@@ShannonWongMD Dear Dear optomonligist i met an accident to my right eye over some years ago and take surgery to my right eye and i cannot see any thing with the right eye witch I met the accident with.some time i see objects but the objects i see with the right eye is very blorly.i am using eye drops in the right eye name closeup 2 times Dailey for a numbers of years some optomoligist tell me it developed glaucoma can you help me to regain my sight with my right eye please i will pay I am living in a island name st.maarten a dutch island.sir/madam looking to here from you and the wonderful work you are doing thank you all.
As a cataract surgeon for the last 40 years here in Brazil I was very much impressed with this outstanding educational video. Congrats Dr. Wong. Great work !
@@lagwendasims8086 how did it go? I’m 23 and just got diagnosed with a cataract in one eye… this is due to a previous injury in my early childhood… kinda depressed about it as I just started my training as a solicitor and I know my vision is degrading and I can see that over time, any tips or encouragement ?
Im now 72, four years ago I had cataract surgery and had the multi focal Tecnis Symfony lenses installed. My close and distance vision is now fantastic! I do not need any other vision correction (contacts or eye glasses) and have been so impressed with this procedure. If your eyes are otherwise healthy aside from the cataracts, I heartily recommend inter-ocular implants!
This information is invaluable to me, as I have both cataracts and MD. I consulted a cataract specialist several years ago who was eager to operate on me without giving me even a quarter of this info. I virtually ran away from him. So glad I waited, and that I have these videos to arm me for the appt with my new eye surgeon.
Thank you Dr. Wong for the informative presentation. I'm 81y 14 days post cataract remove & lens replacement. Left eye to be treated at later date. I'm no longer wearing multi focal glasses for reading & distance viewing. I'm a cinematographer / editor. My recent operation has restored decent vision & will allow me to work away for a few more years. Just wonderful.🙏
@@DennisMathias Dennis, After 9mts my right eye is perfect for distance vision, all is sharp. When left eye is treated (now pehaps Feb 21) I'll be a very happy fellow. I may require half frames for small fonts. Time will tell. The amazing thing is my left eye has returned to a normal viewing state except the catatact will need to go come 2021. Cheers👍
I’m having my first cataract surgery in 2 weeks so I wanted to see how it was done. Dr. Wong was so helpful in explaining the surgery...before & after. The video was a little scary but he was so good on explaining every step. I’m so glad I watched the cataract surgery....I’m not going to be so nervous! Thank You Dr.Wong Pat S from Titusville, FL
Excellent video. I am about to have cataract surgery. I have mild glaucoma and had a vitrectomy for a macular buckle. Also TED from Graves’ disease. I needed advice. You provided the best spectacularly. I am 71 years old. I kept thinking that no way would a doctor spend this much time with me and offer this much detailed information. Thank you so much.
This video was incredibly helpful for me to understand my choices and being prepared for my visit with the surgeon. It has taken me 3 years to make the decision to get the cataract surgery with lenses to correct my vision. I have worn glasses for 50 years. Thank you Dr Wong !
Thank you Doctor Wong. Your very detailed and user-friendly explanation has gone a long way to ease my concern over having already picked the panoptix but haven't had the surgery yet. Your explanation helps me feel that I made the right decision. Everyone should see this video before surgery to help them decide which lens to get.
One week post surgery, and I'm already reading my phone without readers. Distance vision is pretty good, but not as good as my non-operative eye. The doc says both will improve as the cornea swelling continues to decrease. It doesn't feel swollen; I'm very comfortable. Driving is fine during the day, haven't tried at night yet. I haven't noticed the halos in the house, though, so that problem might be fixed. Having three different prescriptions in this lens is as natural as breathing. Very satisfied!
@@helenwang59 panoptix. Happy overall. But if the lighting is too low, I have to move to a window to read fine print. Also putting readers on for needlework. I can drive at night again!
As a layman,yr videos have brought understandings beyond words. Thank you for your enlightenments. Plus you have simply like magic allay the fear in me when my doctor said l have cataracts and required surgery. I am 65 yrs old . After yr clips l know and expect what to see furthermore I have made a multi focal lens n I am seeing okie with out strands from my eyes. Thanks again.
Excellent, thank you. My first cataract surgery is scheduled for March 2021. This video is very helpful in explaining the lens options as well as how the Ophthalmologist decides which lens is best for each patient. I will be much more relaxed, mentally and physically for this surgery. Thank you.
I am turning 67 in 5 days and am getting a Symfony lens during cataract surgery the day after. I am ambliopic so have only really only used one eye my whole life. Further...my ambliopic eye had a detached retina just before COVID started, so Fall of 2019 and is even more useless than before the retina detached and was corrected... but always so bad that the change is not that noticeable. I say this as I don't have the ability to but something in my right eye per part of your presentation. I want to thank you for this as it REALLY is extremely helpful for me a week before surgery. I understand it all so much better. It is also helpful as I can send the link to my children and other people who ask me questions about my surgery. You explain it SO much better to them than I can. :) Excellent video. I will send it to all of my old friends. LOL!
I am a 51 year old person and was just told that I have early onset cataracts. This became apparent to me when I could not follow my golf ball. This presentation was absolutely terrific for me to hear and to give me hope that this condition can be helped. Thank you so much for this.
I seldom am impressed with the presentation of those who have a skin in the game. Your's is exceptional. Thanks for such a thorough disclosure of all the good, the bad and the ugly of available lenses in the market. Best,
Thank you Dr. Wong for the very informative presentation. As a 69 year old male with cataracts. I have been debating when to undergo corrective surgery and your presentation are helping me make a decision.
I've had my eyes done about 5 years a go with the Abbott ZXR00 lens, I had to have 1 lasered to brill up the power. Now I only use glasses for very close up Engineering work, but not very often and they are cheap ones for about 4 Pounds. It was about £6000 for all 3 ops, but no more wearing glasses in my every day life, and when the dog tries to lick my face I don't get dirty glasses any more. I hated wearing glasses as they just got in my way all the time and didn't like the idea of contact lens, so it was great for me in that way.
DR Wong, thanks so much for this video! I am. 67 yo who needs cataract surgeon in the coming year and this video was very helpful. I am an American living in Brasil and, due to the corona virus, can’t return to the US for surgery. I have been offered a Symfony lens by my ophthalmologist here and needed to know if this was a reliable, up to date lens. Thanks to your video, I can proceed with confidence. Thank you very much!
Omg Thank you!!!! You are the first to explain this so that I finally understand fully - to make a informed decision I went with Symfony and it’s been awesome 😁 (Soon will get the other one done )steroid given back to back caused me complete cataract blindness within a week ( scary it was) The only complaint on symphony lens 1. yes, halo and 2. hard to drive or see at night ( need much light for it to work at its best)
Melody, sounds like a terrifying experience with the steroids. Sounds like high-dose IV? I’ve had those a couple times for 3-5 days. Wonder if that’s caused early or worsening cataracts? I’m 60. Disappointed to hear you have trouble driving at night even having had cataract surgery (at Austin Eye?) What does your physician say? Thanks for info. I’m considering but kinda freaked out about having EYE surgery! Allison
Thank you, so much for creating this video. It answers so many questions I have that 3 eye surgeons have not been able to answer. You have given me the information I need to seek the eye care I need for cataracts, etc. You have armed me with sound documented scientific experience. I am grateful to you as I go through this stressful but necessary journey.
I can't express how much I appreciate the information you provide on your videos!!! I am planning on having cataract surgery soon and am torn between having Symfony or Panoptix lenses inserted. After viewing this video (3 times) I am leaning toward the Panoptix lens. As I am 71 years of age and hopefully don't develop any glistenings or have any scuff marks on the lens. Those and the reduced light passing through are my only concerns. Thanks again for your insites and knowledge!!!
I had Panoptix lenses put in just over a month ago. It is the most amazing experience. I have always had excellent vision but required reading glasses in my early fifties. Now at seventy seven I have thrown my glasses away. I do get some hellos arounds some lights and some flickering from led lights but overall I would call it 120%. I also must say the experience of the surgery was exceptional. My only negative was the drops.
@@samtahm749 Vision is great, rings around lights yes especially LED's not sure what Diamond eye is. not sure what you mean by glistening. I am 79 and see like I did when I was 20
I know, right?😁I’ve had the PanOptix put in my right eye so far and my left eye will get it 2 days from now. In my right eye I now have the vision of a 20-year-old!! I can’t wait to have the left eye done in less than 48 hours from now and then no more glasses forever!😁😁
I just turned 40. I’ve had cataracts in both eyes since I was 35. I go for my pre op appt March 16. I’m terrified. At the same time the prospect of being able to truly see that well (my vision has been terrible since I was young), from the time wake up is incredible.
