Great information and you are right, which one would you choose if they were FREE and probably it would be the LAL……please can you provide some future videos of those who have had the LAL+ and what they thought of the outcome? 👍
Great video. I have just been through multiple opinions and am going with the LAL+ on March 5th. I am excited. The new version gives more close vision without compromising the distance.
An great review of this difficult subject. We may agree in some details, but this is valuable. Science, is disagreeing on the details! I am an EE, but I learned to make my own refractive measurements. I chose the FIXED lens, (15 years ago) and my Snellen is now 20/20 -- my refractive STATE is +0.5 Diopters each eye -- and my near vision is clear at 22 inches, no glasses. I recovered from -8 Diopters -- so I am totally impressed by you. I do use a plus lens on my cellphone. I am very lucky to recover from -8 Diopters. Thank you!
Hello Dr. Krad, Please tell me what your opinion is about the Rayner lens Ray One EMV. This lens was developed by Graham Barret. They call it Mono focal plus as it provides extended depth of focus by providing a wide slope of light. It is receiving great reviews from Doctors and patients.
Doctor Krad, thanks for your post. I just had my cataract surgery 40 days ago with the Clareon® PanOptix® trifocal lens, but my vision is not improved at all. My near vision is what I do concern but it is horrible. And, I did not have presbyopia before surgery, but now I am having it after surgery. My doctor recommended me to replace the monofocal lens this Feb. If any chance you could respond to me I would be appreciated. Thank you.
Please view the recent Shannon Wong MD TH-cam video on his experience with fitting LAL lenses. They are great for distance vision, but having them implanted in both eyes results in monovision which a lot of people really don't like. The best result if considering LAL seems to be to have one eye LAL and the other a multifocal lens such as a Panoptix. I am not a doctor, just passing along the evidence as found by Doctor Wong. His video is titled "Light Adjustable Lens (LAL). Truth v Hype. Patient & surgeon perspective" if you are interested.
Thanks! I checked it out. Excellent video as always by Dr. Wong. But his message is not that LAL shouldn't be implanted in both eyes. Rather, its that *monovision* with the LAL can be unsuccessful if the patient doesn't have good experience with monovision prior to cataract surgery. Also, it is possible to have success with the LAL in one eye, and another lens such as the Panoptix in the second eye. But he's not saying he would do that, or recommend that as best, for all patients. His particular patient is more comfortable with both eyes seeing well far away, and mixing the lenses worked for her. Similarly, I also prefer to avoid monovision when patients haven't had previous experience with it. That's why I think the LAL is the best lens for far distance vision (in both eyes) for people who don't mind readers. It is NOT a presbyopia correcting lens.
Astigmatism can be corrected with glasses, lens implants, Laser, or LRI's. If correcting with a lens implant, the top 2 choices IMO would be light adjustable lens (either original LAL or LAL+) or a Toric Monofocal Lens. Based on your measurements, your surgeon should tell you what they recommend is best. With macular degeneration, it's best to avoid multifocal lenses. Best of luck to you! :)
Thanks for your video, Dr. Krad. Could you expand on who LAL's are NOT for, please? I have ocular histoplasmosis in both eyes and a scar just left of center in my left eye from cauterizing laser treatment before VGEF's were available. So, though I am excited about the possibilities of LAL's, I worry about setting my dominant, right eye to distance and my left, non-dominant eye to close, given that the scar in the left eye keeps me from having clear close or far vision. The Dr I am working with now is suggesting setting the right eye for far vision and the left eye for intermediate vision. and using readers as needed. What are your thoughts?
Thanks for the info.Great video. Had no idea patients could actually make their own decision about the lens they would prefer. I had my cataract surgery done a few weeks ago,no question was asked,it is apparent that the doctor who did the surgery, made the decision for me.Is this a normal occurrence ? Is it a case where the doc knows best? Would be glad to hear your views on this matter.
All surgeons should discuss your lens options. Some old school doctors don't, but the vast majority of younger surgeons will. The lens you choose will impact your vision for the rest of your life. There are situations where a patient says they only want what their insurance covers, and that closes the door on most lens implants.
