I had my cataract operations done in March and I went with mono focal lens for the primary reason I always expected to have a need for glasses anyway. I been wearing glasses since I was 3 years old for extreme far sightedness (+6.00 in the right eye and +6.25 in the left eye) and of course a +3.00 on the bifocal. what I wanted intemindant to distance vision improvements. What I got after the surgery was far better than I ever thought was possible. I had my final post operative exam and intermindant and distance vision was 20/20 in the right eye and 20/25 in the left eye and I do need readers or what I did get a pair glasses with lined bifocals but the correction in the right eye for distance is just a clear lens and the left eye is +0.25 and the bifocal is a +2.25 for both eyes. Since I do still drive and do activities during night time I also wanted to avoid having the glare issues that other lens have the potential. Side note I am 66 years old
Great to hear your story! You were very farsighted indeed. Many patients with your extreme amount of farsightedness choose to have the best distance vision like you did.
@@bestcataractsurgeons This is a strong positive for me as I never expected what I got in the improvements to my vision. Everything is clearer focused and easier for me and I got to ditch those heavy clunkers of glasses and use just a pair of lightweight glasses. I for years would get the smallest possible wire frames and high index transition lenses. To be able to work out in the yard with some safety sunglasses and leave the glasses in my shop and not need them just so amazing to me.
Replacing a lens implant with another lens implant is referred to as an "IOL exchange". Some surgeons are more comfortable with doing this technique than others. Generally, it is better to do this sooner, rather than later. Some surgeons will only do exchanges during the first 3-6 months after the implant was placed. After that period of time, the original lens implant becomes more "stuck in place" and can be more difficult to get out.
Every patient is different... However, LASIK can impact the accuracy of the measurements taken for your lens implant. The Light Adjustable Lens is particularly good for many patients with a history of LASIK. This is because the prescription can be adjusted or "fine-tuned" after the implant is already inside your eye. This makes it the most accurate lens to hit the desired target for many patients. Check out our video about it!
This video is about the different types of lens implants -- Monofocal, Multifocal, or Extended Depth of Focus. The Light Adjustable Lens is a type of monofocal implant. We have a separate video where we rank individual lens models. Check it out!
"Enhanced monofocals" are still considered monofocals by the FDA. However, they can provide an extended range of vision. The Eyhance doesn't deliver as much range as "extended depth of focus" implants... but does deliver more than many other types of monofocals. This is an in-between category... We may need to make a separate video just on this topic.
Clearview 3 is not like Vivity. We probably need to make a Clearview 3 video. Will try to do so soon. Vivity is designed to cause less problems with glare and halos. It also can fix astigmatism, while the Clearview 3 cannot.
Could you explain the difference between The Panoptic and symphony . I am having to choose between one of these or have a mono focal Lense in my dominant eye
Sure! The PanOptix has a trifocal design, which is designed to achieve vision free from glasses for distance, intermediate range, and near vision. The Symfony is designed to give an "extended range of vision" that is more continuous than the PanOptix; however, the Symfony will not give as much near vision. So you may expect to be more dependent on reading glasses if you choose the Symfony. This is a simplified understanding of the lens implants, which assumes your surgeon is aiming for a distance target. The most important thing in making your decision is going to a skilled surgeon who can discuss your lifestyle & vision goals with you, and match them to the right lens implant, taking into account your ocular health. Of course, since we do not know that information about you, we cannot give any recommendation on which lens to choose.
I have seen the "98-99%" satisfaction rate Alcon promotes for Panoptix (I have my doubts about that). I have Panoptix in one eye and I regret it. It's been almost 5 weeks since my surgery. I have significant night halos where I see the RINGS of the lens that radiate out quite a distance - no one talks about that. It is disturbing. Will this go away? I have shards of light streaking through the lens in various places as if gaps exist in the lens, and I still have flickering 5 weeks later. My vision is like looking through a mirage - meaning not in focus..more like a soft focus near through far. Do you think this is due to a biometry mis-measurement? Regarding this issue, I have searched endlessly for an explanation (no surgeon really spends much time to explain anything)...how does the biometry measurement extend or transfer to the lens choice? Does the surgeon pick a lens off the shelf that closely matches your measurements, or is a lens ordered to match, or is it one size fits all? Please do a video to explain what happens after biometry and how a surgeon selects the lens. Why are patients left out of this phase? Many people are unhappy with premium lenses but it is never discussed except on forums where real voices speak...not Alcon, and not ophthalmologists who might not have first hand experience if they themselves to not have an implant. I think I got in my 20 questions if you wish to answer any of the above - I'd be grateful.
Hard to say without examining your eyes... Things that can cause these symptoms: dry eyes, irregular astigmatism, residual refractive error, other corneal irregularities, persistent corneal edema, posterior capsular opacification, decentration of the lens implant... Often it takes a few months for your brain to adapt to these symptoms, and they eventually go away in most. For the small percentage of patients who remain persistently bothered by these symptoms, the lens implant can be removed and exchanged for another one. If your surgeon does not adequately address your dissatisfaction, then you should strongly consider a 2nd opinion.