I was very scared too. But the next next day after a bandage was removed I was amazed! We went to eat at a restaurant and I was in awe how clear everything was. Colors were so vibrant and details I hadn’t seen for years had returned. I couldn’t stop looking at everything in the restaurant. I only had my left eye done and it was that dramatic. I was going to schedule to have my right lens replaced but then the Covid pandemic hit so I didn’t want to expose myself any further. But now my right eye has become remarkably cloudier so I’ve scheduled surgery to have my right lens replaced. At the time I had my left eye done I didn’t know of the options this doctor mentions in his video. I got the lens that would give me great far vision because I’m so used to using reading glasses anyway. I’m not sure if I would’ve opted for one of the lenses in this video. But it does sound good to not have to wear glasses at all. I wish you well! I know you’re afraid and that’s understandable. I was really scared until the operation went so well and especially after the bandage on my eye was removed and I could see dramatically better. It was like having eyes I had when I was a kid. All the best!
Hey Courtney I'm going in for cataract surgery in 9 days. I'm 57 and excited and nervous at the same time wondering how you're doing since your surgery appreciate any feedback thank you so much in advance!
Thank you so much for spending your time to prepare this video.. It was very thorough. Greatly appreciate your insight and experience. I also appreciate your disclosures. Clearly you present the facts as your experience has taught you.
Thank you so much Dr. Wong! Your discussion was very thorough and very important for me to understand the difference between these lenses and what to expect after cataracts surgery. Thank you so much! If you are ever in South Florida I owe you dinner.
I was one of the first patients to have the Symfony lenses at my local vision centre in April 2016. One of the best decisions I have ever made ( under expert surgeon’s advice). I only need lowest strength reading specs in poor light, or if I feel tired. And no more sore/tired eyes at night with contact lenses. Riding my motorbike is wonderful and I don’t have to worry about cataracts getting any bigger - I had some developing but slowly, so having these lenses is life-changing 😎
Thank you so much, Sir, for taking the time to educate the patient. How I wish I saw your videos before my cataract surgeries. You've answered the many unanswered questions I've had.
I have a Symfony in my right eye, and a Synergy in my left. I’m pleased with both and do J1+ near vision for forensic work. I only use uncorrected sunglasses as needed. Great video Dr
Dr. Wong, I have been nearsighted most of my life (20-80 in both eyes), and I started using soft contacts to correct far vision in 1982. I am currently 70 years old. When wearing my contacts, I needed reading glasses for good close up vision. In 2006, my left eye seemingly was rejecting it's contact, so I decided to keep it out for several days, and in the process discovered that not only did I no longer require reading glasses for close up work, but that I could still see very well long distance, and over the next few weeks virtually all "fuzziness" from up-close to distance viewing was virtually completely eliminated. An additional effect was discovered 5 years ago when I had my vision checked, and my corrected eye (with the contact) was still at 20-80, but the uncorrected eye was now at 20-40. Now, at 70, my night vision has degraded to the point to where I will be needed cataract surgery soon. My question for you is do you feel I will be able to have differently focused monofocal lenses installed in my eyes during the surgery to duplicate my single contact derived monovision? Thank you in advance for your response.
Shannon my experience exchanging these lenses has been that while the quality of vision with the Symfony is A for distance to intermediate as you demonstrate, the Panoptix quality of vision for all ranges is not as good as the Symfony or a monofocal is for distance ....more like B+ for most patients. When we have a a Symfony in one eye and a monofocal in the other eye patients feel the distance quality of vision is the same whereas if there is a Panoptix in one eye and either a monofocal or a Symfony in the other eye patients will notice a significant difference in sharpness, contrast and quality of vision in the two eyes with the Panoptix not being as good. When patients are unhappy with Symfony it is because of distracting starbursts whereas most of the patients I see on referral unhappy with the Panoptix are bothered by quality of vision issues ( and halos ) which resolve with lens exchange. In my practice for my own patients I prefer the Symfony for this reason.
I’m 62. I wasn’t ready 6 months ago, so I got new glasses. Spectacular difference. For about 3 months. Now? I cannot read street signs, road signs. I’m extremely near sighted and moderately far sighted. My doc today went over the options, but did not give definitive recommendation. I make the final decision tomorrow. I have been scouring the internet and this is by far the most informative. I’m going Panoptix. Would love to see update for 2021. Thank you SO much for this! My mind is much less stressed thanks to you!
How did the Panoptix IOL s work out for you? I'm not sure I'm liking mine after 5 weeks. Halos are not good, but I do have some cloudiness and wrinkles in my capsular bag so may get a YAG treatment in 2 months. That may help with the halos blurriness and glare I'm having; so I'm told. I hope your outcome was good. I feel like Panoptix are a coin toss.
@@kimwalder3817 I forgot all about this. I paid for the multi focal and more research led to the possibility of seeing circles. I have vertigo and my eyes are very involved. So in the end I went with single vision distance. Wear cheaters for up close vision. It was amazing, but I have since developed a film on both lenses and had laser on each eye in January. Now one eye refracts light. It’s never easy!
@dopeyrn1 Thank you for replying. I think you were wise to do the single vision and am sorry to hear that you are having an issue with that eye. I am afraid to do the YAG laser for fear of it not working, and then if you are not happy with the lens after YAG , some doctors will refuse to do a lens exchange because it's much riskier.! I've got to decide if I want to exchange for single vision or take the chance laser will work. I'm getting a second opinion before I go ahead with laser. It really never is easy and usually more complicated than we are lead to believe.
THANKS for doing such a service with all your videos re cataracts ...am scheduled for 1st eye in 10 days and awaiting DR's call to discuss what lens choices are. Your videos will allow me to interpret the choice I may have and ask educated questions. YOU ARE TRULY A WONDERFUL PERSON FOR SHARING YOUR KNOWLEDGE. My doctor is very good explaining things but the amount of time in a visit is limited and questions pop up later. These have allowed me to digest info in my own time and feel confidently prepared for choices and after care/expectations.. THANKS AGAIN (mid 70's)
I had monofocal lens implants. My distance vision is sharper than it ever was with glasses or contacts. Intermediate is great too. I'll go with 100% light transmission and use reading glasses.
Were you near sighted to begin with before getting this lens implant? Did the implant have to have a certain prescription, or is it just a generic item that goes in even if you had to wear glasses for near sightedness before?
@@TryGold I was near sighted and the lens is custom made for a certain prescription for your eye. The lens is a Bausch & Lomb advanced optic asperic lens LI61AO. It's a proven lens that has been used for at least 15 years. I think it's also a light enhancing lens.
@@TryGold My distance and night vision is the best ever. Using a cell phone no problem, not 20/20 but good enough for using.. Just readers for small print. I made the right decision.
@@AS-tt8ui Thanks for your reply. That's extremely helpful and gives me something more and potentially great to look into. I used to get "aspheric" eyeglass lenses so maybe the ones you have are good for astigmatism too.
I am 4 days into first panoptix and it's a miracle compared to cataracts. My near vision isn't perfect yet but my doctor told me after second lens it should improve (he noticed that with other patients). Can't wait for second lens. I'm pretty much glasses free after just the first lens.
In a few weeks I am getting my surgery for two Panoptix mutifocale lenses overseas in The Netherlands. I was very curious about the Panoptix lens. This video was helpful and great to see! Thanks dr Wong!
Thank you Dr. a beautifully composed comparison of the choices I am considering. One question I had hoped you would have addressed is the potential rotational shift of each lens and the affects on the astigmatism correction of each lens.
Thank you, Dr. Wong. I'm schedule for surgery this coming January, and my doctor only uses the Panoptic lens. (Symfony is not an option.) Your presentation has given me much more confidence in the outcome.
I'm a 57-year-old diabetic with cataracts in both eyes, left one significantly worse (someone once told me that taking insulin may accelerate cataract development). Being on Medicaid, I have no realistic choice of IOLs. My initial feeling is to have one close and one far monovision lenses, as my mom has in her eyes. I'm scheduled next week for a trial fitting for contacts that will simulate the effect to see if my brain adjusts properly before having the actual surgery. My dad has premium lenses in his eyes and your explanation of light transmission explains why my dad needs every light on in the house and my mom can't stand the bright light. In my initial consultation with the eye surgeon I'd never had so many different scans and photos taken. Besides cataracts I also have astigmatism. I hate wearing bi-focals - hopefully with one eye near and one far I won't need them. One thing I won't miss is the starburst effect that headlights and streetlamps have.
