Great presentation. I love Austin Eye. I had my cataracts done 2 years ago in this office. From beginning to end and follow up probably the best health care ever. I could not be happier. It's worth coming to Austin just for these guys.
I received an RxSight LAL in each eye last January. This is the first video that I've seen that does not make the claim that the LAL procedure provides excellent vision at all ranges. Prior to the procedure I was "sold" on the assurance that I would have 20/20 vision at all ranges except super close up. What I did not really understand is that one eye would be set to "excellent near" and the other set to "excellent distance". My resulting "mono-vision" is working well and I do not need reading glasses for anything except possibly to read the tiny ingredients or directions on some labels. If I had it to do over I would possibly consider a multi-focal in my left eye and an LAL in my right. For the record, the only time that I even realize that my mono-vision is not working perfectly for me is when I'm driving at night and the resulting "blurriness" of my left eye, (set to near), will bleed over into my overall vision. During the day, or when at home, I never even think about my vision other than being happy that I do not need glasses. All of that said, I do NOT recommend this procedure for anyone that might not be suited to mono-vision and this can be difficult to determine prior to doing the procedure.
Great video, Dr. Wong. As a fellow ophthalmologist and eye surgeon, I can tell your viewers that the information you present is accurate and fair. Thank you for taking the time to present all of these options in such a clear and concise manner.
Surgery on both eyes simultaneously a week ago. I have the J&J Odyssey lenses. You summed it up beautifully. My vision is not what it was up until I was 42. But it’s certainly better today than before surgery. No more glasses! This video should be mandatory viewing for all upcoming patients.
Dr Wong you are the best! I’m so grateful 🙏🏻 I found your videos. THANK YOU SO MUCH! You give clear, honest reviews and opinion than anyone else in your profession. I have been postponing cataract surgery for almost 10 years and now I can hardly see so I finally must face it. And thanks to you I feel more confident to go through with it. I have consulted 3 doctors in Hong Kong none gave me the confidence to go forward as your videos have done. I wish you could be my doctor to advise me what best IOL to choose …and the one to do the surgery - I know I’d not worry much about it as you give people confidence. God bless you and keep up the good work you’re doing.
You have to be one, if not the best doctor out there in providing excellent videos, explanations, etc. on this subject! If I lived close by, you would be my doctor of choice. Thank you so much.
As an ophthalmologist who has to explain this to patients on a daily basis, Dr. Wong does a very comprehensive job explaining everything. My personal experience with the Panoptix, Vivity, Symfony is identical to his.
You have to be one of the best ophthalmologist eye surgeons. I have been sitting back here on Sunday, June 2 watching you video and it is brilliant the way you get into explaining everything. How eloquent and patient. I have an appointment to see an ophthalmologist on Wednesday, June 5 and I’ve learned so much from your video is absolutely fantastic. Thank you very much.
Hello sir, I am from India. I have seen many videos of yours , the way you explain the things in a simple manner is too good. After seeing your videos I made the decision of PANOPTIX lens for my mother . The surgery was done last month , the vision quality is fantastic , no need of glasses even while putting the thread in the needle . A little bit glare and halos but they are not bothersome.second eye surgery is planned in June with PANOPTIX lens . My confusion was PANOPTIX vs SYNERGY . After seeing your video it was crystal clear for me to go with PANOPTIX .Thank you sir for guiding millions of people all around the world.
Thanks Dr. Wong for a great set of videos. As a retired surgeon this helped understand the current state of the art in lense replacement options. My wife will be undergoing cataract surgery early next year and we are now armed with useful information for her choice of intraocular lense replacement.
I’ve had panoptix for over a year now . I never need glasses and night driving Is much better then before. I would never change these lens. Very satisfied with my results and no problems seeing far, near and close up. Picking an experience doctor is very important. I’ve had friends who have had multiple problems with their surgery. Chose carefully is my advice
I, also, had the tri focal PanOptix lenses done (right eye) June & (left eye) July 2024……. Totally happy with my decision to go ahead with this procedure at 76 yrs old.
Dr. Wong - I don't know if you read these comments, but if you do, thank you so much for your great videos. They are very informative, very easy to understand and very helpful. I am going to have cataract surgery done in the next year and your videos have helped me understand the process and make decisions regarding my care. THANK YOU for being so professional. Thank you.
I wish I had seen this video before my surgery. My loval opthalmology doctor never explained anything to me. I met him on the day of my surgery! I'm now having all kinds of glare issues and nobody in my doctor's office returned my calls asking for help or clarifications. Very dissapointed at the outcome.
For someone who has had LASIK surgery & now as a consequence of age now considering cataract surgery - this very comprehensive video will assist me in determining which lens suits me as opposed to which lens I prefer. My preference as a broadcast technician is for a high quality lens with minimal distortion - I imagine I will have to experiment with contact lenses before I make a final decision or consider the compromise I made with LASIK in choosing monovision (L eye distance, R-eye close up reading)- It will be at least 12 months before I am ready to take the plunge.
Great video!! I’m about to have cataract surgery in the next couple of weeks so you helped me with questions to ask my ophthalmologist. I want a multi focal lens. You have explained this perfectly like my doctor but it’s difficult to absorb all of the information while in a doctors office because questions we want to ask escape us at that time. Thank you!! 😊
After watching many of your videos, I opted for the Clarion Panoptix lens when I had my cataracts removed last month. I knew that halos were a possibility, but at my age, I don't do much night driving. However, I am not experiencing halos ... yay for me! The one thing that I noticed after my two surgeries, was that it took several day, up to 3 weeks, for my vision to really become crystal clear.
I was 66 when I had the Clarion Vivity lens implanted. I knew that I would need glasses to read up close but I had been wearing glasses since the third grade, so no complaints from me.
Dr. Wong ~ I’m 63. I have been told I have “scattered cataracts” for 20 years & am not a candidate for surgery. I am farsighted & still wearing a D Seg bifocal. I hope technology can help me before I get too old. My RX is 4.0 bilateral for distance with an astigmatic correction @ 180 axis os.
I prepare change IOL cause cataract issue and This video is very useful for me. very appreciation it Dr.Wong. BTW...one of hospital propose me J&J new product Puresee series, compare with others EDOL...Would you give me some opinion during your free time? If doesn't convenient that's fine...sorry to bother you and thanks~
Dr Wong: 1. I spend most of my awake time reading laptop. Is it considered intermediate or near vision ? 2. Do the cilliary muscles attach to the Vivity and change its concavity , like in natural accommodation ?
I do have LAL. Yes the experience was the best I could do back in 2018. I really wanted to go with the Lensgen unfortunately it was not FDA approved even with all the data on it. Today I'm at -.50 in my domanent eye and -.25 in my other. I look to see what happens in the future. My goal was to get great distance vision as well as no halos and possibly decent near vision. I do have days when I have soft distance vision and at times slight double vision which was more of a problem before going LAL. I do want to note that I was a Lasik patient prior to developing cataracts and having the surgery so I do have dry eyes and once I went through the process realized that my vision also includes bothersome floaters. Not sure where I'm going with this but I will say I hope to see future developments that may persuade me into seeking revision of where I currently fit. Time will tell. Will Lensgen be the grail for us older patients I don't know.
whats best iol choice u seen for pilots like older airline pilots ? they're out of job at age 65 rly (for the airlines at least) but could still have other fly pilot jobs still past 65.. so ? So what is best for them? they still MUST have pass both BOTH eyes be 20/20 corrected to keep their pilot license ( and job) thx great vids great channel
Great presentation with all the latest IOL options. I do like the Light Adjustable Lens. But Dr Wong mentioned that that one may still need reading glasses. That makes me think that maybe I need to wait a bit longer…
This is timely and helpful. I'm on the fence. At 66 years old I'm sick to death of wearing glasses and struggling with contacts that don't really work as well as glasses. However, I'm old school where you try not to mess with things if they can be addressed without surgery and glasses are a necessary nuisance. So even though I can have perfect vision with glasses, it's the dilemma of how bad does it need to get before I take the plunge? I grew up hearing the horror stories of botched eye surgery so it's a mental hurdle. Also with every year there are new advances and better lens versions, so there's some return in putting it off, but not to the point that it's so long you don't enjoy the benefit when you can really get use from it for daily lifestyle. Boy it sure would be amazing to have eyes that worked though...
