Thanks for watching ❤️ If I were to get cataract surgery today, I would elect for a toric lens to correct my astigmatism and pick lenses for monovision - one eye for driving/far distance, one eye for computer/intermediate distance. Let me know what lenses you would pick for yourself (or what you have already done)!
I'd probably make the same choice as you--except that I don't have astigmatism so I wouldn't need a toric lens. I've worn monovision contacts for about 15 years, and I love the acuity I get with them, so I'm likely a good candidate for monovision IOLs. All that said, I'm at least 5-10 years away from needing lens replacement surgery, so I'm always paying attention to new developments. I reserve the right to alter my decision based on technological advancements over the next several years. 🙂
I had cataract surgery earlier this month and had both lenses replaced with the multi-focal lenses. I am totally impressed with them. Both eyes are now 20/20, both near and far distance. I can hold a finger five inches from either eye and study the fingerprint. I can look at the cell phone tower five miles away and make out the trusses and cross bars of its construction, again with either eye or both together. I have not noticed any night time flaring, but I have noticed that during the daytime everything is much brighter and more colorful with the cataracts gone. I am 77 years old and have the eyes of a 15 year old and am delighted with the results of the surgery.
I'm almost 72. I had Alcon Vivity multifocal iol's put in one week apart (21 and 28 September.) I had been wearing progressive lensed glasses for many years. But finally the cataracts were affecting my ability to be corrected for distant vision. I am still working as an EMS helicopter pilot and was primarily concerned with finding a lens that would give me the greatest range of vision without glasses as well as being mostly glare free. In the US, the FAA requires a three month "adaptive period" after multifocal implants are put in place (not so for single focus.) So while I'm not flying for the next 85, I have to say that I am pleased with the Vivity lenses so far. I have no glare in the daytime and have noticed very little if any at night. My distant vision is extremely sharp in the right eye (done first,) and the left is catching up quickly. Intermediate vision is also very good in both eyes. I read my computer and most things on my cell phone. I'm hoping to see more improvement in the close vision. But I may end up having to carry a pair relatively low powered readers for small print or reading in darker environments. After wearing some form of glasses for over 35 years, it's quite liberating to only look for my sunglasses!
I just got the Vivity IQ last week. I just came back from my optometrist. 20/20 near and far. Agreed that with small print I need good lighting. Virtually no glare, that is why I chose this option. Lights are easily 1/4 the was seeing before with cataract halos. I have to concentrate for small print but can pretty much see everything.
similar experience with Vivity for me as well except the non-dominant eye was made slightly near sighted so I can read well and have excellent distance/intermediate as well. Great lens
A suggestion for those thinking about single vision lenses for distance vision. If you are used to seeing up close without glasses, get a pair of readers and wear them around for a week or two. You will realize what you won’t be able to see clearly without glasses after surgery. Things like your watch, fingernails, toes, etc. you may choose to go with near vision and use glasses for the far stuff as necessary.
Thanks for the tips. I’d rather wear glasses for driving, walking my dog, going to ballgames, etc., and not needing glasses for seeing to read, do computer work, watch Tv, etc. I don’t like wearing progressive lenses as I have to turn my head and not just my eyes. I did have LASIK Ask
I have worn glasses since I started kindergarten. About 4 years ago (late 50s), I was not able to fully correct my vision because of cataracts. I was on the computer all for work. My gave me the choices you outlined, and I went with the Toric because of my astigmatism. For the first time I can remember, I don't need to wear glasses all day. He warned me, and it's true, that I would need them for reading. I am ok with that as most of my peers are in the same boat. I was terrified of the surgery, I would literally be unable to work if the surgery failed miserably, but I was so amazed I could see that evening and it got better everyday. It was a great decision for me. The only issue is that without the "protective" older cataracts, I now religiously wear sunglasses because that darn sun is so bright (I live in Arizona).
@@jimselvy6157 Thank you so much. I am in a similar situation, got astigmatism and a cataract on one eye more. Scared, researching, learning, don’t like change, confused with all the types of lenses and what the vision would be like. Thank you for sharing with me.
I have extreme light sensitivity. I need to wear sunglasses and ski goggles while skiing and nighttime driving is too bright with the headlights. I am hoping cataract surgery reduces my light sensitivity. I guess I have the opposite problem you faced with cataracts.
Here’s my gripe about two out of two ophthalmologist offices I recently visited: they jump right to the premium lenses without THOROUGHLY discussing the neuro-challenges that those lenses entail. The cost difference between monofocal vs. premium lenses is large and the comparisons between the lenses is farmed out to auxiliary personnel likely because the doctor can do more exams, etc. while someone else makes the sales pitch. So, buyer beware…do your research BEFORE your visit so you can make a well informed choice. The savings can be monumental! Watch this candid video and be an informed consumer. P.S. a multifocal lens is actually a fresnel lens (much like lens used in lighthouses). A fresnel lens is actually many tiny lenses concentrated into concentric circles and these lens tend to intensify light and produce glare. Since, at least in my experience, seniors tend to avoid night driving anyway (even those without cataracts!) why would someone take the chance of making night vision WORSE? Part of the problem these days is the design of auto headlights by vehicle manufacturers. The headlights tend to be much brighter than older vehicles and the light beam is focused upward and straight ahead of the vehicle rather than down and to the right of the vehicle.
Agree 100% on research before deciding on type of lens. The initial explanation on type of lens available at my surgeon' s office was done by a non-medical personnel. In retrospect, I did not understand it perfectly, and did not realize I could have asked the surgeon for more clear explantion. I chose a monofocal plus lens. After reseach afterwards, I might have choosen VIvity.
You're are right about the glares from the on coming cars. Most of the new cars have LED lights, and they can blind you , it's like they are on full beam. The glare factor at nights should be a big consideration, especially for seniors.
@@robin7275the problem with LED lights is the glowing element itself is glaring. If you compare old headlights or halogen, you will see that the low beam bulb covers the filament. The high beam bulb does not. LEDs, typically there is a lens, but you can see the yellow of the actual LED. If I were President, I would push to mandate projector style lights in all vehicles. Aimed properly, they are excellent at reducing glare while providing excellent visibility. The low beams have a perfect line cutting off the light. That line is a mechanical shutter that moves out of the way when high beams are on.
I did monofocal lenses at intermediate distance. I have small astigmatism so I opted for glasses to sharpen distance but I see perfectly to read even the fine print and computer. My doctor definitely suggested the right choice based on lifestyle and age. She was patient and listened. I like yr channel you don't sound prideful and genuinely seem to care about ppl. Thank you.
@@MicheleLeeMD Hi Dr Lee, Hi Eleanor. Your monofocals are set for intermediate & distance, but not for near. Question : Why are you still able to read fine prints after lens exchange and without reading glasses?
@@Nipponho08 I don't know why I can read near but I can..even the smallest print...it's like a miracle..even the Dr was amazed.. I just need glasses to sharpen my distance for driving and the small astigmatism correction..
At 73, I could no longer drive safely at night due to the extreme glare from headlights and even traffic lights. So I went to a recommended ophthalmologist who, after a very careful exam, told me I had cataracts in both eyes, and discussed my options very thoroughly. He told me I was a candidate for the what he called PanOptix Lens by Alcon which would enable me to see distance, arm's length as well as close-up (reading), or I could go single vision near sighted (for reading) or distant vision for things like driving a car. The single vision lenses would be covered, for the most part, by my medicare provider while the PanOptix Lens would cost me $5k out of pocket (and, I was told, may have some small glare at night). I did not make my choice that day but went home to ponder as to which option to select. I had been wearing glasses for near-sighted since I was 15. After much thought I chose the long distance vision option for both eyes because, I argued, there are a lot of things to see between 2 to 3 feet away out to infinite distance. So I still have to wear reading and computer glasses, big deal. Thanks Dr. Lee for this video! Very useful for so many people.
How do you feel about your decision now? I am trying to figure out which option would be the best for me. I am able to read without glasses now with one eye. I also started wearing glasses at age 15, but they caused me a lot of headaches and sinus infections.
I'm 75 and going with lens to stop glare at night. Has laser at 50 to correct seeing distance which is still good. But put me in readers. I will keep readers at my age would rather spend dollars on travel
I can see only 10cm near and 5 cm near with focus. Everywhere else is a blur (I got cataract in my right eye which is -11.5 now). I have been wearing glasses with -7.5 and -8.5 since 11 years old and got astigmatism. So I am really torn whether to chose Toric monofocal or multifocal and very confused. I’m scared that the vision with new IOLs would not be the same as now in glasses (like in my still able left eye for example). I’m really scared but planning to go to a surgery. I’m 50.
I had both eyes done this summer. Now 68, I've worn glasses for 60 years to correct -5 nearsightedness. I opted for standard IOL and my "new eyes" are -2.25 in both eyes with just cyl +0.5 & cyl +0.75. I can read just fine without glasses. I have an add in my prescription of +2.75 for closer focus, but taking off my glasses with single distance lenses works for now. My vision is better than ever but one thing never mentioned is that I sort of enjoyed a focal distance of 4 inches. It might have influenced my hobbies of jewelry making, and stamp and coin collecting. I could always see tiny things nobody else could see. Don't be scared of surgery. It is life changing.
I understand your problem. I can all most read the bar code on a nat's ass, the rest of my vision is not so good.. I am reluctant to loose that ability. The problem is my vision is getting progressively worse and I can't decide which way to go long or short.
@@suek6477 I have some questions about monovision, if you don’t mind. 1. Does it take a long time to get used to the two different lenses? 2. Can it affect depth perception or cause balance issues? 3. Are the lenses they put in good for life, or do they have to be replaced at any point? 4. If eyesight does change, how would wearing glasses work? Thanks for your time!
@@cherylmcnutt9905 I have no answers for you for cataract monovision since I have not had that done yet. If you want to know about Contact monovision, I can answer that for you.
I am preparing for cataract surgery to fix both eyes - one at 20/70 and the other at 20/40 with a "medium" amount of astigmatism... in my early 60's now. I will probably go with the standard mono-focal lens on each eye (no laser used), with the appropriate glasses after the fact. Been wearing glasses since I was 8 years old, so I don't mind continuing to do so. Cost beyond what Medicare pays is prohibitive to me, so I just will do the best I can. Thanks for your informative videos!
Patients should be well informed that some of these upgraded lenses may not be covered by insurance or Medicare. These lenses may cost thousands of dollars extra out of pocket per eye.
Thanks for your comment. Yes I agree. Pricing should be transparant. If you are unsure, ask your surgeon, surgical technician, and/or surgical scheduler for cost/price breakdown.
I lenses replicated my monovision contacts that I used for 20+ years. It’s been 4 years and my vision is still perfect. I was told I might still need readers to do things like thread needles. Nope! I can thread needles all day long with no problems. Thrilled with my results. After wearing corrective lenses most of my life, this is a true gift.
I had multifocal lens replacement 3 weeks ago. I was severely short sighted. I now live in a new life. Its wonderful. The procedure was painless and very quick, I had no discomfort at all. Well worth it if you hate wearing lenses or glasses!
Eighteen months ago I made my choice. I had been wearing glasses since I was 14 years old. I am now 73. When time for the decision came, I chose Panoptix Trifocal lenses. I absolutely did not want to continue wearing any glasses. Within a few days of each separate surgery my eyesight adjusted seamlessly. Sure, it was expensive, but I no longer have to get new glasses every couple of years. It is done! I have absolutely no regrets!
Have you noticed any issues with lights at night? Have you noticed that your vision is dull or not as sharp as you would like? I scuba dive and am only 38 years old so I have been advised that the trifocals might be a better option. I fear the loss of sharpness of this option.
@@bkriegle You will get some glare at night with any multifocal lens - whether it will bother your is a different story. Definitely talk to your eye doctor about the best fit lens for you. Best of luck!
I had cataract done at the age of 62. I opted for single vision lenses from Zeiss. Went for far vision in both eyes because I love driving and enjoy the outdoors. Wearing a glass for reading was not a bother for me. After couple of years my vision slightly changed and I now need minor correction in both eyes for distance vision too. All that precision calculated lens is good for a few years. You eye sight will change again.
@@juditrotter5176 I think he means he now wears corrective lenses to compensate for the change in his vision, not that had to have the IOL's changed out.
I got multi focal and I hate it. The doctor said I would love it. I don’t wear glasses to drive anymore but I don’t feel I can see any better while driving. And what I really hate is now I can’t see anything close like cellphone, computer, books, instructions or bottles labels!! And my night driving is so much harder with all the glare. Be sure you know what you’re getting into!
this is a real hard situation. I remember the opticians telling me i had cataracts and needed glasses.nobody prepared me for quite that shock.Even less so nobody was explaining to me options that work for different people,it was all very generic and none of what they brought up suited me. They were quite happy to plug the varifocal reactive glasses which cost a bomb, but the change in focus made me sick,and the reactive lenses were not reactive in the way i needed to take out the risks for driving. in the end i got mono's set for distance with polarised lenses, but that was by trial and error rather than doing proper scientifice studies or a proper consultation period.I was pretty much left to fend for myself and find out what fits school of hard knocks style. It's not the way it should be.
Thanks for the information. Mam, I have a question. Ii is said that trifocal leses are not suitable for dibetics or those who have eye diseases. will a person who has got trifocal implanted have vision issues if he/ she were to suffer from dibetes or any other eye disease in future?
Hi there, lenses don't "cause" problems if you have diabetes (or shouldn't) but if you have eye disease related to diabetes, like retinopathy or glaucoma, maybe best to avoid trifocal lenses. Make sure you discuss your individual case with your doctor!
I want the best night and distance vision and I have astigmatism. I don't mind wearing reading glasses. Is there a premium toric monofocal glasses that's right for me?
Hi there, I would speak to your ophthalmologist about which toric lenses they are currently offering. Lens technology changes all the time and there are some excellent toric monofocal lenses out on the market - all with their own pros and cons. Make sure you tell your ophahlmologist everything you have here - that you don't mind wearing reading glasses and you want the least amount of glare and best night vision possible. Hope that helps somewhat, and best of luck!