Fantastic comparison & explanation of degenerative optic issues. I am about to have cataract surgery, and needed this to decide lens type, & costs. Thank You!
I am turning 69 next month, and I was told by a Dr. I need cataract surgery. I’m going to go get my eyes examined & see if a stronger prescription could help me. I have always been near sighted my entire life, I have a lazy eye & astigmatism. I would think I could go up to around age 75 before needing to have surgery, and fear the Dr. is trying to get business. Thank you for your videos, they are very helpful, and you have a really, nice, soothing voice.
Thank you for making up my mind Dr . I am due for surgery on my left eye in December and deciding on which lens to pick , this will give me enough time to save for out of pocket expenses.
Thank you so much for this and your other posts about cataract surgery and IOL’s. During this pandemic we don’t get “face to face” time with our doctors and a certain part of intimate communication is, necessarily, lacking. I went from my regular optometrist appointment, complaining about vision loss in one eye, to an appointment with a cornea specialist. I had no idea that surgery was my next option. Your videos have been very informative, easy to understand, and comforting as I am about ready to walk into surgery next week. Thank you!
Thanks, Dr. Shannon Wong. I will have to choose my lens after my surgery in November. I have no problem with far vision. It’s reading which is my concern. This video and the others from your channel are so helpful and priceless . God bless you.🙏🙏❤️
Thank you so much for this info I’m only gonna be 63 in January 2021 and they’re telling me my cataracts or bad now because it is hard for me to see clear so I’m gonna be doing the pan optics hopefully ..I don’t need to use reading glasses but thank you for this great info!
Thank you so much for taking the time to make this educational video! I have been so confused. My doc seems to want to steer me towards monovision due to the "halo" side effect. I wear progressives and I am used to 3 visons. This sounds like such a close to perfect solution. Thank you so much!
Dr. Wong Thank You for your presentation on both of these lenses. My OPTOMETRIST hasn't even given me this much information so I truly appreciate every thing you have presented. Therfore, I'm leading towards the IOL lenses.
I am an RN. So happy to have discovered your channel. Your explanations are so clear, so complete and helpful. I plan on using your videos as a basis for my questions as I discuss what lenses with my ophthalmological surgeon when I go in for the measurement appointment. Can you address if either Symfony or Panoptix lenses work for patients who have had prisms in glasses?
Excellent tutorial on these lenses. I'm making an appointment tomorrow with my optometrist to commence my cataract surgery adventure with this newfound information as my guide. Thank you!
Thanks very informative presentation for me as I have cataract and I need info about lens replacement. I just hope they have these lens in New Zealand.
Fantastic video Dr. Wong, just had the lens on my right eye replaced less than 24 ago. My doctor mentioned another brand beside Symfony but can't remember the name. Went with the Symfony, which was an extra 2k. Magnificent explanation on both lenses, thank you much for your time and knowledge, my respect for you.
Your videos are amazing, Dr. Wong! Thank you for explaining the differences between the Symfony and PanOptix lenses. My doctor is recommending the PanOptix, but I have several concerns. I am most concerned about the halos and glare at night. * Is the glare/halos less after the lens implant than it was with the cataracts? * Do you get glare/halos with monofocal lenses? * How does the glare/halos with the PanOptix compare to monofocal lenses? * I am also concerned about the scratches or scuffs you mentioned on the PanOptix. The slightest scratch on my glasses bothers me to the point that I end up removing my glasses, so I don't want to pay $2500 per eye to be frustrated (claustrophobic) with scratches that I can't do anything about. I have worn glasses since I was about 12 years old. I find there is a certain amount of protection for my eyes in wearing them, so I really don't mind if I have to wear glasses for close up work after the cataract surgery. Would a monofocal lens work better for me? I do a lot of close-up work like sewing and woodworking with saws and power tools, and other crafts. I am myopic with my strongest correction having been -2.25 a few years ago, but it is now at -1.75. I have very slight astigmatism to the point that the dr. said he would not correct it, and a family history of macular degeneration. I believe I have the "macula pucker" or something like that, but not macular degeneration. We've been watching the macula for nearly 10 years. My eyes have always been very sensitive to fluorescent and now LED lights. Oh, and I am 68. I'm sorry for the long comment and questions. However, I would so appreciate hearing your thoughts on my concerns. Thank you so much!
Susan Connor with Multifocal lenses you WILL get glares/halos/starbursts/rings around lights and driving at night will be terrible. I have the symfony multifocal and am getting a lens exchange for a monofocal, the optics of the multifocal are driving me crazy
@A. Aubry it depends what you are looking for. The Eyhance is not a multi focal lense only in that it is still a one piece not a three piece. It is designed to give great distance and intermediate vision but it does not have the same incidence of glare or sun bursts associated with even the premium multi focal lenses. It is pending approval by the FDA but it has shown great results the past three years in India, the past two years in Europe and the past year in Canada. If you’d like to research it or look at some TH-cam videos it is made by Johnson & Johnson Vision.
Thank you doctor Wong! Outstanding presentation. Gave me a hell of a lot more information regarding lens choices than I could get from my own Dr. I am having the PanOptix lens implanted on 2/25/2020. If I can add any prospective to this video after my own surgery, I will come back and leave comments. Again, thank you for this informative public service.
gary24752 $3,000 per eye for lens only. So far I’ve only had the left one done. Total cost with insurance deductible was about $4,300. Right eye will be a little cheaper as I have now met my deductible.
Steve Vasquez Hi Steve.. I just had the surgery yesterday so it’s a little too soon to pass judgement on the results. I will say that the surgery itself was a piece of cake with no problems. I’ll come back in a few days and give my impression of the lens. By the way, I’m not Sharon, I’m Fred, Sharons husband.
It is comforting to know an eye surgeon is willing to go under the same surgery he gives. This is helping me out a lot. I apologize for my narcissistic way but we all fear a knife cutting into our eyeballs.
This is an excellent overview of the two lenses. I just had the PanOptix lens put in my left eye about a week ago. Distance and mid are terrific, but I'm having issues with ghosting of text, where there seems to be a faint shadow behind each letter. Also the near isn't working at all. Do you think these problems will clear up with time? Also have halos, but they seem to be somewhat diminishing.
Give it about 6-8 months, your brain will learn to ignore it. I had mine done last July 2019. I was so blind before that I thought it was amazing the first few months. 9 months later and I'm still amazed as my vision improves.
Did you have your right eye done before gaining clear vision of your left eye? I have similar experience after my left eye surgery and can"t decide what to do next. Thanks
@@evertting9164 Yes, I have only done my right eye. My opthamologist has suggested that my other be a monofocal. My preference is to wait until the multifocals improve as my vision, while not perfect, is satisfactory. All the best to you!
I had the Panoptix implanted 8 weeks ago in one eye. I am still having blurred vision. I see my doctor tomorrow but I am very discouraged at the moment. Will see what happens tomorrow. I appreciate your presentation which will help me have a conversation with my doctor tomorrow.
Thank you, Dr. Wong for this great information. I have narrow angle glaucoma and went through laser iridotomy, and got floaters in the eyes after that (my doctor does not think they are related). As I understand, the panoptix lens is still and option for me? how does it impact floaters? do they become more prominent?
Fabulous presentation on the 2 premium IOLs. Just had the Panoptic lens implanted and so far pleased. Small halos at night headlights but not a big deal. $2700 per lens paid.
@@nataliyagrant671 Yes. It is now 7 months since I had both eyes done. I am 100 percent happy. Best thing I have done in this crazy year. Fully glasses free.
Great video - Thanks. I’ve had one eye done because of a cataract with a fixed focal length lens, but am aware the other eye is degrading. My plan was always to replace the second Lens with a multi-focal lens. Theory being driving etc will always be ok with the fixed lens and everyday life (reading etc.), albeit with some losses, with the second lens. Is this something you think is OK?
Yes. Mixing a monofocal lens and a multifocal lens works well as long as you accept that you may need reading glasses some of the time to achieve binocular reading vision.
Thank you for this very informative video. How have people with Sjogren's fared with either of these lenses? Is there any extra consideration with this diagnosis for cataract surgery? I also have a wrinkle on my retina. Very concerned about making the right choice of lenses. Thank you!
Does continued aging and change of focal length of the eye after toric cataract surgery render the correction obsolete over time with the renewed need for glasses?
