Discussing the Vivity IOL lens with Dr. Raoof, an NVISION Eye Surgeon.
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- Опубликовано: 11 окт 2024
- Board certified ophthalmologist and surgeon, Duna Raoof, M.D., discusses the advanced technology of the Acrosof® IQ Vivity Multifocal IOL. This new Len from Alcon uses a new technology to help provide great vision at multiple distances to help patient reduce or even eliminate the need for glasses after cataract surgery. NVISION is The Eye Doctors' #1 Choice in LASIK and Laser Cataract Surgery.
As a patient you have to trust the surgeon and technology. I'm having cataract surgery next week and I'm not worried because my eyesight is not that great so almost anything would be an improvement. After watching probably hundreds of YT videos I decided I wanted an EDOF lens and my doctor recommended Vivity. That is the lens with fewest IOLX as far as I can tell.
What about your experience post surgery can you please review the experience with vivity
@@ramanjyani9384 Clareon Vivity IOLs are amazing. I was knocked out during the procedure. My eye doctor was great with > 5K cataract operations of experience. One eye had some astigmatism that was fixed with a toric lens. He also suggested mini mono blended vision where the depth of focus was slightly different for each eye. My brain neuro-adapted right away. The hardest part was taking the eye drops for a few weeks. I can read books, computer, phone, TV, drive, etc. without glasses. My night vision is fine, but I rarely drive at night. Tomorrow I go in for a checkup with the eye doctor but I don't think I will need PCO Yag surgery that some cataract patients require after surgery. I have had zero eyestrain and I never have to wear glasses again.
Had a cataract in my left eye, vision was very clouded and blurry. Right eye has been my dominant eye for 80 years and still had 20/25 vision. Had the the vivity lens installed in my left eye and WOW! Sharp, bright and clear far and and close (6")! Color and contrast just jumps out at you. No glare at night either. The downside is that now my left eye is the dominant one. Takes some getting used to!
Hi. Thanks for sharing your experience. Do you know if any adjustments were made to the Vivity lens in order for you to have such good close vision (6")? Thanks again for your help.
@@theantikarenIt was the standard vivity lens was guaranteed to have good vision up close as well as far. It’s also great for night driving and does very well with glare. I’m amazed with this lens so far.
Getting these done..right eye already did and wow my vision is amazing I can’t wait till I get the left one done🙂
You giving wrong information at 1:07, according to VIVITY direction for use, it does reduce contrast sensitivity. Actually it is absolutely expected as we can not cheat the light (c) Dr. Devgan and physics ..:)
yes that was confusing
Dr. Devgan comparing with Monofocal , here she compares with Multifocal ( light energy divided).
Thank you Dr. Raoof for the information!
Dr. Raoof, thank you so much for this video. It helped me determine which IOL to use in my upcoming cataract surgery. My main concern was night vision issues and some loss of contrast with other IOL lenses.
Great video! Should vivity len be implant on dominat eye or non dominant eye?
I had it done in both eyes two months ago. So far it has worked well. Big difference.
@@nilsanieves3457 do you need readers?
I have a panoptix lens and AM NOT happy - AT ALL-- can't read- can't see sh.. up close-- and distant-- forget it.. the only good range is 4ft. out to about 40... and past that is all blurred... reading road signs WAS impossible except right up even with the car-- now I can see out to about 100 ft. but still BLURRY- and it's been 4 months.. WOULD THE VIVITY help me??? I had bad sight close AND distant with my glasses (coke bottle bottoms- except for the new plastics).. so would vivity help me??
I had my second eye done 1 week ago. I waited a month after my right eye. My near and mid is better, but my distance of both is blurry and the flares and glares are much worse, especially at night. I have astigmatism and my doctor said he over compensated on the right eye and that is what caused the blurry distance and increased glares/flares. But I'm a week out on my left eye and it's about the same... I was told lasik might help the blurry distance vision and maybe reduce the glares/flares. Is this true? Will more time and healing help the vision of both eyes? 1 week out 2nd eye and 10 weeks out from first eye? I have my follow up appointment 1 week from today.
What about reduced contrast with the Vivity?
This lense is great. So happy I got this!