Dr. Lee, I was wondering if you can comment on something because I have experienced something pretty nifty. To start I have had a horrible time with sleeping for years and I tried everything except medications. I think that is a slippery slope. What I was noticing was an increase in dreaming but then realized I was sleeping for much longer stretches in the last four days. There are two aspects I was curious about….The blue blocking of the lens and that rhythm of light in the day and darkness at night thing. Wondering too if others have experienced this. Yes I do spend a lot of time on the computer.
There is some weak evidence that blue-blocking lenses can help with eye strain, sleep, and certain eye conditions so it is very possible the lenses are helping you. So glad to hear about your experience - thanks for sharing!
I have operated my right eye cataract with monofocal acre-soft IQ Toric(2.5cynder) of 6D. can I implant Alcon Vivity EDOF Toric(2.5 cynder) IOL of 8D for my left eye and will be the effects?.Please guide me as early as possible. I will be very thankful to you.
I would defer to your eye surgeon/doctor, who know your eyes the best. Most likely you would be OK with both a Vivity and a monofocal - that is a common combo. Best of luck on your next surgery!
I had cataract surgery a couple of weeks ago and chose Panoptix Toric multifocal lens. For right now eyes are competing with each other on which will see clear and which one is a little bit unfocused but I’m sure that will clear up with time. The day after both eyes had been completed, my regular eye doctor said I was seeing 20/25
🌸Hello Doctor. I've had a retinal tear in my right and left eyes. They were sealed by my eye surgeon using laser surgery. That occurred ten years ago. Now my vision has changed significantly due to having cataracts in both eyes. Am I limited in the choice of lenses because of my retinal surgery ? Thanks for your reply.
I also had a retinal tear about 10 years ago and just had cataract surgery. I have the standard lens for distance but need reading glasses. It's so nice to be able to see things at a distance without glasses! The eye with the retinal tear also has an astigmatism so that eye has the torc lens
I had cataract surgery and it was the worst, most painful experience of my life. £2,500 was the cost. Luckily, I have healed - after 1.5 years. BEWARE of any surgery! Take a lawyer with you.
I'm getting a Symfony in my dominant eye, and a Synergy in my reading eye. I had success with monovision contacts, but this should be better for distance. A mild astigmatism is being corrected during the surgery.
Last year (2022) I finally gave in and got cataract surgery. My doctor took the time to explain the different types of lens replacements and in the end I knew I didn't want to wear glasses or contacts any longer and I didn't want to compromise my sight either. I had worn contacts for years and they did far more damage to my eyes than I even dreamed possible. My vision was horrible and contacts and/or glasses were doing a very poor job of correcting it. In the end I decided to take the multi-focal lenses, even though I would have to pay the entire cost out of pocket because the insurance companies won't cover multi-focals, and man am I glad I did. My vision came back so well it was staggering. The colors were vivid, the vision was crisp almost to the point that everything looked 3 dimensional. True there can sometimes be some weird glare but I consider it a small price to pay for such perfect vision. My humble advice is if you can afford the multifocals and need the surgery do it.
I need cataract surgery but I am scared. I am legally blind in one eye and it is my other eye that does all the work. I have been postponing my surgery because if they mess up my good eye I could be legally blind. Plus, I find it so confusing trying to understand the different lenses. I would not mind not having to use glasses at all or at minimum just for reading. I currently use bifocals.
I definitely understand your hesitation to move forward on your only eye! Make sure you understand the risks and benefits, and talk to your eye doctor to make sure they think it is a good idea to proceed. If you want the safest option, I highly recommend a monofocal lens set to distance vision - this is just based on what you mentioned in your comment and my opinion, so please discuss with your eye doctor before making your decision. Best of luck!!!
Hey Dr. Lee. I've been told about having cataract for 3 or 4 years now. well my eye doctor recommends cataract surgery now. I've worn glasses about 2/3's of my life, I'm 65 now. I was glasses free for about 10 to 15 years after RK surgery in 1986. I went with RK over contacts because of my astigmatism. I've watched a lot of cataract videos and yours was the first to mention the glare associated with multi focal lenses. So I would probably go with the toric lens because of my astigmatism and the glare issue with the multi focal lenses. Come to think of it, when I had my RK surgery, I think the surgeon made one eye for distance and one eye for up close. I was right eye dominant before and after the RK, but now I seem to be left eye dominant. Anyway great video.
Thanks for watching and for your comment. Speaking generally, my opinion is that RK and multifocal lenses do not go well together. RK incisions induce some glare and affect your quality of vision, and a multifocal lens will make things worse. Also, after RK, lens calculations are a bit more difficult so even if you get a multifocal lens there is no guarantee that you will be completely glasses free. Of course you should make sure you talk to your eye doctor and/or surgeon about your lens options and what would be best for you! I hope that helps, and best of luck with your surgeries ❤
I need cataract surgery. I am nearsighted with astigmatism. I have worn monovision contacts. I've been to two different ophthalmologist. One said Synergy or Light Adjustable Lens, the other said Pan Optix or maybe Vivity. I'm in a delima! I love my close up vision, but also want to see score board information at ball games. I do a lot of computer work. I really don't want to wear glasses, but would for hand sewing and needlework. Do you have a suggest or words of advice for me?
Hi there, it sounds like you have two options: monovision (to replicate your vision with contact lenses) or multifocals in both eyes. Out of the two multifocals, both Synergy and Panoptix are excellent and best on the market - every surgeon has a preference based on their experiences and I have seen great results with either one. If you do not have a history of LASIK, PRK, RK, or other refractive procedures you probably don't need a light adjustable lens. If you trust your eye surgeon(s), then I would defer to their expert opinion. Of course if you still have doubts or feel uneasy, you can get another opinion!
Based on personal experience, my recommendation is something not mentioned in this video. The idea of one eye for distance and one for close vision may sound okay, but I've met a lot of people who couldn't handle it. And those who have it report difficulty in getting used to it. And with lenses that give fixed 20/20 vision, reading glasses are a necessity. Instead or either, my surgeon suggested using a lens that gave me 20/50 vision in both eyes, which is a perfect compromise. It's legal for driving, and, allows you to read without glasses. In practice, that means that most of the time you'll need no glasses, even for watching TV. There are some exceptions, though: At night, with your eyes dilated it becomes harder to read street and highway signs (your depth of field reduces), which is why I mostly wear glasses to drive at night. The same applies in a darkened theater, so when in a theater, I also wear glasses. But, those exceptions aside, and after more then 20 years of use, were I to do it again I'd not hesitate in asking for the same lens. If you're going for the monofocal lens option, ask about the 20/50 lens. You'll not regret it. There's also something they don't tell you: If you're nearsighted, as I was, and you're having the lens replaced in only one eye, you will probably no longer be able to use glasses to correct the remaining eye. I was having both replaced, with a gap of a month between one and the other. So, I came up with what I thought was a brilliant solution. Till the second surgery I would have the lens in my glasses for the eye that had the surgery done replaced by clear glass. But...putting those glasses on resulted in my vision breaking into concentric rings that made me instantly rip the glasses off. Perhaps I might have adjusted to it, but, were the other eye not to be operated on, a single contact lens would have been my choice. Hope this helps.
That’s a great question. We can do artifical corneas but they fail for many reasons, most significantly because the cornea is able to promote vessels and inflammation, and that inflammation can result in lots of scars and corneal. Hopefully we will have a better option one day!
doctor what can be done for patients that are bothered by glare and halos from panoptix or vivity iol? or only iol replacement is the treatment for that?
I find that sometimes using a medication like brimonidine or vuity to slightly constrict the pupil minimizes that. My patients typically don’t report to much glare after the first week! Good luck
@@DrJeffreyTran makes sense. Yeah I was told brimindine helps with glares from lasik and panoptix sometimes. How long would they use it for since it's technically a glaucoma drop?
I wore monovision contacts for several years, but my cataracts got worse and my eyes changed. Also had astigmatism. I had cataract surgery on my right, dominate eye, 10 days ago and left eye done 3 days ago. Have Vivity lens in right eye and Panoptix in left eye. I can read small print without glasses and my distance and intermediate vision is very clear. Have only driven at night one time since surgery, but did not have any problems. I am very pleased with the combination of the Vivity and Panoptix lenses.
My opthmologist gave me the option to get a single vision or a toric lens for my stig. The toric cost much more so I opted for SV. He said even if you get toric lenses you'll still need glasses. Vision changes over time. At some point ,you'll need glasses if needed them prior
I had little astigmatism, so I got monofocal silicone SoftPort lenses by Bosch & Lomb which were both in the near-sighted range, though differing slightly in focal length so I can read books and computers and yet feel I have normal indoor vision. I was utterly snowblind in my right eye, but now see clear as crystal in both eyesl! I even had them done without sedation, it's totally painless and takes less than ten minutes, unless you're freaky about things in your eye! I sometimes use glasses to drive, though I re-passed the DMV test without them. I'm 74, this was 5 years ago, and I was so happy about regaining my right eye I was moved to tears many times!
My surgeon just turned up his nose to monovision, not explaining why he didn't like them. He only game me the option of distance or multifocal Zeiss lens, at cost of course. Prefer not to wear readers every time I have to look at my phone or computer. Thank you for the info, and everyone below for their experience.
5 years ago when I had my cataract's removed, I chose the Tecnis Multi-focal lens implants. They were/are life changing! I'm 73 now and can STILL see both near and far without glasses!!!
I just had my cataract surgery but I don't know what kind of lens that I got. I am far sighted 80 year old, and i have to say that I don't wear glasses when watching T.V. or working with the computer and my cell phone. It has just been a week and I am overwhelmed with the colorful pictures I see now with my eyes. I don't remember seeing thigs tis good especially the colors. I am just happy that i agreed with the cataract surgery and refused the meniscus tear ones for both of my knees. Thank you for the good presentation.
I have Panoptix and I’m so happy with them. Having worn glasses since third grade for astigmatism and near-sighted, it’s wonderful to see clearly without glasses!
I am 57 years old and had my first cataract surgery three days ago. In my right eye I had installed a Vivity Toric lens to correct astigmatism. The lens is a multifocal Vivity lens and I could not be more pleased with the results so soon after surgery. The doctor's office told me that it may take two weeks to gain clear vision. My right eye has surpassed my left (with which I wear a -6.5 dpt contact lens). Close vision is still a little worse but improving, distance is very good and night vision is at least as good or better than my left eye is currently. The Vivity toric is a 10.5 dpt power. I could not be happier with my choice in this lens.
15 years ago I was not given a choice of lens options under the British National Health Service, but the surgery was free. The first lens replacement disappointingly produced slightly myopic vision. The second was perfect. This has resulted (accidentally) in monovision which enables me to both read and drive without needing glasses. Works fine for me. 🙂
Your surgeon will be looking at the whole picture. If you just have cataracts in one eye then they will consider that when picking the lens for your eye. Hope that answers your question!
I had my surgeries during the height of Covid. It got to the point driving at night, which I have to do for work, was scary. I went with the monovision lenses for distance. I've worn glasses my entire life and even though I have mild astigmatism, I didn't want the toric lenses, and since I could never tolerate bifocals or progressive lenses at all, the monovision were an easy choice. It's been about a year since the surgeries and I'm very happy with my vision. I had to have the YAG laser done on my right eye due to a fold in the capsule right at the worst spot it could have been at, causing rays and beams at night. It was no big deal and that was it. The other eye seems fine. My only real problems with the entire surgeries and recovery was I had some sort of minor panic attack during the second procedure for some reason, and the drops, I could taste them and that got old quick.
@@Padraigp I'm one of those people who taste anything that gets into my eyes. I don't know how it works exactly, but every time I go to the eye doctor, I take some cough drops or candy to kill the taste of the dialating eyedrops. About 2 or 3 seconds after the drops go in, the taste hits me. Yuck is being too nice about how bad some of them taste. Not as bad as shampoo that has gotten into my mouth, but very bad, enough to make me wretch a few times.
Hi Dr Lee, I enjoy your videos so thanks. I'm considering cataract surgery and i I've been reading up on these EDOF lenses which seem to have the best outcomes for intermediate and far distance vision. However I'm a Type 1 Diabetic (for 57 years) and while I am well controlled, I do have some diabetic maculopathy with some minor microaneurysms.. Should I consider monofocal over EDOF as I know there are compromises with EDOF lenses? Thanks again.. Ken
Hi Ken, thank you for watching! It's hard to say without examining your eyes but if you have macular issues your best bet would be a monofocal lens to maximize your quality of vision. If you want to consider EDOF, talk to your provider about the risks/benefits and see if you are a candidate. Some monofocal lenses like the J&J Eyehance have some depth of focus, so you can ask your provider if she/he would recommend that for you. Hope that helps, and good luck!
Multifocal lenses are certainly interesting and have improved a lot (and are continually improving). The simplified/short answer is that the lens has multiple rings that focus light at different focal points in your eye, allowing you to have a range of vision. Hope that helps!
I read, sew and use the computer a lot. I am happy to wear distance glasses., not reading glasses and as I live in a hot country I have always worn prescription sun glasses anyway. Going for surgery next week and will choose to have near vision. My other eye is fairly good all round.
Hello Dr. Lee... I am scheduled for cataract surgery next week on my right eye and have chosen a monofocal lens. I have worn glasses all my life. I have a slight astigmatism. My main reason for not getting the toric lens is that I will still need glasses anyway for reading at that additional expense. And my left eye doesn't require cataract surgery so I would still need to contend with glasses for that eye anyway. I have been using multifocal glasses for a long time and I am used to that. I just felt that the benefit wasn't really there. Am I missing anything? Thanks.
@@MicheleLeeMD It is. As I've aged, sometimes I can't get close enough to see what's going on. I've also threatened to get a pair of bifocals with the reading lens on top. So, if I'm under a car and looking upward while on my back I can see without raising my glasses. It was all so much easier when I had 20/20 acuity. :))
It's a shame that Lenstec's Tetraflex lens is not offered here in the US. I had it installed in my eyes approximately fifteen years ago and it works great for both distance and close vision. It is an accommodating lens and has a large haptic, so glare issues are non-existant. As far as I can tell, it knocks spots off any of the other options available here. The lens is made in Florida, but for some strange reason the FDA won't licence it for use in the US. Because I had my lens replacements done in the UK, I was able to have it. I can read very, very small print in good lighting conditions and have perfect middle and distance vision. I only wear reading glasses in poor light or when reading in the evening. Even then, I have the lowest power reading glasses available.