Same here. I’m 69, about to schedule an appointment for surgery. I absolutely get what you’re talking about - in the short few years that my ophthalmologist has been talking to me about the surgery, one new option has come available. My main motivation for having it done is night vision - I no longer feel comfortable driving any further than up to the grocery store once it gets dark. As I live alone, I feel that I’m too young to curtail my life by being anxious about it. So it’s a quality of life thing for me. Good luck as you you decide the right time (if ever) for you,
@@tibbieAnne-hf4kt Best of luck! We all eventually reach the point of diminishing returns where waiting for the next advancement is overshadowed by the desire to make a meaningful improvement before it's pointless.
Excellent explanation. Being able to take complex topics and simplify them into practical information is a skill. This video is a great example. Thanks
You have many great videos I used to help make my decision. I ride motorcycle, and ride/drive a lot at night, so I wanted implants that would give me good contrast and clarity foremost, with the need to have great near vison secondary as I know its nearly impossible to get it all. I settled on the Symfony for it clarity over the Synergy. The Panoptics I felt had a little too much gap between focal rings for my desire to pick up as much detail as possible at all distances of oncoming traffic at a glance. The Symfony checked the boxes I felt I needed. But halos could possibly be deadly in certain situations. I saw that Johnson and Johnson, in there advertising app, was trying to visually show that Halos were really not an issue but from all I learned from you, that is not guaranteed at all. So I asked my doctor to put the Symfony in one eye first. To see how bad the halos would be at night, I chose to give it a few weeks time to settle before choosing the second lens. I didn't like it at night, which didn't surprise me, so I asked for the Eyhance in the other eye. As you likely figure, the Eyhance saved the night for me and the Symfony is just a great lens for day(and night without headlights coming at you). Combined, they ended up being perfect for my needs. I'm glad I gave my brain a choice. Two Symfony implants would have given my brain no other choice than the halos. No place for the Halos and starbursts to hide. At night with headlights coming at me, the Eyhance, with virtually no halos, remarkably takes over and dominates very quickly, giving me a really good and safe experience overall. Thanks for all the education you gave me! To motorcyclist and night drivers out there I would recommend the combination, if you are suitable candidates, for the benefit of the safety alone. I can read small print fine without glasses and use cheaters only for more relaxed prolonged reading. I would not change a thing. Thanks Dr. Wong for your help. It made my first choice the right choice.
@@RuthEmmett-tv4gy Hi Ruth. Here is a short and long answer. (in case you really want details)
The Eyhance is a really good IOL if you don't mind wearing readers for extended reading and low light situations at distances used for book reading and phone use. I find it is very good for computer screen, and dashboard distance, in my case at least. The eyhance should not be expected to allow freedom of reading glasses. But, for me I find it to be almost as good as the symfony. Almost. The thing is that the little bit better close performance of the symfony really makes a difference for phone use. I don't use readers much at all with this lens in just one eye. And the eyhance and symfony are close enough to work together well for me, giving similar performance I believe, to having two symfonys. The reader glasses, when I use them, is an inexpensive off the shelf 1.25 and it brings both the eyhance and symfony eyes into really crisp vision for close use. I don't need two different lenses in my readers so that saves the need to get custom glasses from the optometrist. That's the short of it. Following are more details, if you are interested, regarding how it came to be that I have both IOLs. In it you can learn learn the manufacture of both lenses is devious in their advertising and that can mess up your decision making process. My opinion, but you will be able to judge for yourself because I attached a link to the app so you can try it and see if you agree with me, or not. Since I have both IOLs, I can compare easy enough. Its important to know that I always intended to use readers because the truth is that you cant have it all. You can't have excellent at every distance and at every level of available light with every possible quality available between all IOLs. I wanted best intermediate and far for my personal needs of motorcycle riding and night driving. The particular qualities as measured in independent studies showed both IOLs offer the qualities I wanted regarding optical clarity, contrast, depth perception, best use of available light for the range I wanted, ect. That said, I almost went with the Eyhance for both eyes as my ultimate choice. It is a very good choice for my needs and much easier on the wallet. Best bang for the buck if you will. However, I was thwarted by the J&J Tecnis manufacturers' own simulation app. The app is available for consumers to get an idea of how several of their lenses perform in day and night situations. Using the app I saw that the Eyhance left a driver with a blurry dashboard,. This caused a big problem for me. As I said , I figured I would be fine with readers for close, and from videos I saw on patients getting the eyhance, I felt it was the lens for me. But when I saw the performance of the eyhance in the app I thought shit, I'm not putting up with a blurry dash. What the hell am I going to do, use glasses while driving?? Thats crazy. Figuring since the manufacturer itself is the one showing me this, I decided to not take the chance, even though I saw all the good anecdotal outcomes in videos. I mean the manufacturer wouldn't be so off base in their own app right? Using the same app , I Iooked at the performance of the symfony and saw that their most recent "blue" upgrade was showing great dash, good close , and no halos. So I decided to cough up the extra money for the symfony. The doctor put one in my worse cataract eye and scheduled me soon after for the second eye, but I asked for a delay on scheduling the second because I wanted to test the symfony in just one eye for several weeks. What I found was that even though I could see the dash clearly, the phone very well, and distance too, there were halos and starbursts around streetlights, and worse, oncoming headlights at night. This was nothing like the app showed me at all!!! And let me tell you what I never read anywhere before about these halos and starbursts, and what readers should know. The halos/starburst stay the same size around a headlight that is close or farther down the road. You would think the halo would be smaller around a more distant headlight but I did not find that to be true. So that made it really hard to judge distance between sets of oncoming cars at night which kept me fighting to determine things. Very unsafe and aggravating. I was pissed!! I eventually decided to go with the eyhance in the other eye since I understood there is the ability to neuroadapt to this. The brain can learn to use more of the better lense for the appropriate situation its best suited for. This ended up being true for me. The eyhance mitigates the halos at night very, very well for me, while my brain leans on the symfony for close use. But I will tell you this, The eyhance is very good at all distances except close. Not as good as the symfony at phone distance but close enough I can tell you I would have been happy with two eyhances and then use readers for close up use. That said, I really appreciate that little bit extra the symfony gives me at close. Its just enough to allow reading the phone 90 percent of the time with ease. I can read the phone with the eyhance but I think I would likely use readers more , had I went with eyhance in both eyes. It is not as comfortable for close up reading as the symfony. Having one symfony is only a little better but it really makes a difference if you're on your phone a lot. For me, the symfony also has a little more natural hue which blends well with the more lively hue of the Eyhance. Just a really good mix in my opinion. So I wouldn't change a thing. I do feel that the manufacturer lies though. I think they undersell the Eyhance in the app and over sell the symfony. Its likely all financially driven. The symfony is more than double the cost of the eyhance out of pocket.. Its a good thing I was able to neuro adapt because I would likely have had the symfony taken out. Sorry for the long reply but I would have liked to have read something like this before I had my eyes done. Hopefully it will help you or other readers who want opinions. If I could do it over I would start with the Eyhance in one eye to test it, and then decide from there. But I'm happy with the little extra close, and the colors/hue mix from using the combination, so I'm happy about the outcome. I'm still upset about being lied to though.🙂 Here is a link to the simulator app I mentioned so you can see for yourself what I mean. Good luck! www.tecnisvisionsimulator.com/
@@MrSixunderI have eyehance...and after the first 5 days were fine... But suddenly I'm seeing everything double... It's annoying and scary at the time... As initially all was good... Can u help with what went wrong or what can be done about it...😢😢😢
@@supriyapriyaarora7 Im sorry to hear that. I can only tell you that you should have mentioned your issue to the doctor when you first noticed. If you haven't done so then you should as soon as you can. Otherwise its just guess work so do the right thing and call your doctor's office. It may be the result of normal inflammation that occurs soon after the procedure, but only your doctor can determine that. I'm assuming you are using the eyedrops prescribed for post op treatment. Thats one question they will ask when you call. Inflammation needs to be controlled. Good luck, and please get back later to tell me how you did. I
Really grateful for your thorough and helpful explanations. Outstanding. I am having surgery in a week, and this confirms my Panoptix choice and helps me be confident that I have done my homework and have proper expectations. I want to say that now I'm going into this with my eyes wide open, but I won't, since I don't like puns!