For tennis, far vision is the priority. As long as the far vision is good, you should be able to watch the ball well. During gameplay, the ball is traveling too fast to focus on it when it’s near you. Intermediate & Near vision would be useful for reading the text on the ball or checking your phone during a break so you don’t have to carry readers with you.
I am leaning to LAL even though some surgeons may feel there’s not much difference from the results EDOF lens would give you, considering the extra costs, extra visits and care to avoid UV lighting before “ locking in.” Would you agree with this Dr. Krad? Also, please state your views on the LAL + against the Lal’s. Thank You again.
It's certainly more visits and cost. Perhaps one can call it a hassle. But for myself at this moment, I would take the LAL+ over any other EDOF considering what is available now. For me, even 1 line of better vision makes it worthwhile.
I don't really understand the numbers you refer to in your video but I did ask my opthomologist if a light adjustable lens was an option to consider when I spoke to him yesterday and he didn't go into detail as to why not but said it's not a good choice or even an option. Why was he so dismissive and also dismissive of the Vivity lens claiming that the Panoptix multifocal lens is the only lens to consider other then a toric monofocal iol ?
Most ophthalmologists can't offer the light adjustable lens because they haven't bought the light delivery device (LDD). It's very expensive. It costs the office about $150,000. I suspect that's why the LAL option was dismissed
Hi doctor , i have a squint lazy eye and my age is 32 i visited many doctors they recommend artisan lenses for shortsighted and farsighted , among all of them one doctor recommended to implant farsighted lenses only and he told me if you are implanting lenses for both far and short you will regret What's your recommendation
Very important question: I am 37 and have mid-level stable( for more than 8 years) KC and PSC at the same time. Is it possible to correct my vision caused by corneal irregularity of KC? Thanks...
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I ask God to bless you and protect your great work
Great information and you are right, which one would you choose if they were FREE and probably it would be the LAL……please can you provide some future videos of those who have had the LAL+ and what they thought of the outcome? 👍
Great video. I have just been through multiple opinions and am going with the LAL+ on March 5th. I am excited. The new version gives more close vision without compromising the distance.
An great review of this difficult subject.
We may agree in some details, but this is valuable. Science, is disagreeing on the details!
I am an EE, but I learned to make my own refractive measurements.
I chose the FIXED lens, (15 years ago) and my Snellen is now 20/20 -- my refractive STATE is +0.5 Diopters each eye -- and my near vision is clear at 22 inches, no glasses.
I recovered from -8 Diopters -- so I am totally impressed by you.
I do use a plus lens on my cellphone.
I am very lucky to recover from -8 Diopters.
Thank you!
Hello Dr. Krad, Please tell me what your opinion is about the Rayner lens Ray One EMV. This lens was developed by Graham Barret. They call it Mono focal plus as it provides extended depth of focus by providing a wide slope of light. It is receiving great reviews from Doctors and patients.
Would you compare lal+ vs clearview 3, please, thank you.
Doctor Krad, thanks for your post. I just had my cataract surgery 40 days ago with the Clareon® PanOptix® trifocal lens, but my vision is not improved at all. My near vision is what I do concern but it is horrible. And, I did not have presbyopia before surgery, but now I am having it after surgery. My doctor recommended me to replace the monofocal lens this Feb. If any chance you could respond to me I would be appreciated. Thank you.
Your post scares me because that's what my doctor recommended also. What did your doctor say when you said your vision is no improving?
Great information Dr Krad, very well explained that made me decide which lens to choose for my cataract surgery.
Please view the recent Shannon Wong MD TH-cam video on his experience with fitting LAL lenses. They are great for distance vision, but having them implanted in both eyes results in monovision which a lot of people really don't like. The best result if considering LAL seems to be to have one eye LAL and the other a multifocal lens such as a Panoptix. I am not a doctor, just passing along the evidence as found by Doctor Wong. His video is titled "Light Adjustable Lens (LAL). Truth v Hype. Patient & surgeon perspective" if you are interested.
