefit from continued use. * Its unclear to me if we can use multiple drops in the same day…though it would be expensive for some. * No impact on distance vision. * Zero headaches. * Jury still out…interested to hear others’ experiences. * Other Presbyopia drops to follow in 2022, which may or may not yield different results.
If you were very myopic (near-sighted) prior to LASIK, be very careful as you are still more at risk than average for retinal detachment (I’m an Optometrist too otherwise I wouldn’t chime in)!
@@kimkerr917 it seems like refractive lens Exchange for presbyopia is a very good option? What do you all think? Not for everyone? I'm currently having trouble adjusting to fluctuating vision problems associated with dry eyes, insomnia. Causing anxiety.
@@Dr34Hornet A good surgeon wouldn’t perform refractive surgery of any kind if your vision is fluctuating. RLE seems to be similar to multifocal contact lenses in patients’ responses. Some do very well and others experience issues with things like night glare, not obtaining “perfect” vision, etc. I tell patients if they are after perfect crystal clear vision, they may not be candidates. There are many variables checked during a previous-op including pupil size, Rx stability, goals of patient, in addition to obvious thorough health checks. Age is another factor.
Trivia: presbyopia is from Greek presbys ("old") and ops ("sight"). Presbys is also used in Presbyterian, which is a church governed by elders (old) in the congregation.
I got a sample from my optician I tried them for the first time yesterday. The pros: I can see perfectly! My prescription for presbyopia is up to 2.50, and the smallest type on a box is no longer a challenge. And my computer screen is crystal clear as well, which has been the biggest challenge as my vision worsens. It's like magic! HOWEVER. The cons: my eyes immediately turned red, but that dissipated in about 20 minutes. The biggest "con" is that my surroundings are about 20-25% darker. I have really bright LED lights all over my home, and even my brightest room looks considerably darker all around. I suppose that's logical if your pupil is smaller and letting in less light, but it's a little trippy, and I'm not sure it's a tradeoff I want to make yet. I don't know if that's what others mean by "low light sensitivity," but in layman's terms, someone turned the dimmer down about 25%. I'll give it a week and see.
@@anneann9127 I am, loving them. The effect has even been cumulative for me, meaning I only use them every two days because I can still see fine on the second day. I’ve recommended them to several friends. Some have had a GREAT result like me, and some have been disappointed because they didn’t seem to help. Not sure what makes that difference, but for me, they have been a game changer. Haven’t needed to wear glasses since!
@@MrEcrmoya Thanks for replying. I have some drops here but have been nervous about trying them. I did read that they work best on people with lighter eye colors, blue and green best.
@@anneann9127 don’t be nervous, they’ll do no harm. Your eyes may get red for a while and you may feel like lighting gets a bit darker for a while as well, so maybe try them on a day that you’re home without much to do.
I'm an ophthalmic surgeon from India I prefer near vision glasses than prescribing vuity (pilocarpine) Good one doc you explained both it's advantages and side effects clearly Since glasses are potentially safer than this medicine only problem our social stigma in our country👍
Doc I'm so with you. I wouldn't trust anything approved by the FDA till a year passes. Not the brightest folks imo. Glasses you buy once (if over the counter) they work, cheaper and no side effects. Used them for 30 years no problems.
No one knows the long term effects of this drug. It works by causing a severe, unnatural constriction of the pupil. By this action, it will affect anyone's light sensitivity. No thanks, reading glasses work, are safe, and have no side effects.
@@NotThatBob the current FDA is headed by Trump appointee Janet Woodcock, and has approved some drugs already under petition for retraction due to safety (Biogen's Aduhelm). There is a new director coming in, but the current FDA has been corrupted to the point that MD adcom members are resigning in protest.
I have used Vuity 2x so far. Benefits of effects lasted about 3 hours. Headache for 20 minutes, strange eye phenomena like floaters, but then went away. Not sure of this since I have dry eyes already. I could read everything very close up....2 inches away.
Always took my 20/20 for granted but not any more. You don't know what you have until it's gone. So true. However, I count my blessing because I can still see, unlike many others.
As a photographer I know that stopping down my lens does increase focus in the shot. It also requires a longer exposure or more light to see that focus. You didn't mention it but when you showed your example it looked like you added light to the shot after you stopped the camera down. If you use this medication how does it affect light entering your eyes in say a nighttime scenario or other low light situations?
I'm a former Optician. Practiced for over 25 years. I got my hands on these drops basically the day they were cleared by the FDA. I've been using them on and off for the last few weeks. They definitely work. I wear +1.50 with some cyl in there, and for me its a home run. Headache, maybe once since I started using them so I can't say if it's the drops. For the computer they are a game changer. The one side effect that I have noticed for sure is low light sensitivity. Otherwise, they are good to go.
Long term use data is zero. I would not touch this drug, especially with the corruption at the FDA. This drug works by triggering a strong constriction of the pupil, essentially a similar effect to squinting. No one knows what will happen to the pupil after years of use. This is why you have poor vision in low light. Reading glasses are 100% safe and have been for hundreds of years.
@@truantray Pilocarpine has been in use for decades. We know exactly how it works and what side effects to expect. I worked in the industry myself personally for decades, I am credentialed and well aware of why night vision is affected. This is not some kind of conspiracy or plan to hurt anyone. At the end of the day, at least for me, using this is a matter of convenience. My current professional environment requires me to be mobile and the to see up close almost all day long. I have made for myself some of the most technically advanced multifocal and near variable focus lenses out there. While they do the job, I much prefer to not have to wear them, and more importantly, I don't want to keep looking for them!
@@truantray I share the same view as you. I will stick to glasses for now. But I think we should respect those who are willing to try new products. It's this the type of people who take the gamble n test products for us.
Thanks for the great vid! I'm 53, and didn't need reading glasses until after Lasik (at 48) to correct astigmatisms and deal with a tiny bit of fuzziness at distance, and a very slow onset of presbyopia that, pre-Lasik, was so mild I did nothing to correct for it. Before then, I had glasses for the astigmatisms that I wore maybe 3-5% of the time (generally when my eyes were really tired from a day of reading). There were times I'd misplace them for months at a time and just not bother finding them. Since Lasik, I switch between +1.0, +1.25 and +1.5 readers for computer work (switch between, not progressed through). Currently, (before Vuity this morning, and for about the past 3.5 weeks) I am at +1.25 and trending a little downwards towards +1.0. On day one of Vuity, and, feeling that odd tightness my doc warned me about, that goes from the center of my eyeballs to the bridge of my nose, in a "V" shape. On the flip side, I can focus on my computer screens without it, though, it's a little effort. It feels kind of like pre-Lasik, at the end of 8 hours of reading a Tad Williams novel, when my eyes would start to really tire. For the first hour, everything seemed darker (but I have a small apartment that doesn't get a lot of natural light). I generally have ridiculously good night vision, so, that was a surprise. Hitting about 1.5 hours after the drops (1x eye), and things seem to be brightening. I do photography, so, I fully expected the effect, and am mentioning it for those who are interested in what to expect. People who live in low light situations may find they have problems with Vuity, especially if, unlike me, you've suffered from normal age related decrease in night vision. I'm typing this on a 27" 4K monitor with tiny font size, without my readers, and can read every word. So... so far, I am liking the drops. *QUESTIONS* (1) I've been told that the effect gets "better"/cumulative after repeated use and vision/"focus" will continue to be better with repeated use - is that true? (2) I suffer from bouts of dry eye and usually use gel drops. How long should I wait before applying other eye drops?
If the drops enhance the pinhole effect, is there a use for some types of astigmatism? (I love looking through the pinhole occluder! Everything is so clear!) Thanks Doc. Merry Christmas. Thanks for all you do.
Thank You so much for making this. 57 yrs old, had great 20:15 vision up until 52, currently use 1.5X reading glasses to view tablet computer at night. $80/month seems too much. Funny thing, for a few years I was able to cross my eyes and focus on the tip of my nose to strengthen my ability to focus up close(mostly back to normal), now when I feel lazy I just use the readers, but I resent having even the partial need for glasses as it is a pain in the as$ to remember where they are. Looks like good channel, Subscribed ✔️
Interesting... I'm an attorney and I wear readers and my daughter in-law (who works for illumina) just mentioned Vuity last night. It's good to know about the retina tear/detachment side-effect. That's kind of a big thing. Great video. These aren't easy to put together. Thank you for your hard work.
As someone who administers Pilocarpine in a surgery centre routinely, let me not understate the INTENSITY of the headaches caused by this medication. They can be absolutely brutal. And in 12 years I have never worked with an Ophthalmologist who would use Pilocarpine to reverse dilation. It has risks in doing so and those risks are not considered worthwhile for the inconvenience of a few hours of dilation.
