How to select the Best Lens Implant for Premium Lens Replacement or Cataract surgery in 2023.
ฝัง
- เผยแพร่เมื่อ 28 ก.ย. 2024
- If you are considering basic or premium cataract surgery or premium lens replacement, the lens implant (intraocular lens or IOL) that you choose will affect how you see the world every waking moment for the rest of your life. We discuss the light adjustable lens, panoptix, Symfony, IC8, Vivity, envista Toric/astigmatism-correcting lens and LI61AO basic monofocal lenses.
0:45. How we was our patient through the process of selecting the best lens implant to meet their visual goals
1:45. Two groups of patients that receive lens implants: 1) the 45-65 year old that is looking to have elective lens replacement aka premium lens replacement and 2) the 65+ year old that is looking to have basic or premium cataract surgery
2:45. The two most important variables that will affect your final visual outcome: 1) the surgeon you choose and 2) the lens implant that you choose
3:30. Basic lens implants for basic cataract surgery
4:25. Astigmatism-correcting lens implants or Toric lens implants to see clearly far away without glasses
5:12. Premium lens implants aka presbyopia correcting lens implants (or lifestyle lenses) - Symfony lens, Vivity lens, IC8 lens, Panoptix lens, light-adjustable lens.
6:20. Why do we use lens implants to correct vision? How do cataracts form? What is presbyopia?
7:15. The five premium lenses that we use in 2023.
7:28. The most commonly used premium lens that we use in 2023 - the panoptix lens
8:20. Panoptix lens satisfaction rate and side effects (halo effect around lights at night)
9:00. If you don't like the halo effect with the panoptix lens, then what to do? Mixing different lens implants - the Vivity and panoptix lens combination.
10:13. You want a lens that gives full-range of focus far/mid and near and do not want a halo at night - the light adjustable lens. How does the light adjustable lens work? Strengths and weaknesses of the light adjustable lens. UV blocking glasses with the light adjustable lens. The light delivery device. Follow-up visits after receiving the light adjustable lens.
13:12. Blended vision with the light adjustable lens (compared with mono vision)
14:42. What lens do we choose for patients with prior radial keratotomy (RK) surgery? The Symfony optiblue lens.
15:48. When do we use the IC8 lens (pinhole lens implant - Apthera lens)?
16:18. Lens implant menu and comparison chart
16:45. Synopsis/conclusion
Thank you for watching!
I have no financial interest in the lens implant companies or the products discussed in this video. My financial interest is that I want the best care for our patients that we see at our private practice - Austin Eye in Austin, TX. I am the CEO and medical director of Austin Eye.
I do lots of night driving in a rural setting, so not having excessive glare and auras was a priority for me. I had the surgery to install my Vivity lens just last week, and therefore I still haven't reached the final optical results.
However, despite this, my near vision is surprisingly good as I'm able to read my cell phone without glasses. My mid-vision is very sharp, and my distance vision is progressing daily.
Since the improvements continue as my eyes heal, and as my brain learns to interpret the new data it receives I think that the relatively rapid improvement in the near and mid vision is simply because I spent more of my time indoors either reading or interacting with the internal environment. My brain is therefore quickly adapting to that data just because it is using it more.
Every time I'm outside using my distance vision to walk or drive my brain can begin to adapt to the new input vs my natural lens. The more I'm doing that, the more I notice day-to-day improvement.
I've been wearing glasses for over 30 years and so far - so good
I very much appreciated the indepth information about the various lens (the pros & cons). I am told I will need lens replacement, likely next year. When I asked if I need to start doing research on the available lens, I was told ‘no, the surgeon will take care of that decision’. As a retired IM physician myself, I appreciate that there ARE surgeons willing to educate me and assist me in making decisions about my implants. Thank you so much! And the testimonial from the retired physician was an excellent recommendation about your kindness as well as skill in correcting problems.
This is the best video I’ve watched. Thank you for such a thorough explanation from top to bottom. I am about to have c-surgery and now know what questions to ask. Awesome, doctor!!!
This channel is still pumping out GOLD! 🙏
At age 72 I had the Vivity lens placed in both eyes. I have excellent vision now both far and near. I can see the smallest print with absolutely no need for reading glasses.
Hi, thanks for sharing your experience. Did you do mini-monovision to achieve this outcome or have you small pupil size (around 2 mm) that gives you naturally more depth of field ?
