The Vivity and Panoptix - How do YOU choose the best premium lens implant?
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- Опубликовано: 29 сен 2024
- The Vivity (extended depth of focus lens implant) and PanOptix (trifocal lens implant) are the two most commonly used premium lens implants that we use for premium lens replacement and premium cataract surgery. I share my analysis of the strengths, weaknesses, pros/cons and differences between these two great lens implants.
Financial disclosure: I have no financial interest in any of the products presented in this video. My goal is that we deliver the best technology for each patient to help them see their best.
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Thank you very much Dr Wong! Your presentation is very helpful ! my Dr ‘s office has not provided enough information for me, these doctors should pay you for the work you have done for them!
Greeting from Istanbul/Turkey! I must say I am a big fan of your videos. I had PanOptix on my left eye due to a cataract 2.5 yrs ago. Now it's time for the right (dominant) one again due to a cataract. My Dr. was opting in for Synergy. I asked him strictly to have Vivity instead because I want no more or I should say fewer halos/glares etc. and better intermediate with higher contrast quality. The surgery is planned for next week. I am 53 yrs old, still very active in sports (lifting, basketball, running), 6'2 with long arms, and very excited to have Vivity. Thank you Dr. Shannon for your all-educating videos which help globally for your kind information )))) You touch many people without knowing...
Good call.
Hope your surgery was a success, what is your vision like with the vivity, are you happy with it l am thinking of going with vivity for my surgery
@@johnget8410 Hi. It went very well. Couldn’t be happier than this. The difference between Panoptix and vivity is amazing in the contrast and halos. The combination (panOptix in left, Vivity in right which is the dominant one) works very well for my reading. Far and intermediate distances are excellent. No need for glasses so far. My aim was achieved perfectly. I’ll see the Dr. tomorrow for regular check up.
@@denizcop9386 I am due for eye surgery May 5th. The plan is for the PanOptix in my left eye (which has the worse vision of the two) and then to have the vivity in my right eye in 5 weeks time. I have had some concerns about the halo effect with the PanOptix lens, but wonder if the vivity lens in my other eye will balance or cancel out the halo effect, once my brain neuro-adapts??
This video should be the standard for most patient education.
Many thanks Shannon
Being a doctor, I was so confused in selecting the correct lens for my self.
I am in my late 40s and have steroid induced cataract due to a corneal injury in the past, going to surgery next week,------ wish me good luck
Was able to select my option after watching this video
Hi what Lens did you decide to go with? did you choose Vivity .? l'm also in my late 40's and having surgery in a few months and thinking of going with vivity but havent made my mind up yet
@Sunset horizon studios It's very confusing, right? What lens did you choose and why? Does your outcome meet your expectations? Did you have laser assisted surgery or not?
@@johnschannel449, did you go with Vivity? I see that no one responded to your comment here but I am in the same boat and getting surgery next month.
@@SpencerParkCityschannel-vr3cs yes l got vivity last year in both eyes and happy with it, l have great vision from distance and can also read and only need glasses for small print'. l went with minimonvison where one eye distance and the other very slightly near for reading ,There was an adjustment period for the first 2 or 3 months but after that it was great
Any updates? I am in the exact same boat after taking steroids for Bells Palsy.... are you happy with the vivity or do you wish you had gotten the PanOptix?
Thanks for all of your cataract videos. They have really helped me understand the different lenses and decide what I would like to go with.
What did you go with, and was it what you expected?
I had the Vivity lens put in one month ago with the laser procedure. I only needed one eye done. The other is still perfect. There was a learning curve, but the results are excellent. I have 20/15 vision close and far away. Colors are crystal clear. No glare or halos at night. The only problem is focusing clearly in a room that has florescent LED lighting that's very dim, But as time goes by that is also improving. At first my eyes would get very tired as the day went on, but not anymore. Things take time to adjust. Hope this can make someone more at ease making a choice.
I wouldn't ever recommend a Vivity !
@@alexzapassoff1005why?
Hey I am young, 20, but RLE is my only option because im far sighted, -8.25 for both eyes or so, but my cornea is too thin etc.
So I was rly looking into getting Vivity or Panoptix, and was wondering if you could explain what the learning curve is, like, how do you switch from far to intermediate to near.
Pls pls could you let me know?
@@frzn9856 It took about a month to adjust to the new lens. At first I had trouble focusing in certain light situations, especially in a building with LED lighting. It has been 6 months since the surgery. I am very happy with the results. My vision is absolutely perfect faraway, and close up is also very good except for extremely close. I have no problem reading or using a computer at normal distance. No problem adjusting from close to far away. The only problem at night is tail lights in the far distance and a red traffic light in the distance look fuzzy. Some LED displays at night at close distances are somewhat fuzzy. There is no problem with glare from oncoming lights at night, which is a problem with many premium lenses. If my eyes are really tired it's not 100% clear, but resting my eyes for a few minutes brings things back to normal. The only negative is I have eye floaters, and they seemed more visible at first, but I've gotten used to it. I think the results people achieve are dependent on many factors, including general eye health. From my own point of view, if I had it to do over again I would stay with my choice. My latest eye test showed 20/15 vision at distance and close up in the eye I had done. (The other eye is still free from cataract symptoms so far.) Hope your situation turns out well. There is nothing better than being able to see clearly.
@@frzn9856I have Symfony and there’s no learning curve, they work automatically, and settle in over time. Your surgeon should be able to select the right lenses for your eyes anatomy etc.
Thank you for your detailed explanation. I’m much more confident in my choice of lenses now.
I am a teacher of 58 years old.I have operated my right eye cataract with Acre-soft IQ Toric(2.5 cylinder) Monofocal of 6D. can I implant Alcon Vivity EDOF Toric( 2.5 cylinder) IOL of 8D for my left eye and how it will be suitable for me?.Please guide me as early as possible. I will be very thankful to you.
Thanks Doc. This video is very helpful and educational.
Greetings from Turkey, my teacher, I am 35 years old, I had a lasik laser in one eye so that I wouldn't wear glasses, an alcon IQ single-focus lens was placed in one of my eyes, but my eye with lens has not been cleared at any distance for a month and I see objects bigger, closer and more diffused blurred than my other eye, what could be the problem? I want to get information from you and if change is necessary, is it difficult to do, is there a certain period of time, which lens would you recommend, my profession is truck driver
This was so well done, thank you.
Dr. Wong, have you done a Panoptix (non dominant) and Synergy (dominant eye) combo? How was the night vision of the patient? Thanks much.
Are the Halos reduced if you Squint or use other techniques with the Panoptix lenses.
I currently have a monofocal can I get panoptix if it’s been 2 years?
In order to have an intraocular lens exchange (IOLX), your surgeon would need to examine your eyes to determine the pros/cons of performing the procedure for you.