so ive had rgp cl for 50yrs for simple myopia... at 60 yo have presbyopia ofc too now... and now small cataract rly just R eye... if i get C surgery i won't need my rgp cl anymore at all ? be contact lense free ?
fantastic presentation -- especially with so many choices to make! Really helpful with our chat with our surgeon to see which lens may be the best option
THANK YOU Dr. Wong! This is BY FAR (although I'll never "look" at those words - "near" and "far" the same way again) THE BEST choose-an-IOL video I've "seen" yet!!! ;-)
I'm looking to get an ICL implant. I've read that the Visian Evo/Evo+ is supposed to be the best. I wanted to do Contoura LASIK, but was advised as ICL was better. I've been looking at places in Turkey for the procedure, but they only carry Tecnis Synergy IOL, which seems like it's a transplant of the lens, as opposed to the Visian which is just placed over the cornea. I have a borderline astigmatism, with pretty good vision over all. Just really need glasses for the fine lines. Don't want to travel somewhere just to get a procedure I definitely don't need.
In an article in "Nature" they post that most ophthalmologists (>60%) if they require IOL themslves will choose a monofocal lens, preferring low complications to the avoidance of needing glasses.
PLEASE HELP. I am 24 years old and am approaching 1 year post-op for my cataract surgery. Both eyes have a Panoptix lens (Toric in the right). My vision was great right after but quickly fogged up and the doctor called for a YAG. I also had lasik to touch up acuity this January. Since my YAGs, I now have starbursts and a streak/shimmer that follows my eyes wherever they move. My quality of vision and life have greatly diminished. These issues did not exist until after the YAG procedure. All tests from both the ophthalmologists and retina professionals say my eyes are perfect and the surgeries were a complete success. I understand that lens exchanges can be done post-YAG but carry additional risks. I have seen a retina specialist who said my vitreous is very well attached to the retina. Is it worth considering a replacement at this time? I don’t want to wait so long that it adds even more complications, but don’t want to go through the surgeries again if I can neuro-adapt.
I'm confused when you say that the LAL lenses are monofocal and yet many patients will have to wear glasses for reading. Would this still be the case if I chose to have implanted LAL lenses adjusted for mono vision? (I currently have adapted well to using mono vision contact lenses that enable me to see distance, mid and near.)
Thank you Dr. Wong for your truth fullness and detailed explanation of what lens /procedure to choose. I will be having cataract sx in a couple of weeks and this confirmed that I want to have a lens that will provide near/mid and far distance. I've had the lasik sx mono one eye for distance and one for near and was perfect for me.
Thanks for the great video. I dont have cataracts but had radial keratotomy done about 25 years ago. My eyes have now deteriorated and I have Astigmatism in both eyes. The only way for me to see properly is with contact which I detest. I now have to rely om 2 sets of glasses. Are lens replacements possible with my condition and without cataracts? Im 54 years old
Dr. Wong, I really appreciate your videos and your explanation seems to be honest and unbiased. And this is why I seek your opinion. Actually I underwent myopic lasik surgery more than 20 years ago. And recently (5 days ago ) had cataract surgery for my non dominant eye and went for the vivity toric. My vision is still a little blur and wavy plus intermediate doesn't seem to be good as yet. I'm not able to see mobile or laptop clearly or read even at an arm's length. Now I need to make a decision for my right eye which is my dominant eye and according to doctor my right eye is powerful and will outperform my left eye and it can work even without toric. According him I must go ahead with vivity. I would prefer not having to wear glasses and have clear vision. That can also help me easily wear eye makeup, drive and work in low light as well along with distant and intermediate vision preferably without contrast issues. Will be truly grateful if you could tell me which lens would you recommend me for my right eye. Eagerly await your revert.
Thanks for the detailed explanation of the new IOLs. As you note, the lens choice depends on the patient's needs. When I decided to have my cataracts removed, I opted for a mono-focal lens set for distance. I had already been experiencing halos at night caused by the cataracts, and I didn't want to possibly continue to see halos by choosing a multi-focal IOL; my goal was good night vision for driving. I was already accustomed to wearing glasses with progressive lenses, and becoming “glasses-free” wasn't my goal. The result with the mono-focal IOL is close to 20/20 distance vision, and I wear progressives for intermediate/near vision and astigmatism correction. It's also worth noting that mono-focal lenses are covered by Medicare, so the cost of the procedure was very affordable compared with the more expensive IOLs that are not covered.
Dr Wong. I have glaucoma and when I was about 3 years old I had eyes surgery so I don't have natural lenses. I have been wearing glasses with bifocal all my life and I used to them, no complaints. My glaucoma is under control but recently I am looking for options to improve my vision, I am not trying to cancel my glasses. Now, I am 34 years old. My oftalmologist knows me since I was a child, and he is kind of conservative about intraocular lens surgery. Do you recommend multifocal lenses surgery for me?
Question #1: While I understand relying on the actual post-op feedback you hear from your patients, are there actual vision tests you can perform to verify their impression of their vision? I've seen in some academic analyses measurements of all focal lengths plus things like depth-of-field among types of lenses, for example. Question #2: When ophthalmologists use the terms "near," "intermediate," and "far," what distance exactly do those words mean in feet and inches? Also do they correspond to a specific # of feet being in focus, with increasingly blurred vision radiating away from the object, or does it mean clear vision in a range around that number. So is it that (just an example) "intermediate" vision is 3'-15' and distance vision is 15' to 50'? or is that different for different lenses? Question #3: I have yet to hear any video-blogging eye doctors discuss what lens to choose if you want to put on eye make-up, use concealer around your eyes, or even tweeze your eyebrows which is nearly impossible to do with glasses on. Do you have any patient feedback from a significant number of patients about that? If that is important to me, then shouldn't I choose a lens that provides close-up vision? This is where Question #2 comes into play, because I wonder whether seeing close-up means that ,with a mono-focal lens, I'd have to forfeit focused vision at intermediate distances and beyond without glasses. But what is "intermediate" distance? Could I just wear contacts for those intermediate and far distances?
You are soo right about no info on how to do makeup, grooming, trim toenails, etc.! It is truly an issue for women. Lighted magnified mirrors is the only answer I ever seem to get -- they can't help much. Still a problem! Thanks for asking.
Dr Wong, like all others have said, thank you for your wonderful videos. I have chosen the new J&J Odyssey lens, but am a bit nervous about the halos/starbursts etc that it might produce due to the way it's made. I know it's super new, so there's no long term data in the US yet, but, how have your patients been doing with it thus far? Picking a lens is such an important decision for us all. Can you give me some feedback as to how your Odyssey patients have been doing thus far? Thank you so much. 😊
i had the latest edof Johnston and Johnston pure see lenses in Turkey ...Its amazing I threw away my glasses for reading... 10 min pain free operation and could see better almost imediately better after 3 days ...day and night no halos or starbursts at night these are great lenses - the colour and contrast is brilliant the world looks more colourful... amazing, These lenses are the best i think ...why you not mention them?
Hi Dr Wong, great and very informative video on new lenses. I am now doing research because I need to have cataract surgey but I can't find any information for my case. I had Lasik over 30 years ago and need to have cataract surgery on my left eye. My ophthalmologist told me she doesn't recommend multi-focal lens because the halos or reflections at night could be worse with the multi-focals. What's your opinion or recommendation for people who had lasik and now need cataract surgery?
Dr. Wong, you spell things out in an easy to understand method. The newer Clearview lens is an interesting concept. Interested in seeing videos on patients who are good candidates or choose this lens for one or both eyes.
Most patients with Monofocal lens implants don't need glasses for far, they are equal if not superior for far vision than all the other lenses, and the toric version of Monofocal lens can correct astigmatism.
