This is the best info. I originally thought I would go panoptix but I'm glad I went mono yesterday. I had a hard time getting the right explanation of each. I didn't see this video but it gives me piece of mind I went the right way per your explanation. I wore glasses all my life. My glasses are providing so much safety from tree branches and different cleaning sprays that double back to hit the glasses. I want to wear glasses for the safety features. I still tinker around at 80yrs old. I can't even notice I had my first surgery yesterday except for the clear vision compared to my other eye. All my friends had the mono lens and are very happy. Mentioning pilots and perfectionist was all I had to hear.
Wow! Am I glad I stumbled onto this video! I had seen other videos from Dr. Devgan comparing two different brands of lenses, and another that said he would choose monofocal for his own eyes. Now I know exactly why he said that. As a 70 year old who flies RC planes as a hobby, I'm looking for the clearest distance vision possible. Wearing glasses for closer distances won't be an issue since I've been wearing them for the last 35 years anyway.
This is the most helpful presentation I have seen in my online research. I recognized myself immediately in the reference to the 'perfectionist' and that made my decision so much easier.
I am 48 Got operated 2 days back for cataract asked my surgeon to give me best long distance vision no matter how much it cost…..told him about all the option but he chose monofocal lenses Alcon acry soft IQ lens…….won’t believe the Vision is so sharp and clean….couldn’t believe my self…….so guys trust your surgeon….I don’t mind putting reading glasses but the distance vision of mine is almost 20/20….This doctor is so true the best of all I reviewed.
Thanks to you isn’t enough. Taking a decision on which lens to choose was a nightmares until I saw you presentation. You had explained every thing with highest simplicity. I hope all eye clinic use your presentation as a guide for all patients plans to make cataract surgery. 🙏🏻🌺
I hope anyone considering lens exchange and researching their options finds this video. It's far and away the best I've come across. I was easily able to "place" myself based on the comparison photos and summaries. Thank you for this!
This is essential viewing for any patient wanting to make an informed decision about the IOL. None of the information discussed in this video was provided by the facility I visited for testing and preparation for a cataract surgery. The optician conducting the consultation didn’t provide a POV or ask questions that would help me make a decision and I’m glad I wanted to be informed. The billing department at the optical center were attempting to convince me the multi focal lens was the right choice without discussing my need, and that was a red flag to me. Thank you Doctor Devgan.
I wished I would’ve watched this before I had surgery! The halos around lights at night make me crazy because I chose multi-focal lenses. This is an excellent video!
Thank you Dr. Devgan, no where will you get information like this. God bless you for having the character to tell the truth about Cataract Surgery and lens replacement! I hope every one likes your videos and subscribes to your channel! With some Ophthalmologist charging $ 5000.00 or more per eye for premium lens a patient know all the benefits and negatives of Cataract Lens surgery an replacement!
Thank you for this video. You answered my question I had about the PanOptix lens and if I wanted them. I wanted to be able to not wear glasses but after watching this video I am going with the mono lens. I would rather have the good clear vision with the brighter contrast. I am more of a perfectionist and do some driving at night. Thank you so much for the examples and taking the time to put this presentation together.
I got Cataract done for my both eyes with Dr. Anil Kumar in Secunderabad, India, he suggested mono focal as it is the best and I went with it, however when I asked him if I can have multi focal, so that my myopia also can be corrected, he said monofocal is best, and asked me to go through this post to understand the advantages of Monofocal over multi, I think he is correct. Thank you for the detailed explanation.
... I had my appointment this AM, 3/15/2023, for an evaluation and explanation of options IF, the findings were to lean towards surgery. I am happy to say, my cataracts are not that bad yet at 66 y/o. THIS video made it VERY clear what the options were and why someone would choose one over the other. I have a much better understanding now then when the doctor explained it to me hours ago. For me, Mono, clear distance and wear glasses for mid-range and near viewing. Thank you for this video!!!!!!!!!!! . Jeff .
Thank you for this excellent presentation on for Cataract Surgery Lens Implant Options... What a great Video!. Clear, concise and detailed. No one could have explained it better... Thank you again and best wishes. PS: As an aside, I enjoy listening to your soothing and reassuring voice.
Your explanation about the pros and cons is very clear. Thank you. My eye surgeon did not spend the time and only gave me a price list and short description. I guess it is best to do the research on your own, as it is your eyes.
Thank you so much for your valuable Cataract Surgery Lens Implant Options! I just had an exam and given lens options with no explanation of lens, just cost as the outfit was pushing Laser options which are so expensive. No comparison or info on the different kinds of lens at all. I chose to go to another Surgeon for second opinion since I was so uncomfortable with the lack of information. My daughter was with me and feels the same. Appointment with the new Surgeon next Thursday, but this time I'm more informed and know what I want thanks to you! Again, thank you so much!!!
If u hv previous macular edema pls let ur optha see ur OCT/eye xray.. so he can give u better assessment which procedure for cataract surgery and IOL implant. In my case phacoemulsification was done last yr nov, zeiss lens monofocal right eye was used.. So far no complication.. vision is good.. left eye to be scheduled next month.
Excellent presentation; it answered most of my questions on lens options. I almost chose the EDOF until he explained how it allows for less contrast which is important to an artist. Thx Dr. Devgan.
Very good discussion on the complication of selecting correct IOL . You have made it clear about confusion of choosing the right lense. Thank you very much.