Is is possible to use Vivity Lenses adjusted to a monocular configuration with one eye focused for near vision and one eye focused for distance?
Dear Dr Wong -- can you review the Eyhance as well?
look at video ruclips.net/video/DUMNIozgEQ8/видео.html
and ruclips.net/video/-FBCKbU5p7s/видео.html
I’ve had left eye done 1 week ago with Panoptix still getting used to it will need right one done but thinking of doing a Vivity lens but will I need reading glasses
Thank you
Can you do mini monovision with the vivity lens so that you can enhance near vision in one eye?
Yes. But from my current understanding, the eye for near should stay in the -0.50 to -1.00 range and not more myopic that that.
Is it possible to pay up to $20,000 $10,000 for Islands replacement I've never ever heard of such a ridiculous high price is that true even if you got government Medical
Hi doctor. Is vivity lanse covered by my insurance?
In vivity after 8 days of surgery still not good for distance
I am so grateful for Dr. Wong’s honest and thorough analyses of the different lenses. I don’t see this up to date comparisons anywhere else. After watching this i feel much more confident about making a diligent choice. Thank you so much Dr. Wong.
I had laser surgery on my right eye ten days ago and on my left eye 3 days ago. I have a Vivity lens in my right eye and Panoptix in my left. I am very pleased with the combination. I can read small print close up without glasses and mid and far range is very clear as well. I haven't done much night driving yet, but with the little I have done halos don't seem to be a problem.
Trude, would you mind giving an update? I have the option to get one of each as well. I'm strongly leading towards two vivity's but would love to hear your experience with one of each.
Trude if by chance you read this my ophthalmologist recommended a Vivity in my second eye as I see ghost images with Panoptix in first eye. Images lack contrast which is my biggest disappointment. Black is missing Panoptix when looking through one eye. were you ever aware of this with either lens? Thank you.
Hello Trude
Six months since your surgery.
Can you give an update please?
What is your night vision like? Halos?
I’m scheduled for a PanOptix IOL on 26 June & either a PanOptix or Vivity IOL on 3rd July.
Thank you.
Colin
@@francoisenorwood5899 Hi Francoise. Can you give an update (the good & bad) on your IOL surgery please?
Thanks
Colin
Thank you Dr. Wong for this candid and thorough discussion of the two Alcon lenses. It confirmed my decision to opt for the Vivity lens over the PanOptics lens my Dr first suggested. One month now past my lens replacement and I feel I made the right choice in the Vivity lens. While I do see some minor halo effect at night compared to my natural lenses, it’s certainly acceptable and I’m sure I would not have been happy with the PanOptics halo effect. I shoot night time and early morning landscape photography and I’m sure the halo effect would have been unacceptable for me. It’s taken several weeks for my “neural adjustment” to adjust to my choice of medium to far vision in my left eye and medium to near vision in my right eye. It’s working out well, and I have yet to need readers of any kind for near vision. The IOL procedure is nearly miraculous in my opinion, as I now see colors in their true vibrant colors and certainly at least a 20% improvement in the amount of light reaching my 71 year old retinas! Thanks again for your wonderful videos. I watched most of them while I waited for my surgery appointments. 👍
Sorry but my experience is that a Vivity sucks !!! No focus at any distance... fuzzy and useless
Hey I am young, 20, but RLE is my only option because im far sighted, -8.25 for both eyes or so, but my cornea is too thin etc.
So I was rly looking into getting Vivity or Panoptix, and was wondering if you could explain what the learning curve is, like, how do you switch from far to intermediate to near.
Pls pls could you let me know?
@@alexzapassoff1005 Then something else is wrong. Vivity is excellent, just like the other choices mentioned here.
Hi Edwin, I have a Panoptix in right eye. While I see very well 20/20 it feels like through fog. Images lack contrast, black. As a photographer do you experience this with Vivity? Thank you
@@jamesw1659 Hi James. Do you see sharp with vivity? I see shadow to the left and right from everything, especially letters on digital devices. It’s a fraction better with texts in paper, but still there. Drives me insane. Doing makeup is impossible, can not see me fingernails, food on my plate is blurry. Terrible to be honest.
I went with PanOptix lens and I am very happy with my decision. I never knew about presence of any "halos" until people kept asking me if ".. I see halos...". So I started paying closer attention to it - and yes, I can see a very light halos. But... I would never notice them on my own. Now when my brain was conditioned into "seeing halos", I am aware of them. But, if you don't think about halos, you don't see any. I see well at all distances, including reading up close. No need for glasses at all. I am very happy with PanOptix, and ready to do my other eye with same lens. Thank you Dr.Wichterle, thank you science !
Do you see the rings around bright white lights? If you did, how long did it take for you to neuro adapt? I do and I am unable to drive at night. How long have you had the PanOptix lenses in? Thanks.
@@cathy3864 Hello, I have had my PanOptix lenses for almost 5 months. No, I don't see rings around white lights. Doctor told me it is a 12 month healing process and quality of vision may, and most likely will change during healing time. So far, so good. My post-surgery tests are coming in as 20/20. No glasses needed. Thank you
I have cataracts and astigmatism - torn between getting the Panoptix or Vivity. I am a bit concerned about Halos at night but at this time I do not do a lot of night driving. I mostly need to see computer screen and far. Thoughts?
I have two PanOptix trivia-focal lenses as well and love them. The "halo" effect of lights at night for me is a non-issue. I noticed it the first month or so and I think my brain has now tuned that effect out. Love the range on these lenses and the fact I no longer needs any corrective lenses at any distance. My vision went from 20/60 to 20/15 after the procedure.
@@WysteriaGuitar From my experience, I can safely say that 30 days after the operation with Vivity EDOF lens with Torric, I have no such issues of halos & glares now. In the 1st week after the surgery, I did see some halos(Rainbow coloured Rings), but this was resolved in 2 weeks. Able to read from PC too.
Almost one month post vivity in both eyes. Wanted no halos and I do have functional near vision--- am typing this text with no glasses. But to settle down and read a newspaper I definitely use cheaters!
But as someone who has worn glasses or contacts since the age of 7 this 65 year old is thrilled. Well worth the extra cost as nice glasses cost that much. Thank you for your comparison video. I think I chose well for my needs!
Amazing explanation doctor! I work at an ophthalmology clinic and this helped me understand the options patients have and the benefits! The human eye is truly a miracle.
A comparison of competing medical solutions is something a patient almost never gets. Dr. Wong's presentation is refreshing.
I have had the Vivity EDOF lens with Torric inserted in one of my eyes last month. The doctor had also done some LRI surgery, and the post ops after 30 days, the results are excellent. Distance Vision is 20/20, and the near vision acuity is N6. I am able to read on mobile at a distance of 35-40cms. No or minimal night time glares & halos. May need a glass to read smaller fonts.