@@MicheleLeeMD Thanks, I think one of the issues with an accommodating lens is that it doesn't seem to work for people who are already presbyopic when they have cataract surgery. I was 37 when I developed cataracts so still had the ability to read without reading glasses. My father, however, was in his 60s and did not have the same success with Tetraflex, unfortunately. In any case, I enjoyed your video. Thanks for creating it. 👍🏻
My doc is pushing me to get multi/bifocal lenses :(. I haven't fared well with bifocal glasses before, so I'm kinda nervous. And now I learned from your great video that there might be glare during the night or daytime. I definitely don't want that! Thank you.
I just had cataract surgery - and I have monofocal lenses. Its only been a little over a month since the last eye was done, I still have some of the dark semicircles visible, but they don't bother me. The dry eye does, but I had that before. I use the computer a lot and don't need glasses. Some up close is the same. I still have not tested it at night, and that was the type of vision I wanted surgery for.
I never had any choice of lense so my cataract operation was a disaster from my point of view. I wish you the best of luck with your work. I live in France part time and I write from my experience there where ophthalmology is cheap, but not for me cheerful.
I’m so sorry to hear about your experience with cataract surgery :( Thanks for sharing - I love to learn more about what care is like in other parts of the world.
I was given choices but my insurance only covered the basic ones so I still wear glasses ( I've worn since I was 4 years old and feel naked without them,). All the other lenses were iffered at over $2,00] per eye. So, I had to go with te badics and my eyes are back yo exactly what they were prior to surgery, except that instead of triple vision in headlights, I see star bursts.
I really am having a hard time deciding on what kind of lenses to go with. I want to be done with glasses and contacts if I can help it. I have astigmatism in both eyes and am far-sighted. I have had a couple consultations for RLE over the past 5 years. At the first one, the Dr said they'd replace the lenses and then do LASIK to correct the astigmatism. The second one, yesterday, didn't mention anything about laser correction with the lens replacement. I wish I knew of a resource to where I could find peoples' choice to do RLE with no cataract that just have bad vision/astigmatism. Are they happier than before when they had to wear glasses? Do they regret it? If anyone knows of any resource that I can check out, I would be greatly appreciative.
Hi there, it really depends on your refraction, the level of cataract you have, your age, and how much astigmatism you have. If you need reading glasses anyways and have a pretty significant refraction, RLE may be a good option. LASIK will have to be done afterwards and may or may not be needed depending on the amount of residual refractive error and astigmatism you have. There are always risks to every surgery, so whether or not you will regret it has to do with your expectations and how things go with surgery. Definitely talk to your doctor about these risks and make sure you are comfortable with them prior to proceeding. Hope that helps a bit!
Hi Justin, I'm in a very similar situation. No cataracts yet and extremely farsighted (+6/+8) with astigmatism in both eyes. My surgeon is planning a laser procedure to implant the lens and correct the astigmatism at the same time. I'm struggling with which lens to choose. I'm considering the Alcon panoptix because I would like to be able to shoot by bow and handguns w/o glasses. I've never had any corrective surgery and otherwise have healthy eyes. My Dr. doesn't like the vivity by alcon because those patients also experience glare at night similar to panoptix so why not have it all if you have to tolerate glare. I hope this helps.
@@robertplanty7856 I just got the Vivity and am not experiencing glare. I chose them because I play tennis and need to see at all ranges without glare plying indoors. I was shown the glare of the other lens you mentioned that touts better near vision. That glare would drive me crazy. I had glare with my cataracts and driving at night was dangerous, it isn’t now. I am one week post surgery. If I was doing extensive reading I will pick up some readers. Currently I can read the printout instructions for my aftercare easily without glasses and my intermediate and distance sight is fantastic. It’s only been a week so I am curious to see how it will be moving forward!!!!
If you like monovision then you can try to replicate them with lenses for cataract surgery! Talk to your eye surgeon about how to replicate monovision. Hope this helps, and best of luck ♥
I dont particularly like monovision, but chose it so I wouldnt have to wear glasses for close up. Its to the point I have to make a choice and so I'm still wearing monovision lenses but also wearing glasses for close up now anyway.
@@talulahwest710 Ask your doctor if you are a candidate for a multifocal lens - a lens that may allow you to see all distances without monovision or reading glasses. Best of luck!
I just had my second surgery yesterday and chose the Toric IOL. I'm very pleased with the distance vision it provides and can drive without glasses for the first time in decades. So far I have had to use reading glasses, but I think the tradeoff is the right decision for me. I didn't want to deal with the glare I saw on various forums with multifocal lenses.
I was born with congenital cataracts. On the advice of my ophthalmologist, We waited until age 17 to receive the surgery. We would have waited longer, but I pretty much had lost my ability to see in high-light situations. We ended up choosing mono-focal lenses after discussing potential issues with the other types. Yes, I have to wear reading glasses (+2.50), but more than 15 years later my distance vision is still 20/20. The nice thing is I can do physical activity, fishing, running, skiing etc. without having to worry about breaking/losing my glasses as I can see far just fine. I can still even read large print near text without the glasses depending on the lighting. I would say, you really only get one chance to choose a lens, so please take all things into consideration carefully.
thanks for sharing, I subscribed right away, since 80 years old start got all kind problems, include Glaucoma, multi vision , weak nerves, problem, eye astigmatism
@@nancykoo4156 I made a video with a glaucoma specialist here in case you are interested: ruclips.net/video/_pXkDEPonI0/видео.html Otherwise look out for more videos. Thanks for your support!
Hi doctor, you mentioned you would choose a toric lens to correct your astigmatism and choose mono vision. Would you not choose for yourself a light adjustable lens? I am in a situation that you've described but I don't want to have to wear the UV protective glasses for a month. Your thoughts please! Thank you!
Thanks for your question! A multifocal lens allows light to be focused at different parts of your eye to allow you to see a range (distance to near). A light-adjustable lens is a lens where the power can be adjusted and is really good if you have an eye that has had refractive surgery like RK or LASIK since our lens calculations can be off after these procedures. I hope this helps! I will be filming a light-adjustable lens video soon and can let you know when that is out.
A great video. I just had cataract surgery and opted for the Crystalens. It has most of the advantages of the multi-focal without the extra glare and halos. I just wondered why you didn't consider these as a separate category?
There are so many kinds of lenses so I had to make this a bit more broad! As you say, there are so many other lenses like EDOF, etc. Thank you for sharing your results with the Crystalens ❤️
I had cataract surgery on my left eye in May 2022. I was told at the cataract surgeons office that I was an excellent candidate for the multifocal lens. They told me I might not have to wear glasses. Possibly might need just readers. I did my left eye first. The lens is a disaster; as neither my retina specialist or ophthalmologist warned me about multifocal lens and having a small retina scar from a prior surgery, yet the cataract doctors office recommended it, I had no reason to question the recommendation, and HATED the idea of wearing glasses. The vision in my left eye is blurred. There is concentrated blurred spot just left of center vision and the blurriness radiates from that point. However, on the outer part of the field, vision is clearer. Halo's at night are terrible, the glare during the day is constant, and the eye is sensitive to light. After seeing both the retina specialist and ophthalmologist recently, I was shocked to hear them both say they would NEVER recommend the multifocal lens; yet, neither warned me prior to sending me off to their preferred cataract specialist. The retina specialist said he would not approve the removal of the lens, as I might incur additional retina damage from the procedure. The ophthalmologist felt I could have the lens swapped out down the road, in a few years. All that said: you are the only person I have heard who referred to Toric-monofocal lenses and correcting far sightedness or having eyes set for either near or far distance. I wish any of the 3 eye doctors had brought up all the options and warned me about the multifocal. My prescription today is the same as it was prior to cataract surgery, and now there is the very evident blurry spot. I am out $3000 and extremely disappointed, and unhappy.
I'm so sorry about your experience with cataract surgery. I hope that down the road you can experience improvement in your quality of vision. Best of luck with your recovery ❤
@@MicheleLeeMD Thank you Michele. Keep up the good work I had read at one sight that the brain can adjust to the multifocal lens over about a year, and that the problems might be overcome, but my ophthalmologist didn't feel this was likly.
What is funny is, I went into having LASIK surgery 23 years ago with muddy, hazel eyes and came out with a blueish/hazel color. When the reshaping of my eye was done in the surgery, the minuscule bits that were shaved off took the muddy look away! They are much prettier now!
I'm getting my first (left) cataract surgery Wednesday and I'm going with a mono lens. My surgeon advised that I have a small scar on my eye and he does not recommend any multi lens. My issues are blurriness especially in my left and light glare has gotten pretty severe. Sunlight glare can be brutal and night driving is now horrible with the halos and glare. I had great vision my first 60 years but the last few years I've used readers, and the last 2 yrs I've had prescription progressive glasses. All the new multi lens options sound pretty appealing but with my surgeons notice of the very minor scar and recommending against any multi lens, I'm feeling that a mono lens and a successful operation will be best. I can live with using readers when needed no problem. If all goes well, my 2nd eye will get the same procedure in 3 weeks. The option of a distance lens in one eye and near in the other just doesn't sound like a good idea to me because its not like you just go back and get a redo if that combo doesn't go well. I'm hoping for a 1 & done.. I've been examined by 3 different Ophthalmologists none even mentioned noticing the scar or any issues it presents for lens options other than the surgeon and in this outstanding video presentation from Dr Lee. I have been kind of questioning my surgeons conclusion about the scar and lens recommendation but after watching this video by Dr Lee, I am satisfied that my surgeon made the right recommendation foe mono lenses.. Thank you so much Dr. Lee for this most helpful video. I appreciate it very much. Best regards, your newest subscriber....
Thanks for watching, sharing your experience with figuring out the lens for your eye, and supporting the channel. If you have a less than perfect eye, I always recommend avoiding a multifocal as well. Best of luck with your surgery!
I'm having cataract surgery on Aug 3 so I have to make up my mind soon. I've talked to 2 people who have had the distance lens put in. Both can see up close also without glasses. It seems that people with overall good eye health do well with this decision. I am also considering the Vivity edof lens. Are there any compromises in my vision I should be aware of with this choice? I haven't been able to talk with anyone who has used this lens. Thank you. This isn't a trifocal lens, and supposedly night time glare isn't an issue.
I would avoid a mutlifocal lens to optimize your quality of vision, especially with any possible eye issues like diabetic retinopathy and macular edema. Both VIvity and Eyehance should be fine, but definitely have this discussion with your surgeon!
I got a vivity in my dominant right eye a few weeks ago, Very happy with the results. Distance and computer without glasses. Need readers for the moment but my second eye in a few weeks and doctor is aiming for blended vision. In any case wearing readers isn't an issue for me. Not noticing and contrast issues or glare at night either when driving.
Panoptix is a trifocal lens, meaning it allows you to see distance, computer, and near. The Vivity IOL works like a monofocal lens but actually offers an extended range of vision as a multifocal lens - the range is constricted though so you may still need reading glasses.
Had both cataracts removed three years ago. When selecting the new lenses, I felt like I was in a “time share” presentation. The presenter was not a doctor nor a medical professional. I had no idea what her qualifications were and she did not provide them. She basically read off the standard promotional material for the various available lenses except for the most expensive option. For that, she extolled the great experiences patients had with that lens. When I asked what the doctor would recommend for my specific vision problems, she replied “…any of those lenses would be fine, it depends what you want.” Why is such an important decision regarding my eyesight dependent on information provided by someone with unknown qualifications and who most likely is motivated to SELL you the most expensive option????
Everyone I know has chosen the toric or toric II the problem is it’s too expensive for most and even veterans can’t afford them so opting out for the cheap lens is the best choice.
I recently found that I have very slight cataracts and slight astigmatism so it will be a while before I require surgery. Your video was extremely informative, and I learned quite a bit. I don't mind using reading glasses at all. Thank you.
Thank you for this video. I will probably be having cataract surgery this spring or summer and after watching your videos I feel I will be better to communicate with my doctor.
Tough choices. I'm not comfortable wearing glasses when doing something like playing pool, but I see good to about 3-4 feet. I asked my optometrist and she said maybe try bifocal contact lenses for play playing pool. My other hobby is playing pickleball, but I do fine with glassses. I wonder if maybe I'd play better with some contacts or surgery. I guess I should try contacts before thinking about a surgery?
@@mayabruno4075 the first surgery was 7 years ago when the Panoptix multifocal toric IOL did not exist and the second surgery on the other eye was three years ago
Do they have an x-ray vision lens? What about a superman heat ray lens? Ooh, ooh, I want a lens that has the bionic man crosshairs on it too... Just playing. Thank you for the information. I will probably need these soon.
I had cataract surgery in 2015. The results were outstanding. It is amazing how much better my eyesight improved immediately after the surgery. But, a few days before the surgery a clerk was briefing me on the procedure, and she offered me an upgraded lens that would have prevented the use of reading glasses. I declined them because I felt that I was being upsold on something I did not need, such as it happens when you buy a new car and they offer you an extended warranty. I wish I had gone with the upgraded lens, but I am still happy with the results. What was the name of the standard lens they gave me, and what was the name of the upgraded one....thanks.
Thanks for sharing your experience! I'm not sure which monofocal and which multifocal lens they would have offered you (there are several different ones). You can ask your surgeon's office which lens they implanted in your eye and they should have given you a lens card with that information after your surgery.