@@Enkidu1903 I didn't do mini monovision - just corrected for distance vision in each eye. I'd previously had lasik for distance vision, with keratotomy in one eye for astigmatism, so could see distance 'fairly' well, but due to cataract, reading was becoming so abysmal that even 3 diopter readers would no longer do the job. Details of distance vision such as street signs, etc. terrible as well. Oddly enough, before the IOLs I seemed to have sharper distance vision at night than in daylight - and I attributed this to my guess that the corneal surface was truer away from the center of the eye and contributing to vision more when the pupil was dilated at night. Although I never asked the IOL surgeon whether I have smaller pupils, I did try to measure them in the mirror and estimated that they were maybe 2.5 mm in good light - pretty normal. I did this because I was worried that if the reading portion of the Vivity didn't get centered well, vision wouldn't be optimal, and wanted to think about how much leeway I had in pupil size. It was the surgeon's first experience installing Vivity, but he's done many with the other lens made by the same company and has colleagues who do the Vivity, and was confident, so I went ahead. He remarked afterward on both eyes that the lenses were centered perfectly, as did another surgeon who did the final assessment later. This is critical because the central bump of this lens is only 2 mm wide, and if it's not completely within the pupil, reading will be compromised. I can read small print well under all normal conditions, not just bright light, so I think that's because of the lens, rather than any pinhole effect.
happy you had a good experience. I had Vivity lens installed. Was suppose to provide distance and intermediate focus. Actual result was poor; ended up with about 20-50 focus. Will still need eyeglasses.
@@Enkidu1903 We didn't do mini-monovision. I'd previously done lasik and was close to having good distance vision already. The Vivity cleared up the cataract, sharpened the distance vision and vastly improved the near vision. Intermediate perfect also. I think my pupils are larger than 2 mm, but not sure by how much. Both docs - surgical and evaluating - said the IOLs are perfectly centered - a key to success.
Hi any halos at night? Would u suggest vivity to a student?
I do not want to wear glasses, i love driving and I am a student with lots of reading! Would vivity be a good choice for me?
Dr Wong, I doubt you'll see this before my 1st cataract surgery. I think you're the best doctor, for giving clear, easy to understand advice on cataract surgery & the lenses, I honestly wish I lived in Texas, I'd want you for my doctor in a heartbeat. But, even after everything, every video I've watched from you (and other doctors too, but, mostly you) I'm still so so scared & confused. I know no lens is perfect, but, I'm TERRIFIED to pick the wrong lens for me. I've expressed that to my doctor, but, she's a hopeless optimist & hasn't really given a lot of preference & Let's face it, there are WAY too many lenses, that do WAY too many things, for someone like me, who has a hard time with things like this, to decide. My main fear is that, unlike glasses or so many other things, this is a PERMANENT, in your eyes, for the rest of your life decision & also an expensive decision or mistake if one doesn't choose what's right for them. I really wish I had more clarification & mostly confidence with this whole process. I don't want to sound like I'm complaining, but, I'm not going to lie, I'm scared, really scared. I know you can't give medical advice & I have to figure this out, I've tried to contact my doctor, several times, before surgery, but, I haven't had much luck thus far in getting ahold of her or her giving me a clearer perception of what is best for me. This is such a HUGE decision, more so than I ever expected in my life. I don't know...I just wanted to say how wonderful I think you are & wish everyone the BEST of luck in your surgeries & choices. Thank you Dr Wong, you're the BEST! PS, if ANYONE has any experience/perspective on the VIVITY lens, please, any advice would be so appreciated. I'm going in very soon (May 7th) and so frazzled to make this decision.
I’m the same, too scared to choose the wrong lens. I’m going to see 2 surgeons to see what they both offer to compare. I’m thinking of some of the EDOF Toric as I got astigmatism. One doctor said that they will give me Toric but what type or make I don’t know. I’m looking at different options here. So scared too. I’m very myopic.
I'm having the same exact experience with not getting information I need to choose between far and near. The doctors are all not forthcoming when questioned about what you'll windup with and the consequences. I have canceled my surgery since I have no way of knowing, even generally, what my outcome will be. I appreciate your sharing so much! I'll stick with what I have. Reasonable near vision, a bit blurry distance, cataracts, but I can still drive and get around fine, use computer and smart phone no problem. I do wear glasses but can read my phone without. Drs encouraging me to far lens, but I'm an illustrator who needs my near vision. This video helped a lot. As did you.
@@wearestardst They can’t promise anything. I went to 2 surgeons. One offered RayOne EMV Toric another PureSee Tecnis. There is no much about PureSee but they said I won’t see piano books with RayOne for some reason, but RayOne doctor said I will. Then PureSee optometrist told me that there is hit and miss with near vision. Some people see a bit closer some people a bit further away. They can’t guarantee. Really frustrating as I was specifying a particular distance I wanted to see up close. Im still seeing the surgeon and hope for more answers.
