Does LASIK wear-off? The PanOptix lens for patients with prior LASIK and Laser Lens Replacement.
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- Опубликовано: 3 окт 2024
- Does LASIK really wear-off? Or is there another reason why patients with prior LASIK eventually need glasses again as they grow older?
1:19 How the eye works. How the eye focuses using the cornea and the lens.
1:35 How the lens changes over our lifetimes.
2:15 Does presbyopia happen to everyone? Do cataracts occur in everyone?
2:35 Why does vision after LASIK or PRK surgery gradually deteriorate? How long does lasik last?
2:57 How do we correct vision in patients who are 45 and older who had prior LASIK or PRK surgery?
3:21 How does laser lens replacement (LLR) work?
3:54 My retrospective analysis using the panoptix lens from 9/30/19 to 7/15/2020
4:25 Two subgroups of patients receiving the panoptix lens - post LASIK patients and patients having laser lens replacement on an elective basis
5:36 Realistic expectations with the panoptix lens
6:45 Refractive accuracy using the panoptix lens. How accurate are we at bringing a patient to their ideal focus using the panoptix lens?
8:22 Why are we unable to provide 100% refractive accuracy?
8:45 How do we fine-tune vision after surgery with the panoptix?
9:35 What is the accuracy using the panoptix in patients with prior LASIK or PRK surgery?
10:20 If you are over the age of 45, what is the best way to correct my vision surgically?
10:50 Top 4 reasons why Laser lens replacement with the panoptix lens is a better option than LASIK surgery.
12:05 Do patients with prior LASIK like their vision with the Panoptix lens?
12:12 Do patients who have Laser lens replacement like their vision with the Panoptix lens like their vision?
12:52 Are there any downsides to the panoptix lens?
14:12 The cosmetic reflection associated with the panoptix
15:12 Will newer and most likely better lenses become FDA approved and commercially available in the US?
Financial disclosure: I have no financial interest in any of the products discussed in this video.
Lens replacement is the best. My dad had lens replacement 8 years ago, and he has the eyesight of an eagle.
what is his age now and then ?
@@Q_QQ_Q my father also did it and he was 32 at the time now he's 51 and he still has those sharp eyes
@@Etheldreda20 how was the surgery ? what about close eyesight that comes with age ?
@@Q_QQ_Q his vision is top notch. He exercises alot so he hasn't aged very much and his eyes hasn't changed
@@Etheldreda20 but what about vision deterioration with age ?
This was so informative. Thank you for taking the time to make this video.
Your explanation on LASIKs longevity was really appreciated as I will likely need a post op touch up.
I’m glad you also took the time to explain the cosmetic reflection of the PanOptix. I had a Viivty lens implant and family have told me about it, which doesn’t bother me at all but good to know as my doctor didn’t go over that.
for anyone going through cataract surgery, I would advise to be careful and check the fees for potential post op care (consultations & LASIK) as the clinic i’m seeing don’t cover this in the surgery fee.
Very informative information!!! I had LASIK in Feb 2017!!! And I've started noticing a bit off on my vision...of course I'm 55 now and I understand about the aging process!!! I'll be talking to my optometrist Dr to see if I might be a good candidate for this lens!!! Thank youuuuuu!!! 🧐😊🧐😊🧐😊
what lasik surgery you had and you have cataract??
My experience is that he's greatly underselling tbe Panoptyx lenses. I'm 69 and got the lens implants 3 months ago. I see so well now that I test at 20/16 for near vision which is amazing. I haven't seen this well since I was 10 years old. With a bright enough light I can see almost anything up close! I do show as 20/25 to 20/30 at distance so I may get additional Lasik to correct it.
I’ve had the panoptix for about 3 months and they are great. I know I’m going to need a tweak to optimize my vision, however, the lenses are great. I don’t even mind the halo affect at night time driving as a seems to diffuse the glare. Just thought I’d let you know that I think your video’s have been great and very informative.
Why the tweak? Still see a little blurry far away? Astigmatism?
Can halo be fixed? Thanks
I had someone recently tel me that their lasik "wore off". Hopefully she gets a doctor as good as you.