@@ShannonWongMD Hello dr Wong. The basic monofocal lense can one opt for near instead far?? Wear glasses for far? Instead reading glasses? I would truly appreciate your input
Thank you Dr. Wong. I wish we lived near Tx because I would certainly come to your practice for my cataracts. You've provided excellent info which will help me decide which type of lenses to get.
Brilliant informative dr Wong. I have been watching many TH-cam video but yours is BEST. I was split between PANOPIX and VIVITY what to choose. I don't drive at night, so if anyone complaining about halos, rings..etc those as you mention won't happen during the day. My eye prescription is strong. If i can get off wearing eyeglasses and see close, arm length and far without, I'll be very happy. From people's comments, it takes a while. .up to a month?? Perhaps more?? To achieve the "perfect" vision..but no one thinks that all those drops postoperative- specific steroids will do that. Anything that you can guide us all? God bless you 🙏
I had Radial keratotomy in both eyes in the early 90’s. Now my corneas are flat in some areas making it very difficult to fully correct my vision with glasses. Are lens implants an option for people who have had RK?
Just an excellent explanation Doc! At 56 , and wearing corrective devices since my teens, I feel that this would free me from the never ending decisions of which glasses….sun and regular…..just transitions….blah blah. Thanks for this.
My ophthalmologist has recommended the enVista Envy Toric lens for my cataract surgery. I have significant astigmatism. Do you have any experience & opinion about this lens?
I have limited experience with the enlists envy toric lens. So far, for the handful of patients that I have treated with the envy lens, the results were good and patients were happy.
@ShannonWongMD Thank you so very much. I'm trying to educate myself to make the right choice for lifetime lenses. I appreciate you taking the time to respond!
Thank you! This was a really informative video for me. I suspect I have issues that will lead to lens replacements and I'm trying to become informed early so I can make the best decision.
Thank you very much for the video and the information. I really enjoy watching your videos. Which lens implant do you recommend diabetic patients who do not have cataract yet but still want lens implants to get rid of the eye glasses?
Got panoptix w some tint(only learned about tint after sx… thx doc Devgan!). Nighttime halos no biggy… but reading requires headlamp cuz dim light really is hard to see in! Otherwise great!
Thanks for the great information. I just had the Johnson and Johnson Model ICB00.....I find this is not working for me, it was a Premium Charge but after 3 months still having issues with blurred, double vision and halos at night. I can not longer read my phone or laptop although this lens is supposed to give me intermediate and distance. Any Suggestions???
Q: Is there a lens that helps reduce the distraction of Floaters? I have heard that perhaps LALs help reduce seeing Floaters, is that your experience? Thanks !
What level of astigmatism is the limiting factor for the Cleariew 3 iol? Does it matter if astigmatism is corneal or lenticular? Am anxious to follow your experience with additional patients with this promising lens for any surprises (left leg falls off??) Thanks for sharing your expertise.
You did a very good job of clarifying (no pun intended) the lens options. I'm being offered Vivity Extended Dept of Focus lens but have a concern regarding the sport of pickleball. Will the Vivity Extended allow me to pick up the oncoming ball and make the subsequent paddle return or will I loose clarity as the ball is getting closer? Thank you.
Thanks so much for this video.. I'm about to commit to lens replacement surgery..if I'm a candidate for the Clearview 3 trifocal would you say that's the best option for having clear vision at all distances glasses free and no halos? Will they still have not as good vision in low light like some other trifocals have fire to the nature of their design splitting the light? I'm 54 and i cutrently wear different glasses for reading, for computer screens and for TV/ driving and is too much.. would be so grateful to have clear vision again at all distances..Appreciate your reply.. thank you
Thanks for the info. I’m 42 and still have great accommodating near vision. I got a panoptix lense in one eye. My other eye has no cataract and is 20/15 uncorrected. I’m trying to figure out what the hype is about these lenses other than being able to see up close. 10 months in and the halos and glare at night still really bother. I also have some daytime glare, and I feel like my vision is kind of “ washed out”, especially in dim lighting ir overcast days… not a lot of clarity. Intermediate vision isn’t great, especially looking at a screen. I see glare behind letters. Is this normal for this lense or am I being unrealistic with my expectations? I really want to love it, but I don’t enough to get it in my other eye tbh. I don’t think I’d be able to drive at night or really hate it. It was also really hard adapting to one eye with a trifocal and not the other. Although that’s better I still feel it’s “ off” when walking on uneven ground. Wondering if I should have gotten the monofocal. ?? Do I need to just give it more time or am I not “ nueroadapting” like I should?
Dr, great video. As you know, a great many men having a lens replacement take FLOMAX. Can you please comment on how this may impact the choice of lens? Thank you!
I would caution anyone considering LASIK - high risk of developing halos in vision and very noticeable at night - that's my experience. With an implanted lens at least you can have it removed & try an alternative that does not present halos - with LASIK you have them for life.
Is it okay to have a LAL in one eye [dominate] only? And perhaps one that corrects for near better in the other eye? My near vision is extremely important to me. Thanks Dr. Wong!
Great presentation.
I love Austin Eye. I had my cataracts done 2 years ago in this office.
From beginning to end and follow up probably the best health care ever. I could not be happier.
It's worth coming to Austin just for these guys.
I received an RxSight LAL in each eye last January. This is the first video that I've seen that does not make the claim that the LAL procedure provides excellent vision at all ranges. Prior to the procedure I was "sold" on the assurance that I would have 20/20 vision at all ranges except super close up. What I did not really understand is that one eye would be set to "excellent near" and the other set to "excellent distance". My resulting "mono-vision" is working well and I do not need reading glasses for anything except possibly to read the tiny ingredients or directions on some labels. If I had it to do over I would possibly consider a multi-focal in my left eye and an LAL in my right. For the record, the only time that I even realize that my mono-vision is not working perfectly for me is when I'm driving at night and the resulting "blurriness" of my left eye, (set to near), will bleed over into my overall vision. During the day, or when at home, I never even think about my vision other than being happy that I do not need glasses. All of that said, I do NOT recommend this procedure for anyone that might not be suited to mono-vision and this can be difficult to determine prior to doing the procedure.
Great video, Dr. Wong. As a fellow ophthalmologist and eye surgeon, I can tell your viewers that the information you present is accurate and fair. Thank you for taking the time to present all of these options in such a clear and concise manner.
Thank you Richard!
Surgery on both eyes simultaneously a week ago. I have the J&J Odyssey lenses. You summed it up beautifully. My vision is not what it was up until I was 42. But it’s certainly better today than before surgery. No more glasses! This video should be mandatory viewing for all upcoming patients.
Dr Wong you are the best! I’m so grateful 🙏🏻 I found your videos.
THANK YOU SO MUCH!
You give clear, honest reviews and opinion than anyone else in your profession. I have been postponing cataract surgery for almost 10 years and now I can hardly see so I finally must face it. And thanks to you I feel more confident to go through with it.
I have consulted 3 doctors in Hong Kong none gave me the confidence to go forward as your videos have done.
I wish you could be my doctor to advise me what best IOL to choose …and the one to do the surgery - I know I’d not worry much about it as you give people confidence. God bless you and keep up the good work you’re doing.
You have to be one, if not the best doctor out there in providing excellent videos, explanations, etc. on this subject! If I lived close by, you would be my doctor of choice. Thank you so much.
Thank you so much!
@@ShannonWongMD I agree, this was a great explanation.
My only request would be to know what options apply to those with astigmatism.
@@jimvj5897 go to 8:41
@@jimvj5897 He did say the PanOptix and Odyssey lenses could do that around 8:30. I didn't notice astigmatism mentioned otherwise.
So far the best valued information. I am due for surgery in spring. Thank you
As an ophthalmologist who has to explain this to patients on a daily basis, Dr. Wong does a very comprehensive job explaining everything. My personal experience with the Panoptix, Vivity, Symfony is identical to his.
Thank you!
You have to be one of the best ophthalmologist eye surgeons. I have been sitting back here on Sunday, June 2 watching you video and it is brilliant the way you get into explaining everything. How eloquent and patient. I have an appointment to see an ophthalmologist on Wednesday, June 5 and I’ve learned so much from your video is absolutely fantastic. Thank you very much.