Thank you for explaining the difference in lenses. I canceled my surgery because I was not comfortable about the implants. Your video has helped me understand and allows me to hopefully make the right choice.
Thanks! I am about to have cataract surgery and was trying to decide between EDOF and single-lens IOL. I watch several videos and this is by far the most informative and clear explanations of the differences.
@@saadkhalid8408 I went with the vivity. The result were fantastic for me. Unless I am reading a book with small print in bed with poor lighting i have no need for reading glasses. I basically don't need need glasses and have good vision from 14 inches on. I can even read text messages on my watch!
@@debbieb5673 Night vision is good. Do have some hallows around some lights as well as some star burst. But it is no bothersome as before. I used to avoid driving at night and now it's no issue.
It's absolutely very comprehensive and nice explanation of cataract surgery and selecting what types of lenses you should pick , I'm really appreciate it big thanks
Love the summary. I have been wearing glasses all my life and I feel that is the vision of my external image that I want to continue. I am up to get surgery soon at the Shiely Eye institute at UCSD. And because of your vdo I will go to mono focal. Thank you so much. Higher contrast and less halo is more important to me.
Thank you for this video. You gave me an understanding for pointing my Doc in the direction I would like to pursue. I wish you had added one more option to your "visual range" comparison ... "monovision with staggered Rx monofocal lens". I have had myopia since 2nd grade and used monovision in contacts since my 20s and now at 67 my cataract in my dominate right has made me go from -2.75 to -5.50. With glasses, I had single vision lens for distance and would look above (or below) my glasses to read. I think I will put a monofocal for distance in my dominate right and see how that works. If my left eye deteriorates, I'm hoping I can then use monovision for the left eye.
What a fantastic presentation. Thank you so much for answering all my questions about my upcoming choices after cataract surgery. I feel at peace now with my decision.
Just had my left eye done November 1 2022 with a CIareon IOL +21.5D words cannot describe how happy I am absolutely unbelievable how well I see thank you Doc for such a good presentation ..
Thank you for this! I just had first Cataract surgery & none of this was completely explained. I was asked to make a choice by checking a box on a paper. I chose to stay nearsighted because it is what I am use to. A nurse did show me what my near vision would be if I chose to see distance. All my life I can read things up close without glasses . Rather have what I know.
Thanks for sharing this info! I wish he had showed what it would look like to choose a monofocus lense set to near vision. My biggest hobby is reading, and I don't think I would be ok if I could never read a book again without wearing glasses. Could you explain a bit how your vision has turned out after surgery? Are you happy with it? Even though you chose near vision, is your intermediate vision still liveable without glasses. Do you need glasses for everything outside of reading or just for driving? I would be so grateful for any info you could share!
That was fantastic!! I am only 46 and have never had to wear glasses. I’ve really been struggling with this decision and this has helped tremendously! Thank you!!
Wish I had this explanation from my surgeon before I had my implants, too late now. Good on you for making this video, it will be much appreciated by many. The only thing I would add is for ppl like me with really bad vision (-12.50, -8.50) and that the difference in vision between the lenses would be greater.
I have seen a number of videos, yours is the absolute best. Really providing insights for what is meant by halo, etc...a nice "So how do you choose?" questionaire I wish you were here in Seattle washington, I would go with your company
The optical transfer functions for each lens type are documented. I would think a computer simulation with VR goggles could easily be made to allow a user explore an environment and switch between lens types to see the differences. Try it before you buy it.
Thank you for an excellent explanation! Now I know why my cataract specialist recommended to me the monofocal lens! As a surgeon and a photographer i need a perfect vision and clarity. I would rather use glasses for reading than loosing that vivid vision.
As a surgeon did you choose to have your lens set for clear near vision? Or did you pick distance and wear glasses to operate? I'm a veterinary nurse and I'm hesitant to set my natural sight to distance because all of my work requires good near and intermediate vision. I'd be so grateful for your Input!
@@ashleyc7287 I have “chosen” distant vision and to bear glasses for near. I miss my near vision dearly. Like you I didn’t realize that 90% of my work is in near and intermediate vision. I should have chosen that and to wear glasses for driving. Make a good discussion with your cataract surgeon before you decide!
I went with PanOptix had I seen this video b4 my surgery I’d have done mono focal I can tell I’ve lost clarity yes I can read better but not sure it’s worth the loss of clarity plus I’m out 5K not fully healed yet but I may still need readers anyway so what’s the point!? Thinking mb there’s an incentive for the Dr to upsell!
Thank you for the best information on the IOLs. It, especially the last part of "so how do you choose?" does help me to choose the very IOL I need for cataract surgery.
Doctor thanks for the wonderful explanation. I am planning for cataract surgery. Can you please give your opinion on eyhance. They say it is a monofocal lens with enhanced inter meditate vision and hence give the same vision quality as normal monofocal lens and not an edof. Can I go for it.
I am getting scheduled now and have been contemplating which lens to get, I have watched numerous videos on this and can now finally say I know what I want all due to this one video. Thank you!
@@jenniferkeefe5842 sorry for the late response, I picked the long distance as my right eye can see close distance well and combined they switch back and forth in my brain automatically so it’s much like normal sight. If I get a cataract in my right eye I am pretty sure I’ll get a close distance lens for that eye.
I borrowed one of Uday Devgan 's book about cataract surgery before I had my cataract surgery a couple of weeks ago. It was very helpful and informative. Also I watched this video a while back which helped me decide which lens to get. Thanks Dr Devgan.