Can you give me any advice I'm in the UK and I'm not getting answers from the NHS I'm 41 now age 13 I was shot in the eye with a BB gun causing a cataract and a blown pupil I had surgery twice but the lenses slipped because of the damage to the pupil so the 3rd time they decided to try something new at the time from what I can remember they put the lense Infront of the pupil my vision has always been hazy but it's been ok for over 25 years about 6 months ago I started noticing that eye was blood shocked in the morning and I've been getting tunnel vision and star's just in that eye I can feel that the pressure is high in it I couldn't get into the doctors so ended up going to A and E all they could tell me is the pressure in my good eye is ok 13 and the other is very high they wouldn't tell me how high but they looked shocked all they could do is subscribe drop's to bring the pressure down and refer me to the eye clinic but it's probably going to be months before I'm seen
Hi Dr. Lee. Thanks for the extremely helpful and clear video. I’m having cataract surgery a month from now. My ophthalmologist has recommended the Panoptix toric tri-focal lens. I have worn glasses for distance most of my life but don’t need glasses at all for reading, so have never had bifocals or reading glasses. I understand there’s no guarantee I won’t need glasses after the surgery, but am hoping that will be the case. I also have stopped driving at night as the cataracts have gotten worse and hope to regain that ability. I guess I can tolerate a little bit of glare and halos, but hope it won’t be as bad as with the cataracts! Do you think the toric Panoptix tri-focal is a good solution for my situation? Many thanks.
Hi Dan, thanks for watching and for your comment. I love the Panoptix lens and for most people it can work really well. Definitely discuss with your eye doctor to make sure you are a good candidate for a multifocal lens. I usually tell my patients they will have some level of glare at night but not as bad as with their cataracts. Most people can tolerate it well. Best of luck with your surgery!
Hi Dan, Just got back from my checkup 9 days post surgery with the Vivity iq lens in both eyes..Your story is similar to mine except I only started wearing glasses about two years ago for distance. I didn’t need glasses for reading. I live in a city and there is no way that I should have been driving at night, overlapping glare and halos. The eye place explained the pros and cons of each lens. Originally I was coming for that Pan one but they presented on the computer the halos that I can expect with those. I was told I would probably need readers for the Vivity. I play tennis and glaring overhead lights are always there never mind serving outside. Little to no glare, my streetlight looks like a round circle easily 1/4 the size of what I was seeing before!!! Played tennis outside yesterday and I had no struggle seeing the ball on a sunny day when serving. I would have had to guess where the ball was before. Driving at night is no concern. There were no other issues with my eyes. Outside of the tests with the machines she gave me a card with sentences on them….getting smaller and smaller. With a bit of effort I was able to read the bottom line. She said my vision was 20/20 for near and far! For me it was an under promise overdeliver. I am seeing signs way down the highway and the signs overhead in grocery aisles. I can read the small print on my racket that gives the specs for it. I realize that my results may be optimal but I am here to say that this was /is my experience. I do have to concentrate on focussing for the really small lettering where I didn’t before but it’s only been nine days and it’s almost like my brain is figuring it out. Depth perception is improved…and believe it or not, my sleeping has improved. Hope you find the best for you. The vision people didn’t steer me at all but told me pretty much that I had to determine what was most important for my lifestyle.
Hi Dr Lee, I had Lasik in 2001 and vision perfected until recently when i realise I am minimally prebypoic. I can read computer and mobile but not those very tiny tiny fonts on canned food and food packages. I don't need glasses at all when reading newspapers. Question 1 : If I choose monofocal (for maximum contrast), does it mean that I will definitely need reading glasses after lens exchange? Question 2 : If I become totally presbyopic after monofocal lens exchange, and if I go for Supracor/intracor after lens exchange, will I be able to achieve perfect vision + maximum contrast? Question 3 : If I request to set the monofocal to near + intermediate, does it mean presbyopia eliminated but myopia created? Can I do lasik to recover back my near vision? Thanks Doctor Lee.
Problem with these multifocals like symphony,, panoptix, vivity etc is that the concentric circles result in about 10% loss of light transmission and maximum contrast cannot be achieved. Sorry for being fussy. But the higher the contrast, the more beautiful the vision becomes.
Hi there, these are pretty difficult questions to answer here in a comment. My short answer is to talk to your eye doctor/surgeon about your options and see which one would be best for you! My longer answers: 1. You will very likely need reading glasses if you set both eyes for distance vision using monofocal lenses. 2 and 3. As of 2022 with the technologies and procedures available, you will not be able to achieve perfect vision with maximum contrast even with monovision, or any kind of lens exchange. If you set one eye to distance and one eye to near, you may elimininate the need for glasses in almost all scenarios, except maybe night driving. If you get LASIK to fix your near eye you will give your near vision. Bascially with a monofocal lens you pick one focal point per eye. I know this is confusing so I recommend you talk to somemone in person who knows your eyes and your situation best.
@@MicheleLeeMD Good morning Dr Lee, thanks so much for your extremely kind replies. Sorry my question 3 was poorly worded. I desperately want to avoid “compromise” and am prepared to undergo 2 operations instead of one. And I also want to avoid monovision because both eyes will become imperfect and cannot function independently. If I do lens exchange using monofocal lens, both eyes similarly set to near + intermediate, subsequently and similarly do Lasik on both eyes to recover my distant, does this mean that I can attain both “range and contrast” without any compromise on both eyes?
i am beginning to feel abnormal and isolated. Seems like loss of contrast does not trouble anyone except me and everybody is satisfied with the premium lens.
I have cataract surgery done last Dec., just the standard lens. I’m very happy with my new eyes. I need reading glasses now. No problem at all after wearing glasses since 3rd grade & hard contact lenses for myopia 50 yrs. I got droopy eyelids after the surgery. I was so surprised i did so poorly in the field vision test. The eye doctor is very busy, my surgery was scheduled in 3 months. Then he has an emergency to take care of & my operation is pushed back 1.5 months. I’m not very happy. Just have to wait a while. Oui.
I’m up for cataract surgery soon, I’m 59 yrs old. I will be choosing the standard lens. Eye Doc told me my eyelids were droopy ( I think its hereditary- I told him).
I used to wear multifocal contacts. I changed to monofocal ( left:far, right: near), it took me like a week to adjust and now it takes like 1 minute to stop feeling the difference. And for me monofocal works better than multifocal. It would be interesting to know if we're all headed for cataract sooner or later if you can get the surgery before it happens taking into account presbyopia already has me in a +3? What happens if the distance between the numbers of one eye and the other ( for example one eye +0.75 for far and the other +3.25 for near ) increases? I mean the brain maybe can adapt only so far...?
thank you dr lee. I had already figured out that my basic choices would be either multifocals of EDOF(or similar)mono's with monovision. I do have a serious problam with halo's and glare,so which would be your choice as a best option? I do have quite a varied job to do,so 1)decent driving without visual obstructions is a must. 2)at the moderate end of the spectrum,i am reading/writing reports on a laptop on a dailly basis 3)at the more extreme end of the spectrum,i will be selecting electronic components by eye so must be able to read the values on them(like reading the ingrdients ona medical bottle) THIS IS A MUST.this is not exhaustive as I also need to do fine work under a microscope. most of the reports i've seen say eyehance set to -0.5d dominant eye/-1.25d other eye seems to work well,with little problem with glare/halo (less than -0.5 for dominant people seem to have issues with laptop reading/writing) synergy is the other option,which seems much better depth of focus,but does have the reputation of extra glare.Not something I like to be honest.I do not tolerate it well your thoughts??
I should also say I do not tolerate varifocal glasses.They make me nauseous. anything remotely balance-changing give me a sea-sick feeling. best glasses i have are very mild mono set to distance
Glare does bother me. I am a +9 correction with astigmatism and see 20/40. I have worn glasses since I was 3, and I am sick of them. What lens should I get?
I went with premium Multi-focus lenses in 2012. I wore mono vision contacts for almost 40 years and they would have been my choice had the option for the multi focals not come up. My choice was very expensive but well worth it even as I age.
I'm having cataract surgery next week (as well as fixing an astigmatism). I am going with the multifocal lens as I really don't like reading with glasses (which I started wearing for reading a couple of years ago). I find that I read physical books less and rely more on my kindle since I can increase the font, but I still have lots of physical books on my shelf I want to get through, so I hope the multifocal is the way to go. Expensive, but I'm considering it an investment.
Hej Doctor, I have to question, I hope you can help me. 1. Which lens is better: Is Alcon vivity or Zeiss? 2: I have got an offer for ejeoperation , because I am highly myopic and have cataracts . Perhaps because there is no trifocal lens in a public hospital. The doctor recommend Alcon Vivity bifocal lenses. For at I could see far, middle and near without glasses, the doctor think about to make the distance in the two lenses little different. Besides, the doctor say also that in this way I can avoid side effects such as glare and reduced contrast sensitivity-such as Zeiss trifocal linse has. What do you think of the way they have recommended? Thanks. Lea from Denmark
1. The lenses you mention are all great. I use the Alcon Vivity as my go-to EDOF lens at the moment. 2. I agree with your doctor. You will most likely have less glare and halos at night with an EDOF lens. Hope that helps!
Yes you can still get cataract surgery but make sure you speak to your surgeon about any additional risks and expectations after surgery. Best of luck!
I am scheduled for surgery this summer. I’m eligible for a bifocal replacement lenses and am trying to decided between the need for reading glasses after surgery or distance glasses. I’m 54 and an office administrator, so most of my day is computer and desk work. I’m leaning towards having my new lens correct close and mid range vision, since most of the time I use distance glasses is when I would wear sun glasses anyway. Thoughts?
![FendiDa Rappa - Clock Dat ft. Shamar Marco [Official Music Video]](http://i.ytimg.com/vi/3NBU8KHdxYY/mqdefault.jpg)
Thanks for watching ❤️
If I were to get cataract surgery today, I would elect for a toric lens to correct my astigmatism and pick lenses for monovision - one eye for driving/far distance, one eye for computer/intermediate distance.
Let me know what lenses you would pick for yourself (or what you have already done)!
I'd probably make the same choice as you--except that I don't have astigmatism so I wouldn't need a toric lens. I've worn monovision contacts for about 15 years, and I love the acuity I get with them, so I'm likely a good candidate for monovision IOLs. All that said, I'm at least 5-10 years away from needing lens replacement surgery, so I'm always paying attention to new developments. I reserve the right to alter my decision based on technological advancements over the next several years. 🙂
I picked the lenses that Didn't cost four thousand dollars per eye. Oh well...
@@auntymarushkafah Thanks for sharing!
@@MicheleLeeMD I would have chosen the toric, now, if I had the money.
@@ajs11201 Thanks for your feedback :) Yes, definitely keep an eye out for newer, better lenses!
I had cataract surgery earlier this month and had both lenses replaced with the multi-focal lenses. I am totally impressed with them. Both eyes are now 20/20, both near and far distance. I can hold a finger five inches from either eye and study the fingerprint. I can look at the cell phone tower five miles away and make out the trusses and cross bars of its construction, again with either eye or both together. I have not noticed any night time flaring, but I have noticed that during the daytime everything is much brighter and more colorful with the cataracts gone. I am 77 years old and have the eyes of a 15 year old and am delighted with the results of the surgery.
Thanks for sharing! I’m so happy for you and your brand new 15 year old eyes ❤️
Which brand and model of multifocal lens did you get? Thanks!
@@stevew9769 I'm not 100% sure, but I think perhaps they were Bosch.
@@stevew9769 Some of the more popular/newer brands in the US are the Alcon Panoptix and J&J Synergy multifocal lenses.
@@MicheleLeeMD I know. I was just wondering which specific model Douglas received, since he got such good results.
I'm almost 72. I had Alcon Vivity multifocal iol's put in one week apart (21 and 28 September.) I had been wearing progressive lensed glasses for many years. But finally the cataracts were affecting my ability to be corrected for distant vision. I am still working as an EMS helicopter pilot and was primarily concerned with finding a lens that would give me the greatest range of vision without glasses as well as being mostly glare free. In the US, the FAA requires a three month "adaptive period" after multifocal implants are put in place (not so for single focus.) So while I'm not flying for the next 85, I have to say that I am pleased with the Vivity lenses so far. I have no glare in the daytime and have noticed very little if any at night. My distant vision is extremely sharp in the right eye (done first,) and the left is catching up quickly. Intermediate vision is also very good in both eyes. I read my computer and most things on my cell phone. I'm hoping to see more improvement in the close vision. But I may end up having to carry a pair relatively low powered readers for small print or reading in darker environments. After wearing some form of glasses for over 35 years, it's quite liberating to only look for my sunglasses!
Thanks for sharing your experience!
I just got the Vivity IQ last week. I just came back from my optometrist. 20/20 near and far. Agreed that with small print I need good lighting. Virtually no glare, that is why I chose this option. Lights are easily 1/4 the was seeing before with cataract halos. I have to concentrate for small print but can pretty much see everything.
@@quasimodem5260 Thanks for sharing your experience with your Vivity lenses!
Thanks, Melvin. That really helped me in my decision.
similar experience with Vivity for me as well except the non-dominant eye was made slightly near sighted so I can read well and have excellent distance/intermediate as well. Great lens
A suggestion for those thinking about single vision lenses for distance vision. If you are used to seeing up close without glasses, get a pair of readers and wear them around for a week or two. You will realize what you won’t be able to see clearly without glasses after surgery. Things like your watch, fingernails, toes, etc. you may choose to go with near vision and use glasses for the far stuff as necessary.
Thanks for the tips. I’d rather wear glasses for driving, walking my dog, going to ballgames, etc., and not needing glasses for seeing to read, do computer work, watch Tv, etc. I don’t like wearing progressive lenses as I have to turn my head and not just my eyes. I did have LASIK
Ask
I have worn glasses since I started kindergarten. About 4 years ago (late 50s), I was not able to fully correct my vision because of cataracts. I was on the computer all for work. My gave me the choices you outlined, and I went with the Toric because of my astigmatism. For the first time I can remember, I don't need to wear glasses all day. He warned me, and it's true, that I would need them for reading. I am ok with that as most of my peers are in the same boat. I was terrified of the surgery, I would literally be unable to work if the surgery failed miserably, but I was so amazed I could see that evening and it got better everyday. It was a great decision for me. The only issue is that without the "protective" older cataracts, I now religiously wear sunglasses because that darn sun is so bright (I live in Arizona).
Thanks for sharing your experience with cataract surgery ❤️
Did you choose Toric monofocal or Toric multifocal or EDOF? Could you share the name of your lens, please?
