Thanks for the overview. I just had the Apthera installed for cataract removal for my right non dominant eye. I have very compromised corneas due to keratoconus. I do know now that the greater depth of focus does help with astigmatism & just one line up from legal driving using corrective glasses. Down side at this point is I can also pick up on floaters I probably already had. Update: I have now implanted the Apthera IOL lenses in both eyes with no apparent light vision issues. Also, after getting my scleral contacts updated I believe with the added depth of focus I won't even need reading glasses. My corrected vision with contacts is totally legal to drive now with 20/25 for right eye & 20/40 right eye. Plus with a follow up appointment that vision may be even better. So three weeks out from catarct surgery I don't have any regrets.
Thank you so much for the excellent work you present on this channel. I usually get to see 2-6 cataract surgeries per day in the clinic and on your channel I can literally see 10-20x more in the same time with great commentary.
gimme a thumbs up if u agree RUclips needs to change the policy back to where we can comment on eye surgery videos!... The comment section of cataractcoach is a valuable forum...I hope its not a thing of the past btw- great video Dr.Devgan! special thx for doing all that math for us! ; )
agree with you. now when they age restrict a video, youtube turns off comments automatically. I have to manually go back and try to turn them back on for every single video.
Thank you for a much more balanced talk this time compared to your first one. It would help if you clarify at the outset if your video is for patient education or for ophthalmologists. An overly technical talk is likely to bring more confusion, anxiety and even remorse in a patient’s mind. An objective video like this one is a wonderful source of useful information for both. Warm regards.
Dr. Uday , when describing the amount of light passing through the IC-8 , I guess the assumption was that the light approaches the lens perpendicularly , however the Cornea actually does %70 of light focusing before the light rays reach the lens , so light rays are already gathered/focussed by the cornea , the calculations based on only on the diameter of the opening in the IC-8 could be underestimating the amount of light reaching the retina , am I right in my analysis ?
Sir a huge fan of your work. In todays world with so many option of lenses, what would you chose if you were to get operated? monovision, EDOF, Multifocal?
I had a pair of pan-optic IOL put in my eyes but the procedure caused dozens of floaters to appear. Only two trips to a floater specialist improved my vision and I would like even more floaters (several big ones) treated. My question is why did I get so many Only after IOL implants? Was surgeon too rough handling my eyes?
Interesting video, though I'm a bit puzzled. You correctly define the difference between depth of field and depth of focus, and then incorrectly refer to EDOF IOLs as having extended depth of focus. After a bit of Googling I see this does appear to be a widespread thing when referring to EDOF IOLs. How did that happen?
I believe this was FDA approved as only a monofocal IOL (like Tecnis Eyhance or Alcon Clareon) but not as an actual EDOF extended depth of field IOL. Please let me know if you have data that shows otherwise.
If a surgeon has trifocal or EDOF (Extended Depth of Focus) lenses implanted in their eyes, could they encounter any issues while performing surgeries using a microscope?
I m a 55 yo plastic surgeon With hypeopia +1.12 iol with on top presbyopia 2.62 symmetrically , my lens are still clear, but I have problem with chronic reading headache using my high quality progressive lens eye glassed, I m seriously selecting new artificial intra ocular lens replacement , I would like to ask all surgeon here, if I use jj odyssey on both eyes, will I be able to see surgical field with sharpness and clarity With short working distance at 23cm, will glare and halo ruin my life, should I keep wearing heavy glasses like this until my lens turn opague, any kind comment would be very appreciated
Great discussion as always coach. Here in the Philippines, we also have the Teleon Lentis Comfort IOL which is a refractive type EDOF lens. I’m curious how you think it may compare to these 3. There is also the upcoming J&J puresee.
Dr. Devgan, I had Vivity EDOF lenses implanted last August (2022). Apparently the prescription was not correct or the lenses were misaligned. Regardless, my surgeon did a laser "tune-up" in February 2023. This procedure not only didn't improve my vision but now I am dealing with rainbows around just about all lights. I would be interested to know if you have ever experienced this type of complication and if so, have you identified possible procedures to correct the issue.
Thanks for the overview. I just had the Apthera installed for cataract removal for my right non dominant eye. I have very compromised corneas due to keratoconus. I do know now that the greater depth of focus does help with astigmatism & just one line up from legal driving using corrective glasses. Down side at this point is I can also pick up on floaters I probably already had.
Update: I have now implanted the Apthera IOL lenses in both eyes with no apparent light vision issues. Also, after getting my scleral contacts updated I believe with the added depth of focus I won't even need reading glasses.
My corrected vision with contacts is totally legal to drive now with 20/25 for right eye & 20/40 right eye. Plus with a follow up appointment that vision may be even better.
So three weeks out from catarct surgery I don't have any regrets.