@@mypluto1234 I got the up close vision mono lens. I have been near sighted my whole life and did not want to lose that vision. Can see very clearly out of that eye now. Before the cataract made my vision very blurry close up and in the distance. Surgeon said my cataract was very thick and needed to removed.
Very helpful....but what if I want to see up close and intermediate, then wear glasses for distance? Also, is there a lens without a prescription added but just takes the cloudiness away?
This is what I want to know! I'd much rather glasses only for driving and distance tasks. But I can't find any information on what that would look like. I wonder if anyone can see this and comment their experience?
Thank you, Dr. Devgan. Your explanation is so clear and makes a lot of sense. I love it ❤. Many doctors just do not offer other lenses beside the monofocal ones, including mine. Hope I live near your office.
Now I get it. I was going to go with the vivity, but I am a perfectionist. So my optometrist's suggestion of the monovision distance was better. Thankyou! I have worn trifocals since 5th grade, could not adapt to contact lenses. I tried about 30 kinds. Also I want to see stars at night.
I ran into a problem. Two months ago, I went trough cataract surgery in my right eye. After discussing the type of surgery with my cataract surgeon, he recommended doing it with laser because it is more accurate surgery. However, for 3 weeks I was not able to see even few inches away because of a very dense fog in front of my vision. Subsequently, my cataract surgeon referred me to a retina specialist due to developing Systoid Macula Edema. After the fact, I was told by retina specialist that most likely the systoid macula edema was the result of trauma to my eye. My question to you : does cataract surgery with laser can create unwanted side effects Or damage to retina ?
@Sun Shine Thanks for posting this. Not medical advice, but I did a quick search and YES, Cystoid Macular Edema (CME) MAY be associated with Femtosecond Laser surgery, according to a 2015 study titled "Cystoid macular edema after femtosecond laser-assisted versus phacoemulsification cataract surgery" found on PubMed conclusion: "Increased CME might be a subthreshold retinal injury safety signal after femtosecond laser pretreatment and warrants further study." J Cataract Refract Surg. 2015 Nov;41(11):2373-8. Thanks for posting this, I am going to reconsider. Always been concerned about high energy lasers and the retina.
Thank you so so much, this is the most and best detailed education on cataract/ IOL premium lenses I have seen. The graphic pictures explains everything. This is in 2018, hope you have a more updated video which I know will be high end. Thank you again Doc. Am about to get cataract surgery, I choose panOptic ( that will be the trifocal ). I wish you were in my state. I kept watching this. Great education.🙏🏾🙏🏾🙏🏾👍🏼👍🏼❤️❤️/🇯🇲/🇱🇷
A very good presentation Dr. Devgan. I would, however, like to understand why the Vivity lens is rated higher than the Panoptix, as regards quality of vision, as shown on the graph at minute 6:11. From the info I have found, the Panoptix has a max MTF at around 0.4 whereas the Vivity has a max MTF of about 0.25. Also the Panoptix maintains a higher MTF over the entire defocus range. This MTF measurement would seem to indicate greater contrast available with the Panoptix, which would provide better vision than the Vivity. If you could shed some light on this it would be much appreciated.
Thank you for your superb content! I am due to have cataract surgery soon to fit a lens in my other eye having previously had a successful monofocal implant! Please advise whether you have had good outcomes using the Alcon Vivity EDOF lens and what is the minimum distance at which I should expect sharp focus.
What kind of lens implant did he get? What is happy about with them and what does he not like about what he got? I’m going to have to get cataract surgery and don’t know what kind of lens to get. Thank you
Dr. Devgan, I have watched this amazing video several times as I am planning to have cataract surgery at age 82. I am wondering how accurate the comparisons are between mono-focal and tri-focal implants. Are these exaggerations needed to show differences, or or these differences truly realistic, especially the night comparison?
Thank you so much for your helpful video. I was recently diagnosed with early stage glaucoma and am extremely near sighted with moderate astigmatism too. The final eye measurements are yet to be done. I may choose a toric lens to correct the astigmatism, but I don’t think the trifocal lens will be an option. However will mention it to my doctor as well as mono vision lenses. You didn’t mention mono vision lenses here so maybe 🤔 you do not care for the option. It’s all so much for the patient to absorb! Thanks again!
Thanks for the informative video. I have pretty much decided on the monofocal lenses. My question for anyone who has gone this route, do readers do as good a job for varying close distances (0-3 feet) as a near sighted person wearing progressive lenses would have?
This is a wonderful video, but I wondered if you had a similar presentation for choosing a multifocal near vs intermediate vs distance. Current suggestion from surgeon is to set one eye near and one eye intermediate. I'm wondering what ranges those each get me. I will need glassed from where to where in distance?
@@UdayDevgan Thank you! Have you seen EDOF lenses used for near and intermediate rather than far and intermediate? Do they provide clear image like a simple monofocal would? Are there any issues with glare/halos or other optical artifacts?
Thank you for your videos. I got the cataract surgery on the left eye with a minus 3, because I never wore glasses before and I love to read and sew. For the right eye, I was considering getting another IOL for distance and I am concerned the 3 differential (-3 to 0) might be a lot for my brain (although I work my brain a lot LOL). Would you consider the Vivity for the left eye, so the left could see very close and the other at all distances? My doctor had a fit when I said I wanted monovision, and when I see him on Friday, I don't want him to lose it again... Thanks for your help!