Highly satisfied with the Vivity lense.
Colours are vibrant.
It cost me around INR 105000 in Mumbai. The GST invoice for the actual Vivity Torric lens was Rs.40k. Operated Pheco surgery without lasser or AI assistance.
Nice video.
I went with the Panoptix. I can seeeeeeeee (20/20 in both eyes but believe I could go lower). I wore glasses since I was in the 5th grade (about 46.5 years) and now I don't need glasses. This is a whole new world for me. I can wear any pair of shades I want now. However, I no longer have what I called the macro vision where I could clearly see within 5" of my eye. The Panoptix pushed that out to about 12" (or the natural reading position it seems). My prescriptions before replacing both cataracts for D.V. were -5.0 (O.D.) and -5.25 (O.S.) and for N.V were +2.0 for O.D and O.S. if that helps. I am happy with the new cataracts (1st in May and 2nd in June this year). On my last week of eye drops.
One day post op with the vivity lens and I’m blown away at how amazing my vision is. I was apprehensive about this surgery but now I can’t wait to have my second eye done in a few weeks!!
l plan to get vivity in a few months, my only concern was l read it has low contrast level , is your vision and constrast still good on overcast and low light days.
great to have someone with first hand experience. Do you have any concerns with the contrast vision? seems to be one of the drawbacks of the vivity. I do not want to see halos no matter what. I can live with a ok vision closer than 15 inces. But what is your real near vision range where you are ok with?
Hi Doc - First, thank you for all your very informative videos. I have had Lasik for monovision, near vision on my left, distance on my right eye, and extremely happy with the results and my vision (as I'm approaching age 60). As I see these 2 IOL implants (as well as the Symfony IOL), I wonder if you have performed or have considered different implants on each eye (ie Vivity on the right, PanOptix of the left) to address patients like me that are used to and happy with monovision? What are your thoughts on such an approach? TIA
I have actually heard that they can mimic your monovision with IOLs
Thank you very much! We even thought about coming to TX to have you do the surgery because of the clear and knowledgeable explanation and how easy you made the lens removal seem. You represent yourself and your facility very well! Our potential surgeon did not explain anywhere near this much and so we needed to do outside research. We did check and our surgeon has 12 years experience at our local facility and experience before that so he should be well qualified, just maybe "too busy" to use his time to provide all the information we want.
Thank you Dr. Wong. Very informative and understandable for us non medical people. I had cataract surgery, chose the Vivity lens and I am very happy with the result. I do use 1.0 readers for small print or low light, but driving at night is a pleasure again.
Thank you so much for your amazing content. I've had Vivity iols placed in both eyes within the last week in the UK and the initial result is quite spectacular. I'm 53 and have worn glasses and contacts since childhood. It's been a surreal experience to wake up in the morning and and be able to see so clearly Will be even better when I don't have to sleep in my eye guards. Your videos really calmed my pre operative anxiety and I am very grateful.
l plan to have vivity in a few months, my only concern is l read it has lower contrast then monofocal lens, how do you find the contrast level with vivity, does it seem dim on low light or overcast days or is it not a problem .
@@johnschannel449 so difficult to answer as I've noticed a reduction in contrast particularly when reading as I've got older. On a day to day level vivity performs so well for me in overcast conditions. The improvement is just so marked for me that contrast hasn't been a consideration.
Hi Louise, i just got left eye cataract surgery yesterday. Got Vivity lens, still blurry but definitely better than it was before..... Reason for choosing the lens because I want to avoid glasses as much as I can. Do you have to wear reading glasses? I'm thinking of getting vivity on the right eye vs. a monofocal :)
@@katkat1194 Hi, I can read without reading glasses but my eyes get tired and much easier with a +1. My surgeon definitely didn't promise excellent reading with vivity but I couldn't have Panoptix as I apparently have large pupils. Hope your vision continues to improve. Blurry doesn't sound great for you.
Thanks for sharing your results … I’m 53 too and thinking of moving forward with Vivity. Are you still pleased with the results? Thanks!
This video is very helpful. In one of your other videos you mentioned the percent light reduction to expect with the different lenses. PanOptix had a 12% reduction. What is the percent. reduction with Vivity?
Total and udder darkness!
Excellent discussion and thank you for the honesty in explanation about 'no free lunch'. As a physician, I hear so much fluff from Marketers, it is difficult to get a real world perspective on benefits and downsides to these lens.
Vivity lens is very similar to common monofocal it's only marketing . Yu will need atleast 1.5+ power for reading then why to pay so much of premium amount
What is your experience with the reported contrast sensitivity reduction of the Vivity? My surgeon is recommending the Vivity but another person in the industry has told me to reconsider due to the low light contrast issues and Alcon even states on their website that the Vivity has significant contrast sensitivity issues in low light. I can’t seem to find much written about it though. Thanks it’s my last hurdle before making a decision.
Good question. As a half-baked watercolor artist I am concerned about too much loss in contrast sensitivity. I don't want to paint a pitcture that to me looks great, but to the rest of the world seems tonally overcompensated and garish. Perhaps the key words in describing the Vivity contrast issue is "low light," meaning If well lit the contrast loss may be minimal. True? BTW, kudos to Dr. Wong. He's an invaluable resource to thousands of prospective patients.
@@robmeyer7985 Rob I am an illustrator, got 2 Vivity lenses. After the first surgery I felt I had contrast loss. At night I could barely see pedestrians crossing the street. After the second lens I feel that is not much of an issue if I work under bright light. I do need readers for close reading.
Will monofocal IOL combined with glasses (Progressive?) will generate the best possible image quality after cataract surgery?
My eye doctor said at 55 I need my cataracts removed and he could change out the lens with the monofocal, he didn't even mention Vivity or Panoptix, so I mentioned it to his scheduler and she said that because of my eyes the monofocal would be better because it see's clearer but you would need glasses to see up close.After pushing more they said the first eye could be the monofocal and the second could be Vivity. So my next question is having two different lenses cause long term problems ?
Would you update me on your decision and the outcome, as I am faced with a similar situation? Thanks.
I had cataract surgery two years ago and I Couldn’t be happier. Two weeks and both eves were done with multifocal lenses, nodrops necessary. Dr. Ray Galaitis of the Center for Lasic in Margate, Florida painless surgery. I can now see near, far and in between. No glasses after 60 years.
which len đó you have?
Could you please do a video on the SAV.IOL Lucidus EDOF lens , a swiss made lens. It is said to do excellent vision at all distances.
Im a Surgeon and use a microscope in my work. Im in the process of researching lenses. Thanks
Nice video👍....my Mom Left Eye cataract surgery is due 2022...considering Vivity EDOF lens.
She got Tecnis Symfony in Right Eye . She is very happy with her reading near as she dont need reading glasses anymore. Negligible halos..no glare.