I had lasik 27 years ago, resulting in 20/15 vision. I can still read perfectly fine as a matter of fact some would consider what I can read as micro print. My problem became that I just got glasses so I can clear up my now blurry far vision. The Dr. told me its barely a writable prescription. So I still recommend lasik and am considering getting it done one more time.
U can get it redone?
@@kittycatgirl1139 yea since it takes time to your eyes to heal from Lasik and he did it 27 years ago
It's been over 10 years since I've had Lasik. My far vision has also degraded quite a bit blurry while watching tv. One thing I'm unsure on is now I can put on my glasses that I had prior to Lasik and get rid of the blurriness and colors seem much brighter. Anyone else have similar problems?
@@EricB.1 that's normal
@@kittycatgirl1139 you sure can
I am 50 yrs old I had lasik on both eyes 22 yrs ago. I need reading glasses now and I need glasses to drive at night. I also have dry eyes. Just want to share my experience with lasik. If I have to do it again I wouldn’t. I would keep wearing glasses and contacts. Right after my lasik procedure and first years my eyes were extremely dry it was a horrible feeling.
Oh yea it happen to elderly people because like my mother got older and now she has like white hairs and it’s just like old people it get blurry like she call it the 老花 but she doesn’t want surgery again so she’s keeping her glasses 👓
The PanOptix is my favorite multifocal lens as well. Setting patient expectations is definitely the key to success!
trash
As i have understood from research the Panoptix is trifocal, not multifocal I am confused again since you are an MD could you confirm
please.
@@lisaedmonds6294 Thank you for your question. The answer is that the Panoptix lens is both a multifocal and a trifocal lens!! It is a type of multifocal IOL, but generally provides a broader range of vision without glasses than previous multifocals. Hope that answers your question.
Also, is the new SmartSurface laser technology better than LASIK? Thanks.
Yes, certainly can cam get myopia again, after Lasik.
Continued close work causes it again.
I had LASIK when I was 20 Now I am 38 and my vision is almost as bad as it was before LASIK. Honestly, not worth it.
I had LASIK last Friday and very happy now , I have 20/10 vision. I know that there is a possibility to wear off as we age and it's fine to me, nothing is permanent on earth. But whether it's will just going to be 10-20 years, it's still very worth it for me. I am so happy!
Congratulations. I hope to have surgery myself before the year 2021 ends
I want to had lasik surgery too but I'm too young and Can't afford my grade to my eye is almost 500
I want to had lasik surgery too but I'm too young and Can't afford my grade to my eye is almost 500
mind is next Thursday and I am so scared after reading people saying not to do it and it ruined their life.
@@Davidxll why they saying it would ruin ur eye??
you did an amazing explanation about everything we need to know about it.......Thanks I really enjoy it...
Dr Wong - are you familiar with the new Vivity IOL? Love to see a video on that. Also, would it be possible to do two different lenses in your eyes? For example the PanOptix in one eye and the Vivity in the other? From my reading, it appears to be much less susceptible to halo and light degredadation, albeit with less near correction. Thanks!
I’m no doctor, but I have the PanOptix and Vivity and it’s been perfect!
@@Delilah_v2.0 do you see halos at night with the PanOptix eye? Is the Vivity eye better at night?
@@androidchannel309 no real halos with either. My PanOptix is more for near vision, the Vivity is wonderful for distance. The lens is like brand new shiny LASIK. I’m really thrilled that I chose this combination, no reading glasses and perfect distance.
Girl, once he said after surgery I still may need glasses, you lost me lol. It’s not so much that glasses bother me. It’s that I have to rely on an external device to see. I just want to be able to see clearly on my own. :(
My Dr actually sold me on Panoptic actually said “ u won’t need glasses” well I was shocked at the price we r retired so limited income but once you hear no more glasses! I pushed the financial obstacle aside. Now I have panoptic in my left eye went in for my day after check up the same Dr said u might need readers…… I was absolutely crushed. I feel I made a lifelong expense decision too hastily wo more information
Canceled my other eye surgery going to a different Dr for another opinion bc I lost all faith in the Dr who sold me the “ no glasses” lens.