@@wearestardst 4 days post op, it’s blurry cannot see the letters. I hope it will improve as they say. There is no prediction at all how you end up. I wouldn’t get your expectations high. Some people say they can read on the day 3, some like me happy that I saw some flowers in the garden and my hand with a liquid soap. I’m meant for distance, got EDOF with astigmatism PureSee. The letters don’t add up yet but generally I can say that the distance and intermediate seem on the same level. I can sort of see my hand at 75cm. Now I just pray I can get at least some focus so that I could stick any glasses. Don’t worry about choosing the distance. It feels all right. It’s better than choosing close vision. They will still not guarantee the success I tell you. But if you aim for distance at least you know you can stick glasses on for near, who knows with what vision you will end up when you choose too close. Slight myopia is possibly also fine like my auntie got now -1.25 and -2.00 but they wasn’t sure what result she would have, she just knew that she will be slightly myopic.
I’m putting all those drops now and waiting to see doctor what he will say why I cannot still see letters. I can see the objects thought. Not a plate of food though, that’s a pity for me.
He said before it’s always a laser to improve the clarity, they said I had some old minor scar, but generally topography was good. They said it may affect the vision by 10%. I don’t know I just pray. At the end of the day you just want to get a vision and success in operation. Good luck to you and wish me luck.
Outstanding presentation. Trying to determine which lens is best is pretty hard because I am concerned that my vision will not be perfect following this surgery. Having worn glasses for approx. 60 years, the thought of not having to wear glasses is pretty impressive, but I am very particular about my vision. I am concerned that after surgery I will not be happy with the results. It is hard for this old fart to make this life-time decisions.
This was very informative. I'm scheduled for surgery and was given the option to see better up close or distance but I assume they didn't bother to inform me of other choices due to my Medicare insurance not covering them. They still should inform people of the pay out of pocket options. It's my eyesight, after all.
Very well simplified, an excellent presentation. Thank you Dr. Wong 🙏
I really,really like your videos. You leave nothing unanswered. Thank you. Glad I'm making the decision to have this procedure done with you and your team. See you in a couple weeks.
Thank you Joe!
Thank you very much. your presentation was very clear. My mom had eye implants and said she had miracle vision. She told me to "save money" so when I need them I will be ble to afford them. I think they will bw worth the price.
I've watched several videos on these lenses and this is the best one yet! It helped me make the right decision. Thank you for a clear explanation of them.
Best most detailed I’ve watched!!❤🎉
Excellent, comprehensive explanation. Thank you so much
My Dr never explained it. Now I’m farsighted after cataract surgery. I miss reading a book
Thank you for this video. I am considering a lens replacement and I appreciate your instruction/insight about the types of lenses .👍🏼❤️
Hey I have checked out several videos of yours on cataract surgery. So informative and knowledgeable. Had refraction surgery years back for astigmatism and was 20/15 but now have cataracts. I also have those floaters
Floaters are not corrected wth cataract surgery as you probably have found out by now
I never thought floaters could be corrected via cataract surgery. I was just simply saying I had them
Fantastic info and well communicated. Thanks
Dear Dr. Wong, After your lecture, I have more questions than before it. In 2021, YOU praised Synergy lens as the best, better than Panoptic. Today, You have totally omitted Synergy. Why? On March 22, 2023, on recommendation of my best local eye surgeon, I chose Synergy. I am thrilled with it, Synergy is a magical lens; it gives me AUTOFOCUS at any distance. I was so happy that on 1-month visit, I asked my surgeon to install Synergy in my other eye - he declined the surgery because my other unoperated eye also became 20/20. Waiting for your explanations of the omission of Great Synergy lens from your chart.
We stopped offering the synergy lens in 2021. After placing 400 synergy lenses, we found that about 10% of patients were intolerant of the synergy lens vision requiring us to remove the synergy lens from about 40 patients.
@@ShannonWongMD Perhaps, 10% of patients had pre-existing issues with vision nerve or retina, or some other condition? As you well know, blaming the lens may be (too) easy a way out diagnosing the root problem of "lens intolerance."
th-cam.com/video/qP9qcp_hdiQ/w-d-xo.html
I'm glad that you are seeing well with your lens implants. The patients that had poor vision with the synergy were normal in every way....they just were intolerant of the synergy. Here is an example video with several links in the description to other patients with unhappy synergy outcomes: th-cam.com/video/7oRMFklw8Ok/w-d-xo.html
@@ShannonWongMD Thank you very much, Dr. Wong. Best wishes for your noble work. Alexander Soifer, Prof., Ph.D.