Do You think this can work good for her . This can maybe provide complete spectacle independence. Do you think we should go for Vivity for Left eye to mix n match or Symfony to match the right eye.
Thank you. I've always been near-sighted. So, at twenty years old, I still didn't have 20/20 vision. I would be fine with the Vivity IOL, I think. Thank you! Your channel is the most informative and helpful related to cataract surgery.
1) Is there any advantage of Vivity over monovision other than depth perception due to better binocularity near distances?
2) Can Vivity lenses be optimized for distance in one eye and near vision in the other to get better close up vision (myopes like to be able to see very close up without glasses, say 11 inches or less).
3) Why do some docs say you have to get Vivity in both eyes if you do in one? Why not monofocal distant lens and a Vivity medium and close distances optimized lens in the other eye? Does it has something to do with the reduced contrast of the Vivity?
4) No one has mentioned glistenings, which is reportedly a problem in almost all Acylic lenses. It develops over time, and is rarely recognized by ophthalmologists as the cause of decreased vision 1-2 years after IOL placement.
Hi. Apparently various surgeons are doing different lens in different eyes to accommodate a wider range of visions. Check out this video. They used different ranges with the Vivity in different eyes, also found very good results in using Vivity in one eye and Panoptix in the other. ruclips.net/video/HmmgNH3uW2E/видео.html
Fascinating! I'm interested in learning more about these lenses from people who have had the surgery. I have had Symfony lenses in both eyes since 2020. I chose them because the doctor's pitch was similar to that of a used car salesman. I would be doing more complaining if it wasn't for you. Your honesty about the lenses limitations helped me understand how I saw the world after surgery. Learning about how the technology is evolving is cool.
How did you like them? I''m 55 and considering one of these options. Glasses are 2.75 and my far away distance is starting to go.
@@lf9341 They are great for distance. I need readers to see close. We are close in age.
@@lisaford7655 Thank you for the response. Well that is a bummer. My far away vision is still ok, (just starting to go). I hate wearing glasses because as a hairstylist I have to wear them by for cutting hair but take them off when I look at the client in the mirror. These masks make everything foggy and I cannot get used to progressives. I thought that this surgery corrects both far and near. :(
@@lf9341 Dr. Wong did my IOL in March 2021. I received the PanOptix lens in both eyes and I’m able to see very well upclose, mid-range, and long distance. However, the halo effect is very real and has taken some adjustment but I’ll happily deal with it over not having to wear contacts or glasses anymore. I was almost 49 at the time of my procedure, and was told I could go either with LLR or LASIK. I opted for LLR because I’m so close to 50 and didn’t want to have any regrets.
@@yvonnepatton1502 Hi! TY for responding! I heard Lasik will correct either far sightedness but make near sightedness worse (You had to chose) and I didn't want that! I have not heard of these procedures. I'm intrigued.
These masks make it worse to wear glasses when they are off and on!
Dr. Wong, are your former PanOptix patients much happier with Vivity? Do you have any patients who exchange just one PanOptix for a Vivity? I have two PanOptix , for 6 months in one eye and three months in the other, and am very unhappy with the overall quality of my vision. I had -14 myopia with astigmatism (around 1.75) and the toric PanOptix brought me to 20/20 near and far with no astigmatism, which seems amazing, but the quality of vision is disappointing compared to what I had with contacts before. My intermediate vision is poor and I am still seeing a faint double outline around all objects and letters. There is no sharpness to anything; everything is "soft focus," and my halos are present around bright lights and shiny objects even in the daytime. I am scheduled to see my original surgeon plus another doctor for opinions on risks and benefits of what I might do to help, and am wondering if I should ask about this option.
Patrick Mouton
So I had the PanOptix lens exchange for the Vivity lens on 5/16/2022. My PanOptix had been in my right eye for 9 months and the Doctor had a hard time getting it out. A surgery that should have taking about 15 minute took about 3 to 4 times longer and while the doctor was trying to get the lens out he trauma my eye and damage my eye. He damaged the zonules they are the tiny thread-like fibers that hold the eye’s lens firmly in place. So this on 6/1/2022 he tough me he could not center the Vivity lens in my eye, because of the damage. But he said that it will not hurt my vision because I have small eyes and that the lens is over my pupil. But I still have blurred and cloudy vision and I cannot see well out of my right eye. So I can say if the two lens will work out as I had hope for. I'm going to get a second opinion. The lens not being center has me thing, is that the problem.
Second opinion doctor said that my eye will not get any better or any worse. I can't read with out closing my right eye on small print. Doctor said to give some time and I might not have that problem reading. Am I going to see clear ever again in my right eye???
Just to clarify for anyone watching this.. when he grades one lens an 'A', this is against the other lens, not against a monofocal lens. Those 'A's would become 'B's for things like 'long distance' and 'halos'.
It seems that the best IOL for both near, middle, and far is the Panoptix... while the best IOL for middle and far is the Vivity. The tradeoff being better distance vision with halos vs better near vision without halos. There is also the almost never discussed issue of how the brain itself is able to take all the visual data from both eyes and use the best visual data to form an image. With that said... wouldn't the best option be to have a VIVITY in one eye, and have a PANOPTIX in the other eye?
Totally agree. I have a panoptix in my right eye and I use contact lens in my left which is the dominant eye. When I cover my left and try to use only the right which has the panoptix I see halos. However with both eyes there is no halos.
My near vision with the panoptix lens is 20/20
So that gives me the confidence that:
If I get the vivity in the dominant eye I will have covered all basis.
20/20 near , 20/20 far and no halos or little halos.
I wonder what the doctor opinion will be on this scenario.
@@robtoulany7313 I am very pleased that you have confirmed what I guessed at. I don't know why the fact that the brain itself does most of the "focusing" is ignored. For instance, with the Hubble Telescope, the cameras (which are the equivalent of ones eyes) get visual input that is WRONG. It takes computer software - which is like your brain - to convert the wrong input into good images. Another thing almost nobody is aware of.. the visual input coming into the human eye is flipped upsde down by the lens in one's eye. The brain takes that upside down information - and flips is back again so that we can see properly. This brings up another issue. Since one's resulting vision is the product of the mechanism of the eye/camera AND the brain's interpretation of it, then when someone either has a stroke, or their brain is fatigued ("computer is down!") then the accomodation provided by the brain (computer) is not going to provide the same quality of vision, even though the eyes have not changed. For instances, you mentioned that when you cover one eye, you see halos. Having a stroke would be like covering one eye with their hand. This applies to hearing as well. Many elderly people think they are going deaf, but in reality, it is not so much that they are going deaf, but that they are hearing the same - but their brain is not processing it corectly - and these elderly people simply don't UNDERSTAND what they are hearing - kind of like when the teacher is talking in an old "Charlie Brown - Peanuts" cartoon. I would like to point out one more thing.. the elderly often say that "I fell down and broke my hip!" That is not entirely true. The bones are quite strong - and have held that person together for over 70 years. However, as they get older, their bones become more fragile, and often the bones break - CAUSING them to then fall down. The fall didn't cause the break. The break caused the fall. If the bones were not already broken, or on the verge of breaking because they were so week from osteoporosis, etc. then a fall would not result in a break.