Hi Dr 15 days ago I had Vivity implanted in both eyes. I see perfect cell phone, pc, tv, but the lights both during the day and worse at night cause halos and glare, I would like to know if that goes away with time or is it permanent?
Dr. Devgan - nice video. On the chart @5:56; Can you put the "Perfect Vision" (i.e. 20/20) in contrast to the "Clear Vision" (i.e. 20/40?). That would give another helpful perspective. Thanks so much!
This is an excellent explanation! I was struggling to understand what my future vision will be like after cataract surgery. Iam mid 50 s and have been using reading glasses for about 6 years. Now I need to have cataract surgery in only one eye after an auto accident. I realise I will still need reading glasses after the surgery. Watching this video i think monofocals are my best choice. In your opinion is s this right @Dr Devgan? I don’t expect to have cataract surgery in the other eye for another 10-15 years . As a result, will I have issues with double vision, imbalance etc ?
Thank you for this excellent explanation, the best I have found yet. I am devastated to learn I have a cataract in my left eye, especially because I do not need glasses for any purpose at this time. So the thought of now having to wear glasses the rest of my life is overwhelming. Devastating to think I will no longer be able to see my cell phone or my computer screen without glasses now. I will be talking to surgeons about mono or mini mono options. The first surgeon I consulted said I am not a candidate for the PanOptix lens because I have too much astigmatism. However I have lived my entire life without having correction for astigmatism so it’s a difficult choice.
@@mypluto1234 yes, I decided on single vision lenses with a monovision approach. I have always been nearsighted, and I don’t mind staying a little bit near sighted. But I wanted to be able to see my phone and computer screen without glasses. And that is what we achieved. My left eye is for seeing up close, and right eye for distance. My right eye did not achieve the target we were aiming for (still too nearsighted) so I wear a contact in my right eye for distance, and have about 20/40 on a good day. I have a pair of glasses if I need to drive at night. What I have learned is that no matter how hard you target a certain eyesight afterwards, you may or may not actually hit the target. Luckily there are some tweaks after the fact, such as wearing the contact in my right eye. I will add that I did develop posterior capsule opacification in my left eye, and just had the YAG laser treatment done about a month ago. Super easy. My up close vision is about 80% restored. I wish it was 100%, but it’s better than it was.
@@maryanngrisham5182 thanks for sharing! If you dont mind my asking, how bad is the distance vision in the eye set for near vision? Are you able to see intermediate and function fairly normal without correction? Or is everything blurry thats not reading distance?
One option you didn’t discuss is mono vision where one eye is corrected for near and the other far. I would like to see what the vision ranges are with that option.
very very good information to all the patients and to all the doctors but slight residual myopia in monofacl lenses post operatively will also give moderately good near vision
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This is the best info. I originally thought I would go panoptix but I'm glad I went mono yesterday. I had a hard time getting the right explanation of each. I didn't see this video but it gives me piece of mind I went the right way per your explanation. I wore glasses all my life. My glasses are providing so much safety from tree branches and different cleaning sprays that double back to hit the glasses. I want to wear glasses for the safety features. I still tinker around at 80yrs old. I can't even notice I had my first surgery yesterday except for the clear vision compared to my other eye. All my friends had the mono lens and are very happy. Mentioning pilots and perfectionist was all I had to hear.
I could not stop myself appreciating your video.Its cristal clear
Wow! Am I glad I stumbled onto this video! I had seen other videos from Dr. Devgan comparing two different brands of lenses, and another that said he would choose monofocal for his own eyes. Now I know exactly why he said that. As a 70 year old who flies RC planes as a hobby, I'm looking for the clearest distance vision possible. Wearing glasses for closer distances won't be an issue since I've been wearing them for the last 35 years anyway.
This is the most helpful presentation I have seen in my online research. I recognized myself immediately in the reference to the 'perfectionist' and that made my decision so much easier.
I am 48 Got operated 2 days back for cataract asked my surgeon to give me best long distance vision no matter how much it cost…..told him about all the option but he chose monofocal lenses Alcon acry soft IQ lens…….won’t believe the Vision is so sharp and clean….couldn’t believe my self…….so guys trust your surgeon….I don’t mind putting reading glasses but the distance vision of mine is almost 20/20….This doctor is so true the best of all I reviewed.
Thanks to you isn’t enough. Taking a decision on which lens to choose was a nightmares until I saw you presentation. You had explained every thing with highest simplicity. I hope all eye clinic use your presentation as a guide for all patients plans to make cataract surgery. 🙏🏻🌺
I hope anyone considering lens exchange and researching their options finds this video. It's far and away the best I've come across. I was easily able to "place" myself based on the comparison photos and summaries. Thank you for this!
This is essential viewing for any patient wanting to make an informed decision about the IOL. None of the information discussed in this video was provided by the facility I visited for testing and preparation for a cataract surgery. The optician conducting the consultation didn’t provide a POV or ask questions that would help me make a decision and I’m glad I wanted to be informed. The billing department at the optical center were attempting to convince me the multi focal lens was the right choice without discussing my need, and that was a red flag to me. Thank you Doctor Devgan.
I wished I would’ve watched this before I had surgery! The halos around lights at night make me crazy because I chose multi-focal lenses. This is an excellent video!
Never seen anyone doing such fine presentation. Thank you for helping me understand.