🎉what’s lens do you choose?
EXCELLENT review thank you very much
Hello sir, I am from India. I have seen many videos of yours , the way you explain the things in a simple manner is too good. After seeing your videos I made the decision of PANOPTIX lens for my mother . The surgery was done last month , the vision quality is fantastic , no need of glasses even while putting the thread in the needle . A little bit glare and halos but they are not bothersome.second eye surgery is planned in June with PANOPTIX lens . My confusion was PANOPTIX vs SYNERGY . After seeing your video it was crystal clear for me to go with PANOPTIX .Thank you sir for guiding millions of people all around the world.
I had accommodating intraoccular lenses done in 2006 and in my 70s I do not require any glasses at all. It’s so nice to not have to rely on glasses.
Thanks Dr. Wong for a great set of videos. As a retired surgeon this helped understand the current state of the art in lense replacement options. My wife will be undergoing cataract surgery early next year and we are now armed with useful information for her choice of intraocular lense replacement.
Best video on lens replacement on You Tube!
I’ve had panoptix for over a year now . I never need glasses and night driving Is much better then before. I would never change these lens. Very satisfied with my results and no problems seeing far, near and close up. Picking an experience doctor is very important. I’ve had friends who have had multiple problems with their surgery. Chose carefully is my advice
I, also, had the tri focal PanOptix lenses done (right eye) June & (left eye) July 2024…….
Totally happy with my decision to go ahead with this procedure at 76 yrs old.
Had Pan Optix lenses for 2 years- total satisfaction, no glasses needed and headlight halos not much of a concern or a bother worth speaking about.
Thanks!! Getting surgery in 2 months
Dr. Wong - I don't know if you read these comments, but if you do, thank you so much for your great videos. They are very informative, very easy to understand and very helpful. I am going to have cataract surgery done in the next year and your videos have helped me understand the process and make decisions regarding my care. THANK YOU for being so professional. Thank you.
Thank you for watching!
Dr, share some information about LUCIDIS IOL please
I wish I had seen this video before my surgery. My loval opthalmology doctor never explained anything to me. I met him on the day of my surgery! I'm now having all kinds of glare issues and nobody in my doctor's office returned my calls asking for help or clarifications. Very dissapointed at the outcome.
I have the Panoptic lenses; best surgery I've ever had. Thank you, Dr. Wong!
For someone who has had LASIK surgery & now as a consequence of age now considering cataract surgery - this very comprehensive video will assist me in determining which lens suits me as opposed to which lens I prefer. My preference as a broadcast technician is for a high quality lens with minimal distortion - I imagine I will have to experiment with contact lenses before I make a final decision or consider the compromise I made with LASIK in choosing monovision (L eye distance, R-eye close up reading)- It will be at least 12 months before I am ready to take the plunge.
Great video!! I’m about to have cataract surgery in the next couple of weeks so you helped me with questions to ask my ophthalmologist. I want a multi focal lens. You have explained this perfectly like my doctor but it’s difficult to absorb all of the information while in a doctors office because questions we want to ask escape us at that time. Thank you!! 😊
After watching many of your videos, I opted for the Clarion Panoptix lens when I had my cataracts removed last month. I knew that halos were a possibility, but at my age, I don't do much night driving. However, I am not experiencing halos ... yay for me! The one thing that I noticed after my two surgeries, was that it took several day, up to 3 weeks, for my vision to really become crystal clear.
Thanks got Panoptix 4 days ago, looking forward to seeing more clearly mid range in 3 weeks time.
Me too.. am getting different focus everyday in my eye after surgery 😢
Dear Sunny , how is your vission now ?! Please @sunnysider6350
@@sunnysider6350 So are you happy you had the surgery? Any halo's
As an optometrist, you gave me a great overview of the options my cataract patients might want. Thank you for the great CE, and at no cost!
Awesome! Please feel free to share this video link with your patients!
Will be doing exactly that.
Where does the Tecnis PureSee IOC lens from J&J rank amongst the ClearView 3 Multifocal IOL featured in this video?
I was 66 when I had the Clarion Vivity lens implanted. I knew that I would need glasses to read up close but I had been wearing glasses since the third grade, so no complaints from me.
Dr. Wong ~ I’m 63. I have been told I have “scattered cataracts” for 20 years & am not a candidate for surgery. I am farsighted & still wearing a D Seg bifocal. I hope technology can help me before I get too old. My RX is 4.0 bilateral for distance with an astigmatic correction @ 180 axis os.
I prepare change IOL cause cataract issue and This video is very useful for me. very appreciation it Dr.Wong.
BTW...one of hospital propose me J&J new product Puresee series,
compare with others EDOL...Would you give me some opinion during your free time?
If doesn't convenient that's fine...sorry to bother you and thanks~
You can replace the lens post surgery? I didnt know that, i thought that once the sac scars you cant do that.
Dr Wong:
1. I spend most of my awake time reading laptop. Is it considered intermediate or near vision ?
2. Do the cilliary muscles attach to the Vivity and change its concavity , like in natural accommodation ?
I do have LAL. Yes the experience was the best I could do back in 2018.
I really wanted to go with the Lensgen unfortunately it was not FDA approved even with all the data on it.
Today I'm at -.50 in my domanent eye and -.25 in my other.
I look to see what happens in the future. My goal was to get great distance vision as well as no halos and possibly decent near vision.
I do have days when I have soft distance vision and at times slight double vision which was more of a problem before going LAL.
I do want to note that I was a Lasik patient prior to developing cataracts and having the surgery so I do have dry eyes and once I went through the process realized that my vision also includes bothersome floaters.
Not sure where I'm going with this but I will say I hope to see future developments that may persuade me into seeking revision of where I currently fit. Time will tell. Will Lensgen be the grail for us older patients I don't know.
whats best iol choice u seen for pilots like older airline pilots ? they're out of job at age 65 rly (for the airlines at least) but could still have other fly pilot jobs still past 65.. so ?
So what is best for them? they still MUST have pass both BOTH eyes be 20/20 corrected to keep their pilot license ( and job)
thx great vids great channel
Great presentation with all the latest IOL options. I do like the Light Adjustable Lens. But Dr Wong mentioned that that one may still need reading glasses. That makes me think that maybe I need to wait a bit longer…
The best explanation that I have ever watched. Objective and easy to understand. Thank you Dr. Wong for sharing!
What do you think about Zeiss premium trifocal lenses? They were recommanded to me over Panoptix lenses. Thank you very much for your answer.😊
This is timely and helpful. I'm on the fence. At 66 years old I'm sick to death of wearing glasses and struggling with contacts that don't really work as well as glasses. However, I'm old school where you try not to mess with things if they can be addressed without surgery and glasses are a necessary nuisance.
So even though I can have perfect vision with glasses, it's the dilemma of how bad does it need to get before I take the plunge? I grew up hearing the horror stories of botched eye surgery so it's a mental hurdle. Also with every year there are new advances and better lens versions, so there's some return in putting it off, but not to the point that it's so long you don't enjoy the benefit when you can really get use from it for daily lifestyle. Boy it sure would be amazing to have eyes that worked though...
Same here. I’m 69, about to schedule an appointment for surgery. I absolutely get what you’re talking about - in the short few years that my ophthalmologist has been talking to me about the surgery, one new option has come available. My main motivation for having it done is night vision - I no longer feel comfortable driving any further than up to the grocery store once it gets dark. As I live alone, I feel that I’m too young to curtail my life by being anxious about it. So it’s a quality of life thing for me. Good luck as you you decide the right time (if ever) for you,
@@tibbieAnne-hf4kt Best of luck! We all eventually reach the point of diminishing returns where waiting for the next advancement is overshadowed by the desire to make a meaningful improvement before it's pointless.
Brilliant information Dr Wong and have answered several questions for me….only wish you were closer to home ☘️
Excellent explanation. Being able to take complex topics and simplify them into practical information is a skill. This video is a great example. Thanks
You have many great videos I used to help make my decision. I ride motorcycle, and ride/drive a lot at night, so I wanted implants that would give me good contrast and clarity foremost, with the need to have great near vison secondary as I know its nearly impossible to get it all. I settled on the Symfony for it clarity over the Synergy. The Panoptics I felt had a little too much gap between focal rings for my desire to pick up as much detail as possible at all distances of oncoming traffic at a glance.