@@robtoulany7313 I have panoptix in both of my eyes. I have trouble with my right eye. My doctor wants to replace the lens in my right eye with another lens, he tells me that with the new lens in my right eye that will not have halos/starburst and I will see far with the new lens and with the panoptix in my left eye I will be able to read with out glasses. I'm not sure about that.
@@patrickmouton2179 not sure what troubles you are having with your right eye and which lens your doctor is suggesting to use as a replacement. But based on my personal experience and keeping in mind that each person is different and each eye is different. I would go with a vivity in the dominant eye and panoptix in the non-dominant. Or go with vivity in both eyes with a slight mono vision in the non- dominant-0.50
If you already have panoptix in both replacing your right eye that’s giving you trouble with a vivity lens will probably give you great results.
I only did my right eye and started with a panoptix, had it in for 3 months, my near was great but wasn’t happy with my intermediate or distance. I ended exchanging it for a vivity and I am very happy with the results so far.
After everything I read and studied so many cases and listened to so many doctors. I would never place panoptix in both eyes.
@@robtoulany7313 I had the PanOptix implant in both my eyes Aug. 2 Left eye and Aug. 16 Right eye, 7 plus months ago. My focus is one of my problems in right eye. I could probably live with my left eye the way it is.
My far vision is really really bad and starburst/hallo's is also really bad. Blurred and shadows around letters. My right eye is the worst of the two. I have dry eye real bad I though. I Just went back to my Doctor and he did a complete exam and he sad my dry is not that bad??? And that I'm one of them that is not satisfy with my vision. So he want's to replace my right lens. I'm not sure the lens he said. But he said that I will not be able to see close, but by leaving my left eye along that I would be able to read with it??? I'm not sure I want two difference lens in my eyes. He also said that my Starburst/hallo's would go away??? Because my right eye is the dominate eye??? Thanks for your advice.
if possible please make a video comparison between Lucidis, Eyhance & Vivity because these EDOF Lenses are confusing like Lucidis advertise for all vision Near, Intermediate and far, if possible also include luxsmart
Both Eyhance and vivity give you good distance vision without glasses but Vivity gives you more closer or intermediate vision then Eyhance gives you but the overall contrast level is lower with Vivity , you will probably need reading glasses for both for real close up things
I don't expect PERFECT-- but I would like GOOD at least..
I had my second surgery 5 months ago with the PanOpitx lens and couldn't be happier. There are halo's Round lighys at night, but are absolutely no bother to me. I am very happy I chose the PanOptix lens. No need for glasses or contacs at all for me!
Awesome! I want to do it! How much was it?
Did you have halos prior? I am most nervous about the halos and am scheduled for Feb with panoptix lens. I see halos now and can't stand them. I am hoping it would be less halos at night after surgery. Were they better for you, or worse? Thanks!
@@lf9341 ~$3500 each
Hi Bob. Can you give an update please?
Are the night light Halos an issue after a year?
Thanks
Colin
I have the Panoptic lenses in both my eyes and see wonderfully, but the halos with night driving are challenging. But I have no need for reading glasses unless the print is extremely small, but I am very happy with the way I see I haven’t sent this good in 20 years. Very excellent presentation Doctor.
Hi BETTY, is are there glasses for the halo? I'm 55 and my readers are 2.75 and my far away vision is going. Can't get used to bi focals.!
How close up can you see? Before this, did you need distance vision correction?
They are not working for me. I can't drive day or night.
I am concerned about the halos - Is it hard to drive at night?
I've seen in other videos that the Vivity lens has problems with contrast. Is that a problem?
Thank you for explaining the differences between the Vivity and PanOptix lenses. The video was educational and easy to understand. The images showing the holo effect and the light transmission was also very helpful. I'm in my 50's and I'm in the process of deciding which lens to go with. Your video has given me more information to consider.
Stay away from Vivity ! I am 78 and I wish I hadn't been talked into this ridiculous fresnell lens !
@@alexzapassoff1005 So one should get the Panoptix instead?
@@alexzapassoff1005 I have been scheduled for Vivity but it is so much more expensive. I'm still researching. My appt. is end of month.
@@VgVi13 hey what iol did you go with and what results are ?
How much all these lenses coast. Can you please explain
Good morning M.D. Wong, I am your follower for some years on RUclips, could you recommend a good surgeon in Mexico City?
on the other hand you consider the change from Acrisoft to Clarion for Vivity and Panoptix an improvement.
For your attention thanks
That was a very well spent 12 minutes. A lot of very valuable information. Can't thank you enough Dr. Wong.
Thank you so much Dr Shannon for your very clear and informative explanation about the vivity lens. I was diagnosed with cataract in Mar 2021 but was hesitatant to have symphony implanted because my doctor emphasised the possibility of halos. I waited till now and discovered vivity and I was searching for your videos on this lens. Finally, you made this video. Thank you so much ,Dr Shannon.
Thank so much for the informative straight forward video. I’m scheduled for prelex surgery in January and recently decided on the Vivity lens instead of the Panoptix. I’m in my early 50s and drive at night so I’ll need good vision. Your videos have been very educational and understandable. Again - thank you!
Good luck! Please let us know how it goes!
Surgery on my left eye will be January 10. I’ll come back with an update.
Please let us know how you're doing - I'm also in my early 50s and am considering Vivity for better vision - - - my glasses don't provide great vision and my contacts, which do provide excellent vision, become too uncomfortable to wear after 5 or 6 hours.
How do you like your Vivity lens?
My surgery went well and for the first time I am not glasses or contact lens since I was 12 years old! I do occasionally wear a pair of glasses to wear very small print in low light. My doctor gave me micro mono vision (.5) I have developed PCO and have YAG procedures scheduled for each eye (2 weeks apart) in August.
If you don't see a problem with having to wear reading glasses, would you still have to change the prescription throughout aging.. in other words all things being equal, should you expect that near vision to remain the same, or can/will that deteriorate?
Thank you for this wonderful video, Dr. Wong. I have decided to instal the PanOptix as I hardly do any night driving at my age. I will be having both eyes done with 7 days apart.
Any updates ?
I work for Alcon in Huntington WV. I test the PanOptix and Clareon lenses for Modulation Transfer Function and for power.
Which lens is the lens to chose?