While what you've written may or may not be true - this is the internet and anyone can 'say' they're a doctor and merely be trolling - IF you've prescribed it, the TYPE of Pilocarpine seems to make a difference. If during trials the people who were using this just to get rid of the effects of presbyopia and got headaches which were that severe with this particular medication (with it's carrier, pHast Tech), one would this that much more than less than 1% would opt out. After all, wearing reading glasses isn't that troublesome and migraines - I've had them - are a bugger no one wants to repeat.
@@terrijuanette486 n all fairness I didn’t say I was a doctor, I’m an ophthalmological technician of many years and certainly do not prescribe anything myself. You are quite correct the strength of pilocarpine does matter, but even 1% pilo in patients with lighter coloured irises can (doesn’t always) cause terrible headaches. Might not be such an issue in patients with darker irises as they’d often need 2% to have the desired effect we’d be using Pilo for (prep for PIs). My point was predominantly that there’s no “miracle cure” for Presbyopia - this drop is at best a temporary band aid that comes with some potential big downsides. It’s, if anything simply putting off the inevitable for a short time. If creating a pinhole effect is the aim, why not stick the patient on Tamulosin or Flomax for about a year - it will likely give you permanently tiny pupils without the need for drops everyday. And yes, that was a joke. Fact of the matter is there is no “cure” for Presbyopia, everything (muiltifocal IOLs, mono vision correction, corneal inlays, drops etc) is at best a compromise solution with its own pros and cons. You have to weigh up if those compromises work for you and accept the potential risks (like with any medical treatment) But as of right now touting anything as a “fix” or “cure” for the condition is poor advice. I still remember vividly patient after patient cancelling surgeries a few years ago on the promise of a “miracle” lens implant that would give “everyone” 20/20 vision and no need for reading glasses. Of course that IOL never materialized and many people delayed very necessary cataract surgeries. Not wholly relevant to this drop but does illustrate the desire by people to glom on to any claim freedom from glasses and shockingly folks seem more likely to believe these claims than listen to medical professionals. I do think the video did a good job overall of covering the pros and cons of this drop. And I thank the maker very much for avoiding the chance at a “click-baity” title for it.
@@cellarboy72 I am a recently retired optometrist . What you've stated is absolutely true. I treated glaucoma for years. Thirty years ago we would prescribe pilo to relieve the intraocular pressures. There was always a risk of retinal detachment, especially in highly myopic patients. Many patients would not tolerate the headaches; some were so severe patients were nauseous. In this case, vanity may outweigh the discomfort of some of the milder headaches.
Damn, I was so excited when I found out about these drops. I already wear multi-focal contacts and readers at the same time. Good things I got super cute glasses. 👓
So a drug to dilate the eyes for the exam and then a drug to constrict them to drive after the exam. Then you walk into a dark room with constricted eyes and can't see at all. lol
Interesting video. Thank you. Personally, the night/low light issues would be a deal breaker for me. Also, I've worn glasses since I was 5....I'm spoiled by how they protect my eyes from splashes/other possible injury. I can see someone who never had glasses willing to make the trade off. I'll be interested to see how many people use it long term.
For me, simply wearing contacts has always made my eyes more light sensitive. But it is something you can get used to quickly. Mostly, it only really is a problem when you're outside, and for that I keep a pair of sunglasses in each of our cars. I'm not sure how light sensitive the drops would make the eyes, but if it's as minor as they make it sound, which is similar to my eyes while wearing contacts, then it's really not a problem.
Same here but even this Vuity drug seems far fetched dream for presbyopia patients as in some manner it's just a cheat which can lead to softer images due to change in aperture !!
Just use reading glasses for close up work. Why mess with a drug that has known side effects and takes 30 min to become effective when slipping on a pair of reading glasses will work immediately. VUITY seems like a solution looking for a problem that has already been solved in a much more safe manner.
If your iris constricts, you must suffer from not being able to see as well in the dark. This seems like the only way this improves your vision and that should be directly related to less night vision. That would be side effect #1.
What if you have had cataract surgery? One of my eyes is fine, it had a basic lens replacement. The other eye got a toric lens replacement and it is awful. I can't see much near with it at all. I am really sorry that I got the toric as it also cost 1400$ extra (not covered by medicare). I am in my 70's.
This channel is a fantastic resource to both patients and doctors. Very well made video. I feel like your videos are worthy of continuing education requirements haha.
I would be interested to see the value of these drops in a scuba diving scenario. There are magnified masks but they can be hard to find impromptu. Easier to carry drops than a mask.
Funny, I thought I was the only one thinking this. Reading small readout on dive computer is tough especially at low light. I currently have a magnifier on a lanyard I use. Not too convenient or effective.
I was a volunteer in a clinical trial for these drops back in December. During the trial, my left eye experienced posterior vitreous detachment (PVD). About 4 weeks later, my right eye experienced the same thing. Pilocarpine will pull your vitreous forward, which may have contributed to both eyes experiencing this PVD.
Thank you for this video Dr Allen. I have been wearing glasses since I was a kid. My prescription changed to multi focals in my forties. I do have floaters also. I will talk to my eye doctor about the eye drops you talked about. Merry Christmas and a Happy New Year to you and your family.
Dude I also have floaters but I found the way do not see them at all. For me personally full prescription for far glasses fixed my floaters, when i have good glasses so I can see above 100 percents I do not see floaters at all same for close if I have proper glasses for computer distance no more floaters. But if I have slight undercorrection I see floaters again. Same for close at f too strong or too weak same happens again.
I was a lasik patient (about 15 years ago) and enjoyed perfect vision until I hit 40 or 41. After that I had to start wearing reading glasses. I use two different powers of reading glasses and, in general, I like the idea of Vuity. That said reading glasses have a huge advantage in that you can buy them with blue light blocking treatment which I find crucial for my job staring at computers all day, every day. I use 1.5 for computer (32 inch and 27 inch monitors at 1440p from about 2 feet away). When I read in bed just before sleep I swap over to 2.0 because whichever tablet I am using to read on is usually only a foot away or closer. With Vuity I'd have to wear blue light blockers (even if they're no magnification) so it seems like a wash, except I would be out $80/month for the drops.
The actual problem with the aging lens needs to be addressed instead of using a chemical to “cheat”. Photographers understand a softer focus is usually created when using a smaller aperture. Pin hole cameras give great depth of field but usually a soft photograph. More time and/or more light is needed for a camera to produce the same exposure than when the aperture is more open. That’s why sports lens have the ability to have large apertures. The light isn’t going to change in normal natural settings and longer exposures mean a more blurred outcome. Older adults also usually suffer from lower night vision and closing the iris even more over 10 hours seems to be fairly dangerous. Until a medical procedure or medications act on the problem of the aging lens, wearing glasses that allow your eyes to function correctly seems smarter and more natural.
Nice to see someone who knows his stuff on this topic. I had Lasik 24 years ago and I'm in my early 50's, so aside from the cost sounds like a great option for me.
I imagine this would hamper night vision, correct? I've worn contacts for myopia for about 40 yrs, fairly stable prescription over that time. I now need readers for anything closer than 12-16 inches away., at least when I'm wearing the contacts. Without the contacts I see perfectly fine up close but distance vision is terrible.
I started experiencing blurry vision around 45 years old. I saw a video that recommended to help with this, one should practice looking periodically at a far distance for a while. Trying to focus on distant objects etc. This is suppose to help regain some flexibility of the lens in the eye. Is there any truth to that or studies showing its effectiveness?
I still wear contacts so I still need to use reading glasses. I just got a pair of multifocal glasses 2 weeks ago but I still prefer to wear my contacts. I only use my glasses if I need to go out at night or in emergencies where I don't have my contacts. Although I like the multifocal more than my contacts cause is so much easier to see close and far but I still prefer my contacts cause of the freedom. Like what people would say "once you switch to contacts you will never go back to glasses"
I'm using them and they don't do much, if anything for me. Still find myself needing to squint to read print or screen... squinting a little less, but still squinting nonetheless. Waste of money, at least for me. About me: amazing distance vision, been needing reading glasses over the last 10 yrs or so (currently @ +1.5), mid 50s.
I need 2.50 readers, with these drops I can definitely read better than without but nothing like with my glasses. Also they do give me a slight headache for about 20 min while it is activating, but after that they really only last for 3 hours. So no it’s not worth $1000 a year
Presbyopia is mainly due to the modern lifestyle, diet and too much close vision. I've stopped its progress by eliminating sugar and eating healthy, spending more time outdoors and looking at the horizon. I also stopped using glasses, or use weaker glasses, in bright light. You do have to learn to focus but it's possable thanks to the increased depth of vision in bright light, mentioned in this video. Also, I stopped using sunglasses. They restrict the irrus from exercising, opening and closing to its fullest. Eat healthy and use your eyes for distance vision and you can not only stop your eyes from getting worse you can improve them.
My combined prescription is over +3 (+3.00 readers work for me). I tried Vuity, but they just made everything very dark, but close up text was still blurry / not clear.