@@Rita50 I believe they are monofocal. Looks like AcriSofIQ, Length 13mm, Optical 6mm. Had these implanted Jan 2018.
@@jimselvy6157 Thank you so much. I am in a similar situation, got astigmatism and a cataract on one eye more. Scared, researching, learning, don’t like change, confused with all the types of lenses and what the vision would be like. Thank you for sharing with me.
I have extreme light sensitivity. I need to wear sunglasses and ski goggles while skiing and nighttime driving is too bright with the headlights. I am hoping cataract surgery reduces my light sensitivity. I guess I have the opposite problem you faced with cataracts.
Here’s my gripe about two out of two ophthalmologist offices I recently visited: they jump right to the premium lenses without THOROUGHLY discussing the neuro-challenges that those lenses entail. The cost difference between monofocal vs. premium lenses is large and the comparisons between the lenses is farmed out to auxiliary personnel likely because the doctor can do more exams, etc. while someone else makes the sales pitch. So, buyer beware…do your research BEFORE your visit so you can make a well informed choice. The savings can be monumental!
Watch this candid video and be an informed consumer.
P.S. a multifocal lens is actually a fresnel lens (much like lens used in lighthouses). A fresnel lens is actually many tiny lenses concentrated into concentric circles and these lens tend to intensify light and produce glare. Since, at least in my experience, seniors tend to avoid night driving anyway (even those without cataracts!) why would someone take the chance of making night vision WORSE? Part of the problem these days is the design of auto headlights by vehicle manufacturers. The headlights tend to be much brighter than older vehicles and the light beam is focused upward and straight ahead of the vehicle rather than down and to the right of the vehicle.
You absolutely right. I agree with you people going crazy . They don't care about other people. Just them self
Agree 100% on research before deciding on type of lens. The initial explanation on type of lens available at my surgeon' s office was done by a non-medical personnel. In retrospect, I did not understand it perfectly, and did not realize I could have asked the surgeon for more clear explantion. I chose a monofocal plus lens. After reseach afterwards, I might have choosen VIvity.
You're are right about the glares from the on coming cars. Most of the new cars have LED lights, and they can blind you , it's like they are on full beam.
The glare factor at nights should be a big consideration, especially for seniors.
@@robin7275the problem with LED lights is the glowing element itself is glaring. If you compare old headlights or halogen, you will see that the low beam bulb covers the filament. The high beam bulb does not. LEDs, typically there is a lens, but you can see the yellow of the actual LED. If I were President, I would push to mandate projector style lights in all vehicles. Aimed properly, they are excellent at reducing glare while providing excellent visibility. The low beams have a perfect line cutting off the light. That line is a mechanical shutter that moves out of the way when high beams are on.
I did monofocal lenses at intermediate distance. I have small astigmatism so I opted for glasses to sharpen distance but I see perfectly to read even the fine print and computer. My doctor definitely suggested the right choice based on lifestyle and age. She was patient and listened. I like yr channel you don't sound prideful and genuinely seem to care about ppl. Thank you.
Thanks for sharing your experience. I also appreciate your kind words ❤️
@@MicheleLeeMD Hi Dr Lee, Hi Eleanor. Your monofocals are set for intermediate & distance, but not for near. Question : Why are you still able to read fine prints after lens exchange and without reading glasses?
@@Nipponho08 I don't know why I can read near but I can..even the smallest print...it's like a miracle..even the Dr was amazed.. I just need glasses to sharpen my distance for driving and the small astigmatism correction..
Yes
Great same story to share. But doubtful about the arcysoft platform glistening.
At 73, I could no longer drive safely at night due to the extreme glare from headlights and even traffic lights. So I went to a recommended ophthalmologist who, after a very careful exam, told me I had cataracts in both eyes, and discussed my options very thoroughly. He told me I was a candidate for the what he called PanOptix Lens by Alcon which would enable me to see distance, arm's length as well as close-up (reading), or I could go single vision near sighted (for reading) or distant vision for things like driving a car. The single vision lenses would be covered, for the most part, by my medicare provider while the PanOptix Lens would cost me $5k out of pocket (and, I was told, may have some small glare at night). I did not make my choice that day but went home to ponder as to which option to select. I had been wearing glasses for near-sighted since I was 15. After much thought I chose the long distance vision option for both eyes because, I argued, there are a lot of things to see between 2 to 3 feet away out to infinite distance. So I still have to wear reading and computer glasses, big deal. Thanks Dr. Lee for this video! Very useful for so many people.
How do you feel about your decision now? I am trying to figure out which option would be the best for me. I am able to read without glasses now with one eye. I also started wearing glasses at age 15, but they caused me a lot of headaches and sinus infections.
I still don’t know what to do but will watch video a few more times and continue to research.
I think that was what Actress Cheryl Ladd had and she said she sees like she is 15 again.
I'm 75 and going with lens to stop glare at night. Has laser at 50 to correct seeing distance which is still good. But put me in readers. I will keep readers at my age would rather spend dollars on travel
I can see only 10cm near and 5 cm near with focus. Everywhere else is a blur (I got cataract in my right eye which is -11.5 now). I have been wearing glasses with -7.5 and -8.5 since 11 years old and got astigmatism. So I am really torn whether to chose Toric monofocal or multifocal and very confused. I’m scared that the vision with new IOLs would not be the same as now in glasses (like in my still able left eye for example). I’m really scared but planning to go to a surgery. I’m 50.
I had both eyes done this summer. Now 68, I've worn glasses for 60 years to correct -5 nearsightedness. I opted for standard IOL and my "new eyes" are -2.25 in both eyes with just cyl +0.5 & cyl +0.75. I can read just fine without glasses. I have an add in my prescription of +2.75 for closer focus, but taking off my glasses with single distance lenses works for now.
My vision is better than ever but one thing never mentioned is that I sort of enjoyed a focal distance of 4 inches. It might have influenced my hobbies of jewelry making, and stamp and coin collecting. I could always see tiny things nobody else could see.
Don't be scared of surgery. It is life changing.
Thanks for sharing and glad to hear you are enjoying your near-sighted eyes!
I understand your problem. I can all most read the bar code on a nat's ass, the rest of my vision is not so good.. I am reluctant to loose that ability. The problem is my vision is getting progressively worse and I can't decide which way to go long or short.
Have you thought of monovision?
@@suek6477 I have some questions about monovision, if you don’t mind.
1. Does it take a long time to get used to the two different lenses?
2. Can it affect depth perception or cause balance issues?
3. Are the lenses they put in good for life, or do they have to be replaced at any point?
4. If eyesight does change, how would wearing glasses work?
Thanks for your time!
@@cherylmcnutt9905 I have no answers for you for cataract monovision since I have not had that done yet. If you want to know about Contact monovision, I can answer that for you.
I am preparing for cataract surgery to fix both eyes - one at 20/70 and the other at 20/40 with a "medium" amount of astigmatism... in my early 60's now. I will probably go with the standard mono-focal lens on each eye (no laser used), with the appropriate glasses after the fact. Been wearing glasses since I was 8 years old, so I don't mind continuing to do so. Cost beyond what Medicare pays is prohibitive to me, so I just will do the best I can. Thanks for your informative videos!
Thanks for sharing, and best of luck with your surgeries ❤
Patients should be well informed that some of these upgraded lenses may not be covered by insurance or Medicare. These lenses may cost thousands of dollars extra out of pocket per eye.
Thanks for your comment.
Yes I agree. Pricing should be transparant. If you are unsure, ask your surgeon, surgical technician, and/or surgical scheduler for cost/price breakdown.
I lenses replicated my monovision contacts that I used for 20+ years. It’s been 4 years and my vision is still perfect. I was told I might still need readers to do things like thread needles. Nope! I can thread needles all day long with no problems. Thrilled with my results. After wearing corrective lenses most of my life, this is a true gift.
Thanks for sharing!
I had multifocal lens replacement 3 weeks ago. I was severely short sighted. I now live in a new life. Its wonderful. The procedure was painless and very quick, I had no discomfort at all. Well worth it if you hate wearing lenses or glasses!
Wow! Thanks for sharing your experience ❤
What about the halos at night and sunglare in day ? not to mention dry eyes ?
What about the halos at night and sunglare in day ? not to mention dry eyes ?
1
Hi, I wonder about the same. Any one ever tell you? Ty
Eighteen months ago I made my choice. I had been wearing glasses since I was 14 years old. I am now 73. When time for the decision came, I chose Panoptix Trifocal lenses. I absolutely did not want to continue wearing any glasses. Within a few days of each separate surgery my eyesight adjusted seamlessly. Sure, it was expensive, but I no longer have to get new glasses every couple of years. It is done! I have absolutely no regrets!
Thanks for sharing your experience!
Have you noticed any issues with lights at night? Have you noticed that your vision is dull or not as sharp as you would like? I scuba dive and am only 38 years old so I have been advised that the trifocals might be a better option. I fear the loss of sharpness of this option.
@Dana Ferguson Thanks for sharing your results!
@@bkriegle You will get some glare at night with any multifocal lens - whether it will bother your is a different story. Definitely talk to your eye doctor about the best fit lens for you. Best of luck!
Nice to have done early in life and not wait until 80's.
I had cataract done at the age of 62. I opted for single vision lenses from Zeiss. Went for far vision in both eyes because I love driving and enjoy the outdoors. Wearing a glass for reading was not a bother for me. After couple of years my vision slightly changed and I now need minor correction in both eyes for distance vision too. All that precision calculated lens is good for a few years. You eye sight will change again.
Were you able to change your lenses? Did insurance cover that?
@@juditrotter5176 I think he means he now wears corrective lenses to compensate for the change in his vision, not that had to have the IOL's changed out.
I got multi focal and I hate it. The doctor said I would love it. I don’t wear glasses to drive anymore but I don’t feel I can see any better while driving. And what I really hate is now I can’t see anything close like cellphone, computer, books, instructions or bottles labels!! And my night driving is so much harder with all the glare. Be sure you know what you’re getting into!
I'm so sorry to hear about your experience with multifocals. Thank you for sharing!
this is a real hard situation.
I remember the opticians telling me i had cataracts and needed glasses.nobody prepared me for quite that shock.Even less so nobody was explaining to me options that work for different people,it was all very generic and none of what they brought up suited me.
They were quite happy to plug the varifocal reactive glasses which cost a bomb, but the change in focus made me sick,and the reactive lenses were not reactive in the way i needed to take out the risks for driving.
in the end i got mono's set for distance with polarised lenses, but that was by trial and error rather than doing proper scientifice studies or a proper consultation period.I was pretty much left to fend for myself and find out what fits school of hard knocks style.
It's not the way it should be.
Thanks for the information. Mam, I have a question. Ii is said that trifocal leses are not suitable for dibetics or those who have eye diseases. will a person who has got trifocal implanted have vision issues if he/ she were to suffer from dibetes or any other eye disease in future?
Hi there, lenses don't "cause" problems if you have diabetes (or shouldn't) but if you have eye disease related to diabetes, like retinopathy or glaucoma, maybe best to avoid trifocal lenses. Make sure you discuss your individual case with your doctor!
I want the best night and distance vision and I have astigmatism. I don't mind wearing reading glasses. Is there a premium toric monofocal glasses that's right for me?
Hi there, I would speak to your ophthalmologist about which toric lenses they are currently offering. Lens technology changes all the time and there are some excellent toric monofocal lenses out on the market - all with their own pros and cons.
Make sure you tell your ophahlmologist everything you have here - that you don't mind wearing reading glasses and you want the least amount of glare and best night vision possible.
Hope that helps somewhat, and best of luck!
Dr. Lee,
I was wondering if you can comment on something because I have experienced something pretty nifty.
To start I have had a horrible time with sleeping for years and I tried everything except medications. I think that is a slippery slope. What I was noticing was an increase in dreaming but then realized I was sleeping for much longer stretches in the last four days. There are two aspects I was curious about….The blue blocking of the lens and that rhythm of light in the day and darkness at night thing.
Wondering too if others have experienced this. Yes I do spend a lot of time on the computer.
There is some weak evidence that blue-blocking lenses can help with eye strain, sleep, and certain eye conditions so it is very possible the lenses are helping you. So glad to hear about your experience - thanks for sharing!
I have operated my right eye cataract with monofocal
acre-soft IQ Toric(2.5cynder) of 6D. can I implant Alcon Vivity EDOF Toric(2.5 cynder) IOL of 8D for my left eye and will be the effects?.Please guide me as early as possible. I will be very thankful to you.
I would defer to your eye surgeon/doctor, who know your eyes the best. Most likely you would be OK with both a Vivity and a monofocal - that is a common combo. Best of luck on your next surgery!
I had cataract surgery a couple of weeks ago and chose Panoptix Toric multifocal lens. For right now eyes are competing with each other on which will see clear and which one is a little bit unfocused but I’m sure that will clear up with time. The day after both eyes had been completed, my regular eye doctor said I was seeing 20/25
Amazing! Thanks for sharing your positive experiene with Panoptix Toric lenses - my favorite multifocal at the moment :)
🌸Hello Doctor. I've had a retinal tear in my right and left eyes. They were sealed by my eye surgeon using laser surgery. That occurred ten years ago. Now my vision has changed significantly due to having cataracts in both eyes. Am I limited in the choice of lenses because of my retinal surgery ? Thanks for your reply.
I also had a retinal tear about 10 years ago and just had cataract surgery. I have the standard lens for distance but need reading glasses. It's so nice to be able to see things at a distance without glasses! The eye with the retinal tear also has an astigmatism so that eye has the torc lens
I had cataract surgery and it was the worst, most painful experience of my life. £2,500 was the cost. Luckily, I have healed - after 1.5 years. BEWARE of any surgery! Take a lawyer with you.
I'm getting a Symfony in my dominant eye, and a Synergy in my reading eye. I had success with monovision contacts, but this should be better for distance. A mild astigmatism is being corrected during the surgery.
Awesome! Good luck with your surgery :)
How is Tecnis Eyhance IOL in case of a 65yr. retired person ?