Excellent explanation of the lenses and surgical procedure. I had the pan optix toric lenses implanted with femato second laser surgery L-5 weeks ago, R 4 weeks ago. For 2 days after L surg my vision in L was horrible. Markedly improved less than a week when the R was done. R great improvement noted within 24 hours. Night driving greatly improved, no halos, minimal glare ( better than the past 20 yrs (I am 66yo). Now my major complaint is blurry/fuzzy vision. I can read near mid and far but not clear. Dry eyes relieved with lots of drops during the day (less blurry), cant read street signs farther than 200 ft away. According to Surgeon everything is perfect- healing, vision both eyes. He has noted a "drusen" L eye which is insignificant per Retinologist and decreasing over the past month. I remain confused about expectations. I have been told it may take several months for brain to re-train and read clearly??? I may need artificial tears numerous times daily forever (rarely used them pre-op)?? No specifici recommendation for brand of art. tears given Have you done a video on post op healing, expectations? That would be extremely helpful.
@@marymccarthy6367 FANTASTIC! I use Restasis 2x day for dry eye and OTC restiva prn. Very pleased!!! Don't like my eye surgeon, he didn't explain expectations well. Since using Restasis everything is perfect, took several month to get great results from Restasis . Good luck
Thanks so much for your videos. I want to find the best way to deal with astigmatism and you mentioned the panoptix lens helps with that. In other lenses I’ve read that alignment can often become problematic during installation and I was wondering if the panoptic lens uses a new technology that helps eliminate that problem ,thanks
I've been looking at all these lenses. There's a few pages that have comparisons of the different lenses. The ONLY lenses that don't have significant halos at night are the monofocals. I drive a tugboat and half the time I'm operating at night with bright lights from tie ups and shore side machinery as well as the lights on the tug. Not to mention navigating near big cities. I've been really looking at the symfony lenses, but the more I research the more I think a monofocal would be best (set to distance) and just wear readers (over 90% of my vision I use for distance). cataractcoach.com/2018/08/18/comparison-of-night-vision-with-different-iols/
@@ahinalu1 - Yes for you monofocal would be necessary. I drive at night and have decided to go monofocal as well after my optometrist suggested it. She said: _"Sharp, clear distance vision" ._ 👌Thanks for the link . Very helpful.
Chris Bane good choice 👍🏻 I'm getting a lens exchange to monofocal, I hate the glare/starbursts/rings at night I currently have the symfony and dislike the side effects from a multi focal IOL design
@@ahinalu1 You are so right about that. And for anyone who lives alone and might need to drive at night, avoiding those halos are also a consideration. I know people with Symfony who like them overall, but who can no longer drive at night due to the halos.
Excellent video! I just found out I have a semi-aggressive cataracts for my age. I'm considering all options now and this helped me tremendously. Thank you!
Thank you Dr. Wong for taking the time to thoroughly explain this. I’m 45 and am having clear lens exchange surgery to correct presbyopia. You answered every question I had.
Thank you for the clear explanation of both lens so that even I could understand the pros and cons of each and, therefore, make a more informed decision.
Great video Dr. Wong! I've researched everything I could get my hands for months and this video explains more in 28 minutes than I've found in six months, and it's in layman's terms. I'm 65 and I had RK surgery back in 1991. I have 8 cuts in each eye. My cornea doctor says I had a "mini" RK, since the cuts were so small. My cornea is clear, but I do have Pigment Dispersion Syndrome and I was diagnosed Thygeson's Superficial Punctate Keratopathy in my early 40's that was pretty severe, but one treatment of steroid drops and I never had another flair up until 4 years ago and it was very mild. I have cataracts in both eyes and am hoping to have replacement surgery next spring. I was also hoping to have the PanOptix lens but was unsure if I could because of the RK surgery. I wear multi-focal contacts, so I'm able to see distance and read. My vision is +2.0 in my left eye and 2.5 in my right. I haven't picked out a surgeon yet, but after doing a lot of research, and since I live in Northwest Arkansas I thinking of using Dr. Steven Vold. Do you think I may be a candidate for the PanOptix lens? I know Dr. Vold seems to be cutting edge in his practice and is involved in a lot of clinical studies.
Thank you Mr Wong ! I’m due to have my 1st cataract surgery ( in SWFrance) in a few days. Thank you for such a detailed comparison. I have no idea which lenses my surgeon will use on me (?) , but from what you have said about these lense types not being covered by insurance in the US, I will contact my insurance here in France to check that I will ( or to what extent) , that I will be covered . Keeping my fingers crossed..🤞
Thank you and Hello I translate from French to English I have had Synfony implants for three months evening vision from afar and intermediate 10/10 the colors are great I wear glasses for the 1.5 computer it is more comfortable and I can read documents up close at the same time. 10/10.
With the sinfony implans there is more light entering my eyes the contranstes it's like before and maybe better, in the evening I see so well without glasses. it's like going from a standard light bulb to a leed one
@@jean-marcdube6954 Thanks for the reply. Perhaps you could have lost more than 8% of light transmission before lens exchange, for example, 15% lost due to cateract cloud. And after lens exchange, you end up with 8% loss due to concentric circles on Syphony lens. You experience more light entering your eyes because you recovered back 7%. Is my analysis correct or wrong?
Sorry Jean Marc Dube, I hope I am not rude or intrusive. I am trying to figure out from your experience to see if there is a way to avoid this 8% loss. And trying to attain the best of both worlds. Meaning getting rid of presboyia + achieving 100% light transmission + solving cateract. Sorry if I sound too demanding or unrealistic.
@@Nipponho08 I do not quite understand what you mean I am currently supping in front of my PC and I am impressed with the color of my carrots and my vegetables and the red of my meat
I have cataract in my both eyes at just my age 25. Doctor suggest me for panoptix lens. I was to much dipressed that is it good because its too costly but your suggestion truely awesome sir. Now I can tell I have no confusion for this. Thank you very much Sir. God bless you
Dr Wong, thank you for this very informative video. I have just begun to explore this option for several reasons. The information and transparency you provided in this video have great value. At this point I believe I want to come to Austin and have you perform these procedures.
![ILLSLICK - WINTER IS COMING [Official Video]](http://i.ytimg.com/vi/dwTMeM1zIhQ/mqdefault.jpg)
excellent presentation. as a physician I am impressed with the simplicity /clarity /information value and unbiased delivery .
Thank you!
Shannon Wong, MD How ur vision during night any Halos u seen. I am implant Alcon yellow iol at 21
I’m more at ease now after watching the video. Thank you
@@ShannonWongMD Dear Dear optomonligist i met an accident to my right eye over some years ago and take surgery to my right eye and i cannot see any thing with the right eye witch I met the accident with.some time i see objects but the objects i see with the right eye is very blorly.i am using eye drops in the right eye name closeup 2 times Dailey for a numbers of years some optomoligist tell me it developed glaucoma can you help me to regain my sight with my right eye please i will pay I am living in a island name st.maarten a dutch island.sir/madam looking to here from you and the wonderful work you are doing thank you all.
As a cataract surgeon for the last 40 years here in Brazil I was very much impressed with this outstanding educational video. Congrats Dr. Wong. Great work !
what if one eye had a long dating keratitis (most probably herpetic) interact with a cataract surgery? Have you had precedents? Many thanks.
Thanks Dr. Wong I'm having my cataract surgery on 9/23/21 ,in my right eye.
@@lagwendasims8086 how did it go? I’m 23 and just got diagnosed with a cataract in one eye… this is due to a previous injury in my early childhood… kinda depressed about it as I just started my training as a solicitor and I know my vision is degrading and I can see that over time, any tips or encouragement ?
I’m a retired cataract surgeon from the monofocal days. Really enjoyed your comments and candor.
Im now 72, four years ago I had cataract surgery and had the multi focal Tecnis Symfony lenses installed. My close and distance vision is now fantastic! I do not need any other vision correction (contacts or eye glasses) and have been so impressed with this procedure. If your eyes are otherwise healthy aside from the cataracts, I heartily recommend inter-ocular implants!
This information is invaluable to me, as I have both cataracts and MD. I consulted a cataract specialist several years ago who was eager to operate on me without giving me even a quarter of this info. I virtually ran away from him. So glad I waited, and that I have these videos to arm me for the appt with my new eye surgeon.
Mary you were smart to run. I'm trying to do the research before I have anything done. I'm 67 and the time is approaching. :(
Ничего не понятно.
Thank you Dr. Wong for the informative presentation. I'm 81y 14 days post cataract remove & lens replacement. Left eye to be treated at later date. I'm no longer wearing multi focal glasses for reading & distance viewing. I'm a cinematographer / editor. My recent operation has restored decent vision & will allow me to work away for a few more years. Just wonderful.🙏
Ron, I'm 75 and do the same thing as well as amateur astronomy. I want to be very careful. What do pinpoints of light look like?