Thanks! I checked it out. Excellent video as always by Dr. Wong. But his message is not that LAL shouldn't be implanted in both eyes. Rather, its that *monovision* with the LAL can be unsuccessful if the patient doesn't have good experience with monovision prior to cataract surgery. Also, it is possible to have success with the LAL in one eye, and another lens such as the Panoptix in the second eye. But he's not saying he would do that, or recommend that as best, for all patients. His particular patient is more comfortable with both eyes seeing well far away, and mixing the lenses worked for her. Similarly, I also prefer to avoid monovision when patients haven't had previous experience with it. That's why I think the LAL is the best lens for far distance vision (in both eyes) for people who don't mind readers. It is NOT a presbyopia correcting lens.
@@DoctorKrad thanks for the reply and clarification
I have astigmatism and early stage age related macular degeneration. What’s the best lenses for me?! Ty
Astigmatism can be corrected with glasses, lens implants, Laser, or LRI's. If correcting with a lens implant, the top 2 choices IMO would be light adjustable lens (either original LAL or LAL+) or a Toric Monofocal Lens. Based on your measurements, your surgeon should tell you what they recommend is best. With macular degeneration, it's best to avoid multifocal lenses. Best of luck to you! :)
I don’t think I could use LAL with my AMD condition due to my research.
Thanks for your video, Dr. Krad. Could you expand on who LAL's are NOT for, please? I have ocular histoplasmosis in both eyes and a scar just left of center in my left eye from cauterizing laser treatment before VGEF's were available. So, though I am excited about the possibilities of LAL's, I worry about setting my dominant, right eye to distance and my left, non-dominant eye to close, given that the scar in the left eye keeps me from having clear close or far vision. The Dr I am working with now is suggesting setting the right eye for far vision and the left eye for intermediate vision. and using readers as needed. What are your thoughts?
I had PRK and I have mild keratoconus..is LAL plus ok for my case? Thanks Dr
Is the residual astigmatism on a monofocal lens, correctable by glasses?
Yes
Thank you@@DoctorKrad
Thanks for the info.Great video. Had no idea patients could actually make their own decision about the lens they would prefer. I had my cataract surgery done a few weeks ago,no question was asked,it is apparent that the doctor who did the surgery, made the decision for me.Is this a normal occurrence ? Is it a case where the doc knows best? Would be glad to hear your views on this matter.
All surgeons should discuss your lens options. Some old school doctors don't, but the vast majority of younger surgeons will. The lens you choose will impact your vision for the rest of your life. There are situations where a patient says they only want what their insurance covers, and that closes the door on most lens implants.
What would be best for tennis, watching the ball?
For tennis, far vision is the priority. As long as the far vision is good, you should be able to watch the ball well. During gameplay, the ball is traveling too fast to focus on it when it’s near you. Intermediate & Near vision would be useful for reading the text on the ball or checking your phone during a break so you don’t have to carry readers with you.
LAL Plus ? Tell me more.
When I saw that study I began leaning heavy for the LAL.
I am leaning to LAL even though some surgeons may feel there’s not much difference from the results EDOF lens would give you, considering the extra costs, extra visits and care to avoid UV lighting before “ locking in.” Would you agree with this Dr. Krad? Also, please state your views on the LAL + against the Lal’s. Thank You again.
It's certainly more visits and cost. Perhaps one can call it a hassle. But for myself at this moment, I would take the LAL+ over any other EDOF considering what is available now. For me, even 1 line of better vision makes it worthwhile.
I don't really understand the numbers you refer to in your video but I did ask my opthomologist if a light adjustable lens was an option to consider when I spoke to him yesterday and he didn't go into detail as to why not but said it's not a good choice or even an option. Why was he so dismissive and also dismissive of the Vivity lens claiming that the Panoptix multifocal lens is the only lens to consider other then a toric monofocal iol ?
Most ophthalmologists can't offer the light adjustable lens because they haven't bought the light delivery device (LDD). It's very expensive. It costs the office about $150,000. I suspect that's why the LAL option was dismissed
You don't explain what you cannot deliver. I bet he does not use LAL
Hi doctor , i have a squint lazy eye and my age is 32 i visited many doctors they recommend artisan lenses for shortsighted and farsighted , among all of them one doctor recommended to implant farsighted lenses only and he told me if you are implanting lenses for both far and short you will regret
What's your recommendation
Very important question:
I am 37 and have mid-level stable( for more than 8 years) KC and PSC at the same time. Is it possible to correct my vision caused by corneal irregularity of KC?
Thanks...
So it’s a crap shoot