In my case I never had an eye surgery before but looking forward to do lasik but when I viewed this video something tells me that I should go for a LLR instead. by the way, I'm in my 30's now and looking forward for longer best results here in the Philippines.
Hey! Just saw your comment. I'm in the PH too, 39 yrs old, and never had any eye surgery before. Been wearing glasses for my 400+/- and 375+/- eye grades since HS and planning to have LASIK as well. Have you gone through an eye surgery already? Have you heard about the Shinigawa clinic?
THANK YOU… I can’t express how much I appreciate this video. I had Lasik done in 2004 (18 years ago).
The day I had Lasik, I experienced horrific pain. I went to the top rated doctor in Dallas, TX (at the time). I knew many people who went to him too with zero problems. I also saw 10+ people get the procedure done the same day as me and they were completely fine.
For some reason, my eyes were burning and watering uncontrollably for 24’ish hours. They said I just had an allergic reaction, which seemed odd, but 2-3 days later I was fine.
I was VERY worried for the first 24 hours something went wrong with my surgery, but they assured me everything was fine and some people just have that reaction.
After I recovered, my vision was AMAZING. I felt like I had super hero vision. I LOVED IT.
Over time I have noticed my vision getting worse. I just turned 44 and today for the first time I tried reading glasses and was AMAZED how much they helped. My eyes have been bothering me for some time, but I have procrastinated looking into glasses.
I don’t know if I want to jump into another procedure, so I really appreciate the honest info presented here. Based on this info, I don’t want to do anything YET, but I’m sure I will in the future.
For now, I have to figure out how to incorporate some grandpa glasses into my life, lol. I hate the way they look, I don’t want to carry them around, but putting on a relatives reading glasses today was such a life changing difference, I know I need them.
If you can let me know about a permanent solution for this new grey hair nightmare that has also started, that would be great! It isn’t coming in grey… it’s white! Everywhere 😂🤦🏻♂️
I’m not ready to look like Santa Claus. 🎅🏻🎅🏻🎅🏻
Thank you for your video. If lens replacement is so good why can’t people in their 20’s have this surgery? And what happens if you are between 40-45? What type of surgery should you go for?
13:40
Anybody know what it is about the design of the implant that causes the halos around lights at night?
It is true! … My 20/20 results only lasted 7 years
Me too.
I've had cataract surgery- and retinal re-attachment and the good eye is
, he said, a very little Fractional bit off my prescription and wants
to touch it up with LASIK-- my retinalr repair guy said DO NOT allow him
to do that - even if it is FREE-- what gives??? Any ideas?? maybe
something wrong? My GOOD eye- the one that only had a minor cataract-
has no other issues.. and that is the one with the Panoptix lens- and
needs a little help-- so he said LASIK-- My surgeion that did the
retinal reattachment said NO. (he's a PIONEER- in some of the surgery
techniques.. my retinal detachment was 5 year old and no other surgerion
would touch it- but I'm beginning to see through it first time in
YeARS.. getting slightly better evey day).. I tend to believe HIM-- but
he won't say WHY he told me NOT to allow my other doc to do the
lasik!!!! Any ideas??
I had PRK laser eye surgery over 15 years ago and now I need a enhancment surgery. My eyes are not terrible but I can tell that my astigmatism is back and my vision is not crystal clear anymore.
where do you practice Dr. Wong. I would love to schedule a consultation with you. I'd Lasik 6 years ago and my eyes sight are changing rapidly. I can't no longer reading small print on television less than 10 feet away. I can't even read a small prints on the medicine bottle any more. You're right about the Lasik, I don't have the focus and sharpness of an objects in close up. I have the mid and far range. I'd love to have your inputs on my eyes.
I had LASIK when I was 36, I'm 52 now and just had recent eye exam, need glasses to see better, especially driving. Hate wearing glasses and don't think qualify for 2nd Lasik due to thin corneas. Had no idea about Implants just for clear vision, I thought implants were only for cataracts. My doctor offers PanOptix, should I get an evaluation?