Interesting, how about the intermediate and near vision? Are you good at reading the computer, laptop, smartphone, dashboard in the car? Is it possible to read a menu in the restaurant or a book without additional visual aids? Thanks.
@@matsumurasokon4873 hey! I got vivity toric (corrected minor astogmatism) in dominant eye and regular monofocal in the other. Early 40s and really did not want any sort of halos or visual anomalies so doc suggested vivity instead of panoptix. Distance is perfect. Intermediate is perfect. Can now do computer work like in 20s, wasn’t able to for years. Can see phone, reply to texts, read a menu in a pinch and generally workable up close 8-10 inches from face. Only use +1 readers for long sessions of reading. Clear, good contrast, natural and vivid and most importantly for myself, no halos at night (dashboard is PERFECT!) which I don’t think I could’ve tolerated. So overall very happy. Typing this on my phone with no readers. Not perfect but all I wanted was some degree of workable up close and I got more than that so I’m very happy. My expectations were not only met, but exceeded. Hope that helps, good luck!
@@obabas80 How long has it been now. I have PanOptix's in both my eye's and my right eye I have problems with. Blurred vision and my focus intermediate and far distance is not good. I can read well with both eyes. I'm think of changing the right eye with the Vivity lens. I have dry eyes witch does not help??
@@patrickmouton2179 2 months about with vivity. Still happy. Distance and intermediate is excellent for me. Up close is decent, not as good as with my real lenses were but workable which is what I was expecting. Doc explained to me that vivity is like a monofocal (excellent distance) but with excellent intermediate and SOME (better than monofocal) up close but not as good as panoptix but better distance and intermediate than panoptix and better contrast. Typing this on my phone if that helps but I use +1 readers for long stints reading. Very happy cause what I really wanted was distance and especially computer work intermediate which is how I make my living. Ask your doc and good luck to you!
do you have vivity???
I got the Vivety in my left eye 2 weeks ago and 20/20 in that eye well pleased so far 2nd eye in about 6 weeks
I had the Vivity Lens installed in my right eye months ago by Texas Eye and Laser, paid almost $5,000 for what I believed was a lens that would not require glasses except for very close work or small letters. A year earlier my vision in my right eye was 20/15 and it was great. I did have to wear 1.5 readers but everything else was awesome. Now $5,000 poorer my vision is 20/30 and I will still need to wear glasses for almost all distances, very disappointing at all distances. Had I done the basic Lense, it would have been fully paid for by my insurance company and would still need readers. So why go to the extra expense for disappointing vision at all distances.
Thats the game vivity is a sales gimick spending so much on advertising this lens which i think is not that worthy of its price
vivity never promises anything other than 'functional near vision' and you should expect to need readers. If the surgeon picks the right power for the lens in the non dominant eye you won't need readers though.
@@ramanjyani9384 it's an excellent lens and worth every cent to me.
@@davidfwilliams1960 Sorry but that's complete BS. Their marketing materials clearing implies that the lens Covered by Medicaid Insurance only give single focus results but that by paying an additional $5000.00 you can get a Lense that has three areas of improved focus. Close, hear and far. In reality I paid $5000.00 for a single Lense that has a focal point of only 15 inches in my right eye. My doctor was told I wanted clear distance vison. I got the opposite and now need 3 pair of eyeglasses for close, near and far. Vivity marketing is an outright lie and they and any surgeon that installs them should be prosecuted for deceptive adverting and made to pay restitution to everyone who was sold those lenses.
My biggest issue is cost vs results. Not sure if this is the norm where eveyojne is located but I just went for my consult for Vitity and was shocked on the price. $2,748 for Surgeon, $200 for Anesthesia and $1070 for surgery center fees. $8036 for both eyes? Does this seem normal for eveyone on here thats had it done? I was expecting 6K all in.. Thanks for sharring all your experiances it was eye opening (no pun).
My mother in law just went to Dr yesterday in SoCal. She was quoted $8k for Vivity for both eyes. Also getting manual surgery vs laser.
you can get Monofocal @1k USD in india, Tecnis or Alcon EDOF @3K USD total cost
I am living in South Florida, and I got a quote for $6500 per eye.
That's a great price. I'm in the Pacific northwest and just had a consult. $10K for the office and $3.1K for the surgery location.