Wonderful and informative video to watch and learn how to get best lens.
I first heard about this a couple days ago. I was very excited at first. After doing a lot of research and reading peoples comments I decided to live with my glasses and my cataracts. I depend to much on my vision to take this risk. I'll wait after my cataracts get bad enough where it won't make a difference if I do or don't.
Remember these doctors are sales people and they are in it for the money and they don't give a crap about you or if you are happy with the outcome.
TRUTH!!! I'm doing the same as you are!
Excellent, informative video! You did a great job as usual Dr. Wong.
Thank you Johnny! Hope all is well!
Great video Dr Wong. I had a Vivity lens implant and a Yag laser PCO 3 months later. The day following the Yag I noticed significant starbursts around lights which weren’t present prior. Had the cornea mapped an no changes. Slit lamp exam didn’t show obvious lens pitting. Have you seen this and did it resolve? Any chance there are occult Yag related lens changes or the posterior capsule hole isn’t big enough?
Excellent discussion. Now know which lenses I’ll choose. Thank you.
I wish we had this in the UK, on the NHS!
Excellent information as i prepare for this surgery.
Excellent presentation!
Very good description of the lens’s choice. Thanks
Thx for honest excellent info Dr
I, for one, am looking forward to your verdict on the LAL.
excellent presentatio, if you have vision only in one eye, what will be the recomendation?
thanks!
I had the regular lens put in my eye for cataract. It’s my far vision non dominant eye. I now have problems seeing distance.
I have to get cataract surgery in my right eye, which is dominate and I’ve used that eye for monovision all my life. Would the Light Adjustable Lens be a good fit for my right eye? I heard you say it for people who had not had any surgery in eyes. Help I need to make a choice soon. Thank you for your video. I have not gotten such great information from my eye Dr or Surgeon.
Thanks for sharing... the Dr's are remarkably NON forthcoming. It is a serious problem for patients.
Doctor Wong, thank you for your information. Can ypu please do review on Zeiss AT LISA tri lens ? Thank you.
Best video. Thank you.
Very helpful! Thank you
I want to continue to wear glasses… my husband and I like the look… i have both near , far and cataract issues… just multi focal right? Or basic?
I cannot find any information out there regarding cataract surgery for patients with only one working eye.
Which ones are covered. Y Medicare, and for the ones not covered, how much would they run? Thx in advance
What is the out of pocket amount for Tori’s lens implant?
Unusual question: I live far up north i Norway and I am going to implant panoptix trifocal. Will my brain adapt faster if I do the surgery while it is dark most of the day and I get exposed to a lot of night vision. Or is it best to do it during the summer time when it is light almost the whole day, so that I have neuro adapted before fall and darkness kicks in.
What do you think of “ ocumetics “ lens . They are suppose to give you 3x’s better vision . Heard they are doing some trails now .
What about the Crystalens, which allows the lens to move more naturally for expanded depth of focus? Monovision with Crystalens or perhaps another lens in the second eye?
We stopped using the crystalens in 2017 when other lenses emerged that outperformed the crystalens.
Is it common for there to be an additional fee per eye for a laser used during surgury to break up your natural lens? How important is the femtosecond laser? I was just quoted $4,595 per lens for Symfony or Synergy lenses plus $2,600 per eye for use of the laser to break up and take out my lenses. I can’t afford the laser currently. Thank you 😊
Some practices charge for use of the femtosecond laser. We stopped using the femtosecond laser in our practice in 2021. Results are better and safer in our experience without the femtosecond laser. Here is a video of my explanation: th-cam.com/video/jEHehqdsNDs/w-d-xo.html
Excellent, thorough response. Thank you so much 😊 @@ShannonWongMD
Please please answer me l am 91 years old
Is cataract surgery is safe to me and what kind of lens suitable to me
I thank you very much
Hi my Doctor wants to do a Yag laser on my wife Vivity lenses to clean them. She only had then 16 months I would love to know if this is necessary. My wife claims she does not see as well so they told her this would fix it. Please tell me your thoughts on this procedure thanks.
thank you
Please help!!! Had Panoptix placed 2 month ago in one eye, monofocal for distance in second eye. The Panoptix eye - vision worse than before the procedure (now blurry at all distances, doubling letters). Want to exchange. Had scleroplasty done when child, retanal detachment fixed with laser, LASIK, dry eye syndrome, astigmatism..what lens to use for exchange? (want to see near and intermidiate distance)..