Thank you Dr. Devgan, no where will you get information like this. God bless you for having the character to tell the truth about Cataract Surgery and lens replacement! I hope every one likes your videos and subscribes to your channel! With some Ophthalmologist charging $ 5000.00 or more per eye for premium lens a patient know all the benefits and negatives of Cataract Lens surgery an replacement!
Thank you for this video. You answered my question I had about the PanOptix lens and if I wanted them. I wanted to be able to not wear glasses but after watching this video I am going with the mono lens. I would rather have the good clear vision with the brighter contrast. I am more of a perfectionist and do some driving at night. Thank you so much for the examples and taking the time to put this presentation together.
You are a born teacher. I am about to have cataract surgery and I am happy I found your video.
I got Cataract done for my both eyes with Dr. Anil Kumar in Secunderabad, India, he suggested mono focal as it is the best and I went with it, however when I asked him if I can have multi focal, so that my myopia also can be corrected, he said monofocal is best, and asked me to go through this post to understand the advantages of Monofocal over multi, I think he is correct. Thank you for the detailed explanation.
Can you see your cell phone without glasses?
... I had my appointment this AM, 3/15/2023, for an evaluation and explanation of options IF, the findings were to lean towards surgery. I am happy to say, my cataracts are not that bad yet at 66 y/o.
THIS video made it VERY clear what the options were and why someone would choose one over the other.
I have a much better understanding now then when the doctor explained it to me hours ago.
For me, Mono, clear distance and wear glasses for mid-range and near viewing.
Thank you for this video!!!!!!!!!!!
. Jeff .
Thank you for this excellent presentation on for Cataract Surgery Lens Implant Options... What a great Video!. Clear, concise and detailed. No one could have explained it better... Thank you again and best wishes. PS: As an aside, I enjoy listening to your soothing and reassuring voice.
Your explanation about the pros and cons is very clear. Thank you. My eye surgeon did not spend the time and only gave me a price list and short description. I guess it is best to do the research on your own, as it is your eyes.
Dear sir,
You gave me true knowledge. My age is 38 and I'm having cataracts in both eyes... You are God to my life.... Excellent sir... Great job.
This information is very helpful. Visual learners need to see the charts. Excellent presentation without a sales pitch. Thank you.
Thank you so much for your valuable Cataract Surgery Lens Implant Options! I just had an exam and given lens options with no explanation of lens, just cost as the outfit was pushing Laser options which are so expensive. No comparison or info on the different kinds of lens at all. I chose to go to another Surgeon for second opinion since I was so uncomfortable with the lack of information. My daughter was with me and feels the same. Appointment with the new Surgeon next Thursday, but this time I'm more informed and know what I want thanks to you! Again, thank you so much!!!
If u hv previous macular edema pls let ur optha see ur OCT/eye xray.. so he can give u better assessment which procedure for cataract surgery and IOL implant. In my case phacoemulsification was done last yr nov, zeiss lens monofocal right eye was used.. So far no complication.. vision is good.. left eye to be scheduled next month.
Mind sharing your experience? Cost wise? :)
Excellent presentation; it answered most of my questions on lens options. I almost chose the EDOF until he explained how it allows for less contrast which is important to an artist. Thx Dr. Devgan.
Very good discussion on the complication of selecting correct IOL . You have made it clear about confusion of choosing the right lense. Thank you very much.
This is the best video on lens choices I’ve seen. Thank you!
This is the best video I’ve seen on different lens types. Thank you.
Thank you for explaining the difference in lenses. I canceled my surgery because I was not comfortable about the implants. Your video has helped me understand and allows me to hopefully make the right choice.
What did you decide?
What did u decide
@@deniselanglois6193what is your decision?
@anniephillips561 So what did you decide, inquiring minds want to know?
Your videos are very helpful. I appreciate your charts and the detail they provide.
Thanks! I am about to have cataract surgery and was trying to decide between EDOF and single-lens IOL.
I watch several videos and this is by far the most informative and clear explanations of the differences.
@@saadkhalid8408 I went with the vivity. The result were fantastic for me. Unless I am reading a book with small print in bed with poor lighting i have no need for reading glasses. I basically don't need need glasses and have good vision from 14 inches on. I can even read text messages on my watch!
How is your night vision?
@@debbieb5673 Night vision is good. Do have some hallows around some lights as well as some star burst. But it is no bothersome as before. I used to avoid driving at night and now it's no issue.
Thanks for replying and I was wondering which Vivity did you go with , x wave or acrysof IQ .
Thank you for posting your choice and thoughts on your results. I am in the same situation and this is helping so much!!
It's absolutely very comprehensive and nice explanation of cataract surgery and selecting what types of lenses you should pick , I'm really appreciate it big thanks
Beautifully explained sir....never understood premium IOLs so well.
Great summary Doc...this should be mandatory viewing for all patients prior to even coming into office.
Agreed!
Traduz em portugues
Love the summary. I have been wearing glasses all my life and I feel that is the vision of my external image that I want to continue. I am up to get surgery soon at the Shiely Eye institute at UCSD. And because of your vdo I will go to mono focal. Thank you so much. Higher contrast and less halo is more important to me.
Excellent explanation of options available with excellent graphics and pictures.
Excellent presentation!
This information has removed all the confusion that I was having.
This is an excellent resource for patients and very well explained, thank you for sharing Dr Devgan!
This is an excellent presentation. Thanks. I only wish the EyeHance monofocal-plus had been on your chart
Love you Dr. Uday Devgan for demystifying the choice of lens.