The Symfony checked the boxes I felt I needed. But halos could possibly be deadly in certain situations. I saw that Johnson and Johnson, in there advertising app, was trying to visually show that Halos were really not an issue but from all I learned from you, that is not guaranteed at all.
So I asked my doctor to put the Symfony in one eye first. To see how bad the halos would be at night, I chose to give it a few weeks time to settle before choosing the second lens. I didn't like it at night, which didn't surprise me, so I asked for the Eyhance in the other eye. As you likely figure, the Eyhance saved the night for me and the Symfony is just a great lens for day(and night without headlights coming at you). Combined, they ended up being perfect for my needs.
I'm glad I gave my brain a choice. Two Symfony implants would have given my brain no other choice than the halos. No place for the Halos and starbursts to hide. At night with headlights coming at me, the Eyhance, with virtually no halos, remarkably takes over and dominates very quickly, giving me a really good and safe experience overall. Thanks for all the education you gave me! To motorcyclist and night drivers out there I would recommend the combination, if you are suitable candidates, for the benefit of the safety alone. I can read small print fine without glasses and use cheaters only for more relaxed prolonged reading. I would not change a thing. Thanks Dr. Wong for your help. It made my first choice the right choice.
Hey how is your closeup vision with the eyehance???
@@RuthEmmett-tv4gy
Hi Ruth. Here is a short and long answer. (in case you really want details)
The Eyhance is a really good IOL if you don't mind wearing readers for extended reading and low light situations at distances used for book reading and phone use. I find it is very good for computer screen, and dashboard distance, in my case at least. The eyhance should not be expected to allow freedom of reading glasses. But, for me I find it to be almost as good as the symfony. Almost. The thing is that the little bit better close performance of the symfony really makes a difference for phone use. I don't use readers much at all with this lens in just one eye. And the eyhance and symfony are close enough to work together well for me, giving similar performance I believe, to having two symfonys. The reader glasses, when I use them, is an inexpensive off the shelf 1.25 and it brings both the eyhance and symfony eyes into really crisp vision for close use. I don't need two different lenses in my readers so that saves the need to get custom glasses from the optometrist. That's the short of it. Following are more details, if you are interested, regarding how it came to be that I have both IOLs. In it you can learn learn the manufacture of both lenses is devious in their advertising and that can mess up your decision making process. My opinion, but you will be able to judge for yourself because I attached a link to the app so you can try it and see if you agree with me, or not.
Since I have both IOLs, I can compare easy enough. Its important to know that I always intended to use readers because the truth is that you cant have it all. You can't have excellent at every distance and at every level of available light with every possible quality available between all IOLs.
I wanted best intermediate and far for my personal needs of motorcycle riding and night driving. The particular qualities as measured in independent studies showed both IOLs offer the qualities I wanted regarding optical clarity, contrast, depth perception, best use of available light for the range I wanted, ect.
That said, I almost went with the Eyhance for both eyes as my ultimate choice. It is a very good choice for my needs and much easier on the wallet. Best bang for the buck if you will.
However, I was thwarted by the J&J Tecnis manufacturers' own simulation app. The app is available for consumers to get an idea of how several of their lenses perform in day and night situations. Using the app I saw that the Eyhance left a driver with a blurry dashboard,. This caused a big problem for me.
As I said , I figured I would be fine with readers for close, and from videos I saw on patients getting the eyhance, I felt it was the lens for me. But when I saw the performance of the eyhance in the app I thought shit, I'm not putting up with a blurry dash. What the hell am I going to do, use glasses while driving?? Thats crazy.
Figuring since the manufacturer itself is the one showing me this, I decided to not take the chance, even though I saw all the good anecdotal outcomes in videos. I mean the manufacturer wouldn't be so off base in their own app right?
Using the same app , I Iooked at the performance of the symfony and saw that their most recent "blue" upgrade was showing great dash, good close , and no halos. So I decided to cough up the extra money for the symfony.
The doctor put one in my worse cataract eye and scheduled me soon after for the second eye, but I asked for a delay on scheduling the second because I wanted to test the symfony in just one eye for several weeks.
What I found was that even though I could see the dash clearly, the phone very well, and distance too, there were halos and starbursts around streetlights, and worse, oncoming headlights at night. This was nothing like the app showed me at all!!!
And let me tell you what I never read anywhere before about these halos and starbursts, and what readers should know. The halos/starburst stay the same size around a headlight that is close or farther down the road. You would think the halo would be smaller around a more distant headlight but I did not find that to be true. So that made it really hard to judge distance between sets of oncoming cars at night which kept me fighting to determine things. Very unsafe and aggravating. I was pissed!!
I eventually decided to go with the eyhance in the other eye since I understood there is the ability to neuroadapt to this. The brain can learn to use more of the better lense for the appropriate situation its best suited for. This ended up being true for me. The eyhance mitigates the halos at night very, very well for me, while my brain leans on the symfony for close use. But I will tell you this, The eyhance is very good at all distances except close. Not as good as the symfony at phone distance but close enough I can tell you I would have been happy with two eyhances and then use readers for close up use. That said, I really appreciate that little bit extra the symfony gives me at close. Its just enough to allow reading the phone 90 percent of the time with ease. I can read the phone with the eyhance but I think I would likely use readers more , had I went with eyhance in both eyes. It is not as comfortable for close up reading as the symfony. Having one symfony is only a little better but it really makes a difference if you're on your phone a lot.
For me, the symfony also has a little more natural hue which blends well with the more lively hue of the Eyhance. Just a really good mix in my opinion.
So I wouldn't change a thing. I do feel that the manufacturer lies though. I think they undersell the Eyhance in the app and over sell the symfony. Its likely all financially driven. The symfony is more than double the cost of the eyhance out of pocket.. Its a good thing I was able to neuro adapt because I would likely have had the symfony taken out.
Sorry for the long reply but I would have liked to have read something like this before I had my eyes done. Hopefully it will help you or other readers who want opinions. If I could do it over I would start with the Eyhance in one eye to test it, and then decide from there. But I'm happy with the little extra close, and the colors/hue mix from using the combination, so I'm happy about the outcome. I'm still upset about being lied to though.🙂
Here is a link to the simulator app I mentioned so you can see for yourself what I mean. Good luck!
www.tecnisvisionsimulator.com/
@@MrSixunderI have eyehance...and after the first 5 days were fine... But suddenly I'm seeing everything double... It's annoying and scary at the time... As initially all was good... Can u help with what went wrong or what can be done about it...😢😢😢
I got my surgery just two weeks ago...
@@supriyapriyaarora7 Im sorry to hear that. I can only tell you that you should have mentioned your issue to the doctor when you first noticed. If you haven't done so then you should as soon as you can. Otherwise its just guess work so do the right thing and call your doctor's office. It may be the result of normal inflammation that occurs soon after the procedure, but only your doctor can determine that. I'm assuming you are using the eyedrops prescribed for post op treatment. Thats one question they will ask when you call. Inflammation needs to be controlled. Good luck, and please get back later to tell me how you did.
I
Really grateful for your thorough and helpful explanations. Outstanding. I am having surgery in a week, and this confirms my Panoptix choice and helps me be confident that I have done my homework and have proper expectations. I want to say that now I'm going into this with my eyes wide open, but I won't, since I don't like puns!
Many thanks. I"m 59 and just learning about this option which will be a huge game changer. Thank you. :-/
As an artist I have noticed a decrease in color vibrancy and value comparisons. Which cataract surgery will most likely correct my color perception?
Great info what about puresee? Any experience with this one?
Incredible real time feedback. Excellent information!!
Can you use these premium lenses after a vitrectomy for a retinal detachment followed by cataract
Sir can you tell about Acrivia Trinova lens (sinusoidal trifocal).is it better than Alcon Panoptix?
Saludos, donde encuentro un cirujano que coloque clearview 3 en rep. dominicana, Espero su respuesta. Gracias.