@@DennisMathias Dennis, After 9mts my right eye is perfect for distance vision, all is sharp. When left eye is treated (now pehaps Feb 21) I'll be a very happy fellow. I may require half frames for small fonts. Time will tell. The amazing thing is my left eye has returned to a normal viewing state except the catatact will need to go come 2021. Cheers👍
I’m having my first cataract surgery in 2 weeks so I wanted to see how it was done.
Dr. Wong was so helpful in explaining the surgery...before & after. The video was a little scary but he was so good on explaining every step. I’m so glad I watched the cataract surgery....I’m not going to be so nervous! Thank You Dr.Wong
Pat S from Titusville, FL
Is there any solution for glaucoma sufferers
Excellent video. I am about to have cataract surgery. I have mild glaucoma and had a vitrectomy for a macular buckle. Also TED from Graves’ disease. I needed advice. You provided the best spectacularly. I am 71 years old. I kept thinking that no way would a doctor spend this much time with me and offer this much detailed information. Thank you so much.
This video was incredibly helpful for me to understand my choices and being prepared for my visit with the surgeon. It has taken me 3 years to make the decision to get the cataract surgery with lenses to correct my vision. I have worn glasses for 50 years. Thank you Dr Wong !
Thank you Doctor Wong. Your very detailed and user-friendly explanation has gone a long way to ease my concern over having already picked the panoptix but haven't had the surgery yet. Your explanation helps me feel that I made the right decision. Everyone should see this video before surgery to help them decide which lens to get.
One week post surgery, and I'm already reading my phone without readers. Distance vision is pretty good, but not as good as my non-operative eye. The doc says both will improve as the cornea swelling continues to decrease. It doesn't feel swollen; I'm very comfortable. Driving is fine during the day, haven't tried at night yet. I haven't noticed the halos in the house, though, so that problem might be fixed. Having three different prescriptions in this lens is as natural as breathing. Very satisfied!
@@ginnyjenna Which lenses did you choose?
@@helenwang59 panoptix. Happy overall. But if the lighting is too low, I have to move to a window to read fine print. Also putting readers on for needlework. I can drive at night again!
Thanks so much Dr. Wong. This is very very well explained. Keep up the videos!
Excellent presentation. Thank you.
what if u bring the panoptix to the patience temperature b for insert
Good
As a layman,yr videos have brought understandings beyond words. Thank you for your enlightenments. Plus you have simply like magic allay the fear in me when my doctor said l have cataracts and required surgery. I am 65 yrs old . After yr clips l know and expect what to see furthermore I have made a multi focal lens n I am seeing okie with out strands from my eyes. Thanks again.
Excellent, thank you. My first cataract surgery is scheduled for March 2021. This video is very helpful in explaining the lens options as well as how the Ophthalmologist decides which lens is best for each patient. I will be much more relaxed, mentally and physically for this surgery. Thank you.
I hope your surgery went well
I am turning 67 in 5 days and am getting a Symfony lens during cataract surgery the day after. I am ambliopic so have only really only used one eye my whole life. Further...my ambliopic eye had a detached retina just before COVID started, so Fall of 2019 and is even more useless than before the retina detached and was corrected... but always so bad that the change is not that noticeable. I say this as I don't have the ability to but something in my right eye per part of your presentation.
I want to thank you for this as it REALLY is extremely helpful for me a week before surgery. I understand it all so much better. It is also helpful as I can send the link to my children and other people who ask me questions about my surgery. You explain it SO much better to them than I can. :)
Excellent video. I will send it to all of my old friends. LOL!
Outstanding informative presentation! Just fantastic! I need cataract surgery. This video goes above and beyond explaining details. Many thanks!
I am a 51 year old person and was just told that I have early onset cataracts. This became apparent to me when I could not follow my golf ball. This presentation was absolutely terrific for me to hear and to give me hope that this condition can be helped. Thank you so much for this.
I seldom am impressed with the presentation of those who have a skin in the game. Your's is exceptional. Thanks for such a thorough disclosure of all the good, the bad and the ugly of available lenses in the market. Best,
Thank you Dr. Wong for the very informative presentation. As a 69 year old male with cataracts. I have been debating when to undergo corrective surgery and your presentation are helping me make a decision.
I am also an ophthalmologist and use both these lenses .Excellent video .I ask my potential premium lens patients to watch this video
I've had my eyes done about 5 years a go with the Abbott ZXR00 lens, I had to have 1 lasered to brill up the power.
Now I only use glasses for very close up Engineering work, but not very often and they are cheap ones for about 4 Pounds.
It was about £6000 for all 3 ops, but no more wearing glasses in my every day life, and when the dog tries to lick my face I don't get dirty glasses
any more.
I hated wearing glasses as they just got in my way all the time and didn't like the idea of contact lens, so it was great for me in that way.
DR Wong, thanks so much for this video! I am. 67 yo who needs cataract surgeon in the coming year and this video was very helpful. I am an American living in Brasil and, due to the corona virus, can’t return to the US for surgery. I have been offered a Symfony lens by my ophthalmologist here and needed to know if this was a reliable, up to date lens. Thanks to your video, I can proceed with confidence. Thank you very much!
Omg Thank you!!!! You are the first to explain this so that I finally understand fully - to make a informed decision
I went with Symfony and it’s been awesome 😁
(Soon will get the other one done )steroid given back to back caused me complete cataract blindness within a week ( scary it was) The only complaint on symphony lens 1. yes, halo
and
2. hard to drive or see at night ( need much light for it to work at its best)
My age 57 (just thought I’d add)
Melody, sounds like a terrifying experience with the steroids. Sounds like high-dose IV? I’ve had those a couple times for 3-5 days. Wonder if that’s caused early or worsening cataracts? I’m 60.
Disappointed to hear you have trouble driving at night even having had cataract surgery (at Austin Eye?) What does your physician say? Thanks for info. I’m considering but kinda freaked out about having EYE surgery! Allison
Thank you, so much for creating this video. It answers so many questions I have that 3 eye surgeons have not been able to answer. You have given me the information I need to seek the eye care I need for cataracts, etc. You have armed me with sound documented scientific experience. I am grateful to you as I go through this stressful but necessary journey.
I can't express how much I appreciate the information you provide on your videos!!! I am planning on having cataract surgery soon and am torn between having Symfony or Panoptix lenses inserted. After viewing this video (3 times) I am leaning toward the Panoptix lens. As I am 71 years of age and hopefully don't develop any glistenings or have any scuff marks on the lens. Those and the reduced light passing through are my only concerns. Thanks again for your insites and knowledge!!!
Since the video was posted, scuff marks have become a non-issue.
Hey, did you have the surgery? How are the results. I'm 75 and am getting close.
@@DennisMathias The average age for patients having cataract surgery in our patients is.....75.
@@ShannonWongMD Viola!
@@ShannonWongMD н
Outstanding explanation. SO grateful for this beautifully clarifying video. Thank you! 🙏
I had Panoptix lenses put in just over a month ago. It is the most amazing experience. I have always had excellent vision but required reading glasses in my early fifties. Now at seventy seven I have thrown my glasses away. I do get some hellos arounds some lights and some flickering from led lights but overall I would call it 120%. I also must say the experience of the surgery was exceptional. My only negative was the drops.
How is your vision now? Do you have light reflection or Dimond eye? Is there any glistening so far? Thank you.
@@samtahm749 Vision is great, rings around lights yes especially LED's not sure what Diamond eye is. not sure what you mean by glistening.
I am 79 and see like I did when I was 20
I know, right?😁I’ve had the PanOptix put in my right eye so far and my left eye will get it 2 days from now. In my right eye I now have the vision of a 20-year-old!! I can’t wait to have the left eye done in less than 48 hours from now and then no more glasses forever!😁😁
I just turned 40. I’ve had cataracts in both eyes since I was 35. I go for my pre op appt March 16. I’m terrified. At the same time the prospect of being able to truly see that well (my vision has been terrible since I was young), from the time wake up is incredible.
I was very scared too. But the next next day after a bandage was removed I was amazed! We went to eat at a restaurant and I was in awe how clear everything was. Colors were so vibrant and details I hadn’t seen for years had returned. I couldn’t stop looking at everything in the restaurant.
I only had my left eye done and it was that dramatic. I was going to schedule to have my right lens replaced but then the Covid pandemic hit so I didn’t want to expose myself any further. But now my right eye has become remarkably cloudier so I’ve scheduled surgery to have my right lens replaced.
At the time I had my left eye done I didn’t know of the options this doctor mentions in his video. I got the lens that would give me great far vision because I’m so used to using reading glasses anyway. I’m not sure if I would’ve opted for one of the lenses in this video. But it does sound good to not have to wear glasses at all.