Thanks a lot sir
What light is it of light delivery device?
Hello doctor, I had a Swiss Standard EDof lens implanted in my right eye. Is it permissible to implant a multifocal lens in my left eye so that I can see all distances well?
What about micro monovision or blended vision using 2 edof? Also, is LAL considered edof? From what i've read, it is a monofocal lens. Thank you for the video!
I’ve heard LAL described as edof. I’m not exactly sure how this is achieved though.
Thank you!
Wow! You have some insane prices!
5 years ago, my doc was doing Symfony lenses for $4k per eye. (With tons of 5 star reviews.) You want almost double?!
Shop around, folks. Shop around.
I was quoted 9200 in Massachusetts. Worth it for great vision and care. I’d spend extra to travel to have it done by Dr Wong!
@@Elizabeth-gl1uy I literally just had it done last month for $3,900. And that was for a Vivity lens.
Please please please help. I have so much respect for you and would like your opinion. I am having cataract surgery on my left eye next week. During my preop visit my doc and I chose the Clareon PanOptix Trifocal. I did find out that I have astigmatism of -.75, however. I am told that is mild, but will that get worse over time after cataract surgery? And is there a way to correct astigmatism AFTER the surgery if need be? I’ve read about laser or CCI or LRI? I’m not sure if I am having one of those but if not do you think any of those are wise in my case? I appreciate your opinion, and thank you so much! Your videos are awesome!
I got toric Panoptix lenses last spring. They work great and I love them.
Hi thompson did you find anything about it? Can astigmatism be corrected after surgery?
@@mikethomas4210 I got the Panoptix topic lens and I still have residual astigmatism of -.25 so my distance vision kinda sucks! Near vision is near perfect, mid just acceptable and not great. I am not pleased about the outcome. Dr wasn't able to explain the poor results.
I'm sorry about the outcome of your procedure. Hopefully, in time your vision will get better. I've read that it can sometimes take up to a year for your eyes to adjust. Good luck and I hope things get better.
@@SThompson953
@@SThompson953 What was your starting astigmatism before surgery?
I have a prescription of -7.5 in both eyes and use contacts with mono vision. I wanted to get the Vivity lens but it is not available in that strength. Is the light adjustable lens available in that range ?
pwede Po bh akko magpaopera Po Ng mata
awesome
I was 40 and both lenses were replaced due to severe cataracts. I wonder how long a lens will last. I understand they can never be replaced.
In another video (2019), Dr. Wong said that replacement lenses are intended to last more than a lifetime. He was speaking of modern-day replacement lenses, so I don't know if that applies to very old versions of lenses.
07:27
I have the worst vision.i am 33 and already went three lens implants with bad results each time. Now i cant even read a book or drive a car
what lense monofocal far?
Monofocal lenses swck.
I didn't want them but they put them in anyway a month ago. I'm probably going to have someone else do it all over again and put something more bleeding edge cutting edge in. I don't know why they are still using this old tech of monofocal and multifocal lenses, when they've had stuff out for 3 years or more now who's focal length can be changed by your ciliary muscles.
And who is using these new lenses? I definitely don’t want to be putting new tech in my eyes that doesn’t have a solid few years and few thousand patients behind it.
👍👏👏🎖🎯
Excellent presentation Dr Wong. This is the clearest and best presentation so far on choices for cataract surgery. The graph works well and should be a pamphlet distributed to all ophthalmic patients 45y/o and over. The reason is that after all the tests they will be better equipped to choose one lens Vs. the others. A typical 15 min visit with the ophthalmologist is simply not enough time for anyone to fully understand all of it unless they are already in the medical field and have done some prior readings.
Thank you! I agree with you!
@@ShannonWongMDIs there any possibility to get a multi-focal lense surgery for someone who is near and far sighted in their mid 40ties who also had (very) dry eyes? Thank you very much in advance 🙏
This presentation is broken down plainly and methodically so that it can be clearly understood by anyone. Excellently done. !!
I went with far vision lenses. I regret that decision. I didn’t realize all the simple things I need cheaters for now. Looking at my watch, trimming fingernails, reading the tv remote. I thought I could deal with reading glasses but it’s a bigger pain than I thought. At 65 I need my near vision more than far. I would suggest to folks considering far vision to get a strong pair of readers prior to surgery and wear them around for a week to simulate not having near vision to see what it’s like. Prior to surgery, my near vision was pretty good. I should’ve stuck with that. I had a cataract in my left eye and had my right eye done the same to match it (OCD issues). Now my right eye has focus issues (ghosting, things are not sharp any more). I think it’s a defective lens. Should’ve left that side alone. I don’t want to scare folks away from replacing lenses, but I think they need to take some extra time to look at side effects and other issues.