My quote is approximately $11,000 for the whole thing, both eyes. Insurance doesn’t cover any due to it being an “elective” procedure. ICL on the other hand, would be roughly $8,000. This is in PA.
Why is this lens being promoted everywhere as "no glare or halos"? That's all I see now after getting Vivity lenses in both eyes even after months. Never had halos before. I know it's quite common with multifocal IOl's...but Vivity? Something's amiss here.
I had a Vivity toric lens put into my RH very short-sighted eye (not by Dr Raoof or NVision, I hasten to add). I could see very little for the first week due to a generalised fog and corneal oedema. After 3 weeks it cleared a little and there was a general soft focus. However, it was useless for reading. The field of vision was vey narrow. Looking at a page, only one word at a time was in focus. My opthalmologist said it was failure of my brain to adapt. After 4 weeks and no improvement, I sought a second opinion. I was advised that the Vivity was not a good solution for someone like me who had had seven decades of monovision - LH eye dealing with mid and distant, RH eye dealing with close and reading. Moreover, the lens was misaligned. He advised that I go for monofocal lenses that matched my previous way of seeing which had worked well until the cataracts arrived. He removed the Vivity and replaced it with a monofocal lens optimised for reading at about 250mm and put a normal monofocal in my LH eye giving me focus from mid to infinity. There is a bit of healing still to do but it seems to be working well.
Vivity may be the right solution for some but it needs careful evaluation and advice. I understand that for those that want a wide field of vision there may be better solutions.
@@alexandrakollontai2047 How do you like the monofocal lens 250mm, & is it also "pretty good" for far vision?
@@mypluto1234 Essentially my vision is back to how it was before I developed cataracts. There is a small focus gap of about 300mm in the region where my eyes hand over responsibility for focus but it's far enough away too mean that I read and look at phones with no problem. I can see the speedometer with sufficient focus and everything in the middle distance and far distance is in focus.
@@alexandrakollontai2047 hi. I'm blind in my left eye for 27 years now and I'm 42 years old. I need cataract surgery. are you saying the Vivity lens is a poor choice considering my monocular life ? thanks for your reply
@@Pkilla80 I'm not an ophthalmologist but I would have thought that if you only have the use of one eye it would make sense for you to have an extended depth of focus lens (of which the Vivity is one example). If you had a monofocal lens like my two then you would have to also use glasses for some distances.
This is not true,I am experiencing glare off of headlights, stop lights. Night driving is out of the question! This is even during the daylight hours as well. Had the Vivity lenses implanted in both eyes. Surgery was completed August 31st 2022. Now the Doctor has mentioned, that it might be best to remove the Vivity lenses,which scares the heck out of me! Went back last week to the doctor and he gave me a pair of contact lenses (stronger prescription) to try to see if this will help stop the glare off of headlights and such.
@@user-pu6sg7ih8r yes, I am now wearing glasses to prefect my vision more and to hopefully reduce the glare off of headlights and stoplights, that is going on. For the little time I have given this experiment, I really am not seeing a change. I go back to my new Ophthalmologist in May. She the (new Ophthalmologist) is not recommending having the Vivity Lenses removed because of risks that are involved. So I will learn more in the future!
Halos and one starburst for me.
ThQ. Appreciate. Mumbai India
thanks for the comparison. wondering what it would be like to have a Vivity in one eye and PanOptix in the other. ...
I just had a PanOptix lens installed in my right dominant eye, very pleased with the trifocal performance. After researching about the vivity lenses benefits, I opted to have my other eye implanted with the vivity lens, and my ophthalmologist totally agreed with my decision! It will be in surgery next week, and looking forward to the blending affects of both lenses.
I have Vivity in my dominate eye and Panoptix in the other eye. Both eyes done in the past 10 days and I am very please with the result. Halos and glare at night are very slight and not a problem. I can read small print without glasses and midrange and distance vision are very good as well.
Are you sure it’s not possible to implant multi focal in one eye and edof technology in second eye
Many people are reported to have done just that, mostly with good results. There are of course many factors to into consideration depending upon your individual eyes and requirements. Do a search with google or the videos. A couple of people have commented here about doing this.
On the lal lens why does it take so long before the light ajustment done I’m in 5wks they say 8wks.
how can I get the vivity lens with kaiser
Has anybody compared the Vivity lens with the Eyhance lens?