Did you lose your vision you got prior to first surgery?
@@jshaka3769 no
@@jcreed09 so why you need another procedure done!
@@jshaka3769 😂😂
Thank you doctor your video are always very good and informative
Why not all eye doctor fix their eyes by lasik surgery smthing is fishy, maybe it is not very safe
I had lasik and had good vision for about 2 years. Then I had to get glasses again. For everything. Close and far. totally blurred.
Thank you Dr. Wong for the helpful information. I am 62 and chose the Pan Optics Tri focal lens for my cataract lens exchange. The distance, medium and most of the close range vision was inferior to my non-operative eye with regard to focus. That lens has been exchanged for a Vivity lens with the same results: poor focus with no improvement over weeks. I am scheduled for the 2nd eye procedure in about 3 weeks. I don't want to keep exchanging IOL's for something new. I have never had a LASIK procedure. Can I "dial-in" the focus with that after these Vivity lenses have "settled-in"?
Thank you for any help.
Andy
This is a diffractive lens ? Aspheric ? Hence inbuilt blur and loss of contrast sensitivity due to splitting the light so no night driving, disphotpia, haloes etc are intrinsic still to this lens.
To replace healthy lens with artificial ones is the same when you go to dentist to fix filling and being told that you need to extract the whole natural tooth and replace it with artificial one. Insane stuff
Thank you Dr, Informative video as always! If one used to have Lasik and then PRK touch up, can they still have a second touch up PRK enhancement if Lens exchange surgery didn't bring the perfect focus?
Absolutely.
Touch up? I'm sure the industry is only too pleased for such a term to be used. This is not a touch up. It is surgery and highly risky.
@@vicrichards6380 highly highly risky he’ll it’s risky the first time. 2nd time your really gambling with the eye gods.
@@jshaka3769 lol
March 3, 2022 I got LASIK PRK eye surgery at 46yrs old and it’s great. I’ll wait til I’m 60yrs old to get PanOptix Lens Implant Surgery by then technology should be a lot better 2036 or 2040.
Thank you
Doctor, your channel is very educational. You've inspired me to be spectical independent I have to have catarat surgery for my rt eye soon. Right now I have to choose between LAL and trifocal iol (Acreva trinova toric or Pan optix toric.) I can afford for both and have access to both. I never had prior surgery to my eyes and they are healthy(WFL). My concern is the vision quality of both lenses. What are the pros and cons?
In the US, the LAL is a monofocal (fixed-focus) lens. I'd recommend a lens that delivers a variable focus. The panoptix is excellent. I have no experience with the trinova lens. Sounds like you are outside the US.
@@ShannonWongMD Much appreciated it doctor for responding to my question. Yes, I'm outside the US at the moment but I live in New York. If I can get the LAL with the EDOF + monovision outside the US, would it be a better option than the Pan Optix toric IOL? The LAL is free from positive and negative dysphotopsia with a quite predictable outcome. If I could get to 20/20 with both eyes combined, would the vision quality as good as the Pan Optix Toric with a variable focus?
After watching some more of your vdos, I think I got it. Thank you !
Your videos are absolutely wonderful - Thank you very much - I have Panoptix lens and required an enhancement. I went from a Plus 8 with astigmatism to 20/20
I did my LASIK 11 years ago... I was 20 years old, but now Im turning 32 and I feel like the lasik has worn off. Im so bothered and I wanna do another lasik surgery again 😭😭😭
Your LASIK hasn't actually "worn off" eyes were still changing; eye prescription begin to stabilize in mid-20s, Optometrist and Ophthalmologist recommend LASIK at 26ish at the earliest, you should see your Doc and get checked for an enhancement, at 32 you should be fine. I had LASIK done at 36.
@@jcreed09 I’m thinking about doing it and I’m 19, what do u think?
@@amirs3739 My own experience is wait till you are older and prescription is stable- check with your eye specialist BUT do your own research as well, consensus is that your eyes are still changing at 19 and prescription stabilize in mid to late 20s. You want your LASIK to last and not have another "enhancement" in just a few years due to eyes still changing. And also you have to think about cost- good LASIK specialist is expensive, you don't want to do it now at 19 then having to do another in 5 years or so costing you more money.