I wish you well! I know you’re afraid and that’s understandable. I was really scared until the operation went so well and especially after the bandage on my eye was removed and I could see dramatically better. It was like having eyes I had when I was a kid.
All the best!
Hey Courtney I'm going in for cataract surgery in 9 days. I'm 57 and excited and nervous at the same time wondering how you're doing since your surgery appreciate any feedback thank you so much in advance!
@@MovieMakingMan which brand of lens did you get?
Thank you Dr. Wong! I am an optometrist getting the PanOptix soon and this validates my choice!
Awesome, hard to come come up with a question with all that info, well done! Looks like ill have one of each
Thank you so much for spending your time to prepare this video.. It was very thorough. Greatly appreciate your insight and experience. I also appreciate your disclosures. Clearly you present the facts as your experience has taught you.
Thank you so much Dr. Wong! Your discussion was very thorough and very important for me to understand the difference between these lenses and what to expect after cataracts surgery. Thank you so much! If you are ever in South Florida I owe you dinner.
Thank you. This is one of the Best presentations on You Tube.
Excellent info! Much appreciated! Clear & unbiased! Very helpful before I am meeting with my eye doctor before my cataract surgery!🙏🙏👍😘
I was one of the first patients to have the Symfony lenses at my local vision centre in April 2016.
One of the best decisions I have ever made ( under expert surgeon’s advice). I only need lowest strength reading specs in poor light, or if I feel tired.
And no more sore/tired eyes at night with contact lenses. Riding my motorbike is wonderful and I don’t have to worry about cataracts getting any bigger - I had some developing but slowly, so having these lenses is life-changing 😎
So nice to hear from a doctor who has “ walked the walk.”
Thank you so much, Sir, for taking the time to educate the patient. How I wish I saw your videos before my cataract surgeries. You've answered the many unanswered questions I've had.
I have a Symfony in my right eye, and a Synergy in my left. I’m pleased with both and do J1+ near vision for forensic work. I only use uncorrected sunglasses as needed.
Great video Dr
Dr. Wong, I have been nearsighted most of my life (20-80 in both eyes), and I started using soft contacts to correct far vision in 1982. I am currently 70 years old. When wearing my contacts, I needed reading glasses for good close up vision. In 2006, my left eye seemingly was rejecting it's contact, so I decided to keep it out for several days, and in the process discovered that not only did I no longer require reading glasses for close up work, but that I could still see very well long distance, and over the next few weeks virtually all "fuzziness" from up-close to distance viewing was virtually completely eliminated. An additional effect was discovered 5 years ago when I had my vision checked, and my corrected eye (with the contact) was still at 20-80, but the uncorrected eye was now at 20-40. Now, at 70, my night vision has degraded to the point to where I will be needed cataract surgery soon. My question for you is do you feel I will be able to have differently focused monofocal lenses installed in my eyes during the surgery to duplicate my single contact derived monovision? Thank you in advance for your response.
Shannon my experience exchanging these lenses has been that while the quality of vision with the Symfony is A for distance to intermediate as you demonstrate, the Panoptix quality of vision for all ranges is not as good as the Symfony or a monofocal is for distance ....more like B+ for most patients. When we have a a Symfony in one eye and a monofocal in the other eye patients feel the distance quality of vision is the same whereas if there is a Panoptix in one eye and either a monofocal or a Symfony in the other eye patients will notice a significant difference in sharpness, contrast and quality of vision in the two eyes with the Panoptix not being as good. When patients are unhappy with Symfony it is because of distracting starbursts whereas most of the patients I see on referral unhappy with the Panoptix are bothered by quality of vision issues ( and halos ) which resolve with lens exchange. In my practice for my own patients I prefer the Symfony for this reason.
Always appreciate your comments Steve!
Steve, You'll appreciate this one: th-cam.com/video/jEHehqdsNDs/w-d-xo.html
I’m 62. I wasn’t ready 6 months ago, so I got new glasses. Spectacular difference. For about 3 months. Now? I cannot read street signs, road signs. I’m extremely near sighted and moderately far sighted. My doc today went over the options, but did not give definitive recommendation. I make the final decision tomorrow. I have been scouring the internet and this is by far the most informative. I’m going Panoptix. Would love to see update for 2021. Thank you SO much for this! My mind is much less stressed thanks to you!
How did the Panoptix IOL s work out for you? I'm not sure I'm liking mine after 5 weeks. Halos are not good, but I do have some cloudiness and wrinkles in my capsular bag so may get a YAG treatment in 2 months. That may help with the halos blurriness and glare I'm having; so I'm told. I hope your outcome was good. I feel like Panoptix are a coin toss.
@@kimwalder3817 I forgot all about this. I paid for the multi focal and more research led to the possibility of seeing circles. I have vertigo and my eyes are very involved. So in the end I went with single vision distance. Wear cheaters for up close vision. It was amazing, but I have since developed a film on both lenses and had laser on each eye in January. Now one eye refracts light. It’s never easy!
@dopeyrn1 Thank you for replying. I think you were wise to do the single vision and am sorry to hear that you are having an issue with that eye. I am afraid to do the YAG laser for fear of it not working, and then if you are not happy with the lens after YAG , some doctors will refuse to do a lens exchange because it's much riskier.! I've got to decide if I want to exchange for single vision or take the chance laser will work. I'm getting a second opinion before I go ahead with laser. It really never is easy and usually more complicated than we are lead to believe.
Thank you for this informative video my ophthalmologist didn't bother to explain any of this to me so thank you
THANKS for doing such a service with all your videos re cataracts ...am scheduled for 1st eye in 10 days and awaiting DR's call to discuss what lens choices are. Your videos will allow me to interpret the choice I may have and ask educated questions. YOU ARE TRULY A WONDERFUL PERSON FOR SHARING YOUR KNOWLEDGE. My doctor is very good
explaining things but the amount of time in a visit is limited and questions pop up later. These have allowed me to digest info in my own time and feel confidently prepared for choices and after care/expectations.. THANKS AGAIN (mid 70's)
Happy to help! Thank you for watching!
I had monofocal lens implants. My distance vision is sharper than it ever was with glasses or contacts. Intermediate is great too. I'll go with 100% light transmission and use reading glasses.
Were you near sighted to begin with before getting this lens implant? Did the implant have to have a certain prescription, or is it just a generic item that goes in even if you had to wear glasses for near sightedness before?
@@TryGold I was near sighted and the lens is custom made for a certain prescription for your eye. The lens is a Bausch & Lomb advanced optic asperic lens LI61AO. It's a proven lens that has been used for at least 15 years. I think it's also a light enhancing lens.
@@TryGold My distance and night vision is the best ever. Using a cell phone no problem, not 20/20 but good enough for using.. Just readers for small print. I made the right decision.
@@AS-tt8ui Thanks for your reply. That's extremely helpful and gives me something more and potentially great to look into. I used to get "aspheric" eyeglass lenses so maybe the ones you have are good for astigmatism too.
@@AS-tt8ui by "light enhance", do you mean high definition premium IOL? How much is it? I heard about this type of lens which enhances clarity.
I wish every medical professional spoke as clearly as do you. Now I know exactly what to be considering before my cataract surgety.
I am 4 days into first panoptix and it's a miracle compared to cataracts. My near vision isn't perfect yet but my doctor told me after second lens it should improve (he noticed that with other patients). Can't wait for second lens. I'm pretty much glasses free after just the first lens.
In a few weeks I am getting my surgery for two Panoptix mutifocale lenses overseas in The Netherlands. I was very curious about the Panoptix lens. This video was helpful and great to see!
Thanks dr Wong!
Thank you Dr. a beautifully composed comparison of the choices I am considering. One question I had hoped you would have addressed is the potential rotational shift of each lens and the affects on the astigmatism correction of each lens.
Yes, that's a concern for me as well, and I know people who got the monofocal astigmatism lenses which didn't correct all of their astigmatism.
Thank you, Dr. Wong. I'm schedule for surgery this coming January, and my doctor only uses the Panoptic lens. (Symfony is not an option.) Your presentation has given me much more confidence in the outcome.
Thank you again Doctor explaining the different lenses
This is the kind of information that I was looking for. Thank you, Dr. Wong!