Thanks Doc. My next exam is this week and I was wanting to ask about seeing better at low light like night driving. I'll ask his opinion about Vuity but it seems to me that that would impede light at night, but also since it lessens peripheral light it might help also.?.? Thanks for the info so I know what questions I want to add during my exam. I was shown that looking through a tiny hole deletes peripheral light so I bought some dark lens glasses with multiple pin holes in the lens and it seemed to help focus a lot for small writing but were basically impractical. Just a gimmick I guess but they did work so I could read the TV Guide. LOL!. Ya, that long ago.......
Sounds like a cash-in gimmick from a pharma company. I'm sure the additional compound in their formula does nothing and is just for getting a patent on a cheap main ingredient. The side effects are too risky. I'll wait to eye drops that really soften the eye lens, not some pupil constricting nonsense.
I was prescribed bifocals 2+ years ago and I’ve tried repeatedly to wear them. I can wear them for limited amounts of time, but after a while I start getting a really bad headache. I craft a lot and have simply decided to either wear my regular glasses lower on my nose or just deal with the fuzziness while trying to work. It sounds like these drops COULD help, but I’m a little leery of the side effects. I will be asking my eye doctor about Vuity next time I see her.
This is amazing and could help so many people, like me who hast to wear readers which ages me well before my time! But it’s quite unfortunate because as I see it it’s going to be far too expensive for most people to afford. Like most new drugs on the market the cost will be astronomical and only wealthy people will be able to benefit from this.
I just started using Can-C and it's wonderful! I have a bad case of Sjodrens Syndrome, and my dry eyes had got to the point where I could hardly open them they hurt so much and they were so bloodshot I had people approach me and ask if I was OK. Within 2 days of starting these drops, my eyes don't hurt and I'm able to open them fully. The best part is that they are over the counter and aren't too expensive compared to other eye drops (about $12 a bottle). Supposedly they will help to get rid of cataracts (?) and some people with mild presbyopia have had improvement in their vision as well-
What might be of concern is the long term effect of the glaucoma drug component. Does Vuity contain Prostaglandin? That is also the active ingredient in medications that make your eyelashes grow (Latisse). In fact, it was discovered originally as an unwanted side effect of glaucoma treatment . They are now finding that it causes irreversible thinning of the skin and fat loss around the eye. It also can alter the color of the iris. Being approved by the FDA means very little these days.
Interesting. But I better stick with reading glasses. It is a lot cheaper and no adverse side effects that I know of (except I have to carry them around).
I used it for about 2 weeks. It worked to improve my depth of focus, but the headaches were too much for me. I'm hoping one of the next 2 drugs to market this year will do better.
Decreasing the pupil, i.e. the aperture stop, seems to decrease low light sensitivity and hence make night driving hazardous. Perhaps these drops may impart night blindness or may not be well suited for those already suffering from night blindness.
Dr. Joseph Allen, may I wish you a very happy Christmas and best wishes for a happy and prosperous New Year in 22. To you and yours. Thank you for yet another fabulous year of very interesting videos on many a variety of eye related health topics. I'm 50 years old and yes my eye sight has deteriorated a lot as a result of Presbyopia, thank you for your advice, much appreciated thank you 🤗🤗🤗🤗 as ever I love your sense of humour in all your videos too. Take care 🤗🤗🤗🤗🤗🤗🤗🤗🕊️👍🇮🇪🍀☘️⛄🎄🎁🙏🥳🎉🎅🎆🍾🥂🎁🎁🎁
Great information, thank you. I had LASIK about 3 years ago and am just starting to see some fuzziness in my reading. I would like to learn more about Vuity.
Thanks for info. Had very good lasik 30yrs ago, now 65, use 1.5 diopter readers occasionally from Target. Might mention it next exam, but not a must have due to cost + rare side effects
I'm 61 and near sighted with astigmatism. Have worn corrective lenses since first grade, so about 6 years old. I have a pretty strong Rx. Interestingly, I didn't have to go to readers until recently because I was wearing monovision contact lenses. But about three years ago I decided to switch to stereo vision lenses because mono were a compromise in both directions for me. Basically, I wanted to be able to read road signs much farther away!. Once I switched lenses I had to move to readers. While they are annoying, I don't think the annoyance is enough to make me use this stuff yet. I think some longitudinal studies are needed. As an aside, I wasn't willing to do Lasik because at one point I had a problem with my eyelid sticking to the eye and causing damage to the epithelial layer of cells on the cornea. A few times it was so bad the cells had to be scraped off and allowed to grow back. Worst pain I've ever experienced. I went to soft lenses as a band aid during the day to keep the eyelid from coming in contact with the cells. It worked. So, I afraid to not wear any lenses. Hope it works out for those who use this new medication.
My wife (an ophthalmic tech) got a sample of Vuity for me to try. I normally have great vision, 20/15 most of the time. 20/10 when I was younger. I didn’t need reading glasses until age 53, which my wife gave me constant trouble for. Now at age 56 I need to use 2.0 power readers to see up close sharply. After trying the sample of Vuity my up close vision came back to where I could read. However my vision is not a sharp without my glasses. Vision with Vuity is slightly blurred letters when reading up close. Also using Vuity I do experience a very mild form of headache similar to a sinus headache but not as bad. The mild headache is something I can live with easily. I seem to lose some distance vision when using Vuity. I like to shoot and my target is a little fuzzy at distance. The distance vision is not affected that badly I can easily make out the target, it’s just not as sharp as without Vuity. To conclude my experience I’ll go back to using readers since I value being able to see sharply with them.
Marvin, once I stopped using readers, unless I HAD to have them, a funny thing happened. My reading quickly got better. Readers really really weaken the ciliary muscles BADLY. Lens gets more stiff. Make your eyes do atleast some of the work. My presbyopia is improving, plus im on day 2 of ciliary muscle bootcamp, 20 min a day of "near/far" for a month lol Good luck, no way would i use these drops
Now I understand why when I used to use opioids for pain that I could read without glasses. The drug makes your pupils constrict. I always found that effect strange and kind of knew it had to do with the change in the pupil size, but now I know why a constricted pupil can focus better. Nice to know.
Around the age of 30, as a architect at a draughting table, I would have issues with being able to find the correct hole for letters using a pen template. I got bifocals made with the top part a very mild magnification. I hate having to keep taking glasses on and off. Now that I'm 55, I need 1.5x readers just to see my computer screen and phone. For up close tasks though, they're not enough. I have issues seeing anything from 2 " from my face out to about 36". I'm not sure if this medication would help and I'm not liking the monthly cost but I'd like to give a go for a month. I assume I have to get a prescription from an eye doctor and not my regular doctor?
Great job on presentation. You might mention people may see their floaters more intensely to the point of an increasing blur. James Rubin, OD Oh yes, golfers seem to love this drop.
Anyone know when the lens softening eye drops will be available? I believe Novartis and 1 other company will be coming out with this. Also, has anyone considered refractive lens Exchange for presbyopia? Multifocal IOLs?
if you are in your mid 40s you likely have the start of cataracts already. Your eye doc will point that out to you and will also tell you that "you will know when it's time" for something like IOLs. Of course that doesn't fix your close up vision because they usually correct for distance. OTOH, many docs will do one eye slightly stronger than the other and let your brain sort things out. This is a form of "mono-vision" where you gradually learn (in your brain) to see fairly clear from about 4 ft and out. This allows you to see the dash in your car while still reading road signs, without glasses. You will need reading glasses to see a phone book (what's that?) or a newspaper. (anyone still get those?)
I have been wearing multi-focal contacts for as many years as they have been on the market. I have minimal correction for distance but my last visit to the eye doctor, my up close vision is now blurred. I have migraines and I would love to know if this drop would work for me as my mother went blind, had glaucoma. Thank you for what you do!
Great video! thanks for the info. Question: I recently had an interocular lens installed due to a cataract. As a result, I have lost some of my nearsighted vision. Would this work for people with interocular lenses?
Same with me, both eyes. Surgeries were over a year ago, some corrections made but I would not have had the cataracts removed had I known that I must wear corrective lenses with bifocals and prisms all the time. I only used corrective lenses for reading and close work before the surgeries and now cannot decipher labels on medicines without lenses. I would say my vision has deteriorated at least 25%.
@@Lexethan2011 Ha ha funny you say that. Our govt has a medical fund where research money goes to hospitals instead of big pharma. Already many new innovative medicines have been created even one for bowel cancer recently released for free for us. We pay 1% extra tax to cover Medicare and it works in Australia England and Canada. We don’t hear stories you have of people dying due to lack of care. Am in the USA so I know first hand. Please don’t make ignorant statements.