@@amirs3739 I had mine done when I was 20 in 2001 I’m turning 40 this year and have to have 1 eye re done.
Thank you Dr. for another very informative video. I haven't heard much about chromatic aberation issue and contrast sentivitivy issue with the Pantoptix lens. Would you mind to provide some information about that? How strong are those negative effects? Are there any pictures visualising the effects? I know I can withstand halo and glare but I'm not sure if I can tolerate chromatic aberation or contrast sensitivity loss. I'm a programmer so I spend a lot of time in front of monitor. Also no problem for me to use glasses for mid or near sight in indoor but in case of sports glasses are a bit problematic.
I'm going for cataract surgery in 4 days. I'm so scared. I don't want to go but I'm told if I don't I will end up going blind. So, guess I gotta let the doc do it. Just wish I was more confident. I'm so scared.
Had lasik 10 years ago just had prk 5 days ago I’m 33 and this recovery sucks
Thank you!
I am 40 and had LASIK 12 years ago…I seem to be at a weird age not sure what to do??
I had SMILE 3 years ago and it has destroyed my life. I have poor vision even with glasses. I have constant pain, inability to open my eyes beyond 20%, cannot work, drive or be outdoors. Please do not have ANY ELECTIVE EYE SURGERY until the industry is regulated and commercially motivated surgeons. I battle with suicide every day. STAY AWAY FROM THESE SURGEONS.
@@Mary-sg8jz I am glad to hear it. I foolishly chose to dismiss the negative press believing (the surgeons) that it was diminishingly uncommon. But learnt the truth hard way. Tell her to love glasses as they give her the best possible vision and preserve her healthy eyes.
I had mine 12 years back. No problems with vision.
My lasik was done 25 years ago… and it’s back to where it was back then.
Your vision is back to where it was before you got LASIK?
i am having early signs of glaucoma at 16 years old how can i stop my desease from getting worse? google says my eye pressure should be lowered and can i have a good explanation for this doc?
go to the doctor before it's too late
Thank you for this information. I had cataract and the doctor replaced my lens. After about 4 years I went back and he did a laser surgery to clean the lens as it started to show some signs of cloud / cataract. Now it's been a little over 2 years, I started to feel a blurry vision again, do you think I should go back for laser treatment or change my lens? Many thanks for your reply in advance.
omg why is that happening ? I heard once you get the surgery that should be it.
@@lisaedmonds6294 after I had lens change due to cataract. I started to see floaters. It’s annoying cause they seem like tiny mosquitoes flying around me 🙁🙁
Dang i really fear this should i do it?
I couldn't do LASIK so I had PRK, I'm on my 3rd touch up on top of a corneal transplant waiting on the 4th. I do have Keratoconus tho.
Dr. - have one question... do you have the Panoptix lens in your eyes?
I got it almost 20 years ago and i saw 20/15. But lately i think its wearing off a bit.
Is this procedure available in the U.K?
20/20 effort for the video , also the reflexion other ppl see looks cool AF
I have had cataract surgery with the standard lens, I was told because I had prior lasik surgery it would not work to have a multifocal lens. My vision is not even corrected to 20/20. Very disappointed. Would I be a candidate for the Panotic lens for better vision?
Your Dr. stinks! I'm pretty sure switching lenses with replacement surgery has much higher risk than a first surgery because of scar tissue...it is a last resort. But you should be able to fix the crappy outcome with Lasik....you will always need reading glasses though. Good luck.
Thanks for sharing this info. I currently have an eye issue where my left eye drifts/feels as if to lose focus on something and feels like its moving away from the target which I'm currently seeing. This only happens when I'm looking at stuff on my phone or computer. When I'm outdoors away from those gadgets, it does not happen as frequent (probably only when I'm zoning out due to energy level).
Does this sound like something Lasik or Panoptix could solve or could this be an illness? I can still see (although not totally 20/20 vision) if I command my left eye to move back in sync with the right eye, but when the left eye drifts that is when I get this issue.