I love Eyehance. Make sure you discuss with your eye doctor to make sure you are a candidate, and best of luck!
Last year (2022) I finally gave in and got cataract surgery. My doctor took the time to explain the different types of lens replacements and in the end I knew I didn't want to wear glasses or contacts any longer and I didn't want to compromise my sight either. I had worn contacts for years and they did far more damage to my eyes than I even dreamed possible. My vision was horrible and contacts and/or glasses were doing a very poor job of correcting it. In the end I decided to take the multi-focal lenses, even though I would have to pay the entire cost out of pocket because the insurance companies won't cover multi-focals, and man am I glad I did. My vision came back so well it was staggering. The colors were vivid, the vision was crisp almost to the point that everything looked 3 dimensional. True there can sometimes be some weird glare but I consider it a small price to pay for such perfect vision. My humble advice is if you can afford the multifocals and need the surgery do it.
Thank you this was very informative for me as I have to make a choice and was not clear on how to choose properly. Much appreciated.
Thanks for watching!
I need cataract surgery but I am scared. I am legally blind in one eye and it is my other eye that does all the work. I have been postponing my surgery because if they mess up my good eye I could be legally blind. Plus, I find it so confusing trying to understand the different lenses. I would not mind not having to use glasses at all or at minimum just for reading.
I currently use bifocals.
I definitely understand your hesitation to move forward on your only eye! Make sure you understand the risks and benefits, and talk to your eye doctor to make sure they think it is a good idea to proceed.
If you want the safest option, I highly recommend a monofocal lens set to distance vision - this is just based on what you mentioned in your comment and my opinion, so please discuss with your eye doctor before making your decision.
Best of luck!!!
Hey Dr. Lee. I've been told about having cataract for 3 or 4 years now. well my eye doctor recommends cataract surgery now. I've worn glasses about 2/3's of my life, I'm 65 now. I was glasses free for about 10 to 15 years after RK surgery in 1986. I went with RK over contacts because of my astigmatism. I've watched a lot of cataract videos and yours was the first to mention the glare associated with multi focal lenses. So I would probably go with the toric lens because of my astigmatism and the glare issue with the multi focal lenses. Come to think of it, when I had my RK surgery, I think the surgeon made one eye for distance and one eye for up close. I was right eye dominant before and after the RK, but now I seem to be left eye dominant. Anyway great video.
Thanks for watching and for your comment. Speaking generally, my opinion is that RK and multifocal lenses do not go well together. RK incisions induce some glare and affect your quality of vision, and a multifocal lens will make things worse. Also, after RK, lens calculations are a bit more difficult so even if you get a multifocal lens there is no guarantee that you will be completely glasses free. Of course you should make sure you talk to your eye doctor and/or surgeon about your lens options and what would be best for you!
I hope that helps, and best of luck with your surgeries ❤
I need cataract surgery. I am nearsighted with astigmatism. I have worn monovision contacts. I've been to two different ophthalmologist. One said Synergy or Light Adjustable Lens, the other said Pan Optix or maybe Vivity. I'm in a delima! I love my close up vision, but also want to see score board information at ball games. I do a lot of computer work. I really don't want to wear glasses, but would for hand sewing and needlework. Do you have a suggest or words of advice for me?
Hi there, it sounds like you have two options: monovision (to replicate your vision with contact lenses) or multifocals in both eyes. Out of the two multifocals, both Synergy and Panoptix are excellent and best on the market - every surgeon has a preference based on their experiences and I have seen great results with either one. If you do not have a history of LASIK, PRK, RK, or other refractive procedures you probably don't need a light adjustable lens.
If you trust your eye surgeon(s), then I would defer to their expert opinion. Of course if you still have doubts or feel uneasy, you can get another opinion!
Based on personal experience, my recommendation is something not mentioned in this video. The idea of one eye for distance and one for close vision may sound okay, but I've met a lot of people who couldn't handle it. And those who have it report difficulty in getting used to it. And with lenses that give fixed 20/20 vision, reading glasses are a necessity.
Instead or either, my surgeon suggested using a lens that gave me 20/50 vision in both eyes, which is a perfect compromise. It's legal for driving, and, allows you to read without glasses. In practice, that means that most of the time you'll need no glasses, even for watching TV. There are some exceptions, though:
At night, with your eyes dilated it becomes harder to read street and highway signs (your depth of field reduces), which is why I mostly wear glasses to drive at night. The same applies in a darkened theater, so when in a theater, I also wear glasses.
But, those exceptions aside, and after more then 20 years of use, were I to do it again I'd not hesitate in asking for the same lens. If you're going for the monofocal lens option, ask about the 20/50 lens. You'll not regret it.
There's also something they don't tell you: If you're nearsighted, as I was, and you're having the lens replaced in only one eye, you will probably no longer be able to use glasses to correct the remaining eye. I was having both replaced, with a gap of a month between one and the other. So, I came up with what I thought was a brilliant solution. Till the second surgery I would have the lens in my glasses for the eye that had the surgery done replaced by clear glass. But...putting those glasses on resulted in my vision breaking into concentric rings that made me instantly rip the glasses off. Perhaps I might have adjusted to it, but, were the other eye not to be operated on, a single contact lens would have been my choice.
Hope this helps.
Why is it that a piece of plastic can replace the natural lens of the eye. But when it comes to the cornea, artificial replacements fail?
That’s a great question. We can do artifical corneas but they fail for many reasons, most significantly because the cornea is able to promote vessels and inflammation, and that inflammation can result in lots of scars and corneal. Hopefully we will have a better option one day!
doctor what can be done for patients that are bothered by glare and halos from panoptix or vivity iol? or only iol replacement is the treatment for that?
I find that sometimes using a medication like brimonidine or vuity to slightly constrict the pupil minimizes that. My patients typically don’t report to much glare after the first week! Good luck
@@DrJeffreyTran makes sense. Yeah I was told brimindine helps with glares from lasik and panoptix sometimes. How long would they use it for since it's technically a glaucoma drop?
Very good information, as I am considering cataract surgery in the near future.
Thank you for your kind words, and best of luck with your cataract surgery :)
Anybody who owns a microscope would like to help me put lenses in. 5k USD per eye in Australia is too much. Ill head to thailand 1.3k per eye.
I wore monovision contacts for several years, but my cataracts got worse and my eyes changed. Also had astigmatism. I had cataract surgery on my right, dominate eye, 10 days ago and left eye done 3 days ago. Have Vivity lens in right eye and Panoptix in left eye. I can read small print without glasses and my distance and intermediate vision is very clear. Have only driven at night one time since surgery, but did not have any problems. I am very pleased with the combination of the Vivity and Panoptix lenses.
That's amazing! Thanks for sharing :)
Oh How I wish you were in Florida. Thank you for all the clear info,
That is so nice of you ❤ I very much appreciate your feedback. Thanks for watching!
My opthmologist gave me the option to get a single vision or a toric lens for my stig. The toric cost much more so I opted for SV.
He said even if you get toric lenses you'll still need glasses.
Vision changes over time. At some point ,you'll need glasses if needed them prior
I had little astigmatism, so I got monofocal silicone SoftPort lenses by Bosch & Lomb which were both in the near-sighted range, though differing slightly in focal length so I can read books and computers and yet feel I have normal indoor vision. I was utterly snowblind in my right eye, but now see clear as crystal in both eyesl! I even had them done without sedation, it's totally painless and takes less than ten minutes, unless you're freaky about things in your eye! I sometimes use glasses to drive, though I re-passed the DMV test without them. I'm 74, this was 5 years ago, and I was so happy about regaining my right eye I was moved to tears many times!
My surgeon just turned up his nose to monovision, not explaining why he didn't like them. He only game me the option of distance or multifocal Zeiss lens, at cost of course. Prefer not to wear readers every time I have to look at my phone or computer. Thank you for the info, and everyone below for their experience.
5 years ago when I had my cataract's removed, I chose the Tecnis Multi-focal lens implants. They were/are life changing! I'm 73 now and can STILL see both near and far without glasses!!!
Thanks amazing! Thanks for sharing :)
What about the halos at night and sunglare in day ? not to mention dry eyes ?
1
I just had my cataract surgery but I don't know what kind of lens that I got. I am far sighted 80 year old, and i have to say that I don't wear glasses when watching T.V. or working with the computer and my cell phone. It has just been a week and I am overwhelmed with the colorful pictures I see now with my eyes. I don't remember seeing thigs tis good especially the colors. I am just happy that i agreed with the cataract surgery and refused the meniscus tear ones for both of my knees. Thank you for the good presentation.
I have Panoptix and I’m so happy with them. Having worn glasses since third grade for astigmatism and near-sighted, it’s wonderful to see clearly without glasses!
That's so great to hear - thanks for sharing your experience!
That's my exact same story. Congratulations on your new eyesight, it is truly amazing!
I choose the topic lens. I am facing the reality of cataract surgery - I so appreciate this very informative video. Thank you!
I am 57 years old and had my first cataract surgery three days ago. In my right eye I had installed a Vivity Toric lens to correct astigmatism. The lens is a multifocal Vivity lens and I could not be more pleased with the results so soon after surgery. The doctor's office told me that it may take two weeks to gain clear vision. My right eye has surpassed my left (with which I wear a -6.5 dpt contact lens). Close vision is still a little worse but improving, distance is very good and night vision is at least as good or better than my left eye is currently. The Vivity toric is a 10.5 dpt power. I could not be happier with my choice in this lens.
Thanks for sharing your experience!
15 years ago I was not given a choice of lens options under the British National Health Service, but the surgery was free. The first lens replacement disappointingly produced slightly myopic vision. The second was perfect. This has resulted (accidentally) in monovision which enables me to both read and drive without needing glasses. Works fine for me. 🙂
That sounds great - thanks for sharing ❤
does this also hold true as far as the type of lens replacement if you have only one cataract in one eye? Or does that change the scenario??
Your surgeon will be looking at the whole picture. If you just have cataracts in one eye then they will consider that when picking the lens for your eye. Hope that answers your question!
I had my surgeries during the height of Covid. It got to the point driving at night, which I have to do for work, was scary. I went with the monovision lenses for distance. I've worn glasses my entire life and even though I have mild astigmatism, I didn't want the toric lenses, and since I could never tolerate bifocals or progressive lenses at all, the monovision were an easy choice. It's been about a year since the surgeries and I'm very happy with my vision. I had to have the YAG laser done on my right eye due to a fold in the capsule right at the worst spot it could have been at, causing rays and beams at night. It was no big deal and that was it. The other eye seems fine. My only real problems with the entire surgeries and recovery was I had some sort of minor panic attack during the second procedure for some reason, and the drops, I could taste them and that got old quick.
Wow you tasted the eye drops? Thats wild!
@@Padraigp I'm one of those people who taste anything that gets into my eyes. I don't know how it works exactly, but every time I go to the eye doctor, I take some cough drops or candy to kill the taste of the dialating eyedrops. About 2 or 3 seconds after the drops go in, the taste hits me. Yuck is being too nice about how bad some of them taste. Not as bad as shampoo that has gotten into my mouth, but very bad, enough to make me wretch a few times.
@nrd515 that's kinda cool. Maybe your tear ducts redirect to your tongue somehow. Awesome freak 😍
@@Padraigp @nrd515 i had one done almost two weeks ago with the Synergy mf IOL. i also could taste the drops but was told it was normal
Thank you so much. I'm having cataract surgery in a few weeks and this helped tremendously in knowing what questions to ask my eye doctor.
Hi Dr Lee, I enjoy your videos so thanks. I'm considering cataract surgery and i
I've been reading up on these EDOF lenses which seem to have the best outcomes for intermediate and far distance vision. However I'm a Type 1 Diabetic (for 57 years) and while I am well controlled, I do have some diabetic maculopathy with some minor microaneurysms.. Should I consider monofocal over EDOF as I know there are compromises with EDOF lenses? Thanks again.. Ken
Hi Ken, thank you for watching! It's hard to say without examining your eyes but if you have macular issues your best bet would be a monofocal lens to maximize your quality of vision. If you want to consider EDOF, talk to your provider about the risks/benefits and see if you are a candidate.
Some monofocal lenses like the J&J Eyehance have some depth of focus, so you can ask your provider if she/he would recommend that for you.
Hope that helps, and good luck!
Monofocal done yestrday..got follow up today...I went from 20/200..yestrday
today it was 20/20
WOW, THANK GOD
2ND EYE TO BE IN AUGUST
@@Itsme-ni9jk Amazing!!!
how does the multi focal lens work? seems interesting
Multifocal lenses are certainly interesting and have improved a lot (and are continually improving). The simplified/short answer is that the lens has multiple rings that focus light at different focal points in your eye, allowing you to have a range of vision.
Hope that helps!
I read, sew and use the computer a lot. I am happy to wear distance glasses., not reading glasses and as I live in a hot country I have always worn prescription sun glasses anyway. Going for surgery next week and will choose to have near vision. My other eye is fairly good all round.
How are you doing now?
Thank you! For the basic 411 lens! Down to Earth language that I can comprehend! Knowledge is valuable on sight! Have a blessed day!
Thanks for watching ❤
أجريتُ عملية Cataract في 2024 في USA ب 3000 دولار ..لم يُخبرني الجرًاح بنوع العدسة التي في عيني 🤔 ..كان عليه أن يفعل احتراما لمريضة أشرف على علاجها
Hello Dr. Lee... I am scheduled for cataract surgery next week on my right eye and have chosen a monofocal lens. I have worn glasses all my life. I have a slight astigmatism. My main reason for not getting the toric lens is that I will still need glasses anyway for reading at that additional expense. And my left eye doesn't require cataract surgery so I would still need to contend with glasses for that eye anyway. I have been using multifocal glasses for a long time and I am used to that. I just felt that the benefit wasn't really there. Am I missing anything? Thanks.
Hi there, monofocal lenses are always a reasonable option, especially if you are ok wearing glasses. Best of luck with your upcoming surgery!