Thank you for the good work! 🥰
Please discuss the 5- year retinal detachment risk after a premium IOL replacement surgery. It’s quite high
Thank you Doctor for the video, it was very instructive. I am 68 years old and I am about to have cataract surgery and I have a big dilemma.
Whether to choose an Intensity IOL that would allow me to stop wearing glasses (and see night halos) or a Vivity IOL (without halo effect) and have to wear glasses to read the newspaper and see my WhatsApp.
You would advise me based on your experience and the results reported by your patients.
Greetings and thanks for your time.
Which one did you ultimately go with?
Excellent video and went with vivity mid vision absolutely superb can't complain about distance and as I am typing this I have no problem in reading it😊won't be needing glasses at all.
Good luck everyone and its a massive V for me
Thxs Dr. Wong I just had the Vivity lens in my right eye and must say it looks good....I am 80 yrs old,this was cataract surgery...Thxs again....
IF I MUST use glasses-- I"D PREFER THE CLOSE- reading glasses from the drug store.. using them only at home.. for my reading etc.. What would be invovled to EXCHANGE the vivity for my Panoptix?? I have GREEN SKY financing that will cover $3000 for me.. as medicare probably would not cover the lens change..
Thank you for the great video comparing the two of these. I'm about to get this done, and I have the choice between these two lenses, OR, one of each. Have you had patients that received a vivity in one eye and a panoptix in the other eye? If so, can you describe their experience? I'm strongly leaning towards simply two vivity's and dealing with the occasional reader, but this option intrigued me.
I'm in central Florida & about little over 90 days since my left eye cataract surgery with the Vivity lens. Great lens over a wide range of vision including night driving. The surgery method was laser with astigmatism correction at N/C. Pre & Post eye drops were with IMPRIMIS. There was a day after post surgery return visit & about 5 day clinic examination. Must say they were very insistent you maintain the regiment of eye drops per their recommended written spread sheet. Next follow up was 60 days. Impressed & satisfied with the results. Next is the right eye which has a mild cataract compared to the left, first quarter of 2022. After some 50yrs plus no more wearing glasses on the nose!
Are you happy with contrast level in low light
I'm in Orlando, which facility or doctor did you choose?
@@jimrogers4809 yes, happy & satisfied. In my younger years my mother was always insistent the lights be on while reading in low lit areas & I have automatically continued the practice to this date. As a point of interest during my last detailed evaluation the optometrist ask I read out loud 3 short paragraphs each with a declined font size. As I was reading the second paragraph he stood up to turned on the room light. He stopped me from further reading the 3rd paragraph. He commented he was more than satisfied in my ability in reading, in low light. Lighting always makes text bounce.
@@user-ik4br3nk2w MidFloridaEye @ The Villages. You may need a referral from your regular optometrist. Once you have an appointment you'll go through a battery of tests to determine if you're an eligible candidate & possible options (consultation). The premium multi-focal lens (Vivity) & laser surgery cost is $3100/eye.
@@miszced thank you so much!
Why would someone go for a lens requiring reading glasses? I always forget my readers going to a restaurant and can’t see the menu or the bill.
which lens did you get?
Dr. Wong, I had the PanOptix implant in both my eyes Aug. 2 Left eye and Aug. 16 Right eye, 7 plus months ago. I'm one of the those persons that is having problems. My far vision is really really bad and starburst/hallo's is also really bad. Blurred and shadows around letters. My right eye is the worst of the two. I have dry eye real bad I though. I Just went back to my Doctor and he did a complete exam and he sad my dry is not that bad??? And that I'm one of them that is not satisfy with my vision. So he want's to replace my right lens. I'm not sure the lens he said. But he said that I will not be able to see cost. But by leaving my left eye along that I would be able to read with it??? I'm not sure I want two difference lens in my eyes. He also said that my Starburst/hallo's would go away??? Because my right eye is the dominate eye???
"Vivity and Panoptix"?? Forget it, choose SYNERGY! I did on 3/22/2023, and am thrilled!
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.
Thank you so much....This is the dilemma I'm facing. was wondering why the vivity was so much more expensive. I know the optometrist gets a kickback because the surgeons office wanted to know who refereed me so they could THANK him. That's just wrong.
@@VgVi13 that’s a ridiculous comment. You are making claims of a kickback simply because the office wanted to thank the person who referred you? Wow.
@@VgVi13 I understand your feelings about kick backs. But due to the kick backs, gifts and spiffs from Pharmacitacal Companies years ago, I believe such businesses practices are now illegal. The mark up is pretty significant on these lenses. Referral fees between two offices "might" be legal with restrictions.
@@mrunderhood Thank you mrunderhood.
I know in the real estate industry, kickbacks/gifts were made illegal back around 2010 because it was so prevalent among vendors and I think it mostly stopped but not entirely.
The surgeons office asked not just once...who referred you so we can thank them...sounds like they plan a gift of some sort but I'll hope not. Either way I did schedule for a second opinion here in a couple of weeks and may still use the first depending on what the second opinion comes back as. Thanks again.
Will there eventually be a perfect lens if we wait long enough?
I live in another part of the world 🌏, soon inshaAllah visit you for my cataract surgery
Dr. Wong, I’m 59 years old, very nearsighted and currently wearing progressive eyeglasses (-10 to -10.5 for distance, don’t know my reading add). I’m scheduled to have cataract surgery on my right eye next week, my left eye in two weeks. I need to decide (by Monday the latest) whether to choose Panoptix or Vivity IOL’s.
I’m aware of the trade offs but perhaps you could clarify a few things further.
1) I’ve always experienced glare/halos around headlights, streetlights (as far as I know) as a result of being so very nearsighted, strong corrective lenses, larger pupils…. IF I choose the Panoptix lens, should I expect the halo and glare to be comparable or worse (or perhaps less)? In the past few years (probably as a result of cataract formation in my right eye) the glare from oncoming cars on a two lane road is blinding. Would glare from Panoptix lens be comparable to that, worse, or better?
2) is the clarity at all points within Panoptix’s range that noticeably different (lower) than it would be at all points within Vivity’s range?
Thank you in advance!
Great questions. Unfortunately in order to answer your questions, I would need to have examined your eyes.
Really enjoyed your post! Can you tell me which lens you decided to go with and was your experience a positive one? I’m deciding on the vividity lens too.
Dr. Wong, Another excellent and sufficiently detailed piece on IOL options. Very helpful.
I had Vivity IOL in one eye w/underlying membrane condition. Distance improved immediately then degraded approx. 20%. Computer vision adequate. Near is fuzzy. Am now considering Panoptix to balance my needs and achieve some improved near vision. This 2nd eye has no underlying conditions. Thoughts? BTW, I wanted to consult you directly via office visit but, I am on the east coast.