I have that problem too
Thank you for a very informative video, Dr Wong. What if I am getting close to age 45 (42) with myopia and astigmatism (with no near vision issues). Would LLR be preferred?
Got lasik 2002. Definitely didn't last too long..not as bad as it was, but definitely wore off.
What was your prescription ? We’re you nearsighted? and how long did it last until you noticed it.
@@jshaka3769 I don't remember exactly but I couldn't see the big E. I noticed about ten years in. By the 14 year mark I HAD to wear glasses for driving. I can get by days without much but night time I'm around 20/100.
How old were you when you had lasik, if you don't mind me asking?
@@priscillastephens3978 21 or 22.... Too young.
I am 31. I have diabetes type 2, that has been uncontrolled on and off for the past 10 years. I am about to have bariatric surgery to help with my diabetes. I am considering the lasik that doesn't create a flap. I have really bad astigmatism im both eyes. What should i consider in my decision? Thanks
How much does it cost😔
LASIK surgery twice here at age 47. Could have had a third they said if needed. I had really thick corneas. Reading of vision 20/10 in both eyes. Age now 62 and still 20/10 in both eyes. I do wear a reading glasses in low lighted areas other wise best thing I’ve ever done. I so afraid if I have to have cataract surgery I’ll loose my quality vision I have now. But I think the PanOptix I would be happy with if measurements agree.
Friends, I'm in Tampa FL, is there a reputable place to do lens replacement surgery?
oh doctor! the bifocal look was funny!
I’m 36 and having Lasix done later this week. I’m hoping it hold up at least 20 years. I think that’s fair. Also, I don’t have bad vision necessarily.
How did it go?!
I had mine a year ago. I’m 40 now and my vision totally got worse. I dunno if I’d get a touch up.
@@shankhan547 hey it’s gone okay. It’s been 7 months and I think my vision is still good. I can still watch my anime with subtitles and see the screen and no issues with driving. I am also 8 months pregnant now (didn’t know I was pregnant when I had the Lasix done) so my vision might change.
@AshleyFromBrooklyn congrats on baby! How is it now that you've given birth?
@@AshleyFromBrooklyndid pregnancy effected your vision?
It is true.
Wear off is not the right word.
Thank you for your videos! Would you recommend a person in their mid 30s that was previously planning lasik get this surgery you are talking about instead panoptik lenses surgery? Is it like a 2 in one surgery preventing cataracts for later on while correcting eyesight? Thanks for your valuable information doctor!
IMHO the age for lens replacement is 40+. Below 40, LASIK is usually the best choice.
Thanks for asking this question, I'm in the same spot
Hi and thank you for this great video. What can you tell me about Rx Light Adjustable Lens? I'm 67 and had myopic LASIK 20 years ago. I'm also getting cataracts and have astigmatism. Thanks for any help you can offer.
We have chosen to not offer the light adjustable lens at this time as we believe that other lens technologies offer better range of vision (far/mid/near) than the light adjustable lens.
@@ShannonWongMD Thanks for the reply. I appreciate it.
After watching this I’m wondering if it’s even worth it for me to go through with my lasik surgery. I’m 36...
@Nathalie Mares I ended up going through with it. Honestly I’m pleased! You’re right though, the first 2-3 days were rough.
Can I make an appointment with you for the Lasik surgery? And do you offer SMILE option?
If and when better options become available in the future, would we be able to change out the Panoptix? How difficult is it to change an IOC?
It is possible to exchange one IOL for another if the capsular bag is intact.
@@ShannonWongMD Any reason why it wouldn't be intact? Does it degrade with time after you get Panoptix?
@@beeg2point0 If you've had a yag capsulotomy to the eye, then IOL exchange becomes more complex.