Thank you for this video. You gave me an understanding for pointing my Doc in the direction I would like to pursue. I wish you had added one more option to your "visual range" comparison ... "monovision with staggered Rx monofocal lens". I have had myopia since 2nd grade and used monovision in contacts since my 20s and now at 67 my cataract in my dominate right has made me go from -2.75 to -5.50. With glasses, I had single vision lens for distance and would look above (or below) my glasses to read. I think I will put a monofocal for distance in my dominate right and see how that works. If my left eye deteriorates, I'm hoping I can then use monovision for the left eye.
What a fantastic presentation. Thank you so much for answering all my questions about my upcoming choices after cataract surgery. I feel at peace now with my decision.
What did you decide?
Thanks!
Next month I’m having both eyes done and this has helped me know what options are available and what questions to ask. Excellent thank you!
What did you decide?
What did u decide
This is the best explanation of different cataract replacement lenses I've seen. Thank you Dr. Devgan
Just had my left eye done November 1 2022 with a CIareon IOL +21.5D words cannot describe how happy I am absolutely unbelievable how well I see thank you Doc for such a good presentation ..
Hi is it a monofocal lense ?
How much glare with the panoptix ? Thanks
This is the best advice I have received to date. Thankyou very much.
I can't tell you how much I appreciate this video - just what I needed!
This is the best, most through, and complete description of the three choices for lenses. Excellent presentation!!
Thank you for this! I just had first Cataract surgery & none of this was completely explained. I was asked to make a choice by checking a box on a paper. I chose to stay nearsighted because it is what I am use to. A nurse did show me what my near vision would be if I chose to see distance. All my life I can read things up close without glasses . Rather have what I know.
Same here.
Thanks for sharing this info! I wish he had showed what it would look like to choose a monofocus lense set to near vision. My biggest hobby is reading, and I don't think I would be ok if I could never read a book again without wearing glasses. Could you explain a bit how your vision has turned out after surgery? Are you happy with it? Even though you chose near vision, is your intermediate vision still liveable without glasses. Do you need glasses for everything outside of reading or just for driving? I would be so grateful for any info you could share!
I concur. I wish I had seen this before I had my first eye done.
@@ashleyc7287 hi. Did u choose monovision?
Wow. Why can all Drs be like this? The best explanation I’ve seen and made me feel better about my mono vision choice.
Hi hows your monovision?
That was fantastic!! I am only 46 and have never had to wear glasses. I’ve really been struggling with this decision and this has helped tremendously! Thank you!!
Wish I had this explanation from my surgeon before I had my implants, too late now. Good on you for making this video, it will be much appreciated by many. The only thing I would add is for ppl like me with really bad vision (-12.50, -8.50) and that the difference in vision between the lenses would be greater.
Sir your video has helped me to take an informed decision on my choice as I am planning for a surgery next week
I have seen a number of videos, yours is the absolute best. Really providing insights for what is meant by halo, etc...a nice "So how do you choose?" questionaire
I wish you were here in Seattle washington, I would go with your company
Is there a way to test out the different lenses in advance by using a special contact lens that will simulate the experience of the installation?
Yes wouldn’t that be great maybe by year 2050 ! 😂 just like eye drops to dissolve cataract! 🎉
The optical transfer functions for each lens type are documented. I would think a computer simulation with VR goggles could easily be made to allow a user explore an environment and switch between lens types to see the differences. Try it before you buy it.
I will have Cataract surgery next week. This is a very good decision maker Video
Thank you for an excellent explanation! Now I know why my cataract specialist recommended to me the monofocal lens! As a surgeon and a photographer i need a perfect vision and clarity. I would rather use glasses for reading than loosing that vivid vision.
As a surgeon did you choose to have your lens set for clear near vision? Or did you pick distance and wear glasses to operate? I'm a veterinary nurse and I'm hesitant to set my natural sight to distance because all of my work requires good near and intermediate vision. I'd be so grateful for your Input!
@@ashleyc7287 I have “chosen” distant vision and to bear glasses for near. I miss my near vision dearly. Like you I didn’t realize that 90% of my work is in near and intermediate vision. I should have chosen that and to wear glasses for driving. Make a good discussion with your cataract surgeon before you decide!
Losing
I went with PanOptix had I seen this video b4 my surgery I’d have done mono focal I can tell I’ve lost clarity yes I can read better but not sure it’s worth the loss of clarity plus I’m out 5K not fully healed yet but I may still need readers anyway so what’s the point!? Thinking mb there’s an incentive for the Dr to upsell!
Thank you for the best information on the IOLs. It, especially the last part of "so how do you choose?" does help me to choose the very IOL I need for cataract surgery.
That's about the most detailed and fair explanation I've come across.
Doctor thanks for the wonderful explanation. I am planning for cataract surgery. Can you please give your opinion on eyhance. They say it is a monofocal lens with enhanced inter meditate vision and hence give the same vision quality as normal monofocal lens and not an edof. Can I go for it.
I am getting scheduled now and have been contemplating which lens to get, I have watched numerous videos on this and can now finally say I know what I want all due to this one video. Thank you!
What did you decide? I'm painstakingly trying to confirm a decision for myself as well.
@@jenniferkeefe5842 sorry for the late response, I picked the long distance as my right eye can see close distance well and combined they switch back and forth in my brain automatically so it’s much like normal sight. If I get a cataract in my right eye I am pretty sure I’ll get a close distance lens for that eye.
