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i know someone who got monofocal recently. Sees great in day time but disappointingly she sees halos at night such that she doesn't want to risk driving at night. But then again she had nighttime halos from cataracts before the surgery and didn't drive at night. Overall she's glad she got the surgery.

Can computer guided laser "enhancement" (limbal incisions?) at the time of a standard Eyhance IOL placement for cataracts neutralize 1.5 D corneal astigmatism or is it better treated with a toric lens or a combination of both? What is considered most predictable in neutralizing this amount of astigmatism?

Which IOL will you suggest for my 60Y old Mother, who is high myopic (Even after Cataract Surgery, she will need glasses for myopia, that's what Doctors said) and hyperopia with weak retina? standard monofocal or Enhanced Monofocal? these are my options: Hoya Vivinex / Johnson & Johnson Technis / Eyhance or Zeiss ? So, if she will have to wear glasses for less number, is enhanced monofocal worth it? Any disadvantages of EDOF , like reduced night vision or halo or glares?

I am choosing mono lense in my right eye, when the other eye is done Can it be adjusted or selected to improve the closer vision if need be.

Great information thank you 🙏

Well, the first surgeon I saw said he doesn't use or feel the need for laser. Turns out, he also failed to detect that I had something called an epiretinal membrane in one eye. According to the literature, even if minimal, it is a definite no no for multifocal lenses which his office had dates scheduled me for placement until I chickened out for other reasons. My reason for changing course to enhanced monofocals was that getting multifocals with greater likelihood of night time glare, halos and decreased contrast would fail to address my chief complaint of poor vision while driving at night. The undiagnosed epiretinal membrane issue raised doubt as to proper initial treatment planning. The second surgeon is suggesting J&J Eyhance enhanced monofocal IOL implants in both eyes and laser corneal reshaping of the minimal (-0.50 or -0.75) regular astigmatism in each eye. I have an appointment for a laser scan tomorrow and will report back. Sites like this one hosted by Oleksii are of great benefit in discussing the latest updates and many options in cataract surgery in ways that a layperson can understand.

I’m having panoptix lens implant next week for severe cataracts. This information is great and has put my mind at ease. Thank you.

Can you do a video on possible problems with toric iol implants and how they are addressed? Thanks.

I have +6.25 hyperopia with mild astigmatism in both eyes. -.75 and -.50. The astigmatism is described as "regular." If cost is no object, can laser cataract surgery also be used to recontour the cornea (through a releasing incision?) and would it be preferable over a toric lens implant to correct the mild astigmatism? I am considering Eyhance in both eyes. Your videos are clear and concise. Thank you for your guidance in this complicated field.

I think one can wear progressive glasses

Thanks for this video and others. There are so many things that go into good vision that the lay person has not considered until cataract surgery. There is no one roadmap for achieving good vision, as lifestyle, age, tradeoffs in the choices, should all be considered. An example of monofocal toric lens not extending depth of focus was my neighbor who had cataract surgery recently. He chose distance as his target. He uses two pairs of readers, +3 (for close work) and +1.5 (for computer) for closer distances. The toric lens in one astigmatic eye enables image clarity.

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Loved your video. One of the very few with an unbiased description of the Lal lens. Thank you!

alcon IQ monofocal was my choice after much discussion with my doctor. Was -16 left eye, -12 right eye. wore contacts 30 years. Excellent vision. After surgery, could not be happier. 20/15 left eye,20/20 right eye. just use -2 readers. Am 68, had surgery 11 years ago. Had one Yag procedure. Amazing

what's about tecnis Odyssey multifocal iol

Can you please explain the difference between Mono-focal plus and mono-focal?

Thanks so much for posting this. I was trying to decide between two different lenses. After seeing this video, I decided to get Envista Toric monovision.

Your insight is always appreciated. Is there any difficulty getting best visual acuity when using advanced monofocal lenses when combined with progressive eyeglasses? I read the following: "The other issue to consider is that if you use the Eyhance lens it will compromise your ultimate vision with eyeglasses. Eyeglasses can make a correction when the diopter amount is off. However, the Eyhance lens has a progressive power change with the radius of the lens. That is how it gets the EDOF effect. It smears the focus point over a range. A good aspheric monofocal like the Tecnis 1 will bring all the light to a single focus point, and will be easier to correct with an eyeglass lens. The contrast sensitivity or MTF will also be higher with the true monofocal." per Dr. Ben LaHood

English has to be your 2nd language

Thank you very much for your information. The best expert in IOL consulting.

Thanks for your AI IOL advisor. It validated my research so far that a monofocal lens would be right for me. Are you planning to add a recommendation for optimal target refraction range based on the user's data? I liked the "key points to discuss with your doctor" as I have an ophthalmolgist appt next week.

Dr. how could I get a price list of your IOL procedures?

I am on the younger side, have cataracts in both eyes, but one is much worse. I am considering getting clareon multifocal in bad eye and waiting on advances in technology for the other. What is your view on this strategy and expected advances in accommodating and other iols in the coming few years

Dear Oleksii, you wrote JnJ Symphony ( -> PureSee). Does it mean that PureSee is a new version of Symphony? Still don’t know if PureSee Toric is any better than RayOne EMV Toric. There is no review from people regarding PureSee. I found just one thread online that’s it.

which one do you consider best LUCIDIS vs. CLEARVIEW 3 vs. VIVITY Please advise sir

Many thanks for very useful and actual information

Considering the dysphotopsias associated with multifocal lenses and concentric circles, would you consider J&J Eyhance monofocal a reasonable compromise?