Have you seen the presentation by Prof.Venkatesh - Dr Suvira which discusses the trade offs of having a lens replacement to address shortsightedness, cataracts, etc? Even though the vision is corrected for distance, the overall vision quality is substantially degraded as the optical implant does a poor job at providing good contrast. If you want to watch it is titled "The MTF-(Modulation Transfer Function) and its role in assessing visual performance of premium IOLS."
im 39 years old and had 2 treatments of LASIK. over the last few years i have had residual prescriptions coming back through, i now need glasses all the time. But whats worse is my astigmatism. I feel this is my main concern as it fluctuates from day to day. being infront of a computer all day for work, some days i feel i can hardly work as the ghosting of the text is so bad. I am told i am too young to get lens replacement - i need to wait until im 45+ when my eyes natural ability to focus is worn out.
So lasik wore off quickly for you ? If you had to have it twice ?
@@blade5896 first one lasted 10years perfectly! but I got when I was 24. 2nd lasik I got I had nothing but troubles. I think mine is different as I’m far sighted. Now back to +2.50. as I’m too young for lens replacement (39) I have to wait 5+ years and HOPE technology has advanced
@@brendankeogh4669 would you recommend lasik ?
@@blade5896 100%. Not sure I would recommend to get it done twice.
Most of these IOL videos promote "premium" lens that all compromise distance vision. Getting any eye professional to talk about just best distance vision is very difficult. Getting them to talk about reality of age, is difficult, these is no info on how your astigmatism will change with time, or how that is or is not predictable. There is little info on monofocal corrective IOL's
This is another "eye surgeon" talking from their perspective that only applies to younger patients in this video.
Having cataract surgery next week, Panoptic Lens unfortunately not in my budget. Wondering if you could talk about your success with mono vision? Thank you, your videos are so informative!
If you have had good success with monovision in the past (if you had natural monovision or used contact lenses to successfully create monovision and you liked it) then you would likely like monovision with lens implants. On the other hand, if you have never tried monovision, then the overall success rate at adapting to monovision with cataract surgery is only 50%.
Shannon Wong, MD yes, have used contacts for mono vision in the past, thank you!
Can the panoptix lens surgery help with night blindness? I'm considering laser surgery already but looking into other aspects. I'm 53 years old now
I have a friend that know somebody else she had the LASIK surgery because she wanted her glasses replaced just for the sake of beauty well after the operation she was in severe pain and the doctors are working with her and she's only 32 years old she has kids and she never had so much pain in her life I went on the internet and I saw RUclips videos of how laser surgery has gone wrong and some people have even committed suicide because the pain is so bad but they don't tell you that do they
For 99.9% of patients, LASIK works extremely well if performed properly.. Nothing in life is 100%. There has been so much sensationalism about patients having LASIK or SMILE surgery then being depressed or committing suicide. The causes for these rare situations are multifactorial and thankfully rare....remember, NOTHING in life is 100%.
I am Sanusi mohammed please can I get your phone number
I had Lasik in 2014, but in 2021 I’m again short sighted. So definitely the results faded away
How old are you? And what issue you had prior LASIK?
So I am 48 and can't focus up close and my distance is still good. . What do you recommend? I have never had any eyes surgerys. And if I get lasik now how long will it last?
We recommend premium lens replacement instead of LASIK for vision correction after age 45.
I had prk surgery done 3 month I see street light tow much spread and mobile number spreen all light number spread and shadow plz help what I do
Excellent explanation. Thank you doc!
I had blurred vision and I had the surgery in 01SEP22 now it’s 01JAN23 and my vision is blurred some days when I wake up and this last half day. I will talk to my Optometrist. I just turned 40 so it’s a little frustrating. Most of the time it’s normal. Any ideas doctor?
Thank you Dr. Wong, I just had Lasik to remove Cataracts on both eyes, am in my early 60's and gotten panoptic toric lens..Its still scarry, and I think there will be a bit of payoff on closest vision, but I can drive thus far. Which I just startted . Now I did not know about the ylight reflection in certain lighting environments..just good to know ...Still this has come a long ways ...I am hopeful. 🙏🏽🙏🏽🙏🏽
Is anisometry (2.5D between the eyes, -3 and -5,5, no astigmatism) a contraindication to the implantation of a trifocal panoptix lens?