Hi what is the cost for each eye ?
What is considered "up close vision"? Is this different from "intermediate" vision?
Yes, intermediate is dash board, computer etc. at our practice, we find that the vivity provides exceptional distance and intermediate vision with “functional” up close vision. Patients may still need to grab some cheater reading glasses for fine print
How much are these new lens?
I'm on Medicare and they covers the cost of a standard implant. The Vividly lens cost me an extra $2500. Was it worth it? It was to me. My vision is priceless. Hopefully someday this will be the standard lens for cataract surgery.
2500 per eye.
Sounds like it’s a roll of the dice. Problem is once you get it, your stuck
I hope this is accurate. I get my first one Monday.
How'd it go? Liking it? Any issues at night?
how did it work out
@@edstein1940 I thought I replied to this earlier - apologies for being slow and for being long winded.
Please note I have no expertise in optics or ophthalmology. None. Listen to your doctor, not to me.
My left eye operation wasn't just pain free, it was sensation free. I didn't feel anything.
My right eye surgery was also pain free, but the cataract was heavier and took more work. I felt stuff going on, but nothing bad. The operation is nothing to fear.
Colors are amazing, post-cataracts. The world is awash in color.
Glare in my left eye is minor. My right eye (3 days post-op as I write this) has glare, but it's getting less every day. The night after surgery, I had a rainbow ring around lights. The second night there was no hint of rainbows.
I have 20/25 distance vision, and I can read newsprint at five feet. The car dashboard is in perfect focus, just like things two counties away.
I hate to gush, but it's working out well for me. So well, yesterday I drove past an optometrist's office. It was like driving past a gas station in a Tesla.
@@johnnyragadoo2414 haha! Thanks for the info!!! Do u mind sharing how much it cost and where did you get them done at?
@@WishesKisseslalala (Apologies if this is a duplicate post. I inadvertently closed the wrong browser window halfway through replying.)
NVision is probably the kind of place you want to look for. I prefer small businesses to large ones, but this might be an exception. NVision probably fixes a small mountain of eyeballs every year, and their equipment is probably very well maintained and kept current. Their surgeons surely get a lot of practice.
If you're in Central Texas, Dr. Beau Swann of Brazos Eye Surgery in Waco operated on my eyes. This is the only cataract surgery I'll ever have, so I can't offer comparisons.
He's the only eye doctor I will go to from here on out.
Insurance was virtually useless. Laser surgery sounded safer, because of reduced risk to eye tissue from ultrasound. Insurance would have paid for scalpel-based surgery. My costs for the laser procedures hit about $4500 per eye counting all costs. I'm a poor man, but I'd call that cheap based on what I got for my money.
Look for an ophthalmologist with engineering degrees along with degrees in medicine. Dr. Swann has a bachelor's degree in biomedical engineering.
I think that mix of medicine and engineering played a part in how well my eyes turned out. Dr. Swann is as familiar with the physics of light as he is with the physiology of the eye.
I will reply back here if I write a longer blog post about this. There's a lot more I'd like to say. Mostly, though, listen to your doctor, not me!
Sounds like another Sales Pitch to me.
Absolutely they are just advertising vivity lens which is just a type of mono focal lense with price way higher than normal mono focal but in terms of performance they are not that much good than monofocal lens
WOW-- sounds better than Panoptix too.... is it?? COST please-- since it obviously isn't covered under my medicare...???
I’m getting it tomorrow. My doctor charges $2,500 per eye for just the lens. Insurance doesn’t pay for it. Then there’s the surgery itself. I think also around the $2,500 per eye cost. But I assume Medicare pays for the actual surgery. I have to pay all out of pocket due to high deductible. Anyway, it’s worth it since it’s forever.
@@fredadavis9483 I got referred to a "specialist" by someone I THOUGHT WAS the specialist-- so that scares me a bit.. can't do the cataract til they fix something else.. he can't see through the one to tell what is behind it.. and the ultra scan showed something he can't determine will bother it or not..
@@fredadavis9483 Yes- it pays for anything "medically necessary"- which is why it only covers mono-lens-- one distance.. I've got distant visiion in mine-- if it ever clears up-- had vitrectomy too. so it's slow healing. AND mine was OLD- should have been done 4 years ago- so may work may not.