@@MicheleLeeMD thank you!! 🙏
Hi Dr. Lee, I would choose Mono focal and wear glasses for astigmatism & close work for auto repair. As is often shouted in Kyoto, Japan: " Hey! "
That's great! It's always a good idea to protect your eyes when doing auto repair. Thanks for sharing ❤️
@@MicheleLeeMD It is. As I've aged, sometimes I can't get close enough to see what's going on. I've also threatened to get a pair of bifocals with the reading lens on top. So, if I'm under a car and looking upward while on my back I can see without raising my glasses. It was all so much easier when I had 20/20 acuity. :))
It's a shame that Lenstec's Tetraflex lens is not offered here in the US. I had it installed in my eyes approximately fifteen years ago and it works great for both distance and close vision. It is an accommodating lens and has a large haptic, so glare issues are non-existant. As far as I can tell, it knocks spots off any of the other options available here.
The lens is made in Florida, but for some strange reason the FDA won't licence it for use in the US. Because I had my lens replacements done in the UK, I was able to have it.
I can read very, very small print in good lighting conditions and have perfect middle and distance vision. I only wear reading glasses in poor light or when reading in the evening. Even then, I have the lowest power reading glasses available.
Thanks for sharing! Yes we do not use that lens in the US. Very happy you had great results!!!
@@MicheleLeeMD Thanks, I think one of the issues with an accommodating lens is that it doesn't seem to work for people who are already presbyopic when they have cataract surgery. I was 37 when I developed cataracts so still had the ability to read without reading glasses. My father, however, was in his 60s and did not have the same success with Tetraflex, unfortunately.
In any case, I enjoyed your video. Thanks for creating it. 👍🏻
@@hondaboy2001 Thanks again for sharing!
Thank you so much for sharing your knowledge Dr. Lee . God bless you! 🙏🏻🙋♀️
My doc is pushing me to get multi/bifocal lenses :(. I haven't fared well with bifocal glasses before, so I'm kinda nervous. And now I learned from your great video that there might be glare during the night or daytime. I definitely don't want that! Thank you.
Thanks for watching, and I hope your surgery goes well!
My cataract is not quite “ripe”, so I have time to think 🤔 about it.
It’s never too early to think about it :) thanks for sharing!
I just had cataract surgery - and I have monofocal lenses. Its only been a little over a month since the last eye was done, I still have some of the dark semicircles visible, but they don't bother me. The dry eye does, but I had that before. I use the computer a lot and don't need glasses. Some up close is the same. I still have not tested it at night, and that was the type of vision I wanted surgery for.
Thanks for sharing your experience with cataract surgery!
@@MicheleLeeMD Thank you for this video. It was comforting. I wish I had known it existed earlier.
I never had any choice of lense so my cataract operation was a disaster from my point of view. I wish you the best of luck with your work. I live in France part time and I write from my experience there where ophthalmology is cheap, but not for me cheerful.
I’m so sorry to hear about your experience with cataract surgery :( Thanks for sharing - I love to learn more about what care is like in other parts of the world.
I was given choices but my insurance only covered the basic ones so I still wear glasses ( I've worn since I was 4 years old and feel naked without them,).
All the other lenses were iffered at over $2,00] per eye. So, I had to go with te badics and my eyes are back yo exactly what they were prior to surgery, except that instead of triple vision in headlights, I see star bursts.
@@ellenhofer3343 Thanks for sharing your experience with your monofocal lenses ♥
I really am having a hard time deciding on what kind of lenses to go with. I want to be done with glasses and contacts if I can help it. I have astigmatism in both eyes and am far-sighted. I have had a couple consultations for RLE over the past 5 years. At the first one, the Dr said they'd replace the lenses and then do LASIK to correct the astigmatism. The second one, yesterday, didn't mention anything about laser correction with the lens replacement. I wish I knew of a resource to where I could find peoples' choice to do RLE with no cataract that just have bad vision/astigmatism. Are they happier than before when they had to wear glasses? Do they regret it?
If anyone knows of any resource that I can check out, I would be greatly appreciative.
Hi there, it really depends on your refraction, the level of cataract you have, your age, and how much astigmatism you have. If you need reading glasses anyways and have a pretty significant refraction, RLE may be a good option. LASIK will have to be done afterwards and may or may not be needed depending on the amount of residual refractive error and astigmatism you have.
There are always risks to every surgery, so whether or not you will regret it has to do with your expectations and how things go with surgery. Definitely talk to your doctor about these risks and make sure you are comfortable with them prior to proceeding.
Hope that helps a bit!
@@MicheleLeeMD Thank you. That does help. Do you know if all IOLs have an impact on contrast or is it just the multifocal varieties?
Thanks again.
@@JustinHuddlestonIsAwesome Most IOLs do a little but multifocals are the biggest culprit due to the design. Hope that helps!
Hi Justin, I'm in a very similar situation. No cataracts yet and extremely farsighted (+6/+8) with astigmatism in both eyes. My surgeon is planning a laser procedure to implant the lens and correct the astigmatism at the same time. I'm struggling with which lens to choose. I'm considering the Alcon panoptix because I would like to be able to shoot by bow and handguns w/o glasses. I've never had any corrective surgery and otherwise have healthy eyes. My Dr. doesn't like the vivity by alcon because those patients also experience glare at night similar to panoptix so why not have it all if you have to tolerate glare. I hope this helps.
@@robertplanty7856 I just got the Vivity and am not experiencing glare. I chose them because I play tennis and need to see at all ranges without glare plying indoors. I was shown the glare of the other lens you mentioned that touts better near vision. That glare would drive me crazy. I had glare with my cataracts and driving at night was dangerous, it isn’t now. I am one week post surgery. If I was doing extensive reading I will pick up some readers. Currently I can read the printout instructions for my aftercare easily without glasses and my intermediate and distance sight is fantastic. It’s only been a week so I am curious to see how it will be moving forward!!!!
Ive been wearing monovision contacts all of my life. What to do next?!
If you like monovision then you can try to replicate them with lenses for cataract surgery! Talk to your eye surgeon about how to replicate monovision.
Hope this helps, and best of luck ♥
I dont particularly like monovision, but chose it so I wouldnt have to wear glasses for close up. Its to the point I have to make a choice and so I'm still wearing monovision lenses but also wearing glasses for close up now anyway.
@@talulahwest710 Ask your doctor if you are a candidate for a multifocal lens - a lens that may allow you to see all distances without monovision or reading glasses. Best of luck!
I just had my second surgery yesterday and chose the Toric IOL. I'm very pleased with the distance vision it provides and can drive without glasses for the first time in decades. So far I have had to use reading glasses, but I think the tradeoff is the right decision for me. I didn't want to deal with the glare I saw on various forums with multifocal lenses.
Thanks for sharing!
What was your prescription before? I'm most likely going with the distance (toric). Thanks.
I was born with congenital cataracts. On the advice of my ophthalmologist, We waited until age 17 to receive the surgery. We would have waited longer, but I pretty much had lost my ability to see in high-light situations. We ended up choosing mono-focal lenses after discussing potential issues with the other types. Yes, I have to wear reading glasses (+2.50), but more than 15 years later my distance vision is still 20/20. The nice thing is I can do physical activity, fishing, running, skiing etc. without having to worry about breaking/losing my glasses as I can see far just fine. I can still even read large print near text without the glasses depending on the lighting. I would say, you really only get one chance to choose a lens, so please take all things into consideration carefully.
Thanks for sharing your experience!
thanks for sharing, I subscribed right away, since 80 years old start got all kind problems, include Glaucoma, multi vision , weak nerves, problem, eye astigmatism
Thanks for subscribing! I'll be sure to make some more videos for you about glaucoma and astigmatism soon!
@@MicheleLeeMD thanks for your quick response, I appreciated very much, if you can educate me of glaucoma , thx
@@nancykoo4156 I made a video with a glaucoma specialist here in case you are interested: ruclips.net/video/_pXkDEPonI0/видео.html
Otherwise look out for more videos. Thanks for your support!
Hi doctor, you mentioned you would choose a toric lens to correct your astigmatism and choose mono vision. Would you not choose for yourself a light adjustable lens? I am in a situation that you've described but I don't want to have to wear the UV protective glasses for a month. Your thoughts please! Thank you!
Is the multifulcal lens the same as the light adjustable lens ?
Thanks for your question! A multifocal lens allows light to be focused at different parts of your eye to allow you to see a range (distance to near). A light-adjustable lens is a lens where the power can be adjusted and is really good if you have an eye that has had refractive surgery like RK or LASIK since our lens calculations can be off after these procedures.
I hope this helps! I will be filming a light-adjustable lens video soon and can let you know when that is out.
A great video. I just had cataract surgery and opted for the Crystalens. It has most of the advantages of the multi-focal without the extra glare and halos. I just wondered why you didn't consider these as a separate category?
There are so many kinds of lenses so I had to make this a bit more broad! As you say, there are so many other lenses like EDOF, etc. Thank you for sharing your results with the Crystalens ❤️
In other words you don’t offer this class of lens yo your patients. Just be up front about it.
I had cataract surgery on my left eye in May 2022. I was told at the cataract surgeons office that I was an excellent candidate for the multifocal lens. They told me I might not have to wear glasses. Possibly might need just readers. I did my left eye first.
The lens is a disaster; as neither my retina specialist or ophthalmologist warned me about multifocal lens and having a small retina scar from a prior surgery, yet the cataract doctors office recommended it, I had no reason to question the recommendation, and HATED the idea of wearing glasses.
The vision in my left eye is blurred. There is concentrated blurred spot just left of center vision and the blurriness radiates from that point. However, on the outer part of the field, vision is clearer. Halo's at night are terrible, the glare during the day is constant, and the eye is sensitive to light. After seeing both the retina specialist and ophthalmologist recently, I was shocked to hear them both say they would NEVER recommend the multifocal lens; yet, neither warned me prior to sending me off to their preferred cataract specialist.
The retina specialist said he would not approve the removal of the lens, as I might incur additional retina damage from the procedure.
The ophthalmologist felt I could have the lens swapped out down the road, in a few years.
All that said: you are the only person I have heard who referred to Toric-monofocal lenses and correcting far sightedness or having eyes set for either near or far distance.
I wish any of the 3 eye doctors had brought up all the options and warned me about the multifocal. My prescription today is the same as it was prior to cataract surgery, and now there is the very evident blurry spot. I am out $3000 and extremely disappointed, and unhappy.
I'm so sorry about your experience with cataract surgery. I hope that down the road you can experience improvement in your quality of vision. Best of luck with your recovery ❤
@@MicheleLeeMD Thank you Michele. Keep up the good work
I had read at one sight that the brain can adjust to the multifocal lens over about a year, and that the problems might be overcome, but my ophthalmologist didn't feel this was likly.
Can you have your eye color changed while having cateract surgery?😀
Can this be done? Really
Oh how I wish we could! Unfortunately there is no safe way to change eye color yet besides prescription colored contacts, but maybe one day!
What is funny is, I went into having LASIK surgery 23 years ago with muddy, hazel eyes and came out with a blueish/hazel color. When the reshaping of my eye was done in the surgery, the minuscule bits that were shaved off took the muddy look away! They are much prettier now!
I'm getting my first (left) cataract surgery Wednesday and I'm going with a mono lens. My surgeon advised that I have a small scar on my eye and he does not recommend any multi lens. My issues are blurriness especially in my left and light glare has gotten pretty severe.
Sunlight glare can be brutal and night driving is now horrible with the halos and glare. I had great vision my first 60 years but the last few years I've used readers, and the last 2 yrs I've had prescription progressive glasses.
All the new multi lens options sound pretty appealing but with my surgeons notice of the very minor scar and recommending against any multi lens, I'm feeling that a mono lens and a successful operation will be best.
I can live with using readers when needed no problem. If all goes well, my 2nd eye will get the same procedure in 3 weeks.
The option of a distance lens in one eye and near in the other just doesn't sound like a good idea to me because its not like you just go back and get a redo if that combo doesn't go well. I'm hoping for a 1 & done..
I've been examined by 3 different Ophthalmologists none even mentioned noticing the scar or any issues it presents for lens options other than the surgeon and in this outstanding video presentation from Dr Lee.
I have been kind of questioning my surgeons conclusion about the scar and lens recommendation but after watching this video by Dr Lee, I am satisfied that my surgeon made the right recommendation foe mono lenses..
Thank you so much Dr. Lee for this most helpful video. I appreciate it very much.
Best regards,
your newest subscriber....
Thanks for watching, sharing your experience with figuring out the lens for your eye, and supporting the channel. If you have a less than perfect eye, I always recommend avoiding a multifocal as well. Best of luck with your surgery!
I'm having cataract surgery on Aug 3 so I have to make up my mind soon. I've talked to 2 people who have had the distance lens put in. Both can see up close also without glasses. It seems that people with overall good eye health do well with this decision. I am also considering the Vivity edof lens. Are there any compromises in my vision I should be aware of with this choice? I haven't been able to talk with anyone who has used this lens. Thank you. This isn't a trifocal lens, and supposedly night time glare isn't an issue.
I would avoid a mutlifocal lens to optimize your quality of vision, especially with any possible eye issues like diabetic retinopathy and macular edema. Both VIvity and Eyehance should be fine, but definitely have this discussion with your surgeon!
I had 1st eye done yestrday, monofocal
I got a vivity in my dominant right eye a few weeks ago, Very happy with the results. Distance and computer without glasses. Need readers for the moment but my second eye in a few weeks and doctor is aiming for blended vision. In any case wearing readers isn't an issue for me. Not noticing and contrast issues or glare at night either when driving.
@@davidfwilliams1960 That's great to hear! Thanks for sharing your experience and keep us updated :)
@@MicheleLeeMD Vivity in second and slightly myopic for that one so now no glasses and perfect vision at all distances. very pleased.
What’s the difference between Panoptix and Vivity?
Panoptix is a trifocal lens, meaning it allows you to see distance, computer, and near. The Vivity IOL works like a monofocal lens but actually offers an extended range of vision as a multifocal lens - the range is constricted though so you may still need reading glasses.
@@MicheleLeeMD I also have astigmatism .
@@frankmclaughlin8571 both lenses have astigmatism correction. Hope that helps!
if you are nearsighted get the Toric Lens. Pay the extra. get a mini monovision in one eye. Don't need any glasses.