If an individual has anisometropia after receiving a panoptix lens and that anisometropia is bothersome and not correctable with glasses, then the two solutions would be: 1 wear a contact lens on the other eye to reduce the anisometropia or have surgery on the other eye to reduce the anisometropia.
Do you have a video on PRK/ASA? I don’t qualify for Lasik. My cornea is too thin.
Do any of the family members that you’ve done Lasik on have issues with bad dry eye or halos?
Also I wish I lived nearby to come see you. Do you recommend a doc/friend who is just as good in the Orlando, Florida area?
Avoid trifocal lens, accomodating IOL's are better
I'm 51, in the last few years my sight had gone downhill. I'm using reading glasses for reading medicine bottles and such, and my vision in general has gotten worse. I also have astigmatism, can it be helped?
Intraocular lenses become dislodged due to scarring of the lens capsule, trauma, lens ligament atrophy, and laser treatment for secondary cataracts. Secondary cataracts (opacity of the posterior capsule of the lens) sooner or later develop in almost all patients who have undergone lens removal.
I'm getting the Vivity refractive lenses instead of the fresnel/diffractive PanOptix lenses. I think Vivity was introduced around September 2020 after after this video was uploaded (July 2020 ). Scheduling surgery has been a pain, probably due to covid backlog of cataract patients.
Dr. Wong....Is the PanOptix lens a viable solution for RK eyes or is the Symfony lens a better option?
Our center has used the panoptix in only 1-2 eyes. These two eyes saw well. We have used the symfony in about 200 eyes successfully. We know that the symfony is very compatible with post-RK eyes. We have a much more limited experience with the panoptix in RK eyes.
Anyone knows? I wear glasses for distance -2 and for reading +1,5, Cylinder 0.75 so I have three problems at once. Lasik aye surgery can fix problem when I need distance and reading glasses in one surgery? Or Lasik surgery can fix only one problem so they fix long distance but reading problem will stay as it was or will be worse? Please let me know. Thanks
Love your content. I think I'll be getting the implant one day!
Many thanks Dr. Wong for this and your other excellent, informative videos.
I just turned 40 and i have been wearing glasses now for 12 1/2 years. Do you think i would be a good candidate for LASIK surgery?
Yes it feels like a watery feeling when you get your vision
I'm in the same boat...I'm 41 and still trying to decide.
@@priscillastephens3978 get it doesn’t matter what age
I had PRK on my left eye and custom view on my right. My right eye is still good. But my left eye has gone back some. I had PRK cause I had metal in my eye 3 weeks prior to my surgery. And the Dr suggested PRK. Is it possible to get lasik again on my left eye???
I just had a LASIK this Monday but my left eye feels sore and foreign object sensation and the doc told me today that I have little infection in my left eyes. My vision is 20/25, for both eyes but my left one seems worse than it, is that normal?
Your eye adjust to your prescription in 7 months. Your eyes are not getting weak. The are becoming muscle bound and you are losing range of motion. Do not wear contacts. Do not use minus prescription lenses to read. Use reading glasses with plus lenses to reduce eye stress.
I have keratoconus.. and I’m 57 years old… I have no cataracts… do u recommend panoptic lense replacement tcombined with PRK ?
How much it will cost
I have a somewhat severe myopic prescription, and I have a bit of a lazy eye because of it. I’m 22, my doctor said I should wait until about 24/25 for some prescription stability. Do you think the lasik will the correct the lazy eye as well? It’s because of of my eyes is weaker.
I had lasik. I read fine. Its my loss of distance vision that returned after about 4 years followin lasik. I would love not to need glasses.
Dr Wong, went in for cataract preliminary exam. Doctor said that because of my previous lasik surgery (15 years ago), he would not recommend the Panoptix multifocal - something about aberrations resulting from the lasik (even though he can't see them) combined with abberatins from the Panoptix would not give me the best vision. Can you please comment on this. Thank You
I place panoptix lenses in patient with prior lasik every day. Seems to work well.
Agreed , if your lasik corrections was more than +2.0 diopters. ?
Odds are you are asking for trouble to your cornea,= abrasions,
keratoconus.etc
is that right ?
dr.Wong