Thank you for a most informative video on the lenses. I had gone back and forth on this but now I know what I want
I'm a 57-year-old diabetic with cataracts in both eyes, left one significantly worse (someone once told me that taking insulin may accelerate cataract development). Being on Medicaid, I have no realistic choice of IOLs. My initial feeling is to have one close and one far monovision lenses, as my mom has in her eyes. I'm scheduled next week for a trial fitting for contacts that will simulate the effect to see if my brain adjusts properly before having the actual surgery. My dad has premium lenses in his eyes and your explanation of light transmission explains why my dad needs every light on in the house and my mom can't stand the bright light. In my initial consultation with the eye surgeon I'd never had so many different scans and photos taken. Besides cataracts I also have astigmatism. I hate wearing bi-focals - hopefully with one eye near and one far I won't need them. One thing I won't miss is the starburst effect that headlights and streetlamps have.
Fantastic comparison & explanation of degenerative optic issues. I am about to have cataract surgery, and needed this to decide lens type, & costs. Thank You!
I am turning 69 next month, and I was told by a Dr. I need cataract surgery. I’m going to go get my eyes examined & see if a stronger prescription could help me. I have always been near sighted my entire life, I have a lazy eye & astigmatism. I would think I could go up to around age 75 before needing to have surgery, and fear the Dr. is trying to get business. Thank you for your videos, they are very helpful, and you have a really, nice, soothing voice.
Thank you for making up my mind Dr . I am due for surgery on my left eye in December and deciding on which lens to pick , this will give me enough time to save for out of pocket expenses.
Thank you so much for this and your other posts about cataract surgery and IOL’s.
During this pandemic we don’t get “face to face” time with our doctors and a certain part of intimate communication is, necessarily, lacking.
I went from my regular optometrist appointment, complaining about vision loss in one eye, to an appointment with a cornea specialist. I had no idea that surgery was my next option.
Your videos have been very informative, easy to understand, and comforting as I am about ready to walk into surgery next week.
Thank you!
What a well-done video. Extremely informative and very clearly explained. Thank you.
Thanks, Dr. Shannon Wong. I will have to choose my lens after my surgery in November. I have no problem with far vision. It’s reading which is my concern. This video and the others from your channel are so helpful and priceless . God bless you.🙏🙏❤️
Thank you so much for this info I’m only gonna be 63 in January 2021 and they’re telling me my cataracts or bad now because it is hard for me to see clear so I’m gonna be doing the pan optics hopefully ..I don’t need to use reading glasses but thank you for this great info!
Thank you I just had cataract surgery on left eye right eye in one week learning so much from you
Thank you so much for taking the time to make this educational video! I have been so confused. My doc seems to want to steer me towards monovision due to the "halo" side effect. I wear progressives and I am used to 3 visons. This sounds like such a close to perfect solution. Thank you so much!
Thank you for the info. My first doctor asked what i wanted but no explanation of possibilies. Very helpful
Dr. Wong Thank You for your presentation on both of these lenses. My OPTOMETRIST hasn't even given me this much information so I truly appreciate every thing you have presented. Therfore, I'm leading towards the IOL lenses.
I am an RN. So happy to have discovered your channel. Your explanations are so clear, so complete and helpful. I plan on using your videos as a basis for my questions as I discuss what lenses with my ophthalmological surgeon when I go in for the measurement appointment. Can you address if either Symfony or Panoptix lenses work for patients who have had prisms in glasses?
Excellent tutorial on these lenses. I'm making an appointment tomorrow with my optometrist to commence my cataract surgery adventure with this newfound information as my guide. Thank you!
Terrific presentation! Everything I need to know! Thank you.
Thanks very informative presentation for me as I have cataract and I need info about lens replacement. I just hope they have these lens in New Zealand.
Fantastic video Dr. Wong, just had the lens on my right eye replaced less than 24 ago. My doctor mentioned another brand beside Symfony but can't remember the name. Went with the Symfony, which was an extra 2k. Magnificent explanation on both lenses, thank you much for your time and knowledge, my respect for you.
Glad it was helpful!
Wonderful informative video. July 2021, you have had more experience with Panoptic, do you still have the same opinion? Thank you.
Your videos are amazing, Dr. Wong! Thank you for explaining the differences between the Symfony and PanOptix lenses.
My doctor is recommending the PanOptix, but I have several concerns. I am most concerned about the halos and glare at night.
* Is the glare/halos less after the lens implant than it was with the cataracts?
* Do you get glare/halos with monofocal lenses?
* How does the glare/halos with the PanOptix compare to monofocal lenses?
* I am also concerned about the scratches or scuffs you mentioned on the PanOptix. The slightest scratch on my glasses bothers me to the point that I end up removing my glasses, so I don't want to pay $2500 per eye to be frustrated (claustrophobic) with scratches that I can't do anything about.
I have worn glasses since I was about 12 years old. I find there is a certain amount of protection for my eyes in wearing them, so I really don't mind if I have to wear glasses for close up work after the cataract surgery. Would a monofocal lens work better for me? I do a lot of close-up work like sewing and woodworking with saws and power tools, and other crafts. I am myopic with my strongest correction having been -2.25 a few years ago, but it is now at -1.75. I have very slight astigmatism to the point that the dr. said he would not correct it, and a family history of macular degeneration. I believe I have the "macula pucker" or something like that, but not macular degeneration. We've been watching the macula for nearly 10 years. My eyes have always been very sensitive to fluorescent and now LED lights. Oh, and I am 68.
I'm sorry for the long comment and questions. However, I would so appreciate hearing your thoughts on my concerns. Thank you so much!
Thank you!
Susan Connor with Multifocal lenses you WILL get glares/halos/starbursts/rings around lights and driving at night will be terrible. I have the symfony multifocal and am getting a lens exchange for a monofocal, the optics of the multifocal are driving me crazy
Thx for the lecture. Getting my eyes done next month and you have educated me and I feel more confident and comfortable
Best of luck!
I’m looking forward to the Tecnis Eyhance monofocal IOL.
@A. Aubry it depends what you are looking for. The Eyhance is not a multi focal lense only in that it is still a one piece not a three piece. It is designed to give great distance and intermediate vision but it does not have the same incidence of glare or sun bursts associated with even the premium multi focal lenses. It is pending approval by the FDA but it has shown great results the past three years in India, the past two years in Europe and the past year in Canada. If you’d like to research it or look at some TH-cam videos it is made by Johnson & Johnson Vision.
Thank you Dr. Wong for the excellent explanation. Much appreciated! You've provided a great service to the cataract patient population!
Thank you doctor Wong! Outstanding presentation. Gave me a hell of a lot more information regarding lens choices than I could get from my own Dr. I am having the PanOptix lens implanted on 2/25/2020. If I can add any prospective to this video after my own surgery, I will come back and leave comments. Again, thank you for this informative public service.
How much extra did it cost you for those?
Sharon Dreger please do share your post surgery viewpoint. Thank you
gary24752
$3,000 per eye for lens only. So far I’ve only had the left one done. Total cost with insurance deductible was about $4,300. Right eye will be a little cheaper as I have now met my deductible.
Steve Vasquez
Hi Steve.. I just had the surgery yesterday so it’s a little too soon to pass judgement on the results. I will say that the surgery itself was a piece of cake with no problems. I’ll come back in a few days and give my impression of the lens. By the way, I’m not Sharon, I’m Fred, Sharons husband.
@@sharondreger3953 keep us updated! Thanks!
It is comforting to know an eye surgeon is willing to go under the same surgery he gives. This is helping me out a lot. I apologize for my narcissistic way but we all fear a knife cutting into our eyeballs.
This is an excellent overview of the two lenses. I just had the PanOptix lens put in my left eye about a week ago. Distance and mid are terrific, but I'm having issues with ghosting of text, where there seems to be a faint shadow behind each letter. Also the near isn't working at all. Do you think these problems will clear up with time? Also have halos, but they seem to be somewhat diminishing.
Give it about 6-8 months, your brain will learn to ignore it. I had mine done last July 2019. I was so blind before that I thought it was amazing the first few months. 9 months later and I'm still amazed as my vision improves.
Did you have your right eye done before gaining clear vision of your left eye? I have similar experience after my left eye surgery and can"t decide what to do next. Thanks
@@evertting9164 Yes, I have only done my right eye. My opthamologist has suggested that my other be a monofocal. My preference is to wait until the multifocals improve as my vision, while not perfect, is satisfactory. All the best to you!
I had the Panoptix implanted 8 weeks ago in one eye. I am still having blurred vision. I see my doctor tomorrow but I am very discouraged at the moment. Will see what happens tomorrow. I appreciate your presentation which will help me have a conversation with my doctor tomorrow.
There is a new generation of iol in europe that called tecnis eyhance and tecnis synergy are they the same to the symfony lens ? Or better ?
I appreciate you explaining the benifits of each lens for seeing near and far. Your explanations was very informative.