Your videos are very informative and well done. Thumb up!
Thanks for watching!!!
Had both cataracts removed three years ago. When selecting the new lenses, I felt like I was in a “time share” presentation. The presenter was not a doctor nor a medical professional. I had no idea what her qualifications were and she did not provide them. She basically read off the standard promotional material for the various available lenses except for the most expensive option. For that, she extolled the great experiences patients had with that lens. When I asked what the doctor would recommend for my specific vision problems, she replied “…any of those lenses would be fine, it depends what you want.” Why is such an important decision regarding my eyesight dependent on information provided by someone with unknown qualifications and who most likely is motivated to SELL you the most expensive option????
Very good information to know, dr.Lee"s explanation is very clear and easy to understand ! thank you !
❤️❤️❤️
Everyone I know has chosen the toric or toric II the problem is it’s too expensive for most and even veterans can’t afford them so opting out for the cheap lens is the best choice.
I recently found that I have very slight cataracts and slight astigmatism so it will be a while before I require surgery. Your video was extremely informative, and I learned quite a bit. I don't mind using reading glasses at all. Thank you.
Thank you for your feedback, and best of luck when it is time for surgery!
After watching I believe I will skip cataract surgery.
Thanks for watching, though scaring you away from a life-improving surgery was definitely not the intent!
Don't skip it, if you drive a vehicle.🚑
@@waleyefish9026 I agree!
Thank you for this video. I will probably be having cataract surgery this spring or summer and after watching your videos I feel I will be better to communicate with my doctor.
Thanks for sharing, and good luck on your surgeries!
Tough choices. I'm not comfortable wearing glasses when doing something like playing pool, but I see good to about 3-4 feet. I asked my optometrist and she said maybe try bifocal contact lenses for play playing pool. My other hobby is playing pickleball, but I do fine with glassses. I wonder if maybe I'd play better with some contacts or surgery. I guess I should try contacts before thinking about a surgery?
I have Restor multifocal toric iol in my right eye and Panoptix multifocal toric iol in my left eye
Thanks for sharing! Hope it’s going well ❤️
هل نظرك جيد ولا تواجه اشكال في النظر ارجو الرد
Why 2 different brands? Curious. Thx.
@@mayabruno4075 the first surgery was 7 years ago when the Panoptix multifocal toric IOL did not exist and the second surgery on the other eye was three years ago
Do they have an x-ray vision lens? What about a superman heat ray lens? Ooh, ooh, I want a lens that has the bionic man crosshairs on it too... Just playing. Thank you for the information. I will probably need these soon.
I had cataract surgery in 2015. The results were outstanding. It is amazing how much better my eyesight improved immediately after the surgery. But, a few days before the surgery a clerk was briefing me on the procedure, and she offered me an upgraded lens that would have prevented the use of reading glasses. I declined them because I felt that I was being upsold on something I did not need, such as it happens when you buy a new car and they offer you an extended warranty. I wish I had gone with the upgraded lens, but I am still happy with the results. What was the name of the standard lens they gave me, and what was the name of the upgraded one....thanks.
Thanks for sharing your experience! I'm not sure which monofocal and which multifocal lens they would have offered you (there are several different ones). You can ask your surgeon's office which lens they implanted in your eye and they should have given you a lens card with that information after your surgery.
Can you give me any advice I'm in the UK and I'm not getting answers from the NHS I'm 41 now age 13 I was shot in the eye with a BB gun causing a cataract and a blown pupil I had surgery twice but the lenses slipped because of the damage to the pupil so the 3rd time they decided to try something new at the time from what I can remember they put the lense Infront of the pupil my vision has always been hazy but it's been ok for over 25 years about 6 months ago I started noticing that eye was blood shocked in the morning and I've been getting tunnel vision and star's just in that eye I can feel that the pressure is high in it I couldn't get into the doctors so ended up going to A and E all they could tell me is the pressure in my good eye is ok 13 and the other is very high they wouldn't tell me how high but they looked shocked all they could do is subscribe drop's to bring the pressure down and refer me to the eye clinic but it's probably going to be months before I'm seen
Hi Dr. Lee. Thanks for the extremely helpful and clear video.
I’m having cataract surgery a month from now. My ophthalmologist has recommended the Panoptix toric tri-focal lens. I have worn glasses for distance most of my life but don’t need glasses at all for reading, so have never had bifocals or reading glasses. I understand there’s no guarantee I won’t need glasses after the surgery, but am hoping that will be the case. I also have stopped driving at night as the cataracts have gotten worse and hope to regain that ability. I guess I can tolerate a little bit of glare and halos, but hope it won’t be as bad as with the cataracts! Do you think the toric Panoptix tri-focal is a good solution for my situation? Many thanks.
Hi Dan, thanks for watching and for your comment. I love the Panoptix lens and for most people it can work really well. Definitely discuss with your eye doctor to make sure you are a good candidate for a multifocal lens. I usually tell my patients they will have some level of glare at night but not as bad as with their cataracts. Most people can tolerate it well.
Best of luck with your surgery!
Hi Dan,
Just got back from my checkup 9 days post surgery with the Vivity iq lens in both eyes..Your story is similar to mine except I only started wearing glasses about two years ago for distance. I didn’t need glasses for reading.
I live in a city and there is no way that I should have been driving at night, overlapping glare and halos. The eye place explained the pros and cons of each lens. Originally I was coming for that Pan one but they presented on the computer the halos that I can expect with those. I was told I would probably need readers for the Vivity. I play tennis and glaring overhead lights are always there never mind serving outside.
Little to no glare, my streetlight looks like a round circle easily 1/4 the size of what I was seeing before!!! Played tennis outside yesterday and I had no struggle seeing the ball on a sunny day when serving. I would have had to guess where the ball was before. Driving at night is no concern.
There were no other issues with my eyes.
Outside of the tests with the machines she gave me a card with sentences on them….getting smaller and smaller. With a bit of effort I was able to read the bottom line. She said my vision was 20/20 for near and far!
For me it was an under promise overdeliver. I am seeing signs way down the highway and the signs overhead in grocery aisles. I can read the small print on my racket that gives the specs for it.
I realize that my results may be optimal but I am here to say that this was /is my experience.
I do have to concentrate on focussing for the really small lettering where I didn’t before but it’s only been nine days and it’s almost like my brain is figuring it out. Depth perception is improved…and believe it or not, my sleeping has improved.
Hope you find the best for you. The vision people didn’t steer me at all but told me pretty much that I had to determine what was most important for my lifestyle.
@@quasimodem5260 Thanks for sharing your experience with Vivity lenses!
@@3100fps Thanks for sharing your experience :) Hopefully night vision gets a little easier!
It's a money grab. The basic single vision will do fine for you
Hi Dr Lee, I had Lasik in 2001 and vision perfected until recently when i realise I am minimally prebypoic. I can read computer and mobile but not those very tiny tiny fonts on canned food and food packages. I don't need glasses at all when reading newspapers.
Question 1 : If I choose monofocal (for maximum contrast), does it mean that I will definitely need reading glasses after lens exchange?
Question 2 : If I become totally presbyopic after monofocal lens exchange, and if I go for Supracor/intracor after lens exchange, will I be able to achieve perfect vision + maximum contrast?
Question 3 : If I request to set the monofocal to near + intermediate, does it mean presbyopia eliminated but myopia created? Can I do lasik to recover back my near vision?
Thanks Doctor Lee.
Problem with these multifocals like symphony,, panoptix, vivity etc is that the concentric circles result in about 10% loss of light transmission and maximum contrast cannot be achieved. Sorry for being fussy. But the higher the contrast, the more beautiful the vision becomes.
Hi there, these are pretty difficult questions to answer here in a comment. My short answer is to talk to your eye doctor/surgeon about your options and see which one would be best for you!
My longer answers:
1. You will very likely need reading glasses if you set both eyes for distance vision using monofocal lenses.
2 and 3. As of 2022 with the technologies and procedures available, you will not be able to achieve perfect vision with maximum contrast even with monovision, or any kind of lens exchange. If you set one eye to distance and one eye to near, you may elimininate the need for glasses in almost all scenarios, except maybe night driving. If you get LASIK to fix your near eye you will give your near vision. Bascially with a monofocal lens you pick one focal point per eye.
I know this is confusing so I recommend you talk to somemone in person who knows your eyes and your situation best.
@@Nipponho08 Yes it's a trade off. You just need to dig deep and figure out what matters most to you - range or contrast.
@@MicheleLeeMD Good morning Dr Lee, thanks so much for your extremely kind replies. Sorry my question 3 was poorly worded.
I desperately want to avoid “compromise” and am prepared to undergo 2 operations instead of one. And I also want to avoid monovision because both eyes will become imperfect and cannot function independently.
If I do lens exchange using monofocal lens, both eyes similarly set to near + intermediate, subsequently and similarly do Lasik on both eyes to recover my distant, does this mean that I can attain both “range and contrast” without any compromise on both eyes?
i am beginning to feel abnormal and isolated. Seems like loss of contrast does not trouble anyone except me and everybody is satisfied with the premium lens.
I have cataract surgery done last Dec., just the standard lens. I’m very happy with my new eyes. I need reading glasses now. No problem at all after wearing glasses since 3rd grade & hard contact lenses for myopia 50 yrs. I got droopy eyelids after the surgery. I was so surprised i did so poorly in the field vision test. The eye doctor is very busy, my surgery was scheduled in 3 months. Then he has an emergency to take care of & my operation is pushed back 1.5 months. I’m not very happy. Just have to wait a while. Oui.
I'm sorry you had a delay for your eyelid surgery. Thanks for sharing your experience!
I’m up for cataract surgery soon, I’m 59 yrs old. I will be choosing the standard lens. Eye Doc told me my eyelids were droopy ( I think its hereditary- I told him).
The other option for me was LAL lens. After my studying btwn my two options. I feel that standard lens is the best for me
I used to wear multifocal contacts. I changed to monofocal ( left:far, right: near), it took me like a week to adjust and now it takes like 1 minute to stop feeling the difference. And for me monofocal works better than multifocal. It would be interesting to know if we're all headed for cataract sooner or later if you can get the surgery before it happens taking into account presbyopia already has me in a +3? What happens if the distance between the numbers of one eye and the other ( for example one eye +0.75 for far and the other +3.25 for near ) increases? I mean the brain maybe can adapt only so far...?
thank you dr lee.
I had already figured out that my basic choices would be either multifocals of EDOF(or similar)mono's with monovision.
I do have a serious problam with halo's and glare,so which would be your choice as a best option?
I do have quite a varied job to do,so
1)decent driving without visual obstructions is a must.
2)at the moderate end of the spectrum,i am reading/writing reports on a laptop on a dailly basis
3)at the more extreme end of the spectrum,i will be selecting electronic components by eye so must be able to read the values on them(like reading the ingrdients ona medical bottle) THIS IS A MUST.this is not exhaustive as I also need to do fine work under a microscope.
most of the reports i've seen say eyehance set to -0.5d dominant eye/-1.25d other eye seems to work well,with little problem with glare/halo
(less than -0.5 for dominant people seem to have issues with laptop reading/writing)
synergy is the other option,which seems much better depth of focus,but does have the reputation of extra glare.Not something I like to be honest.I do not tolerate it well
your thoughts??
I should also say I do not tolerate varifocal glasses.They make me nauseous.
anything remotely balance-changing give me a sea-sick feeling.
best glasses i have are very mild mono set to distance
انا لا اتكلم انكليزي لا اعرف في النهاية ماذا اخترت من العدسات هل اختر عدسة متعددة البؤرة ام احادية البؤرة ارجو التوضيح لاني مقبلة على عملية زراعة عدسة
does lazer surgeurey cause aney pain?i havhte lense implanted in both eyes. and a catarect is growing on the right.i still weare glasses.
If you are referring to a Yag capsulotomy then yes it should be painless and quick. Hope that helps and best of luck!
Both for far (monofocal).
That's always a safe answer! Thanks for sharing :)
Glare does bother me. I am a +9 correction with astigmatism and see 20/40. I have worn glasses since I was 3, and I am sick of them. What lens should I get?
I went with premium Multi-focus lenses in 2012. I wore mono vision contacts for almost 40 years and they would have been my choice had the option for the multi focals not come up. My choice was very expensive but well worth it even as I age.
Thanks for sharing :)
I'm having cataract surgery next week (as well as fixing an astigmatism). I am going with the multifocal lens as I really don't like reading with glasses (which I started wearing for reading a couple of years ago). I find that I read physical books less and rely more on my kindle since I can increase the font, but I still have lots of physical books on my shelf I want to get through, so I hope the multifocal is the way to go. Expensive, but I'm considering it an investment.
@@KalCraig How did it go?
Hej Doctor,
I have to question, I hope you can help me.
1. Which lens is better: Is Alcon vivity or Zeiss?
2: I have got an offer for ejeoperation , because I am highly myopic and have cataracts .
Perhaps because there is no trifocal lens in a public hospital. The doctor recommend Alcon Vivity bifocal lenses. For at I could see far, middle and near without glasses, the doctor think about to make the distance in the two lenses little different. Besides, the doctor say also that in this way I can avoid side effects such as glare and reduced contrast sensitivity-such as Zeiss trifocal linse has.
What do you think of the way they have recommended?
Thanks.
Lea from Denmark
1. The lenses you mention are all great. I use the Alcon Vivity as my go-to EDOF lens at the moment.
2. I agree with your doctor. You will most likely have less glare and halos at night with an EDOF lens.
Hope that helps!
Am I still a candidate for cataract surgery if I also have Glaucoma and Vitelliform macular dystrophy?
Yes you can still get cataract surgery but make sure you speak to your surgeon about any additional risks and expectations after surgery. Best of luck!
I am scheduled for surgery this summer. I’m eligible for a bifocal replacement lenses and am trying to decided between the need for reading glasses after surgery or distance glasses. I’m 54 and an office administrator, so most of my day is computer and desk work. I’m leaning towards having my new lens correct close and mid range vision, since most of the time I use distance glasses is when I would wear sun glasses anyway. Thoughts?