One of the most break-through vids I’ve watched since I’m at 46. Thanks Dr. Allen. I wish you Happy Holidays! Ps.: wondering if they could come up with Botox for estabilizing pupil size? 😃
Lemme see if I got this right. Dilation and contraction of the pupils works like camera aperture. The bigger it is, the more you can make out in the dark, but your focal length is shorter so the lens has to contract or expand more to correct focus. When tiny, your focal length is much longer, like a fine aperture on the camera, f11 for example. But you need higher light input or everything feels a little dark. So the eyedrops work best on a well lighted object if not a bright environment. This leaves me wondering if an alternative solution might be LED frames that shoot a fine beam across the iris to activate the pupils without going inside and registering on the retina. Then one could achieve the same effect as with the drops but likely less risks, and far more control. On, off. As needed.
In my mid 40s I had to get my lenses replaced (cataracts from side-effects to steroid injections in my eye from retinal swelling/bleeding from diabetic retinopathy), which made me farsighted when I used to be near signed. I never needed reading glasses until then. This drug probably won't work for people with artificial lenses since often lenses replacements are intended to give a person far sightedness, at least that was my only option with my health coverage. If I wanted normal vision (being able to focus near and far) I'd had to spend thousands of dollars for each eye to get tiny plastic lenses.
So basically drops just turning light all the time for the eyes. Honestly as myope I do not get reading glass denial same as I do not get lasik. Just use glasses blue light blocker, uv blocker wind blocker, anti reflection. All benefits in one glasses. Even multi focal is waaay better than reading glasses on your nose.
I'm 50 and have worn contacts since I was 18. I wear contacts for distance, historically I've never had a problem seeing up close and my contacts sufficed for both near and far. Over the last 5 years or so, my near-distance sight has deteriorated to the point that I NEED readers in addition to my contacts. Strangely (to me anyway), when I take my contacts out and am not wearing my glasses, I an see perfectly up close with no need for readers or anything else. Everything ELSE is a blur, of course, but up close is fine. My eye doc suggested switching to bifocal glasses, which I don't want (glasses limit my peripheral vision, I don't like that) or having one "near" contact and one "far" contact, which I don't like because it screws with my depth perception. So, since I'm sticking with contacts and I find readers to be a huge pain in the ass (I never have them when I need them most) I'm finding Vuity quite intriguing. But I do have "floaters," does that mean I'm at higher risk for retinal detachment?
Awesome video! Big question here... you mentioned it would work with LASIK. I had PRK so I lost my ability to read anything close. And I am really tired of buying and losing reading glasses. Your thoughts?
Am thinking about trying Vuity. I'm 56, use 1.75 strength reading glasses (the drugstore cheap ones), and went through the US Army LASIK (or PRK, not sure which) in 2007-2008. Any guidance / advice you can throw my way would be greatly appreciated.
This is a great review. I would also like to add that there are advanced surgical options that are more effective to treat presbyopia long term, and even permanently cure presbyopia. Look forward to your next video!
Very very nice video! Congrats. Please continue with these videos as it is very difficult to find precise, professional and detailed info like this in Internet Here 2 questions: 1) What is the difference between Pilocarpine Vs Brimonidina Tartrato ? Both should restrict pupils? Same side effects? 2) Could these drop types (that restrict pupils) be prescribed permanently for post smile surgeries when there are permanent heavy halos at night?
I have to be honest I was very interested until you mentioned retinal detachment! It drives me mad that Presbyopia isn’t curable - maybe something to do with more money to be made selling glasses every year…. I always had better than 20:20 vision until I was in my early 50’s about 4-5 years ago and absolutely hate the fact that I have to wear reading glasses now.
I don’t know how bad your vision is but I’m about your age and had lens implants last year. My vision had gotten really bad both close up and far away. Before that, I was like you and always had 20/20 vision mine was actually better than 20/20. It drove me crazy bc I was always looking for my glasses n couldn’t keep up with them and they were always falling off my head when I would bend over or lean my head to far back. Insurance pays if you’re cataracts are bad enough mine weren’t but thankfully it’s also done as an elective procedure. Doesn’t take long at all and is painless at least for me it was and the results are immediate. It’s been great and I’m SO SO glad not to have to fool with glasses anymore!!! I forget the exact name of the procedure but there are several different types of lens available depending on your eyes problems specifically. There’s plenty a info on it out there if your interested. I found a lot of helpful videos about it here on RUclips.
@@lucyjackson9408 Thanks for the advice but my eyesight is actually pretty good and I don’t have cataracts. Living in Australia I tend to wear sunglasses a *lot*. Always when driving and also when out and about on bright days. What is most annoying is that it seems like correcting eyesight is still predominantly done the same way that we did years ago. We hang lenses on frames from people’s heads. I know that there is lasic etc and we can treat cataracts with new lenses but in general the optometrists just measure how bad your eye has become and give you a new piece of glass every year or so.
I just got bifocals last year. The adjustment was quick and I am very satisfied. So, in my case I would probably not use the drops. That's cool though that they have something that will work for that. I'm waiting for the 'myopia with astigmatism drops' to hit the market!
... No-Thanks ... I Cherish My "20-12" Distance Vision .. and I won't use anything that "diminishes" the Clarity of Our Beautiful World .. I'll just keep using Reading-Glasses when I need them ... OH.....and I want to mention.....that's a Very Nice Shirt.....!!!!!!!!!
Learn more about Presbyopia and what you can do about it here: ruclips.net/video/FsvaX8KA1NA/видео.html
Dr. Allen, I’m afraid there is an impostor faking your account. I was given a whatsapp number and they acted shady . Just had to let you know! Is there an e-mail I can report it to you details?
Question for you. What happened to the prior reversal drops? I know I had received them years ago, but when asking about them recently was told there are no longer any reversal drops.
@@OneMoreLayman Yes, my eyes👁👁are seeing that too! I'm trying to tell him my eyes 👀are perfect-sighted, but my replies are blocked!😲
@@WhiteWith2DreamyEyes I got strange behavior from that scammer. He came up with offering drugs. And he makes spelling mistakes Dr. Allen would never make. It’s a fraud.
Remember that closer distances also diminish the depth of field - so holding a book/label close to your eye (i.e. where the subject is more magnified) means that less is in focus. So this suits reading larger print, and people with longer arms.
Being an eye surgeon I dnt recommend this drop, pilocarpine can also cause sterile inflammation and iris atrophy
plus the generic 1% pilo is only 30 bucks for 15ml . . . this is hilarious a "new" drug
* I am 54 yrs old
* Had Lasik surgery for mild distance correction 20 yrs ago
* Reading vision started deteriorating about 7 yrs ago. Up to 2.5 - 3.0 now with readers.
* Started using Vuity 2 weeks ago.
* Insurance is paying for mine 100% with pre-authorization.
* Finding it difficult to apply 1 drop/day correctly…the drop leaks out of my eye. Instructions are very specific.
* On days where I feel I nailed it perfectly, it does improve my vision, which is pretty cool.
* The drop takes about 30 minutes to kick in for me and lasts for about 2 hours, so far.
* As I understand it, there is a cumulative benefit from continued use.
* Its unclear to me if we can use multiple drops in the same day…though it would be expensive for some.
* No impact on distance vision.
* Zero headaches.
* Jury still out…interested to hear others’ experiences.
* Other Presbyopia drops to follow in 2022, which may or may not yield different results.
Does it really have a cumulative effect? I've used it 2x and not really sure if it for me?
If you were very myopic (near-sighted) prior to LASIK, be very careful as you are still more at risk than average for retinal detachment (I’m an Optometrist too otherwise I wouldn’t chime in)!
@@kimkerr917 it seems like refractive lens Exchange for presbyopia is a very good option? What do you all think? Not for everyone? I'm currently having trouble adjusting to fluctuating vision problems associated with dry eyes, insomnia. Causing anxiety.
@@kimkerr917 Even after 20 years, is it still possible?
@@Dr34Hornet A good surgeon wouldn’t perform refractive surgery of any kind if your vision is fluctuating. RLE seems to be similar to multifocal contact lenses in patients’ responses. Some do very well and others experience issues with things like night glare, not obtaining “perfect” vision, etc. I tell patients if they are after perfect crystal clear vision, they may not be candidates. There are many variables checked during a previous-op including pupil size, Rx stability, goals of patient, in addition to obvious thorough health checks. Age is another factor.
Trivia: presbyopia is from Greek presbys ("old") and ops ("sight"). Presbys is also used in Presbyterian, which is a church governed by elders (old) in the congregation.
So that’s what Presbyterian means!! Such ecclesiastical stuff from an eye channel 😄. Thanks for the neat trivia!
I got a sample from my optician I tried them for the first time yesterday. The pros: I can see perfectly! My prescription for presbyopia is up to 2.50, and the smallest type on a box is no longer a challenge. And my computer screen is crystal clear as well, which has been the biggest challenge as my vision worsens. It's like magic! HOWEVER. The cons: my eyes immediately turned red, but that dissipated in about 20 minutes. The biggest "con" is that my surroundings are about 20-25% darker. I have really bright LED lights all over my home, and even my brightest room looks considerably darker all around. I suppose that's logical if your pupil is smaller and letting in less light, but it's a little trippy, and I'm not sure it's a tradeoff I want to make yet. I don't know if that's what others mean by "low light sensitivity," but in layman's terms, someone turned the dimmer down about 25%. I'll give it a week and see.