Had the cataract (ROCK) removed- and a vitrectomy done- said it was NOt as bad as they thought looking at the scan.. so who knows-- cna't tell yet til he goes in to reattach the retina. oct. 15th.
@@davidwayne9982 best well wishes for you sir.
My experience with this lens was quite different. Rather than the distance & intermediate vision these lenses promised they left me nearsighted. My doctors have attempted to correct this with a lasik "touchup" with an additional cost on my dominant right eye with OK results. However my kitchen table or desktop vision leaves a lot to be desired. My journey started in January of this year 2023 & other than cleaning up some residual scaring they still haven't addressed the left eye. From the onset I was told with these lenses I would most likely need cheaters for reading & I was Ok with that. But my overall intermediate vision is nothing short of poor. Whether sitting at my desktop, navigating my home or reading the department signs in the hall of hospital is very very disappointing. Be prepared for what may be less than stellar results.
These lenses are expensive just under 3K for each lens & somewhat of a gamble.
cool !!!
But I thought that this lens requires readers…
it can. depends on you but in most cases the vivity gives better vision for all but up. close
Yep. Gives functional up close vision. May require readers for fine print
my doc put vivity in both eyes but increased power for non dominant eye so I get perfect up close from that eye so it's blended vision, perfect at all distances for me.
I see this review is 2 years old. Any updates? Alot can change in 2 years. Ask sleepy Joe.
Vivity and Symphony
Vivity Or Eyhance IOL which is better?
Vivity will give you more near vision then eyhance but the contrast level is not as good as eyhance
Has Vivity in right dominant eye with laser surgery. My left eye which has a cataract and no corrective lenses is better for reading. I think Vivinty waste of money.
J’ai payé $2,200 canadien pour mes deux yeux afin de voir de loi et intermédiaire. Résultat je vois mal de loin et intermédiaire et je peux lire sans lunette. C’est pas du tout ce que je voulais. Je me suis acheté des lunettes aujourd’hui pour être capable de conduire. J’ai payé le gros prix pour ne plus porter des lunettes , et j’ai payé mille dollars aujourd’hui pour m’acheter des lunettes. Je regrette tellement de ne pas avoir choisi la lentille mono focales gratuite payé par le gouvernement. Mon corneologie m’a dit que seulement 50% des gens qui ce sont fait installé des multi focales sont 100% satisfait de leurs nouvelles lentilles . Les miennes sont des Vivity.
I question the quality of these lenses.
1 minute and 18 seconds "no glare or halos at night' total rubbish from my experience
Do you have the VIVITY lens/ bilateraly? How long since your procedures? How bad is your night glare/halos? Please share more of your experience, I'm in the decision making process and running out of time. I'm not so sure about spending the extra $$$, doing so will be tough so it will have to be well worth it.
That does not appear accurate info from all I read. All multi focals have some haloes or bursts and that is always mentioned as downside which can disppear in time or not. And contrast is not as sharp as monofocal. As long as everyone is told that. And not everyone is good candidate for every lens. Also one day I don't think is good gauge cause eye takes time to settle in
vivity is not a multifocal it's an EDOF lens so no halos or starbursts for most
@@davidfwilliams1960 Wrong! I have these MULTIFOCAL lens and I absolutely do have halos
@@Lisa-hm2mp sorry to hear that but its not the norm from what I have seen with vivity. I certainly don’t have them.
This lens is a terrible choice if you like to see clearly within 36 inches of your eye. I do not recommend this lens for anyone. Distance vision is sharp but near vision within 36 inches is terrible. Glasses cannot correct this issue because of the IOL lens design. The doctors make more money too by offering this expensive lens.
Why cant yoyu use readers with Vivity? Makes no sense.. I just got Vivity implant in my right eye and reading glasses work fine for reading.. Getting my left eye done next week with PanOptix for complete range of focus... They should work well together and maybe I wont need readers, but if I do, I know its not a problem at least with the Vivity Ive got. The one strike Ive got against Vivity at this point is that, due to the reduced contrast sensitivity, blacks are less black and colors appear a little washed out. Hoping that lessens over time.