Thank you for your continued in-depth and tremendous analysis!!.. I had Panoptics placed in my right eye almost a year ago, But It Is driving me Crazy and depressed! Like you I had more excellent long distance in my left, and loss of reading in both. Like your patient that had his Panoptics replaced with Symfony, he said it felt like something was in his eye, with that lateral crescent over-shadow, slight blurriness at most ranges of vision, and my two eyes having difficulty working together creating balance and reading issues; Thank you again, it ways so eye opening and that I wasn't crazy! In the past, I had Lasix monovision surgery and had No problem accommodating both eyes, but with the trifocal Panoptics, my brain just can't accept. Finally, my doctor concurred to perform a lens replacement. Your patient went with Symfony, the latest of the times.. What do you think of the new Symfony II compared to the Vivity, which I'm leaning towards? Telling all my cataract-aged patients about your videos!
Am wondering the same..How Vivity stacks up against the latest Symfony Blue lens?
Hello Dr. Wong. I love your educational videos, thank you! I had a Clareon Panoptix lens placed in my right eye last Monday November 7th, 2022. I was scheduled for the left eye tomorrow, but I postponed it due to the extreme halo effects I am seeing driving at night. Unfortunately, my right eye is my dominant eye. For now, the effects aren't as bad if I have my left eye open, but if the effect was in both eyes, I wouldn't feel safe driving at night. Short of replacing this lens, would a Vivity lens or a monofocal distance lens in the left eye work (hopefully the distance lens would also help cancel out the halo effects). I know you have stated many times that Panoptix and Vivity seem to work well together, my question is if they do well with the Panoptix in the dominant eye, rather than the non dominant. I used monovision contacts for a short while in my 40's, only with reading in my left eye, and tolerated them well (now 72). Thank you for your videos and feedback!
Steve
Read your comment with great interest.
Was your extreme halo effect making driving dangerous? Were the halos obstructing your vision so that you couldn’t see ahead clearly?
Thanks
Colin
@@colinalton Hi Colin. My Halo effect was more like small rectangular lights as if on invisible wheel spokes outward from the light source (almost like a snowflake look). These are more distracting than dangerous I think. Although it makes me uncomfortable trying to drive at night a winding dark roads the don't have a center median. I am very close to deciding to keep the Panoptix lens in my right eye, and add a Vivity in the left. The good news is that as cars or light sources get closer the effect dimishes.
Since getting the Panoptix my vision up close to distance has been excellent. That fact, and the added risk of an explant is why I imagine I'll keep it. Having great vision at 16 inches feels like a superpower I'd like to keep, and I seldom need to drive at night.Hope this helps. Good luck!
Vivity is a a fake! I had one installed in left eye with intent to have distance focus and midrange. I ended up with focus in the 2 to 4 ft distance. Anything beyond 4ft is out of focus. I do lots of outdoor activities and had expected to not have to wear glasses for distance. The only good result is the fogginess gone. Doctor has been unwilling to advise if they mis-measured the eye, or mis-manufactured the lens, or inserted the wrong lens. Doctor now advises nothing else can be done. Not possible to remove and replace the Vivity lens.
Can you find another surgeon? I saw a neurosurgeon for years & I don't think he was ever very honest w/me. Last time I saw him, he wanted to open my neck back up & remove all the plates & screws, but my internist said H*LL to the naw! Sent me to a different specialist who said he didn't know what my spine doc was talking about. THAT should scare people. Let someone new look at it?? Good luck! Update us!💚
I had the PanOptix in my left eye in June 2021 and was supposed to have the right eye done a month later, however it is a year later and I have not had the other eye done. I am very nearsighted was 8.0 in left eye about the same in right eye. I am not unhappy with the Pan Optic but could not commit to getting Pan Optic in my other eye because of the glare and halos with night driving. One thing that I don’t think is
Discussed enough is there is a lack of contrast and if you have good light my vision is awesome with the Pan Optic. However, when driving at night combining the glare and halos from lights or trying to see curbs or on roads that are not well lit becomes challenging to see clearly. Also harder to see dark vehicles or a flatbed trailers at night if you are changing lanes and they are beside your vehicle. It is hard to explain the loss of contrast but when you notice it in certain situations and the lack of light affects the contrast and ability to see clearly. Also, there is a glare of light even in the daytime if you go outside or a brightly lit room or store and the glare makes it hard to see. Wearing sunglasses has not been the best solution for me because you need more light with the Pan Optic to see really great the sunglasses dim the contrast more. I have found sunglasses that have just a light tint to help with the glare seem to work well .
In saying this it is really a miracle someone with my nearsightedness could have the correction that I needed to be able to see far & near.
I do wear readers to see up-close depending on the light. After listening to this I think I have made a decision to go with the Vivity Lens in the right eye and just wear readers as I do now. I would rather wear readers and have better contrast and less glare. This is exactly the kind of comparison I needed to make a decision.
TY
Thanks much for the very informative summary on your experience with Panoptix IOL’s. I don’t want the halo/glare problem and have settled on Vivity implants. Surgery for the first eye coming up in 2 weeks. Good luck with the Vivity option in your right eye!
I have a significant imbalance in vision between my right and left eye. My thought process was to get the PanOptic in one eye and the Vivity in the other eye. Getting the benefits of both IOLs. What was the outcome of your second surgery and are you satisfied with the result? Thank you in advance for sharing.
I too am curious how you made out with the Vivity compare to the Panoptic. I got the Vivity implant in my right eye 2-weeks ago. Distance vision is great, mid good, near is “functional” which means I can read emails on my cell, tell the time on my watch, etc. Any fine print or extended reading requires readers. I can drive, fly a plane, fish, watch TV and work on my computer without glasses which is a huge improvement from what I had before. I am picking up mild halos from single point lights at night, but nothing that is an issue. It is amazing how much brighter the world looks with the cataract out!
I have postponed the left eye (was supposed to have it done yesterday) because I want my right eye to heal completely before proceeding. My left eye is 20/30 with a mild cataract. I am toying with possibility of a Panoptic IOL in my left eye…or Vivity biased towards close/mid vision. I would like to improve the near vision acuity if possible…definitely do not want any less than what I have now. I am hoping that near vision in right eye with the Vivity continues to improve over the next few weeks.
@@TheAirplaneDriver
Hi I have not had the right eye done yet. Waiting until late Fall to make that decision. From what I have read you will have better near vision with the Pan Optic and when I was in for the year check up I was told by the tech that Pan Optix had changed their material since I had my implant and it has reduced the glare. I looked online to see if I could find out any info about that but I didn’t find anything. The doctor is the one that recommended that I try the Vivity and I didn’t ask about the change in the Pan Optic lens.
@@jeneeaskins7079 Hi, thank you for the update! I am now scheduled for my second eye in August (originally this past week) but I am not to anxious to just jump into it until I understand the near vision implications better. Sounds like we are in similar situations. Best of luck to you!