Great video ! May I ask how do you manage patients with ADHD, does IV sedation work well ? I'm afraid of moving or not understanding the instructions in time, however, the idea of being under general anesthesia makes me more anxious... Thanks.
IV sedation works very well on patients with ADHD. Of course, discuss with your surgeon. They may recommend that you don't take your ADHD medicine on the day of the procedure.
@@bestcataractsurgeons Thank you doctor for your reassuring answer ! That was my feeling too but my surgeon strongly recommended full anesthesia. He said that this is the norm for young patients because they are often more anxious than older ones and so they are not cool during surgery. I was a bit anxious but what he said to me definitely scared me whereas I was expecting more reassurance from him.
Good news. Cataract surgery is done about 5 million times in the United States annually. So many patients feel that way before their procedure... but the sedation will make them relaxed & sleepy. One of the first thing most patients say when it's over: "Is that it? Are we really done already!" :D
Do not worry! The vast majority of cataract surgeries are very quick and completely painless to the patient. I had mine in February of this year (2024), and there was absolutely nothing to it. I don’t remember a thing. You’ll be just fine.
I don’t understand, I thought multifocals are old fashioned. Now everyone is choosing EDOF technology as being non diffractive. Not a very informative video.
This is incorrect. The PanOptix Multifocal implant is the most popular presbyopia-correcting implant in the United States. It is used more often than the most common EDOF implants, which are the Vivity and Symfony implants. In general, EDOF lenses do not deliver as much range of vision as diffractive multifocal implants, however, they can have the benefit of less unwanted glare & halo symptoms. There is no one-size-fits-all "best lens". There are pros & cons to all.
@@bestcataractsurgeons Thank you for explaining that. Unfortunately my eyes are not suitable for multifocal so I will have to choose from what I will be offered.
I had my cataract operations done in March and I went with mono focal lens for the primary reason I always expected to have a need for glasses anyway. I been wearing glasses since I was 3 years old for extreme far sightedness (+6.00 in the right eye and +6.25 in the left eye) and of course a +3.00 on the bifocal. what I wanted intemindant to distance vision improvements. What I got after the surgery was far better than I ever thought was possible. I had my final post operative exam and intermindant and distance vision was 20/20 in the right eye and 20/25 in the left eye and I do need readers or what I did get a pair glasses with lined bifocals but the correction in the right eye for distance is just a clear lens and the left eye is +0.25 and the bifocal is a +2.25 for both eyes. Since I do still drive and do activities during night time I also wanted to avoid having the glare issues that other lens have the potential. Side note I am 66 years old
Great to hear your story! You were very farsighted indeed. Many patients with your extreme amount of farsightedness choose to have the best distance vision like you did.
@@bestcataractsurgeons This is a strong positive for me as I never expected what I got in the improvements to my vision. Everything is clearer focused and easier for me and I got to ditch those heavy clunkers of glasses and use just a pair of lightweight glasses. I for years would get the smallest possible wire frames and high index transition lenses. To be able to work out in the yard with some safety sunglasses and leave the glasses in my shop and not need them just so amazing to me.
Is it difficult to replace a lens with a different lens later if I'm not satisfied?
Replacing a lens implant with another lens implant is referred to as an "IOL exchange". Some surgeons are more comfortable with doing this technique than others. Generally, it is better to do this sooner, rather than later. Some surgeons will only do exchanges during the first 3-6 months after the implant was placed. After that period of time, the original lens implant becomes more "stuck in place" and can be more difficult to get out.
@@bestcataractsurgeons Thank you.
What do you recommend for someone that has had lasik to correct an astigmatism 15 years ago and now has cataracts?
Every patient is different... However, LASIK can impact the accuracy of the measurements taken for your lens implant. The Light Adjustable Lens is particularly good for many patients with a history of LASIK. This is because the prescription can be adjusted or "fine-tuned" after the implant is already inside your eye. This makes it the most accurate lens to hit the desired target for many patients. Check out our video about it!
I have multifocal toric IOL in both eyes
Why no mention of the light adjustable lens?
From what I can figure out, it might well be the most popular premium lens?
This video is about the different types of lens implants -- Monofocal, Multifocal, or Extended Depth of Focus.
The Light Adjustable Lens is a type of monofocal implant. We have a separate video where we rank individual lens models. Check it out!
Thanks for the reference. Enjoy the videos and information presented.
Great!
There's no mention about the newer monofocal plus lenses such as the popular J&J Eyhance IOLs
"Enhanced monofocals" are still considered monofocals by the FDA. However, they can provide an extended range of vision. The Eyhance doesn't deliver as much range as "extended depth of focus" implants... but does deliver more than many other types of monofocals. This is an in-between category... We may need to make a separate video just on this topic.