Post op two weeks on my second eye. I'm 20/20 in my left eye and 20/25 in my right eye so far. Considering my extreme near-sightedness, this is more than amazing. I opted for the Panoptix trifocal lenses after much research. So far, wow! It's night and day. Literally! Thanks for the videos. I've learned a ton.

As always, thank you for sharing your knowledge and experience. These decisions are daunting for many patients and as you say, knowledge is power. You didn't mention Clearview 3 (SBL 3). Where does this lens fit into the scheme and could you share your experience?

I have been wearing mono vision contacts for 40 years with astigmatism in the left (far vision) eye. Is it possible to continue with mono vision after cataract surgery and avoid the very expensive premium lenses?

Thanks Oleksi. Sorry I got your name wrong. I got a monofocal iol set for distance in the left eye. The right eye is legally blind because of epiretinal membrane growing back after vitrectomy. I am happy I went for monofocal iol set for distance. My left eye has diabetic retnopathy. Both eyes have glaucoma. I am using over the counter reading glasses to see close. They are not the best so I might make typing/spelling mistakes ( lol ). I am waiting for my vision to stabilise so I can get prescription reading glasses. Your videos are very informative because doctors do not tell you everything or anything sometimes. Keep up the good work.

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Thank you Alexee ( hope I got your name correct ) . You are correct about compromise for visual outcome. I think safety is a factor especially when you are old so seeing far and clearly may override seeing near and clearly. Of coursw we live in the computer age and one wrong click of the mouse can get you in trouble. Or signing a legal document you should read fullly.

Great explanation of advantages of light adjustable lens . Cataract surgery scheduled and this confirms my lens choice.

contact wearer 30+ years. very miopic. -16 left eye, -11 right eye. started reading glasses late 30s. multi-focal contacts did not work for me. Had slight cataracts late 50s. Had rle at 58. wanted best distance vision possible. Had monovision Alcon IQ both eyes. Now 10 years later still have 20/15 left eye,20/20 right eye. no glare no halos. wear reading glasses.+2. no big deal. Best decision I ever made. Shoul have done it years earlier. just amazing to wake up and see clearly

This was so helpful and realistic. Thank you!

can you discuss your experience with the EU SBL 3 iol. As always, thanks for your caring.

Спасибо! Отличный информативный материал. Дальнейшего развития вашему англоязычному каналу!

With monofocal lens to see distance...will I have to wear glasses to see car instruments?

As an Ophthalmologist I have used most of the lenses available.In my own eyes I would want a Rayone EMV or a Hoya vivinex in a mini monovision configuration. Good far ,intermediate and fair close vision with very little disphotopsia symptoms . Some EDOFS lenses work well but are exspensive

Hey there, I recently had a lens exchange for both of my eyes. The lens in my right eye is for mid to long distance, and it's been fantastic; I cannt feel it. However, the lens in my left eye, which is for short-range reading, is not working well. I still have blurry vision and I can feel the lens in my eye. Do you have any idea why I'm experiencing these effects?

Hello, You have some interesting information. I have a question. I had a lens exchange because of my mild cataracts. When I woke up from the procedure, my left eye experienced a sharp stabbing pain coming from the inside to the outside of the eye, and fluid squirted out. Do you have any idea what could have caused this reaction?

I have high myopia, -9, -9.5 . Light astigmatism. Doc recommended me Panoptic tonic lens. Which is a multi focal lens.Do you think that will fit ? Thank you for your reply

Do you have any experience or thoughts concerning the Lenstec Clearview 3 IOL. I am in the US and only FDA approved in 2022 but seems to have a longer history of use elsewhere. Thanks for your informative videos.

Thanks for the video, it's super hard to find this type of information regarding IOLs and hyperopia on the internet.

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Thank you for the information. How about myopia -5 to -6 ? Are the considerations the same ? Is correcting to clear near vision plus the use of progressive lenses a good option ?

That was a fantastic video. Very informative :-) Would it be possible to make a similar video for diferent degrees of hyperopia instead? Thank you :-)

thanks for a great video...I got my cataract done a year ago and one eye has a grey shade at the focal point so I have peripheral vision but cannot see at the focal like if i look at your face from the eyes to the chin will be grey....my eyes were really bad before -14 but there was no grey block...kindly suggest what I should do

I’m confused. I am 72 and have astigmatism in both eyes, but only the right eye needs cataract surgery. The left eye is corrected with 20/20 with glasses even though they said it has pretty bad astigmatism. If I get a toric lens in the right eye, with whatever distance I choose, I think my eye doctor said I would not be able to wear glasses but would have to wear a contact lens in the left eye. Toric lenses and wearing a contact is what I’m confused about. When the doctor talks to me I get very anxious and start having trouble focusing my mind on what he saying, so I may be misstating some of the things I thought he said. I think he said my best choice would be either a monofocal lens or a toric lens. I do know he said that just a regular lens (not toric)would be OK. If I choose distance, 18 inches, will my glasses compensate so that I can see other distances, too? from your video, it sounds to me like I should get the second eye done also. The astigmatism is bad enough that the lens is pretty thick. but won’t it cost a fortune to do that. I’ve read that it cost up to $20,000 to have to pay for your own cataract surgery. I’m in the US so Medicare takes care of a monofocal lens and the Toric adds approximately $2000 which is uncovered to that one lens. I did understand that the doctor said Medicare will not cover anything other than the basic monofocal.