Are you still using the Vuity?
@@anneann9127 I am, loving them. The effect has even been cumulative for me, meaning I only use them every two days because I can still see fine on the second day. I’ve recommended them to several friends. Some have had a GREAT result like me, and some have been disappointed because they didn’t seem to help. Not sure what makes that difference, but for me, they have been a game changer. Haven’t needed to wear glasses since!
@@MrEcrmoya Thanks for replying. I have some drops here but have been nervous about trying them. I did read that they work best on people with lighter eye colors, blue and green best.
@@anneann9127 don’t be nervous, they’ll do no harm. Your eyes may get red for a while and you may feel like lighting gets a bit darker for a while as well, so maybe try them on a day that you’re home without much to do.
Hi it's been 5months since your first trial. Are you still using the viuty? Can you give another review please. Ty
I'm an ophthalmic surgeon from India I prefer near vision glasses than prescribing vuity (pilocarpine)
Good one doc you explained both it's advantages and side effects clearly
Since glasses are potentially safer than this medicine only problem our social stigma in our country👍
definitely agree with you dr
You nailed it! The pharma companies are willing to exploit those social stigmas for the almighty dollar, as you likely well know.
Doc I'm so with you. I wouldn't trust anything approved by the FDA till a year passes. Not the brightest folks imo. Glasses you buy once (if over the counter) they work, cheaper and no side effects. Used them for 30 years no problems.
No one knows the long term effects of this drug. It works by causing a severe, unnatural constriction of the pupil. By this action, it will affect anyone's light sensitivity.
No thanks, reading glasses work, are safe, and have no side effects.
@@NotThatBob the current FDA is headed by Trump appointee Janet Woodcock, and has approved some drugs already under petition for retraction due to safety (Biogen's Aduhelm).
There is a new director coming in, but the current FDA has been corrupted to the point that MD adcom members are resigning in protest.
I have used Vuity 2x so far. Benefits of effects lasted about 3 hours. Headache for 20 minutes, strange eye phenomena like floaters, but then went away. Not sure of this since I have dry eyes already. I could read everything very close up....2 inches away.
Always took my 20/20 for granted but not any more. You don't know what you have until it's gone. So true. However, I count my blessing because I can still see, unlike many others.
Retinal detachment, as rare a side effect as it may be, is definitely a deal breaker for me.
YOLO! Seriously, check with your eye doctor first and put it only 1 drop on your worst eye.
My husband just had a retinal detachment, not from these drops, but still really not fun and scary. He is 55.
As a photographer I know that stopping down my lens does increase focus in the shot. It also requires a longer exposure or more light to see that focus. You didn't mention it but when you showed your example it looked like you added light to the shot after you stopped the camera down. If you use this medication how does it affect light entering your eyes in say a nighttime scenario or other low light situations?
Not recommeded in low light settings
Physics. It will.
it basically makes you blind in anything but bright direct light.
Well, let's not forget the human eye has way more Dynamic Range than a camera sensor, so you'll be fine.
Dr mentioned in an update to his video notes that this medication is not recommended for use in low light or night time situations
I'm a former Optician. Practiced for over 25 years. I got my hands on these drops basically the day they were cleared by the FDA. I've been using them on and off for the last few weeks. They definitely work. I wear +1.50 with some cyl in there, and for me its a home run. Headache, maybe once since I started using them so I can't say if it's the drops. For the computer they are a game changer. The one side effect that I have noticed for sure is low light sensitivity. Otherwise, they are good to go.
Long term use data is zero. I would not touch this drug, especially with the corruption at the FDA.
This drug works by triggering a strong constriction of the pupil, essentially a similar effect to squinting. No one knows what will happen to the pupil after years of use. This is why you have poor vision in low light.
Reading glasses are 100% safe and have been for hundreds of years.
@@truantray Pilocarpine has been in use for decades. We know exactly how it works and what side effects to expect. I worked in the industry myself personally for decades, I am credentialed and well aware of why night vision is affected. This is not some kind of conspiracy or plan to hurt anyone. At the end of the day, at least for me, using this is a matter of convenience. My current professional environment requires me to be mobile and the to see up close almost all day long. I have made for myself some of the most technically advanced multifocal and near variable focus lenses out there. While they do the job, I much prefer to not have to wear them, and more importantly, I don't want to keep looking for them!
Thanks for sharing
@@truantray I share the same view as you. I will stick to glasses for now. But I think we should respect those who are willing to try new products.
It's this the type of people who take the gamble n test products for us.
@@truantray 👍
Thanks for the great vid! I'm 53, and didn't need reading glasses until after Lasik (at 48) to correct astigmatisms and deal with a tiny bit of fuzziness at distance, and a very slow onset of presbyopia that, pre-Lasik, was so mild I did nothing to correct for it. Before then, I had glasses for the astigmatisms that I wore maybe 3-5% of the time (generally when my eyes were really tired from a day of reading). There were times I'd misplace them for months at a time and just not bother finding them.
Since Lasik, I switch between +1.0, +1.25 and +1.5 readers for computer work (switch between, not progressed through). Currently, (before Vuity this morning, and for about the past 3.5 weeks) I am at +1.25 and trending a little downwards towards +1.0.
On day one of Vuity, and, feeling that odd tightness my doc warned me about, that goes from the center of my eyeballs to the bridge of my nose, in a "V" shape. On the flip side, I can focus on my computer screens without it, though, it's a little effort. It feels kind of like pre-Lasik, at the end of 8 hours of reading a Tad Williams novel, when my eyes would start to really tire.
For the first hour, everything seemed darker (but I have a small apartment that doesn't get a lot of natural light). I generally have ridiculously good night vision, so, that was a surprise. Hitting about 1.5 hours after the drops (1x eye), and things seem to be brightening. I do photography, so, I fully expected the effect, and am mentioning it for those who are interested in what to expect. People who live in low light situations may find they have problems with Vuity, especially if, unlike me, you've suffered from normal age related decrease in night vision.
I'm typing this on a 27" 4K monitor with tiny font size, without my readers, and can read every word. So... so far, I am liking the drops.
*QUESTIONS*
(1) I've been told that the effect gets "better"/cumulative after repeated use and vision/"focus" will continue to be better with repeated use - is that true?
(2) I suffer from bouts of dry eye and usually use gel drops. How long should I wait before applying other eye drops?
If the drops enhance the pinhole effect, is there a use for some types of astigmatism? (I love looking through the pinhole occluder! Everything is so clear!) Thanks Doc. Merry Christmas. Thanks for all you do.
I am 58 and use reading glasses sometimes. I don't think it is worth the side effects.
*Watching a video about poor eyesight by a guy wearing glasses 😱*
Thank You so much for making this. 57 yrs old, had great 20:15 vision up until 52, currently use 1.5X reading glasses to view tablet computer at night. $80/month seems too much. Funny thing, for a few years I was able to cross my eyes and focus on the tip of my nose to strengthen my ability to focus up close(mostly back to normal), now when I feel lazy I just use the readers, but I resent having even the partial need for glasses as it is a pain in the as$ to remember where they are.
Looks like good channel, Subscribed ✔️
An OD who can’t prescribe meds dispensing med advice. This sounds like practicing medicine without a license
I'm an optician, also anti meds if at all possible. The long term affects of these drops is unknown. I'll be sticking with readers.
Interesting... I'm an attorney and I wear readers and my daughter in-law (who works for illumina) just mentioned Vuity last night. It's good to know about the retina tear/detachment side-effect. That's kind of a big thing. Great video. These aren't easy to put together. Thank you for your hard work.
Why does it matter if you're an attorney?
Attorneys do massive amounts of reading!
Well, you’re lying….because you’re flapping your jaw
@badger519 Narcissist much? Your post is literally YOU craving attention.
So you use $80 a month eye drops each time you want to read, instead of $25 reading glasses that can last you years if taken care of ?
As someone who administers Pilocarpine in a surgery centre routinely, let me not understate the INTENSITY of the headaches caused by this medication. They can be absolutely brutal. And in 12 years I have never worked with an Ophthalmologist who would use Pilocarpine to reverse dilation. It has risks in doing so and those risks are not considered worthwhile for the inconvenience of a few hours of dilation.
While what you've written may or may not be true - this is the internet and anyone can 'say' they're a doctor and merely be trolling - IF you've prescribed it, the TYPE of Pilocarpine seems to make a difference. If during trials the people who were using this just to get rid of the effects of presbyopia and got headaches which were that severe with this particular medication (with it's carrier, pHast Tech), one would this that much more than less than 1% would opt out. After all, wearing reading glasses isn't that troublesome and migraines - I've had them - are a bugger no one wants to repeat.