Thank you, Dr. Wong for this great information. I have narrow angle glaucoma and went through laser iridotomy, and got floaters in the eyes after that (my doctor does not think they are related). As I understand, the panoptix lens is still and option for me? how does it impact floaters? do they become more prominent?
Fabulous presentation on the 2 premium IOLs. Just had the Panoptic lens implanted and so far pleased. Small halos at night headlights but not a big deal. $2700 per lens paid.
Maryanne Larsen have the halos disappeared?
@@nataliyagrant671 Yes. It is now 7 months since I had both eyes done. I am 100 percent happy. Best thing I have done in this crazy year. Fully glasses free.
Great video - Thanks. I’ve had one eye done because of a cataract with a fixed focal length lens, but am aware the other eye is degrading. My plan was always to replace the second Lens with a multi-focal lens. Theory being driving etc will always be ok with the fixed lens and everyday life (reading etc.), albeit with some losses, with the second lens. Is this something you think is OK?
Yes. Mixing a monofocal lens and a multifocal lens works well as long as you accept that you may need reading glasses some of the time to achieve binocular reading vision.
a very simple and thorough explanation of lenses I really appreciate
Thank you for this very informative video. How have people with Sjogren's fared with either of these lenses? Is there any extra consideration with this diagnosis for cataract surgery? I also have a wrinkle on my retina. Very concerned about making the right choice of lenses. Thank you!
Excellent detailed comparison of these two lenses. Just what I was looking for. Thank you!
Does continued aging and change of focal length of the eye after toric cataract surgery render the correction obsolete over time with the renewed need for glasses?
I’d like to know that too. I wear mono-vision Airoptix toric contact lenses.
Excellent explanation of the lenses and surgical procedure. I had the pan optix toric lenses implanted with femato second laser surgery L-5 weeks ago, R 4 weeks ago. For 2 days after L surg my vision in L was horrible. Markedly improved less than a week when the R was done. R great improvement noted within 24 hours. Night driving greatly improved, no halos, minimal glare ( better than the past 20 yrs (I am 66yo). Now my major complaint is blurry/fuzzy vision. I can read near mid and far but not clear. Dry eyes relieved with lots of drops during the day (less blurry), cant read street signs farther than 200 ft away. According to Surgeon everything is perfect- healing, vision both eyes. He has noted a "drusen" L eye which is insignificant per Retinologist and decreasing over the past month. I remain confused about expectations. I have been told it may take several months for brain to re-train and read clearly??? I may need artificial tears numerous times daily forever (rarely used them pre-op)?? No specifici recommendation for brand of art. tears given Have you done a video on post op healing, expectations? That would be extremely helpful.
Hello, how is your vision now? I am getting surgery in June, and am weighing my options Thank you.
@@marymccarthy6367 FANTASTIC! I use Restasis 2x day for dry eye and OTC restiva prn. Very pleased!!! Don't like my eye surgeon, he didn't explain expectations well. Since using Restasis everything is perfect, took several month to get great results from Restasis . Good luck
Thanks so much for your videos. I want to find the best way to deal with astigmatism and you mentioned the panoptix lens helps with that. In other lenses I’ve read that alignment can often become problematic during installation and I was wondering if the panoptic lens uses a new technology that helps eliminate that problem ,thanks
Astigmatism is easily managed/treated with the panoptix toric lens.
Thanks Dr. Wong for your professional information about Eye Cataract Surgery. I learnt a lot from you.
I am worried about glare/halos at night ... 👀
I've been looking at all these lenses. There's a few pages that have comparisons of the different lenses. The ONLY lenses that don't have significant halos at night are the monofocals. I drive a tugboat and half the time I'm operating at night with bright lights from tie ups and shore side machinery as well as the lights on the tug. Not to mention navigating near big cities. I've been really looking at the symfony lenses, but the more I research the more I think a monofocal would be best (set to distance) and just wear readers (over 90% of my vision I use for distance).
cataractcoach.com/2018/08/18/comparison-of-night-vision-with-different-iols/
@@ahinalu1 - Yes for you monofocal would be necessary. I drive at night and have decided to go monofocal as well after my optometrist suggested it. She said: _"Sharp, clear distance vision" ._
👌Thanks for the link . Very helpful.
Chris Bane good choice 👍🏻 I'm getting a lens exchange to monofocal, I hate the glare/starbursts/rings at night I currently have the symfony and dislike the side effects from a multi focal IOL design
@@ahinalu1 You are so right about that. And for anyone who lives alone and might need to drive at night, avoiding those halos are also a consideration. I know people with Symfony who like them overall, but who can no longer drive at night due to the halos.
Thank you
Excellent video! I just found out I have a semi-aggressive cataracts for my age. I'm considering all options now and this helped me tremendously. Thank you!
Thank you Dr. Wong for taking the time to thoroughly explain this. I’m 45 and am having clear lens exchange surgery to correct presbyopia. You answered every question I had.
Thank you for the clear explanation of both lens so that even I could understand the pros and cons of each and, therefore, make a more informed decision.
thank you Dr. Shannon your presentation is quite good and answer all my questions
Great video Dr. Wong! I've researched everything I could get my hands for months and this video explains more in 28 minutes than I've found in six months, and it's in layman's terms. I'm 65 and I had RK surgery back in 1991. I have 8 cuts in each eye. My cornea doctor says I had a "mini" RK, since the cuts were so small. My cornea is clear, but I do have Pigment Dispersion Syndrome and I was diagnosed Thygeson's Superficial Punctate Keratopathy in my early 40's that was pretty severe, but one treatment of steroid drops and I never had another flair up until 4 years ago and it was very mild. I have cataracts in both eyes and am hoping to have replacement surgery next spring. I was also hoping to have the PanOptix lens but was unsure if I could because of the RK surgery. I wear multi-focal contacts, so I'm able to see distance and read. My vision is +2.0 in my left eye and 2.5 in my right. I haven't picked out a surgeon yet, but after doing a lot of research, and since I live in Northwest Arkansas I thinking of using Dr. Steven Vold. Do you think I may be a candidate for the PanOptix lens? I know Dr. Vold seems to be cutting edge in his practice and is involved in a lot of clinical studies.
Steve Vold is a solid choice.
How informative!
Wishing I had seen this video two years ago.
Thank you Dr.Wong.
Well done. Thank you Dr Wong. Sounds like panoptic lens is the way to go. Grade A in all 3 fields of vision.
Dr. Wong, this video is EXCELLENT! it's very helpful.
Thank you Mr Wong ! I’m due to have my 1st cataract surgery ( in SWFrance) in a few days. Thank you for such a detailed comparison. I have no idea which lenses my surgeon will use on me (?) , but from what you have said about these lense types not being covered by insurance in the US, I will contact my insurance here in France to check that I will ( or to what extent) , that I will be covered . Keeping my fingers crossed..🤞
Thank you and Hello I translate from French to English I have had Synfony implants for three months evening vision from afar and intermediate 10/10 the colors are great I wear glasses for the 1.5 computer it is more comfortable and I can read documents up close at the same time. 10/10.
hi, how about the loss of contrast due to 8% loss of light reaching your retina? Does it affect you?
With the sinfony implans there is more light entering my eyes the contranstes it's like before and maybe better, in the evening I see so well without glasses. it's like going from a standard light bulb to a leed one
@@jean-marcdube6954 Thanks for the reply. Perhaps you could have lost more than 8% of light transmission before lens exchange, for example, 15% lost due to cateract cloud. And after lens exchange, you end up with 8% loss due to concentric circles on Syphony lens. You experience more light entering your eyes because you recovered back 7%. Is my analysis correct or wrong?
Sorry Jean Marc Dube, I hope I am not rude or intrusive. I am trying to figure out from your experience to see if there is a way to avoid this 8% loss. And trying to attain the best of both worlds. Meaning getting rid of presboyia + achieving 100% light transmission + solving cateract. Sorry if I sound too demanding or unrealistic.
@@Nipponho08 I do not quite understand what you mean I am currently supping in front of my PC and I am impressed with the color of my carrots and my vegetables and the red of my meat
I have cataract in my both eyes at just my age 25. Doctor suggest me for panoptix lens. I was to much dipressed that is it good because its too costly but your suggestion truely awesome sir. Now I can tell I have no confusion for this. Thank you very much Sir. God bless you
Dr Wong, thank you for this very informative video. I have just begun to explore this option for several reasons. The information and transparency you provided in this video have great value. At this point I believe I want to come to Austin and have you perform these procedures.
I wish eyecare centres around the world learn from this video what it looks like to provide comprehensive advice to patients.