Getting ready to start the cataract process, your video's have been very helpful.
so ive had rgp cl for 50yrs for simple myopia... at 60 yo have presbyopia ofc too now... and now small cataract rly just R eye... if i get C surgery
i won't need my rgp cl anymore at all ?
be contact lense free ?
Dr. Wong, why you didn't mention anything about Gynergy lenses?
fantastic presentation -- especially with so many choices to make! Really helpful with our chat with our surgeon to see which lens may be the best option
If using a clareon pan optix iol, is there some glasses one can use to prevent the glare at night
THANK YOU Dr. Wong! This is BY FAR (although I'll never "look" at those words - "near" and "far" the same way again) THE BEST choose-an-IOL video I've "seen" yet!!! ;-)
I'm looking to get an ICL implant. I've read that the Visian Evo/Evo+ is supposed to be the best. I wanted to do Contoura LASIK, but was advised as ICL was better. I've been looking at places in Turkey for the procedure, but they only carry Tecnis Synergy IOL, which seems like it's a transplant of the lens, as opposed to the Visian which is just placed over the cornea. I have a borderline astigmatism, with pretty good vision over all. Just really need glasses for the fine lines. Don't want to travel somewhere just to get a procedure I definitely don't need.
In an article in "Nature" they post that most ophthalmologists (>60%) if they require IOL themslves will choose a monofocal lens, preferring low complications to the avoidance of needing glasses.
PLEASE HELP. I am 24 years old and am approaching 1 year post-op for my cataract surgery. Both eyes have a Panoptix lens (Toric in the right). My vision was great right after but quickly fogged up and the doctor called for a YAG. I also had lasik to touch up acuity this January.
Since my YAGs, I now have starbursts and a streak/shimmer that follows my eyes wherever they move. My quality of vision and life have greatly diminished. These issues did not exist until after the YAG procedure.
All tests from both the ophthalmologists and retina professionals say my eyes are perfect and the surgeries were a complete success.
I understand that lens exchanges can be done post-YAG but carry additional risks. I have seen a retina specialist who said my vitreous is very well attached to the retina.
Is it worth considering a replacement at this time? I don’t want to wait so long that it adds even more complications, but don’t want to go through the surgeries again if I can neuro-adapt.
Thank you, I was just informed I will need surgery. Knowledge is power
I'm confused when you say that the LAL lenses are monofocal and yet many patients will have to wear glasses for reading. Would this still be the case if I chose to have implanted LAL lenses adjusted for mono vision? (I currently have adapted well to using mono vision contact lenses that enable me to see distance, mid and near.)
Does the TECNIS lens offer a better range of prescription and is it suitable for those with astigmatism?
Thank you Dr. Wong for your truth fullness and detailed explanation of what lens /procedure to choose. I will be having cataract sx in a couple of weeks and this confirmed that I want to have a lens that will provide near/mid and far distance. I've had the lasik sx mono one eye for distance and one for near and was perfect for me.
Thanks for the great video. I dont have cataracts but had radial keratotomy done about 25 years ago. My eyes have now deteriorated and I have Astigmatism in both eyes. The only way for me to see properly is with contact which I detest. I now have to rely om 2 sets of glasses. Are lens replacements possible with my condition and without cataracts? Im 54 years old
Dr. Wong, I really appreciate your videos and your explanation seems to be honest and unbiased. And this is why I seek your opinion.
Actually I underwent myopic lasik surgery more than 20 years ago. And recently (5 days ago ) had cataract surgery for my non dominant eye and went for the vivity toric. My vision is still a little blur and wavy plus intermediate doesn't seem to be good as yet. I'm not able to see mobile or laptop clearly or read even at an arm's length. Now I need to make a decision for my right eye which is my dominant eye and according to doctor my right eye is powerful and will outperform my left eye and it can work even without toric. According him I must go ahead with vivity.
I would prefer not having to wear glasses and have clear vision. That can also help me easily wear eye makeup, drive and work in low light as well along with distant and intermediate vision preferably without contrast issues.
Will be truly grateful if you could tell me which lens would you recommend me for my right eye.
Eagerly await your revert.
Thanks for the detailed explanation of the new IOLs. As you note, the lens choice depends on the patient's needs. When I decided to have my cataracts removed, I opted for a mono-focal lens set for distance. I had already been experiencing halos at night caused by the cataracts, and I didn't want to possibly continue to see halos by choosing a multi-focal IOL; my goal was good night vision for driving. I was already accustomed to wearing glasses with progressive lenses, and becoming “glasses-free” wasn't my goal. The result with the mono-focal IOL is close to 20/20 distance vision, and I wear progressives for intermediate/near vision and astigmatism correction. It's also worth noting that mono-focal lenses are covered by Medicare, so the cost of the procedure was very affordable compared with the more expensive IOLs that are not covered.
No money ?
@@sunnysider6350 Not sure what you mean?
Dr Wong. I have glaucoma and when I was about 3 years old I had eyes surgery so I don't have natural lenses. I have been wearing glasses with bifocal all my life and I used to them, no complaints. My glaucoma is under control but recently I am looking for options to improve my vision, I am not trying to cancel my glasses. Now, I am 34 years old. My oftalmologist knows me since I was a child, and he is kind of conservative about intraocular lens surgery. Do you recommend multifocal lenses surgery for me?
Question #1: While I understand relying on the actual post-op feedback you hear from your patients, are there actual vision tests you can perform to verify their impression of their vision? I've seen in some academic analyses measurements of all focal lengths plus things like depth-of-field among types of lenses, for example.
Question #2: When ophthalmologists use the terms "near," "intermediate," and "far," what distance exactly do those words mean in feet and inches? Also do they correspond to a specific # of feet being in focus, with increasingly blurred vision radiating away from the object, or does it mean clear vision in a range around that number. So is it that (just an example) "intermediate" vision is 3'-15' and distance vision is 15' to 50'? or is that different for different lenses?
Question #3: I have yet to hear any video-blogging eye doctors discuss what lens to choose if you want to put on eye make-up, use concealer around your eyes, or even tweeze your eyebrows which is nearly impossible to do with glasses on. Do you have any patient feedback from a significant number of patients about that? If that is important to me, then shouldn't I choose a lens that provides close-up vision? This is where Question #2 comes into play, because I wonder whether seeing close-up means that ,with a mono-focal lens, I'd have to forfeit focused vision at intermediate distances and beyond without glasses. But what is "intermediate" distance? Could I just wear contacts for those intermediate and far distances?
You are soo right about no info on how to do makeup, grooming, trim toenails, etc.! It is truly an issue for women. Lighted magnified mirrors is the only answer I ever seem to get -- they can't help much. Still a problem! Thanks for asking.
Dr Wong, like all others have said, thank you for your wonderful videos. I have chosen the new J&J Odyssey lens, but am a bit nervous about the halos/starbursts etc that it might produce due to the way it's made. I know it's super new, so there's no long term data in the US yet, but, how have your patients been doing with it thus far? Picking a lens is such an important decision for us all. Can you give me some feedback as to how your Odyssey patients have been doing thus far? Thank you so much. 😊
So far, our patients' experience with the odyssey lens has been comparable to the panoptix.
i had the latest edof Johnston and Johnston pure see lenses in Turkey ...Its amazing I threw away my glasses for reading... 10 min pain free operation and could see better almost imediately better after 3 days ...day and night no halos or starbursts at night these are great lenses - the colour and contrast is brilliant the world looks more colourful... amazing, These lenses are the best i think ...why you not mention them?
The Johnson and Johnson PureSee lens is not commercially available in the US.
@@ShannonWongMD oh i see (pun) ...Well hope you get them they are amazing
Hi Dr Wong, great and very informative video on new lenses. I am now doing research because I need to have cataract surgey but I can't find any information for my case. I had Lasik over 30 years ago and need to have cataract surgery on my left eye. My ophthalmologist told me she doesn't recommend multi-focal lens because the halos or reflections at night could be worse with the multi-focals. What's your opinion or recommendation for people who had lasik and now need cataract surgery?
I place mulifocals in patients with prior LASIK multiple times each day. They work well.