Excellent comments.
I'm having my first eye done next week, and I have decided to go with near vision correction. I've worn glasses for 60 years, and while the idea of not needing them is tempting, then thought of having to carry a pair with me for near use only sounds like a nuisance. It will be so much easier to just keep them on all the time. Thanks for confirming my suspicions about having distance corrected!
Really appreciate Dr Wong’s description of each Lens selection. Very through.
@@suesmith5496 ...I was thinking the same thing. You are already have them on now just look down and read the phone without cheaters
Best comment ever to explain and think about what it's really like.
I am 50 years old and was tired of contacts and glasses. Got this surgery 5 months ago - Panoptix Toric - I am now 20/20 for near, middle, and far vision. Best decision I have ever made!!! I had -7.0 contacts before surgery. Now I don’t need any glasses. FREEDOM! I do have some haloing but I can drive at night etc with zero issues.
Was there any adjustment period with these lenses to see clearly at all distances? I wear progressive contacts and find my vision is not great close up in dimmer light. Does your brain need to figure out how to use these lenses or did you see clearly at all distances shortly after the procedure?
Thanks for commenting, it helps for those of us facing this decision
That’s awesome, I have my surgery this Dec , I’m 59 !!
I had Panoptix in left and Synergy IOL in right eye 18 months ago. I liked the near vision, laser sharp and distance pretty damn good. Biggest headache was night driving...BIG halos, starbursts etc. went back and got Panoptix replaced with second Synergy because I want to be 100% glasses free that I am. I can go swimming and love that. Night driving hasn't changed. Got the Catalys laser with Ora etc. I have made peace with night driving... I wish there was a simulation before gettting that stuff in your eyes...
What are the Synergy IOL lenses? Maybe he mentioned it in the video and I missed it?
I agree, I wish there was/is an example of what to expect post-op, so I could make an informed decision.
How much is synergy iol in your country?
I am 66 years old and I just went through the procedures for cataracts. In my case I was not a candidate for a premium lens as I had extreme far sighted ness with a slight astigmatism in the left eye. In consultation with my surgeon we both agreed that the standard lens replacement would be best for the cataracts I had. I figured I still require glasses but post operatively but I am absolutely blown away on well the standard lens are. Going from a +6.00 and +3 in the bifocal for the right eye and +6.25 and +3.00 for the left eye to no distance correction and a +2.25 for reading in the right eye and a +.25 and +2.25 for reading is just absolutely amazing. I have always wondered what it would be like to be able to go without glasses as I worn glasses since I was 3- 4 years old and now glasses are needed except for reading. I am still getting a pair of glasses as it will still be more of the just easier to have but really I don't need them doing the majority of my hobbies and yard work. In my case it was just that is all I wanted was some improvement and it was more than I ever expected. For the other folks premium lens replacement might be a consideration for them. Just be aware even the standard lens in a person that has cataracts can also be a live changer.
Hi Mike, I have about the same vision as you- 6+, with a 2.50 for multi focus contacts. I am going in for cataract surgery. Did you get a bifocal lens implant Or the basic?
@@glennness6988 I went just with the basic as I accept that I would need glasses for reading.
Thank you for the information! I am 76, and going in for my implants next week. I decided on the standard lenses as well, since I have no problem wearing glasses, and have been wearing progressive lenses most of my adult life.
Perhaps you can do a video about placing a premium lens in one eye. And what one can expect, which is what I understand you had done to you. How is your near vision now with one eye done, and both eyes open? Also, I would like to know why you left one eye untreated as opposed to doing both eyes for your Presbyopia? Lastly if one traveled (by air) to your practice to do this from out of town, how long would they need to stay in your area, before flying out. Thank you for your educational videos.
You're asking exactly what I would like to know . hope we will get a answer .
Same@@Buynefamilie
it sounds like it could be up to a couple months if you go with the lal lens.@@ScottJoe
I have been watching videos from various Drs and Dr Wing has done the best job of all I’ve seen so far , he is easy to understand and speaks at a good pacd , some speak to fast .. I wish I lived in Texas so I could go to him
Me too, I'd trust Dr Wong in a heartbeat with my eyes.
That is the best presentation I've ever seen. Thank you so much for the information.