@@terrijuanette486 n all fairness I didn’t say I was a doctor, I’m an ophthalmological technician of many years and certainly do not prescribe anything myself. You are quite correct the strength of pilocarpine does matter, but even 1% pilo in patients with lighter coloured irises can (doesn’t always) cause terrible headaches. Might not be such an issue in patients with darker irises as they’d often need 2% to have the desired effect we’d be using Pilo for (prep for PIs).
My point was predominantly that there’s no “miracle cure” for Presbyopia - this drop is at best a temporary band aid that comes with some potential big downsides. It’s, if anything simply putting off the inevitable for a short time.
If creating a pinhole effect is the aim, why not stick the patient on Tamulosin or Flomax for about a year - it will likely give you permanently tiny pupils without the need for drops everyday. And yes, that was a joke.
Fact of the matter is there is no “cure” for Presbyopia, everything (muiltifocal IOLs,
mono vision correction, corneal inlays, drops etc) is at best a compromise solution with its own pros and cons. You have to weigh up if those compromises work for you and accept the potential risks (like with any medical treatment)
But as of right now touting anything as a “fix” or “cure” for the condition is poor advice.
I still remember vividly patient after patient cancelling surgeries a few years ago on the promise of a “miracle” lens implant that would give “everyone” 20/20 vision and no need for reading glasses. Of course that IOL never materialized and many people delayed very necessary cataract surgeries. Not wholly relevant to this drop but does illustrate the desire by people to glom on to any claim freedom from glasses and shockingly folks seem more likely to believe these claims than listen to medical professionals.
I do think the video did a good job overall of covering the pros and cons of this drop. And I thank the maker very much for avoiding the chance at a “click-baity” title for it.
@@cellarboy72 I am a recently retired optometrist . What you've stated is absolutely true. I treated glaucoma for years. Thirty years ago we would prescribe pilo to relieve the intraocular pressures. There was always a risk of retinal detachment, especially in highly myopic patients. Many patients would not tolerate the headaches; some were so severe patients were nauseous. In this case, vanity may outweigh the discomfort of some of the milder headaches.
@@terrijuanette486 The_Apathetic_Ape did NOT say he/she was a doctor, only worked with an Ophthalmologist for 12 years.
Thanks dr. I think the retinal detachment has put me off. I think I’ll stick to drugstore readers just in case 😃
Damn, I was so excited when I found out about these drops. I already wear multi-focal contacts and readers at the same time. Good things I got super cute glasses. 👓
$79/month? I thought it was $79/year. Guess I"ll be sticking to my reading glasses until it's more affordable.
I could see it's use for after a eye exam. Driving with dilated eyes is unsafe for a lot of folks.👍
So a drug to dilate the eyes for the exam and then a drug to constrict them to drive after the exam. Then you walk into a dark room with constricted eyes and can't see at all. lol
Interesting video. Thank you. Personally, the night/low light issues would be a deal breaker for me. Also, I've worn glasses since I was 5....I'm spoiled by how they protect my eyes from splashes/other possible injury. I can see someone who never had glasses willing to make the trade off. I'll be interested to see how many people use it long term.
For me, simply wearing contacts has always made my eyes more light sensitive. But it is something you can get used to quickly. Mostly, it only really is a problem when you're outside, and for that I keep a pair of sunglasses in each of our cars.
I'm not sure how light sensitive the drops would make the eyes, but if it's as minor as they make it sound, which is similar to my eyes while wearing contacts, then it's really not a problem.
@@anneahlert2997 I took the low light issues to mean that it was harder to see in low light/night conditions.
That side effect freaks you out the first time
Here's hoping one day we can get drops like this for us nearsighted folks!
Same here but even this Vuity drug seems far fetched dream for presbyopia patients as in some manner it's just a cheat which can lead to softer images due to change in aperture !!
Just use reading glasses for close up work. Why mess with a drug that has known side effects and takes 30 min to become effective when slipping on a pair of reading glasses will work immediately. VUITY seems like a solution looking for a problem that has already been solved in a much more safe manner.
$1,000 PER YEAR?
Does not work effectively.
I have 20/20.
I can read this Cell, no lens at 20 inches.
You call me presbyopic?
You are nuts.
If your iris constricts, you must suffer from not being able to see as well in the dark. This seems like the only way this improves your vision and that should be directly related to less night vision. That would be side effect #1.
This is a great argument for reading with more light, thus naturally closing down the iris.
True!!!!
What if you have had cataract surgery? One of my eyes is fine, it had a basic lens replacement. The other eye got a toric lens replacement and it is awful. I can't see much near with it at all. I am really sorry that I got the toric as it also cost 1400$ extra (not covered by medicare). I am in my 70's.
This channel is a fantastic resource to both patients and doctors. Very well made video. I feel like your videos are worthy of continuing education requirements haha.
That means a lot to hear!! Thank you so much.
I would be interested to see the value of these drops in a scuba diving scenario. There are magnified masks but they can be hard to find impromptu. Easier to carry drops than a mask.
I have seen a reader type clear lens, you stick onto your mask, onEbay. It was a few years ago, and I’ve not used them!
Funny, I thought I was the only one thinking this. Reading small readout on dive computer is tough especially at low light. I currently have a magnifier on a lanyard I use. Not too convenient or effective.
@@fastlanez3000 I believe you’d have to have an air space in front of the magnifier, for it to work....!? 🤨
I was a volunteer in a clinical trial for these drops back in December. During the trial, my left eye experienced posterior vitreous detachment (PVD). About 4 weeks later, my right eye experienced the same thing. Pilocarpine will pull your vitreous forward, which may have contributed to both eyes experiencing this PVD.
Thanks for sharing Robert! How are you doing with the PVDs? And are you still using Vuity?
I only used it as a subject during my 4 week clinical trial back in December 2021
After a few weeks the acute visual symptoms subsided but I am left with lots of floaters in both eyes
Yep 👍 No thanks ; not risking it
it is actually pronounced vy-youity? or is it view-ity?
Brother I have problems of eye floaters.
What can I do plss suggest me ?
What an interesting concept, thanks for making this video. One question though, since the pupil diameter shrinks, wouldn't everything appear darker?
Thank you for this and thank you for telling us about potential side affects. I feel like a lot of doctors overlook that.
You're so welcome Amanda!
Thank you for this video Dr Allen. I have been wearing glasses since I was a kid. My prescription changed to multi focals in my forties. I do have floaters also. I will talk to my eye doctor about the eye drops you talked about. Merry Christmas and a Happy New Year to you and your family.
You're welcome! Have a wonderful New Year as well :)
Dude I also have floaters but I found the way do not see them at all. For me personally full prescription for far glasses fixed my floaters, when i have good glasses so I can see above 100 percents I do not see floaters at all same for close if I have proper glasses for computer distance no more floaters. But if I have slight undercorrection I see floaters again. Same for close at f too strong or too weak same happens again.
I was a lasik patient (about 15 years ago) and enjoyed perfect vision until I hit 40 or 41. After that I had to start wearing reading glasses. I use two different powers of reading glasses and, in general, I like the idea of Vuity. That said reading glasses have a huge advantage in that you can buy them with blue light blocking treatment which I find crucial for my job staring at computers all day, every day.
I use 1.5 for computer (32 inch and 27 inch monitors at 1440p from about 2 feet away). When I read in bed just before sleep I swap over to 2.0 because whichever tablet I am using to read on is usually only a foot away or closer. With Vuity I'd have to wear blue light blockers (even if they're no magnification) so it seems like a wash, except I would be out $80/month for the drops.
The actual problem with the aging lens needs to be addressed instead of using a chemical to “cheat”. Photographers understand a softer focus is usually created when using a smaller aperture. Pin hole cameras give great depth of field but usually a soft photograph. More time and/or more light is needed for a camera to produce the same exposure than when the aperture is more open. That’s why sports lens have the ability to have large apertures. The light isn’t going to change in normal natural settings and longer exposures mean a more blurred outcome. Older adults also usually suffer from lower night vision and closing the iris even more over 10 hours seems to be fairly dangerous. Until a medical procedure or medications act on the problem of the aging lens, wearing glasses that allow your eyes to function correctly seems smarter and more natural.
Nice to see someone who knows his stuff on this topic. I had Lasik 24 years ago and I'm in my early 50's, so aside from the cost sounds like a great option for me.
I imagine this would hamper night vision, correct? I've worn contacts for myopia for about 40 yrs, fairly stable prescription over that time. I now need readers for anything closer than 12-16 inches away., at least when I'm wearing the contacts. Without the contacts I see perfectly fine up close but distance vision is terrible.
I started experiencing blurry vision around 45 years old. I saw a video that recommended to help with this, one should practice looking periodically at a far distance for a while. Trying to focus on distant objects etc. This is suppose to help regain some flexibility of the lens in the eye. Is there any truth to that or studies showing its effectiveness?