Dr. Wong, you spell things out in an easy to understand method. The newer Clearview lens is an interesting concept. Interested in seeing videos on patients who are good candidates or choose this lens for one or both eyes.
Can you see the bifocal line in the ClearView lens?? I just cancelled my procedure after I saw this lens ! Help😅
للأسف لم يخبرني الجرًاح عن نوع العدسة التي ركّبها في عيني بعد عملية Cataract ب 3000 دولار ..أجريتها في USA في May , 2024
شكرا دكتور على شرحك ..👍
Most patients with Monofocal lens implants don't need glasses for far, they are equal if not superior for far vision than all the other lenses, and the toric version of Monofocal lens can correct astigmatism.
Basic monofocal lenses are indeed outstanding lenses. The focus of this video however was premium lenses.
@@ShannonWongMD
Hello dr Wong. The basic monofocal lense can one opt for near instead far?? Wear glasses for far? Instead reading glasses? I would truly appreciate your input
Thank you Dr. Wong. I wish we lived near Tx because I would certainly come to your practice for my cataracts. You've provided excellent info which will help me decide which type of lenses to get.
Brilliant informative dr Wong.
I have been watching many TH-cam video but yours is BEST.
I was split between PANOPIX and VIVITY what to choose. I don't drive at night, so if anyone complaining about halos, rings..etc those as you mention won't happen during the day. My eye prescription is strong. If i can get off wearing eyeglasses and see close, arm length and far without, I'll be very happy.
From people's comments, it takes a while. .up to a month?? Perhaps more?? To achieve the "perfect" vision..but no one thinks that all those drops postoperative- specific steroids will do that.
Anything that you can guide us all? God bless you 🙏
I had Radial keratotomy in both eyes in the early 90’s. Now my corneas are flat in some areas making it very difficult to fully correct my vision with glasses. Are lens implants an option for people who have had RK?
Yes absolutely.
Excellent explanation. I suspect you will keep your Symfony IOL but will await your contralateral choice given the ‘24 options.
Had cataract surgery in July and it's literally a miracle!
Hi Paul. I'm planning to have mine soon. What lenses did you go for? If you don't mind?
Just an excellent explanation Doc! At 56 , and wearing corrective devices since my teens, I feel that this would free me from the never ending decisions of which glasses….sun and regular…..just transitions….blah blah. Thanks for this.
Dr May I ask you to comment if you can have lens implants if you previously had LASIK done? If possible, do they have good outcomes? ty
People who have had prior LASIK do great with cataract and lens replacement surgery.
@@ShannonWongMD ty for your reply. Keep up the good work. Have a nice day!
Thank you for the video, I'm still trying to understand how you fit those huge lenses in our eyes.
Great review of current options currently available.
My ophthalmologist has recommended the enVista Envy Toric lens for my cataract surgery. I have significant astigmatism. Do you have any experience & opinion about this lens?
I have limited experience with the enlists envy toric lens. So far, for the handful of patients that I have treated with the envy lens, the results were good and patients were happy.
@ShannonWongMD Thank you so very much. I'm trying to educate myself to make the right choice for lifetime lenses. I appreciate you taking the time to respond!
Thank you! This was a really informative video for me. I suspect I have issues that will lead to lens replacements and I'm trying to become informed early so I can make the best decision.
Excellent presentation from a 75yo physician who will need lenses soon. Thanks
Thank you! 🫡
Thank you very much for the video and the information. I really enjoy watching your videos.
Which lens implant do you recommend diabetic patients who do not have cataract yet but still want lens implants to get rid of the eye glasses?
Got panoptix w some tint(only learned about tint after sx… thx doc Devgan!). Nighttime halos no biggy… but reading requires headlamp cuz dim light really is hard to see in! Otherwise great!
In my opinion, the best correcting IOL is Panoptix multifocal (toric) IOL
Which types of IOL are recommended for a cataract formed after a vitrectomy surgery and why?
Thanks for the great information. I just had the Johnson and Johnson Model ICB00.....I find this is not working for me, it was a Premium Charge but after 3 months still having issues with blurred, double vision and halos at night.
I can not longer read my phone or laptop although this lens is supposed to give me intermediate and distance.
Any Suggestions???
You are in the 1 %
Can you do a segment on A-IOL. When do you think these lens will be available.
Thank you Dr. Wong. Great information, presented in a professional manner.
Q: Is there a lens that helps reduce the distraction of Floaters?
I have heard that perhaps LALs help reduce seeing Floaters, is that your experience? Thanks !
What level of astigmatism is the limiting factor for the Cleariew 3 iol? Does it matter if astigmatism is corneal or lenticular?
Am anxious to follow your experience with additional patients with this promising lens for any surprises (left leg falls off??)
Thanks for sharing your expertise.
Ограничението е за корнеален астигматизъм само. Лентикуларният астигматизъм няма значение, защото вътреочната леща на човека се заменя с искуствена.
You did a very good job of clarifying (no pun intended) the lens options. I'm being offered Vivity Extended Dept of Focus lens but have a concern regarding the sport of pickleball. Will the Vivity Extended allow me to pick up the oncoming ball and make the subsequent paddle return or will I loose clarity as the ball is getting closer? Thank you.
Are any of these lenses recommended for glaucoma patients?
Is it OK to have a multifocal IOL in one eye and a monofocal in the other?
In most cases, yes.
Thanks so much for this video.. I'm about to commit to lens replacement surgery..if I'm a candidate for the Clearview 3 trifocal would you say that's the best option for having clear vision at all distances glasses free and no halos? Will they still have not as good vision in low light like some other trifocals have fire to the nature of their design splitting the light? I'm 54 and i cutrently wear different glasses for reading, for computer screens and for TV/ driving and is too much.. would be so grateful to have clear vision again at all distances..Appreciate your reply.. thank you
Can a premium multifocal lens be applied to just a single eye?
I've just had one put in one eye last week.
Yes.
Great video, thank you. What do you think about hybrid multifocal EDOF IOLs?
Thanks for the info. I’m 42 and still have great accommodating near vision. I got a panoptix lense in one eye. My other eye has no cataract and is 20/15 uncorrected. I’m trying to figure out what the hype is about these lenses other than being able to see up close. 10 months in and the halos and glare at night still really bother. I also have some daytime glare, and I feel like my vision is kind of “ washed out”, especially in dim lighting ir overcast days… not a lot of clarity. Intermediate vision isn’t great, especially looking at a screen. I see glare behind letters. Is this normal for this lense or am I being unrealistic with my expectations? I really want to love it, but I don’t enough to get it in my other eye tbh. I don’t think I’d be able to drive at night or really hate it. It was also really hard adapting to one eye with a trifocal and not the other. Although that’s better I still feel it’s “ off” when walking on uneven ground. Wondering if I should have gotten the monofocal. ?? Do I need to just give it more time or am I not “ nueroadapting” like I should?
Dr, great video. As you know, a great many men having a lens replacement take FLOMAX. Can you please comment on how this may impact the choice of lens? Thank you!
We treat flomax patients daily. No factor.
@ShannonWongMD thank you for your reply. Unfortunately, I am nowhere near Austin. Best wishes.
If you have astigmatism, can you undergo a Lasik procedure to help with the astigmatism and then qualify for the ClearView 3?
I would caution anyone considering LASIK - high risk of developing halos in vision and very noticeable at night - that's my experience. With an implanted lens at least you can have it removed & try an alternative that does not present halos - with LASIK you have them for life.
@@oseasviewer7108 My wife and cousin have had no such issues with their Lasik. PRK was much worse for that. Interested in what Dr Wong's opinion is.
is this script (astigmatic) suitable for clearview 3?
Ophthalmic Lens Rx
Exam Date September 24, 2024 _________________
Sphere Cylinder Axis Add. Prism Orientation
O.D. -3.50 -0.75 160 +2.50
O.S. -4.25 -0.50 032 +2.50
Vertex
Is it okay to have a LAL in one eye [dominate] only? And perhaps one that corrects for near better in the other eye? My near vision is extremely important to me. Thanks Dr. Wong!
If you have been successful with mono vision (one eye seeing far/not near and the other eye seeing near/not far) then the LAL in each eye works well.