Excellent educational video explaining everything very "clearly". About what percent would you say you are using LAL in your practice ?
It’s LAL for me but, such a shame you’re too far away 😢☘️ Great video 👍
Use it as a reason to visit Austin.
EXCELLENT Presentation Dr. Wong. Hats off to you for taking the time to make this very informative video. 👍👍👍👍
Hey Doc., what about the Clearview3 lenses instead of the Panoptics to prevent halos? Is the quality of site as good as the Panoptics minus the halos? Regards, Tony
First and foremost, Thank you Dr. Wong for all your wonderful videos. I’ve watched virtually every video of yours prior to my very successful cataract surgery last year. I’ve learned so much through your videos I could probably do the surgery myself if asked.
I’ve notice in the above video you mentioned that the “Basic Monofocal” lenses will require full-time glasses. A year ago to the day I had cataract surgery with the “Basic Monofocal” lenses. I find all I need are readers. I have 20/20-25 vision in both eyes and my medium vision is very good as I don’t need readers for the desktop computer screen or viewing maps on the dashboard when driving. I can read my iPhone with standard sized text for the most part but it’s much easier with readers.
Thanks again!
In my experience one of the points made is not true. I had Toric IOLs installed two weeks ago and my eyes now focus down to within 6 inches of my face so I can read just fine without reading glasses. Medium and far vision are great. 20/20 vision in both eyes.Thank heavens!
Thank you so much! I so wish all this was explained to me BEFORE surgery. Real 'eye' opener for me. You're the best Dr. Wong!
Sir since many young people are also getting cataract. Please consider this age group (eg less than 30years old) in your suggestion videos.
I am 27years old and developed cataract in my eye.
th-cam.com/video/B4kl5KTgdhg/w-d-xo.html
Hi I am also 26 years old, have catract and planning for surgery with pantopic trifocal lens ..can you please share ur experience
Thank you Dr. Wong. I hope it's more than a few years before I need Austin Eye's services but you are who I'll be seeing.
Best explanation of the pros and cons of these choices anywhere. Thank you!!
For a person in their 80's, good health. Have AMD in right eye, lens put in and brightened my sight but of course, can't correct due to AMD. Now need the left eye due to cataract, no AMD. I am very indecisive as to what is best while having only one good eye and not wanting to make a mistake by choosing incorrectly.
Great presentation! I have Vivity Toric IOL's and while the left is good, I've very unhappy with the right eye. i need corrective glasses which is fine, but my right eye is not improved with a range of lens Rx.requiring a .5 to 1.5 diopter cylinder. I see 20/15 in the exam room, but real world vision is blurry. And the right eye doesn't work for reading with any Rx add. I'm 76 yrs old, but was correctable to 20/10 up until age 70 when the right eye cataract interfered so my vision with glasses was reduced to 20/25. Surgery was done by a world renowned cataract surgeon. My long time opthamologist thinks I should have had the mono focus Toric lens. Have you seen this kind of problem with the Vivity lens?
I had Vivity lens installed in left eye ($3500 extra cost). Was suppose to be distant and intermediate focus. Ended up with 20-50 vision; will still need trifocal glasses. Only good news is the fogginess is gone.
I have a question if you don't mind me asking. i had retinal hemorrhage surgery on both of my eyes due to diabetic and the cataract build up was the side effect and need of surgery soon. the office said once its replaced, there can't change to another later on. is it possible to go premium lens later on even if I had the basic lens for now?
Do you treat binocular double vision? Should binocular double vision be treated before cataract surgery?
Went to the website and I don't see prices on the chart...
Dr. Wong. I had LASIKs mono vision almost 20years ago. Am I a candidate for lense replacement? Thank you.
Optometrist said my right eye have some cataract but not enough to have surgery now, I am 64 , thinking about to have a cataract surgery done now, so I can enjoy the clear vision now instead of 10 years later. Do you think I am doing right? Thank you.
First off thanks for your videos. Very helpful! One question only. Does your clinic do both RLE LAL eyes at the same time or space them apart?
If your surgery is completely elective, then you have a choice to have them corrected on the same day or have them corrected on separate days.
Why wouldn’t LAL be the best lens for RK vs symfony? These corneas can be variable throughout the day so to be able to adjust the refractive outcome post-operatively seems like the best solution for patients. However, I bet the post-op appointments, refractions and adjustments could be difficult and frustrating due to this variability.
I can see halos with my Panoptix but they are not like the ones shown as examples here. I can actually see the rings of my lens around headlights. Is that normal?