I borrowed one of Uday Devgan 's book about cataract surgery before I had my cataract surgery a couple of weeks ago. It was very helpful and informative. Also I watched this video a while back which helped me decide which lens to get. Thanks Dr Devgan.
How did it go & what kind of lens did you choose ultimately?
@@mypluto1234 I got the up close vision mono lens. I have been near sighted my whole life and did not want to lose that vision. Can see very clearly out of that eye now. Before the cataract made my vision very blurry close up and in the distance. Surgeon said my cataract was very thick and needed to removed.
Alcon acrysof vs Tecnis 1 piece monofocal? Alcon has glistening but Tecnis does not ? Correct?
Very helpful....but what if I want to see up close and intermediate, then wear glasses for distance? Also, is there a lens without a prescription added but just takes the cloudiness away?
This is what I want to know! I'd much rather glasses only for driving and distance tasks. But I can't find any information on what that would look like. I wonder if anyone can see this and comment their experience?
I wish you could recommend a good cataract eye surgeon in northern CA????
Thank You Dr Devgan. The side by side images helped me make my decision as to which lens to go for. God Bless You.
Thx I also wasn't told of pro's and con's of each so I think the monofocal the best for me.
Thx for explaining it so throughly.
It’s the best explanation ever proved with pictures
You are excellent
Thank you so much for your time and effort ❤❤❤
Very well explained and very informative as I will be undergoing my cataract surgery this week if my blood glucose level becomes normal.
Thank you, Dr. Devgan.
Your explanation is so clear and makes a lot of sense. I love it ❤.
Many doctors just do not offer other lenses beside the monofocal ones, including mine.
Hope I live near your office.
Now I get it. I was going to go with the vivity, but I am a perfectionist. So my optometrist's suggestion of the monovision distance was better. Thankyou! I have worn trifocals since 5th grade, could not adapt to contact lenses. I tried about 30 kinds.
Also I want to see stars at night.
Excellent presentation. Does this video cover light adjustable lenses?
I ran into a problem. Two months ago, I went trough cataract surgery in my right eye. After discussing the type of surgery with my cataract surgeon, he recommended doing it with laser because it is more accurate surgery. However, for 3 weeks I was not able to see even few inches away because of a very dense fog in front of my vision. Subsequently, my cataract surgeon referred me to a retina specialist due to developing Systoid Macula Edema. After the fact, I was told by retina specialist that most likely the systoid macula edema was the result of trauma to my eye. My question to you : does cataract surgery with laser can create unwanted side effects Or damage to retina ?
@Sun Shine Thanks for posting this. Not medical advice, but I did a quick search and YES, Cystoid Macular Edema (CME) MAY be associated with Femtosecond Laser surgery, according to a 2015 study titled "Cystoid macular edema after femtosecond laser-assisted versus phacoemulsification cataract surgery" found on PubMed conclusion: "Increased CME might be a subthreshold retinal injury safety signal after femtosecond laser pretreatment and warrants further study."
J Cataract Refract Surg. 2015 Nov;41(11):2373-8. Thanks for posting this, I am going to reconsider. Always been concerned about high energy lasers and the retina.
did u
how are u
Msics is best
@@DellAnderson how are u
Thank you so so much, this is the most and best detailed education on cataract/ IOL premium lenses I have seen. The graphic pictures explains everything. This is in 2018, hope you have a more updated video which I know will be high end. Thank you again Doc. Am about to get cataract surgery, I choose panOptic ( that will be the trifocal ). I wish you were in my state. I kept watching this. Great education.🙏🏾🙏🏾🙏🏾👍🏼👍🏼❤️❤️/🇯🇲/🇱🇷
.same choise thats one month but i cant read yet are you like me after one month
Thank you sir I got the clarity of the knowledge of lens before my catract surgery
A very good presentation Dr. Devgan. I would, however, like to understand why the Vivity lens is rated higher than the Panoptix, as regards quality of vision, as shown on the graph at minute 6:11. From the info I have found, the Panoptix has a max MTF at around 0.4 whereas the Vivity has a max MTF of about 0.25. Also the Panoptix maintains a higher MTF over the entire defocus range. This MTF measurement would seem to indicate greater contrast available with the Panoptix, which would provide better vision than the Vivity. If you could shed some light on this it would be much appreciated.
Do you have a video showing the toric lens for astigmatism?
Thank you for your superb content! I am due to have cataract surgery soon to fit a lens in my other eye having previously had a successful monofocal implant! Please advise whether you have had good outcomes using the Alcon Vivity EDOF lens and what is the minimum distance at which I should expect sharp focus.
Wish I would of had come accross this video prior to my fathers surgery performed here in Florida.
What kind of lens implant did he get? What is happy about with them and what does he not like about what he got? I’m going to have to get cataract surgery and don’t know what kind of lens to get. Thank you
Thank you Dr Devgan for the explicit explanation. 🙏
Dr. Devgan, I have watched this amazing video several times as I am planning to have cataract surgery at age 82. I am wondering how accurate the comparisons are between mono-focal and tri-focal implants. Are these exaggerations needed to show differences, or or these differences truly realistic, especially the night comparison?
Thank you so much for your helpful video. I was recently diagnosed with early stage glaucoma and am extremely near sighted with moderate astigmatism too. The final eye measurements are yet to be done. I may choose a toric lens to correct the astigmatism, but I don’t think the trifocal lens will be an option. However will mention it to my doctor as well as mono vision lenses. You didn’t mention mono vision lenses here so maybe 🤔 you do not care for the option. It’s all so much for the patient to absorb! Thanks again!