I have Vivity lens in both eye, not happy with mid to distance range, unfocus. Night time is the worst. Its been going on for 10 months
Of course this video was really helpful. Thanks very much Doctor and may the good Lord bless you and your family.
Anybody play tennis and have this done? How was night time service return?
I had a Vivity lens implanted 26 days ago (R) along with the removal of scar tissue (ERM). I have two noticeable arcs in my right eye which result in blind spots. My current vision is neither clear nor sharp compared to my vision with prescription progressive eyeglasses and I also had toriq adjustments. This video provided more details than anything else I could find online and was reassuring to me about the Vivity lens properties; however, I am hoping my clarity of vision improves. I don’t mind that I will need reading glasses; I have worn them most of my life. When my vision stabilizes, I will need an IOL in the left eye.
hi how's your vision now with the Vivity? My doc screwed up my diagnosis of a cataract and I opted for Panoptic without being told I had a macular pucker in my right eye. Thereafter, I did a vitrectomy which resulted in a canal blockage leading to glaucoma and had to go in again after 4 days to clear it. After all that I waited a settling in period of 3.5months and 3 days back during my checkup asked the doctor to graciously carry out an explantation as the undesirable piercing glares, double visions, halos, inability to make out near reading and definitely out of focus far vision including the bulging lines and shapes were driving me insane!!! It's 2 days now after the explantation and am again waiting patiently to getting back in focus. MAKE SURE YOUR DOCTOR DOES AN OCT TO check your retinal health before jumping into any decision on procedure.
So one strategy is mono-vision where one lens is set near and other lens is set far. Do you ever mix the mono-vision and the multifocals, where one eye is set to a near mono-vision and the other uses a multi-focal?
Io ho una panoptix nell’occhio destro e mi metteranno una vivity in quello sinistro, qualcun altro l’ha già fatto?
I was planning to get Vivity lens implanted in July of 2021. When I was examined I was told that the Vivity implant was not available for my prescription. My contact prescription is -7.5 diopters in both eyes . My only choice was to go with the PanOptix lens which was available in my prescription. I declined the surgery and decided to wait. Is the Vivity lens now available in stronger prescriptions or are there other options yet? It was fairly new at the time.
I have the PanOptic lenses and was just wondering if it was possible to have a Vivity in one eye and PanOptic in the other? I suspect the brain would adapt to choose which eye to see through for best vision.
Patients with a vivity in one eye and panoptix in the other do well as long as we inform them before surgery of what to expect from each lens.
What will they expect after surgery?
Thank you Dr. Wong for this excellent comparison. Your video provided the exact side-by-side I didn't know I was seeking. Hoping to get the surgery in 2024. I have pronounced halos at night presently; the PanOptix halos will be less than how I see now but leaning toward Vivity. From the comments I did not know there is an option a different lens in each eye.
I plan on getting my other done also in 2024. My Panoptix in my left eye is fantastic for reading but not great for mid and terrible for distance. I'm hoping I can adjust if I get the Vivity in my right eye. But also worried it might be like mini-monovision.
Thank you for this very informative video Doc. I havve cataract in my Right eye. I’m just 35 years old but sadly i diagnosed that I have this .I can’t believe becouse I’m so young for this kind of eye deseas 😢.I really don’t want to remove my original eye Lens because my Doctor said to that their is no perfect lens.But thank you for explanation it helps a lot how to choose nice lens.
Hi Dr. Wong- I have watched several of your videos, thank you so much for sharing your expertise! I am a 64YO female and live in Reno, NV. My Parents both had Cataract surgery in their 60s, so congenital? IDK. Lens technology has definitely gotten so much better since my Parents had theirs! What I do know is I have 2 types of Cataracts - Nuclear Sclerotic and Cortical. My right eye is worse, can barely see out of it. Surgery is scheduled 4/22/24. Surgery for the left (my dominant eye) is scheduled a week later, but IDK, it isn't that bad so thinking I'd like to wait a bit longer after the right eye. My question is - doing a mix of lenses. Panoptix (trifocal) on my non-dominant right eye, Vivity or Symfony on my left (dominant) eye? I do feel our brain compensates. I'm looking at $3500 for the Panoptix lens, I don't mind paying that for the left eye too, but is it necessary for both eyes to have that lense? Will keep doing research but would love your thoughts.
HOW ARE YOU!? I am in the same boat & my R eye is in 5 days! Except my doc is doing Vivity in R, but Idr what she said about the L. Maybe she said, "We'll see?" I don't want to be stuck w/readers b/c glasses cause me horrendous headaches on top of horrendous! But I sew & read & text, so I've seen something called "synergy" where some get a PanOptix in the other eye. Is my doc doing this backwards? Surely not. I've had strange things happen, tho, & this is so expensive to go through more disasters. Now I'm catastrophizing! 🤣But REALLY, what happened & how's it going?! 🤗💚🐈⬛
@@hollyharris1874 Hi Holly- Thanks for your message! I am now 4+ months post-op. I did get the Panoptix lens in my right eye. Post-op I had a lot of peripheral flickering and a halo-ing (word?) with any bright lights at night. Both my Opthalmologist and my Optometrist said it would subside but I was not really too excited about having these after effects in both eyes, so I cancelled the surgery for my left eye. And truly my left eye has very little cataract. Halo effect at night with lights hasn't gone away. I don't want to have surgery on my left eye until it gets worse and actually don't mind wearing readers. My mid and distance vision has definitely improved! If and when I have my left eye done I am going to think long and hard about whether I put Panoptix in that eye too.... probably not.
I am in South Florida and am approaching a decision time for selecting my replacement lens so I REALLY APPRECIATE your video and the honest comparison of both these lens. All the best....
Hello i too live s.e FL not sure what clinic to choose.
I have a feeling your interested in Rand INSTITUTE
Which lens did you end up choosing? How do you feel about the results?
This was such a fantastic detailed analysis, I was so pleased to be able to show it to my husband so that he could decide between the two options, which he did, based on your video. Thank you, thank you, thank you. I see that hundreds of others are also thankful for your video, so I'll just add my voice to the choir.
Is it possible to achieve Vivity focal range with a basic lens used as monovision (right - distance; left - near)?" Do you ever use basic lens or only premium?
If the lens you pick do not work. Can you change to a different lens
Yes, if your surgeon thinks you're a good candidate - Dr Wong mentions this in a post from ~3 months ago so you should be able to find his answer easily. 👇Right below in fact. Good luck!
I am having vivify lenses put in tomorrow. Thank you for sharing this . Very helpful
How is your vision now , there’s any blurry vision ? can you see your phone clearly? And any close up ?
Are there glasses or some other device to help the haloing with either lens?
Not that I am aware of.