I still wear contacts so I still need to use reading glasses. I just got a pair of multifocal glasses 2 weeks ago but I still prefer to wear my contacts. I only use my glasses if I need to go out at night or in emergencies where I don't have my contacts. Although I like the multifocal more than my contacts cause is so much easier to see close and far but I still prefer my contacts cause of the freedom. Like what people would say "once you switch to contacts you will never go back to glasses"
I'm using them and they don't do much, if anything for me. Still find myself needing to squint to read print or screen... squinting a little less, but still squinting nonetheless. Waste of money, at least for me. About me: amazing distance vision, been needing reading glasses over the last 10 yrs or so (currently @ +1.5), mid 50s.
I need 2.50 readers, with these drops I can definitely read better than without but nothing like with my glasses.
Also they do give me a slight headache for about 20 min while it is activating, but after that they really only last for 3 hours.
So no it’s not worth $1000 a year
Dangerous side effects, expensive and at best last for 2 hours, I am surprised how many people consider this a solution.
Yeah, I immediately thought of the comparison where if Viagra lasted 20 seconds why would anyone buy it.
Presbyopia is mainly due to the modern lifestyle, diet and too much close vision. I've stopped its progress by eliminating sugar and eating healthy, spending more time outdoors and looking at the horizon. I also stopped using glasses, or use weaker glasses, in bright light. You do have to learn to focus but it's possable thanks to the increased depth of vision in bright light, mentioned in this video. Also, I stopped using sunglasses. They restrict the irrus from exercising, opening and closing to its fullest.
Eat healthy and use your eyes for distance vision and you can not only stop your eyes from getting worse you can improve them.
Good info!
My combined prescription is over +3 (+3.00 readers work for me). I tried Vuity, but they just made everything very dark, but close up text was still blurry / not clear.
Thanks Doc. My next exam is this week and I was wanting to ask about seeing better at low light like night driving. I'll ask his opinion about Vuity but it seems to me that that would impede light at night, but also since it lessens peripheral light it might help also.?.? Thanks for the info so I know what questions I want to add during my exam.
I was shown that looking through a tiny hole deletes peripheral light so I bought some dark lens glasses with multiple pin holes in the lens and it seemed to help focus a lot for small writing but were basically impractical. Just a gimmick I guess but they did work so I could read the TV Guide. LOL!. Ya, that long ago.......
Sounds like a cash-in gimmick from a pharma company. I'm sure the additional compound in their formula does nothing and is just for getting a patent on a cheap main ingredient. The side effects are too risky. I'll wait to eye drops that really soften the eye lens, not some pupil constricting nonsense.
I was prescribed bifocals 2+ years ago and I’ve tried repeatedly to wear them. I can wear them for limited amounts of time, but after a while I start getting a really bad headache. I craft a lot and have simply decided to either wear my regular glasses lower on my nose or just deal with the fuzziness while trying to work. It sounds like these drops COULD help, but I’m a little leery of the side effects. I will be asking my eye doctor about Vuity next time I see her.
This is amazing and could help so many people, like me who hast to wear readers which ages me well before my time! But it’s quite unfortunate because as I see it it’s going to be far too expensive for most people to afford. Like most new drugs on the market the cost will be astronomical and only wealthy people will be able to benefit from this.
FDA approval?
Can we get a second opinion please… maybe an unbiased, legitimately funded, testing organization.
I just started using Can-C and it's wonderful! I have a bad case of Sjodrens Syndrome, and my dry eyes had got to the point where I could hardly open them they hurt so much and they were so bloodshot I had people approach me and ask if I was OK. Within 2 days of starting these drops, my eyes don't hurt and I'm able to open them fully. The best part is that they are over the counter and aren't too expensive compared to other eye drops (about $12 a bottle). Supposedly they will help to get rid of cataracts (?) and some people with mild presbyopia have had improvement in their vision as well-
*Sjogren’s
What might be of concern is the long term effect of the glaucoma drug component. Does Vuity contain Prostaglandin? That is also the active ingredient in medications that make your eyelashes grow (Latisse). In fact, it was discovered originally as an unwanted side effect of glaucoma treatment . They are now finding that it causes irreversible thinning of the skin and fat loss around the eye. It also can alter the color of the iris. Being approved by the FDA means very little these days.
Nothing short of a full eye transplant would help me. But that isn't going to happen in my lifetime.
Interesting. But I better stick with reading glasses. It is a lot cheaper and no adverse side effects that I know of (except I have to carry them around).
I used it for about 2 weeks. It worked to improve my depth of focus, but the headaches were too much for me. I'm hoping one of the next 2 drugs to market this year will do better.
Decreasing the pupil, i.e. the aperture stop, seems to decrease low light sensitivity and hence make night driving hazardous. Perhaps these drops may impart night blindness or may not be well suited for those already suffering from night blindness.
Ridiculous. Why would you want to shrink your pupils with a drug (good luck if you have to go out at night) instead of putting on reading glasses.
Dr. Joseph Allen, may I wish you a very happy Christmas and best wishes for a happy and prosperous New Year in 22. To you and yours. Thank you for yet another fabulous year of very interesting videos on many a variety of eye related health topics. I'm 50 years old and yes my eye sight has deteriorated a lot as a result of Presbyopia, thank you for your advice, much appreciated thank you 🤗🤗🤗🤗 as ever I love your sense of humour in all your videos too. Take care 🤗🤗🤗🤗🤗🤗🤗🤗🕊️👍🇮🇪🍀☘️⛄🎄🎁🙏🥳🎉🎅🎆🍾🥂🎁🎁🎁
Thank you so much!! Thank you for being a part of this community. Wishing a happy new year to you!
Great information, thank you. I had LASIK about 3 years ago and am just starting to see some fuzziness in my reading. I would like to learn more about Vuity.
Thanks for info. Had very good lasik 30yrs ago, now 65, use 1.5 diopter readers occasionally from Target. Might mention it next exam, but not a must have due to cost + rare side effects
Hi,
What are the effects on IOP, night driving and accommodative spasm?
Many thanks.
I'm 61 and near sighted with astigmatism. Have worn corrective lenses since first grade, so about 6 years old. I have a pretty strong Rx. Interestingly, I didn't have to go to readers until recently because I was wearing monovision contact lenses. But about three years ago I decided to switch to stereo vision lenses because mono were a compromise in both directions for me. Basically, I wanted to be able to read road signs much farther away!. Once I switched lenses I had to move to readers. While they are annoying, I don't think the annoyance is enough to make me use this stuff yet. I think some longitudinal studies are needed. As an aside, I wasn't willing to do Lasik because at one point I had a problem with my eyelid sticking to the eye and causing damage to the epithelial layer of cells on the cornea. A few times it was so bad the cells had to be scraped off and allowed to grow back. Worst pain I've ever experienced. I went to soft lenses as a band aid during the day to keep the eyelid from coming in contact with the cells. It worked. So, I afraid to not wear any lenses. Hope it works out for those who use this new medication.
My wife (an ophthalmic tech) got a sample of Vuity for me to try. I normally have great vision, 20/15 most of the time. 20/10 when I was younger. I didn’t need reading glasses until age 53, which my wife gave me constant trouble for. Now at age 56 I need to use 2.0 power readers to see up close sharply. After trying the sample of Vuity my up close vision came back to where I could read. However my vision is not a sharp without my glasses. Vision with Vuity is slightly blurred letters when reading up close. Also using Vuity I do experience a very mild form of headache similar to a sinus headache but not as bad. The mild headache is something I can live with easily. I seem to lose some distance vision when using Vuity. I like to shoot and my target is a little fuzzy at distance. The distance vision is not affected that badly I can easily make out the target, it’s just not as sharp as without Vuity. To conclude my experience I’ll go back to using readers since I value being able to see sharply with them.
Marvin, once I stopped using readers, unless I HAD to have them, a funny thing happened. My reading quickly got better. Readers really really weaken the ciliary muscles BADLY. Lens gets more stiff. Make your eyes do atleast some of the work. My presbyopia is improving, plus im on day 2 of ciliary muscle bootcamp, 20 min a day of "near/far" for a month lol Good luck, no way would i use these drops
Now I understand why when I used to use opioids for pain that I could read without glasses. The drug makes your pupils constrict. I always found that effect strange and kind of knew it had to do with the change in the pupil size, but now I know why a constricted pupil can focus better. Nice to know.
Better off with glasses as these drops require repeated application which equals = expensive
Around the age of 30, as a architect at a draughting table, I would have issues with being able to find the correct hole for letters using a pen template. I got bifocals made with the top part a very mild magnification. I hate having to keep taking glasses on and off. Now that I'm 55, I need 1.5x readers just to see my computer screen and phone. For up close tasks though, they're not enough. I have issues seeing anything from 2 " from my face out to about 36". I'm not sure if this medication would help and I'm not liking the monthly cost but I'd like to give a go for a month.