Thanks for the presentation. Can you please comment on the lens Tecnis Eyhance IOL, thank you
A very informative video for us trying to decide the best IOL before operation. Thanks a LOT Doc 😊😊
Thanks for the informative video. I have pretty much decided on the monofocal lenses. My question for anyone who has gone this route, do readers do as good a job for varying close distances (0-3 feet) as a near sighted person wearing progressive lenses would have?
This is a wonderful video, but I wondered if you had a similar presentation for choosing a multifocal near vs intermediate vs distance. Current suggestion from surgeon is to set one eye near and one eye intermediate. I'm wondering what ranges those each get me. I will need glassed from where to where in distance?
ruclips.net/video/sQpO0Aqdb3E/видео.html
@@UdayDevgan Thank you! Have you seen EDOF lenses used for near and intermediate rather than far and intermediate? Do they provide clear image like a simple monofocal would? Are there any issues with glare/halos or other optical artifacts?
God Bless You doctor for this and all other videos.
Thank you for your videos. I got the cataract surgery on the left eye with a minus 3, because I never wore glasses before and I love to read and sew. For the right eye, I was considering getting another IOL for distance and I am concerned the 3 differential (-3 to 0) might be a lot for my brain (although I work my brain a lot LOL). Would you consider the Vivity for the left eye, so the left could see very close and the other at all distances? My doctor had a fit when I said I wanted monovision, and when I see him on Friday, I don't want him to lose it again... Thanks for your help!
Great video! Would it ever make sense to have the PanOptix in one eye and the Vivity in the other? Thanks!
great question to discuss between patient and ophthalmologist. it's a possibility for the right patient.
Hi Dr
15 days ago I had Vivity implanted in both eyes. I see perfect cell phone, pc, tv, but the lights both during the day and worse at night cause halos and glare, I would like to know if that goes away with time or is it permanent?
I had retinal detached since 3 years ago i must cataract now, is it safe?
Which lenses are fit for me multi/mono?
So well explained I was told to get cataract surgery & was not comfortable now I understand. Too bad I am in Florida.
Dr. Devgan - nice video. On the chart @5:56; Can you put the "Perfect Vision" (i.e. 20/20) in contrast to the "Clear Vision" (i.e. 20/40?). That would give another helpful perspective. Thanks so much!
Excellent. Thank you. Why does my surgeon want an extra $1,750 per eye for astigmatism monofocal lens? Is it much harder to implant? Thanks.
This is an excellent explanation! I was struggling to understand what my future vision will be like after cataract surgery. Iam mid 50 s and have been using reading glasses for about 6 years. Now I need to have cataract surgery in only one eye after an auto accident. I realise I will still need reading glasses after the surgery. Watching this video i think monofocals are my best choice. In your opinion is s this right @Dr Devgan? I don’t expect to have cataract surgery in the other eye for another 10-15 years . As a result, will I have issues with double vision, imbalance etc ?
Thank you for this excellent explanation, the best I have found yet. I am devastated to learn I have a cataract in my left eye, especially because I do not need glasses for any purpose at this time. So the thought of now having to wear glasses the rest of my life is overwhelming. Devastating to think I will no longer be able to see my cell phone or my computer screen without glasses now. I will be talking to surgeons about mono or mini mono options. The first surgeon I consulted said I am not a candidate for the PanOptix lens because I have too much astigmatism. However I have lived my entire life without having correction for astigmatism so it’s a difficult choice.
Mind sharing your experience.....? :)
@@mypluto1234 yes, I decided on single vision lenses with a monovision approach. I have always been nearsighted, and I don’t mind staying a little bit near sighted. But I wanted to be able to see my phone and computer screen without glasses. And that is what we achieved. My left eye is for seeing up close, and right eye for distance. My right eye did not achieve the target we were aiming for (still too nearsighted) so I wear a contact in my right eye for distance, and have about 20/40 on a good day. I have a pair of glasses if I need to drive at night. What I have learned is that no matter how hard you target a certain eyesight afterwards, you may or may not actually hit the target. Luckily there are some tweaks after the fact, such as wearing the contact in my right eye. I will add that I did develop posterior capsule opacification in my left eye, and just had the YAG laser treatment done about a month ago. Super easy. My up close vision is about 80% restored. I wish it was 100%, but it’s better than it was.
@@maryanngrisham5182 thanks for sharing! If you dont mind my asking, how bad is the distance vision in the eye set for near vision? Are you able to see intermediate and function fairly normal without correction? Or is everything blurry thats not reading distance?
Thank you Dr. Devgan you are amazing.
Best explanation out there! I now feel comfortable with my lense choice on my upcoming cataract surgery.
What did you decide? I'm painstakingly trying to confirm a decision for myself as well. Are you happy with the outcome?
Wonderful and very informative presentation.
Thank you,
One option you didn’t discuss is mono vision where one eye is corrected for near and the other far. I would like to see what the vision ranges are with that option.
ruclips.net/video/sQpO0Aqdb3E/видео.html
very very good information to all the patients and to all the doctors but slight residual
myopia in monofacl lenses post operatively will also give moderately good near vision
Thank you! So informative and detailed vs other sources I've found re: choosing a cataract surgery lens.
Thank you sir.
It is really helpful.