Yes, it's normal, then you won't see it anymore, the brain gets used to it then it's as if they don't exist, it's what is called neurolearning, the brain is wonderful.
Do you have any news about canadian ocumetics lenses?
Please let me know
I had the PanOptix lenses installed. They are to provide near, intermediate, and far distance, and are very expensive. I regret having them installed. At night, the lights of oncoming traffic have rings and glows around them. It is very bad. Worse than when I had cataracts. I am told that 99% of people love these lenses, however, I have also seen reports that 12% have serious problems like me. There are so many other options that are better and do not have the chance of this side effect. I am considering having the PanOptix removed.
I would go with Light Adjustable lenses in both eyes for achieving blended vision
George, don't despair, wait a little, the brain adapts, I still see lights, but not consciously, that is, it is as if they were not there. As Dr. Wong says, there are no perfect lenses, each one has advantages and disadvantages, give your brain time to get used to it.
My cataract surgeon is NOT recommending any premium lense - but only monofocal standard lens - I had Lasik 20 yrs ago - I have monovision. Yet he does not recommend having PanOptix. Should I insist on a premium lens? I am paying completely out of pocket. And it is expensive already.
Any have any suggestions?
Would you consider a second opinion with another ophthalmologist in your community?
Dr Wang thank you for your video, it is easy to understand even for people like me who’s in Europe.
I would be very happy if you could answer a question. I’ve had my surgery in January 23rd 2024 and my surgeon recommended panoptix due to my age and my sight I had presbyopia astigmatism and farsightedness.
I’m 48. So I could see almost perfect same evening on far sight. Blurry of course due to new surgery. But it got better and better.
I had flickering on both eyes the first 2-3 weeks with a dark shadow arc on the outer sides. These are gone but just a slight shadow left on my left eye which doesn’t bother that much. This will disappear my ophthalmologist said.
If it doesn’t we will correct with laser he said. Cause these are crystals on the gel surface of the eye he explained. Is this correct??
I also from day one experience from up close reading a document or my phone I see the small letters and can read them perfectly but there is a slight “filter” or if you like subtle shadows round the letters, is this normal?
I also experience dryness and use several times a day hylo gel drops will the dryness get better?
I only have one "good" eye due to HSV keratitis scarring from childhood. I lived my whole life with one perfect eye. I now have a cataract and presbyopia in my good eye, and my dr. recommended a monofocal iol, and gave me the option of the light adjustable lens. I was really hoping for a multifocal (panoptix) lens, and not rely on glasses every moment of the day. My dr. claims that I should always be wearing glasses, to protect my eye. Have you ever prescribed a multifocal for a patient that only has one working eye? I understand that distance would not be pristine with a multifocal, but I would rather wear glasses occasionally or when driving.
??? With the Light Adjustable Lens (LAL lens); do you get the 'terminator' dancing red flame in the eyes? Which lens replacement option has the least 'terminator' look???
I think this was a very clear explanation of the choices of IOLs. I have been monovision with contact lenses and later with LASIK. Now I need cataract surgery. Would you recommend the basic lenses for monovision? Am I understanding you that I will continue to need cheaters to read small print?
Dr Shannon
I am in my 60th and scheduled to perform Cataract surgery in my where I have glaucoma as well. The advised me to use normal lenses not the multifocal lenses because it well correct my central vision, is this true ? However I’ll need to use prescription glasses?
Is this true?
I appreciate your reply
I had Lasik done in Right Eye 12 years ago and nothing done to let Eye, coz i was a Candidate for Mono Vision and i loved it. NOW i have a Cataract in my left eye and will get it removed and get the Monovision Lens put in to see good close up. So 1 Eye sees good for distance and the other Eye will see good close up. I don't want to wear Glasses or Contacts. No Cataract in Right Eye that i had the Lasik done on. I think that's gonna be my decision going forward and work best for me. I don't need both Eyes done just the left one.... soooo yeah!.
Dr. Wong, thank you for your videos! I'm contemplating premium lenses to be relatively free of readers. But I drive a lot at night so don't want to deal much with glares/halos. And I could never handle contacts so can't tolerate the LAL adjustments. So I've decided on Vivity - do you ever do mini monovision to extend the "close" range a bit more? I know Vivity is mainly designed for intermediate and far but wondering if you've done mini monovision to enhance the "intermediate to close" and if patients have liked the outcome. Thanks!
Thank you for such great info and production value of the video.
Glad it was helpful!
Any refractive surgeons using IC-8 IOL in keratoconus patients near Hilton Head Island, SC?