Thank you so much for the excellent work you present on this channel. I usually get to see 2-6 cataract surgeries per day in the clinic and on your channel I can literally see 10-20x more in the same time with great commentary.
As an patient who has made the decicion for a proper lens soon, this opens my eyes - thank you!
gimme a thumbs up if u agree RUclips needs to change the policy back to where we can comment on eye surgery videos!...
The comment section of cataractcoach is a valuable forum...I hope its not a thing of the past
btw- great video Dr.Devgan! special thx for doing all that math for us! ; )
agree with you. now when they age restrict a video, youtube turns off comments automatically. I have to manually go back and try to turn them back on for every single video.
@@UdayDevganI was wondering why comments weren’t allowed! Did not realize it was a RUclips policy
Thank you for a much more balanced talk this time compared to your first one. It would help if you clarify at the outset if your video is for patient education or for ophthalmologists. An overly technical talk is likely to bring more confusion, anxiety and even remorse in a patient’s mind. An objective video like this one is a wonderful source of useful information for both.
Warm regards.
Very informative. Thank you!
Great video. Thanks. A minor correction: minute 5:38, it should be “simple myopic astigmatism” instead of “mixed astigmatism”.
Thank you for the great explanation!
would be nice to see a review of the relatively new (for the US, since 2022) Lenstec Clearview 3
❤thank you
Long gone, indeed.
Hi, Dr great information,
synergy(CRV) from JnJ is pupil independent.
Tecnis PureSee ?
Dr. Uday , when describing the amount of light passing through the IC-8 , I guess the assumption was that the light approaches the lens perpendicularly , however the Cornea actually does %70 of light focusing before the light rays reach the lens , so light rays are already gathered/focussed by the cornea , the calculations based on only on the diameter of the opening in the IC-8 could be underestimating the amount of light reaching the retina , am I right in my analysis ?
Sir a huge fan of your work. In todays world with so many option of lenses, what would you chose if you were to get operated? monovision, EDOF, Multifocal?
I had a pair of pan-optic IOL put in my eyes but the procedure caused dozens of floaters to appear. Only two trips to a floater specialist improved my vision and I would like even more floaters (several big ones) treated. My question is why did I get so many Only after IOL implants? Was surgeon too rough handling my eyes?
Interesting video, though I'm a bit puzzled. You correctly define the difference between depth of field and depth of focus, and then incorrectly refer to EDOF IOLs as having extended depth of focus. After a bit of Googling I see this does appear to be a widespread thing when referring to EDOF IOLs. How did that happen?
What is the lowest risk option if cost is of no concern? Toric?
How about using eyhance in dominant eye ando ic 8 in no dominante eye ??
Hello sir i am from India. Is auto focus lens adviceable in cataract surgery? What are its positive and negative points. Pls reply sir
Who is the best candidate for a diffractive mfiol?
Hi Dr. Devgan, but have you tried RayOne EMV Lens (EDoF) of Rayner?
I believe this was FDA approved as only a monofocal IOL (like Tecnis Eyhance or Alcon Clareon) but not as an actual EDOF extended depth of field IOL. Please let me know if you have data that shows otherwise.
RayOne EMV is a hydrophilic IOL, is it worth using though when you have better options available ?
If a surgeon has trifocal or EDOF (Extended Depth of Focus) lenses implanted in their eyes, could they encounter any issues while performing surgeries using a microscope?
Senior colleague has a vivity in one eye and monofocal tecnis in the other eye and he's doing completely fine operating!
Same, Vivity dominant eye, Panoptix nondom, works like a charm !
Thanks a lot
I m a 55 yo plastic surgeon
With hypeopia +1.12 iol with on top presbyopia 2.62 symmetrically , my lens are still clear, but I have problem with chronic reading headache using my high quality progressive lens eye glassed, I m seriously selecting new artificial intra ocular lens replacement , I would like to ask all surgeon here, if I use jj odyssey on both eyes, will I be able to see surgical field with sharpness and clarity
With short working distance at 23cm, will glare and halo ruin my life, should I keep wearing heavy glasses like this until my lens turn opague, any kind comment would be very appreciated
Great discussion as always coach. Here in the Philippines, we also have the Teleon Lentis Comfort IOL which is a refractive type EDOF lens. I’m curious how you think it may compare to these 3. There is also the upcoming J&J puresee.
0
Don't take Lentis. It's material will be calcified resulting in opacification after just a couple of years.
If surgeon doesn’t want spects …Is he a good candidate for Panoptix or Vivity lens .
Dr. Devgan, I had Vivity EDOF lenses implanted last August (2022). Apparently the prescription was not correct or the lenses were misaligned. Regardless, my surgeon did a laser "tune-up" in February 2023. This procedure not only didn't improve my vision but now I am dealing with rainbows around just about all lights. I would be interested to know if you have ever experienced this type of complication and if so, have you identified possible procedures to correct the issue.
apparently there are no way to correct the problem.