I assume I have to get a prescription from an eye doctor and not my regular doctor?
Why did you say the word 'Vuity' three different ways?
Lol I guess I didn’t notice
Great job on presentation. You might mention people may see their floaters more intensely to the point of an increasing blur. James Rubin, OD Oh yes, golfers seem to love this drop.
Anyone know when the lens softening eye drops will be available? I believe Novartis and 1 other company will be coming out with this. Also, has anyone considered refractive lens Exchange for presbyopia? Multifocal IOLs?
if you are in your mid 40s you likely have the start of cataracts already. Your eye doc will point that out to you and will also tell you that "you will know when it's time" for something like IOLs. Of course that doesn't fix your close up vision because they usually correct for distance. OTOH, many docs will do one eye slightly stronger than the other and let your brain sort things out. This is a form of "mono-vision" where you gradually learn (in your brain) to see fairly clear from about 4 ft and out. This allows you to see the dash in your car while still reading road signs, without glasses. You will need reading glasses to see a phone book (what's that?) or a newspaper. (anyone still get those?)
I have been wearing multi-focal contacts for as many years as they have been on the market. I have minimal correction for distance but my last visit to the eye doctor, my up close vision is now blurred. I have migraines and I would love to know if this drop would work for me as my mother went blind, had glaucoma. Thank you for what you do!
I didn't start to use reading glasses until I was in my fifties. I am now 78
Great video! thanks for the info. Question: I recently had an interocular lens installed due to a cataract. As a result, I have lost some of my nearsighted vision. Would this work for people with interocular lenses?
Same with me, both eyes. Surgeries were over a year ago, some corrections made but I would not have had the cataracts removed had I known that I must wear corrective lenses with bifocals and prisms all the time. I only used corrective lenses for reading and close work before the surgeries and now cannot decipher labels on medicines without lenses. I would say my vision has deteriorated at least 25%.
Can’t wait till it comes to Australia, and goes on the NHS for $5 to $10!
You'll have to wait. It's developed by Americans for Americans first. Notice how your free health system doesn't have any innovation?
@@Lexethan2011 Ha ha funny you say that. Our govt has a medical fund where research money goes to hospitals instead of big pharma. Already many new innovative medicines have been created even one for bowel cancer recently released for free for us. We pay 1% extra tax to cover Medicare and it works in Australia England and Canada. We don’t hear stories you have of people dying due to lack of care. Am in the USA so I know first hand. Please don’t make ignorant statements.
As someone who suffers from debilitating migraines, this is a no go for me.
I'm an optician. From what I understand these drops will give you an approximate +2 diopter boost.
Will it correct a - 2 diopter patient 's myopia ?
Thank you so much Sir, Merry Christmas to you and your family.♥️🎄🎄🎄🎄♥️
So it doesn't improve the flexibility of hte lens, just reduces the iris making you less light sensitive? and potential blindness. I'm thinking no.
One of the most break-through vids I’ve watched since I’m at 46. Thanks Dr. Allen. I wish you Happy Holidays!
Ps.: wondering if they could come up with Botox for estabilizing pupil size? 😃
and something for myopia?
Lemme see if I got this right. Dilation and contraction of the pupils works like camera aperture. The bigger it is, the more you can make out in the dark, but your focal length is shorter so the lens has to contract or expand more to correct focus. When tiny, your focal length is much longer, like a fine aperture on the camera, f11 for example. But you need higher light input or everything feels a little dark. So the eyedrops work best on a well lighted object if not a bright environment. This leaves me wondering if an alternative solution might be LED frames that shoot a fine beam across the iris to activate the pupils without going inside and registering on the retina. Then one could achieve the same effect as with the drops but likely less risks, and far more control. On, off. As needed.
In my mid 40s I had to get my lenses replaced (cataracts from side-effects to steroid injections in my eye from retinal swelling/bleeding from diabetic retinopathy), which made me farsighted when I used to be near signed. I never needed reading glasses until then. This drug probably won't work for people with artificial lenses since often lenses replacements are intended to give a person far sightedness, at least that was my only option with my health coverage. If I wanted normal vision (being able to focus near and far) I'd had to spend thousands of dollars for each eye to get tiny plastic lenses.
So expensive
So basically drops just turning light all the time for the eyes. Honestly as myope I do not get reading glass denial same as I do not get lasik. Just use glasses blue light blocker, uv blocker wind blocker, anti reflection. All benefits in one glasses. Even multi focal is waaay better than reading glasses on your nose.
Someone asked me about these drops the other day and I hadn't heard of them. Thank you for the info
I'm 50 and have worn contacts since I was 18. I wear contacts for distance, historically I've never had a problem seeing up close and my contacts sufficed for both near and far. Over the last 5 years or so, my near-distance sight has deteriorated to the point that I NEED readers in addition to my contacts. Strangely (to me anyway), when I take my contacts out and am not wearing my glasses, I an see perfectly up close with no need for readers or anything else. Everything ELSE is a blur, of course, but up close is fine. My eye doc suggested switching to bifocal glasses, which I don't want (glasses limit my peripheral vision, I don't like that) or having one "near" contact and one "far" contact, which I don't like because it screws with my depth perception. So, since I'm sticking with contacts and I find readers to be a huge pain in the ass (I never have them when I need them most) I'm finding Vuity quite intriguing. But I do have "floaters," does that mean I'm at higher risk for retinal detachment?
You do a very good job of putting things in perspective, and moving quickly, and keeping it interesting!
Awesome video! Big question here... you mentioned it would work with LASIK. I had PRK so I lost my ability to read anything close. And I am really tired of buying and losing reading glasses. Your thoughts?
Am thinking about trying Vuity. I'm 56, use 1.75 strength reading glasses (the drugstore cheap ones), and went through the US Army LASIK (or PRK, not sure which) in 2007-2008. Any guidance / advice you can throw my way would be greatly appreciated.
This is a great review. I would also like to add that there are advanced surgical options that are more effective to treat presbyopia long term, and even permanently cure presbyopia. Look forward to your next video!
Who? Where? How much? I'm buying!!
Very very nice video! Congrats. Please continue with these videos as it is very difficult to find precise, professional and detailed info like this in Internet
Here 2 questions:
1) What is the difference between Pilocarpine Vs Brimonidina Tartrato ? Both should restrict pupils? Same side effects?
2) Could these drop types (that restrict pupils) be prescribed permanently for post smile surgeries when there are permanent heavy halos at night?
Why do you keep pronouncing it "VI-UTY" when it's clearly "VIEW-ITY."
Because there’s no “I” after the “U”…oh wait, you spelled it funny and messed me up. Sorry about that. Yes, good question!
I have to be honest I was very interested until you mentioned retinal detachment! It drives me mad that Presbyopia isn’t curable - maybe something to do with more money to be made selling glasses every year…. I always had better than 20:20 vision until I was in my early 50’s about 4-5 years ago and absolutely hate the fact that I have to wear reading glasses now.
I don’t know how bad your vision is but I’m about your age and had lens implants last year. My vision had gotten really bad both close up and far away. Before that, I was like you and always had 20/20 vision mine was actually better than 20/20. It drove me crazy bc I was always looking for my glasses n couldn’t keep up with them and they were always falling off my head when I would bend over or lean my head to far back. Insurance pays if you’re cataracts are bad enough mine weren’t but thankfully it’s also done as an elective procedure. Doesn’t take long at all and is painless at least for me it was and the results are immediate. It’s been great and I’m SO SO glad not to have to fool with glasses anymore!!! I forget the exact name of the procedure but there are several different types of lens available depending on your eyes problems specifically. There’s plenty a info on it out there if your interested. I found a lot of helpful videos about it here on RUclips.
@@lucyjackson9408 Thanks for the advice but my eyesight is actually pretty good and I don’t have cataracts. Living in Australia I tend to wear sunglasses a *lot*. Always when driving and also when out and about on bright days. What is most annoying is that it seems like correcting eyesight is still predominantly done the same way that we did years ago. We hang lenses on frames from people’s heads. I know that there is lasic etc and we can treat cataracts with new lenses but in general the optometrists just measure how bad your eye has become and give you a new piece of glass every year or so.
@@marka6487 thanks for that, but what did you actually do?
@@marka6487 HAHAHHAHAHAHAHAHAHAHAHAHAAHAHAHAHAHAHAHA yeah, right.
I just got bifocals last year. The adjustment was quick and I am very satisfied. So, in my case I would probably not use the drops. That's cool though that they have something that will work for that. I'm waiting for the 'myopia with astigmatism drops' to hit the market!
Every the I get my eyes dialated it scares the crap out of me
... No-Thanks ... I Cherish My "20-12" Distance Vision .. and I won't use anything that "diminishes" the Clarity of Our Beautiful World .. I'll just keep using Reading-Glasses when I need them ... OH.....and I want to mention.....that's a Very Nice Shirt.....!!!!!!!!!