@@bestcataractsurgeons Thank You !
How about clearview 3 would that be like vivity?
Clearview 3 is not like Vivity. We probably need to make a Clearview 3 video. Will try to do so soon. Vivity is designed to cause less problems with glare and halos. It also can fix astigmatism, while the Clearview 3 cannot.
Could you explain the difference between The Panoptic and symphony . I am having to choose between one of these or have a mono focal Lense in my dominant eye
Sure! The PanOptix has a trifocal design, which is designed to achieve vision free from glasses for distance, intermediate range, and near vision. The Symfony is designed to give an "extended range of vision" that is more continuous than the PanOptix; however, the Symfony will not give as much near vision. So you may expect to be more dependent on reading glasses if you choose the Symfony. This is a simplified understanding of the lens implants, which assumes your surgeon is aiming for a distance target.
The most important thing in making your decision is going to a skilled surgeon who can discuss your lifestyle & vision goals with you, and match them to the right lens implant, taking into account your ocular health. Of course, since we do not know that information about you, we cannot give any recommendation on which lens to choose.
I have seen the "98-99%" satisfaction rate Alcon promotes for Panoptix (I have my doubts about that). I have Panoptix in one eye and I regret it. It's been almost 5 weeks since my surgery. I have significant night halos where I see the RINGS of the lens that radiate out quite a distance - no one talks about that. It is disturbing. Will this go away? I have shards of light streaking through the lens in various places as if gaps exist in the lens, and I still have flickering 5 weeks later. My vision is like looking through a mirage - meaning not in focus..more like a soft focus near through far. Do you think this is due to a biometry mis-measurement? Regarding this issue, I have searched endlessly for an explanation (no surgeon really spends much time to explain anything)...how does the biometry measurement extend or transfer to the lens choice? Does the surgeon pick a lens off the shelf that closely matches your measurements, or is a lens ordered to match, or is it one size fits all? Please do a video to explain what happens after biometry and how a surgeon selects the lens. Why are patients left out of this phase? Many people are unhappy with premium lenses but it is never discussed except on forums where real voices speak...not Alcon, and not ophthalmologists who might not have first hand experience if they themselves to not have an implant. I think I got in my 20 questions if you wish to answer any of the above - I'd be grateful.
Hard to say without examining your eyes... Things that can cause these symptoms: dry eyes, irregular astigmatism, residual refractive error, other corneal irregularities, persistent corneal edema, posterior capsular opacification, decentration of the lens implant... Often it takes a few months for your brain to adapt to these symptoms, and they eventually go away in most. For the small percentage of patients who remain persistently bothered by these symptoms, the lens implant can be removed and exchanged for another one. If your surgeon does not adequately address your dissatisfaction, then you should strongly consider a 2nd opinion.
@@bestcataractsurgeons Thank you
Great video ! May I ask how do you manage patients with ADHD, does IV sedation work well ? I'm afraid of moving or not understanding the instructions in time, however, the idea of being under general anesthesia makes me more anxious... Thanks.
IV sedation works very well on patients with ADHD. Of course, discuss with your surgeon. They may recommend that you don't take your ADHD medicine on the day of the procedure.
@@bestcataractsurgeons Thank you doctor for your reassuring answer ! That was my feeling too but my surgeon strongly recommended full anesthesia. He said that this is the norm for young patients because they are often more anxious than older ones and so they are not cool during surgery. I was a bit anxious but what he said to me definitely scared me whereas I was expecting more reassurance from him.
Im going for surgery and im scared
Good news. Cataract surgery is done about 5 million times in the United States annually. So many patients feel that way before their procedure... but the sedation will make them relaxed & sleepy. One of the first thing most patients say when it's over: "Is that it? Are we really done already!" :D
Do not worry! The vast majority of cataract surgeries are very quick and completely painless to the patient. I had mine in February of this year (2024), and there was absolutely nothing to it. I don’t remember a thing. You’ll be just fine.
@@lorireece1970 very scared
I don’t understand, I thought multifocals are old fashioned. Now everyone is choosing EDOF technology as being non diffractive. Not a very informative video.
This is incorrect. The PanOptix Multifocal implant is the most popular presbyopia-correcting implant in the United States. It is used more often than the most common EDOF implants, which are the Vivity and Symfony implants.
In general, EDOF lenses do not deliver as much range of vision as diffractive multifocal implants, however, they can have the benefit of less unwanted glare & halo symptoms.
There is no one-size-fits-all "best lens". There are pros & cons to all.
@@bestcataractsurgeons Thank you for explaining that. Unfortunately my eyes are not suitable for multifocal so I will have to choose from what I will be offered.
this video does not reflect the reality of modern cataract surgery.
Care to explain?