Thank you very much Dr Wong! Your presentation is very helpful ! my Dr ‘s office has not provided enough information for me, these doctors should pay you for the work you have done for them!
I had the Vivity lens put in one month ago with the laser procedure. I only needed one eye done. The other is still perfect. There was a learning curve, but the results are excellent. I have 20/15 vision close and far away. Colors are crystal clear. No glare or halos at night. The only problem is focusing clearly in a room that has florescent LED lighting that's very dim, But as time goes by that is also improving. At first my eyes would get very tired as the day went on, but not anymore. Things take time to adjust. Hope this can make someone more at ease making a choice.
Hey I am young, 20, but RLE is my only option because im far sighted, -8.25 for both eyes or so, but my cornea is too thin etc. So I was rly looking into getting Vivity or Panoptix, and was wondering if you could explain what the learning curve is, like, how do you switch from far to intermediate to near. Pls pls could you let me know?
@@frzn9856 It took about a month to adjust to the new lens. At first I had trouble focusing in certain light situations, especially in a building with LED lighting. It has been 6 months since the surgery. I am very happy with the results. My vision is absolutely perfect faraway, and close up is also very good except for extremely close. I have no problem reading or using a computer at normal distance. No problem adjusting from close to far away. The only problem at night is tail lights in the far distance and a red traffic light in the distance look fuzzy. Some LED displays at night at close distances are somewhat fuzzy. There is no problem with glare from oncoming lights at night, which is a problem with many premium lenses. If my eyes are really tired it's not 100% clear, but resting my eyes for a few minutes brings things back to normal. The only negative is I have eye floaters, and they seemed more visible at first, but I've gotten used to it. I think the results people achieve are dependent on many factors, including general eye health. From my own point of view, if I had it to do over again I would stay with my choice. My latest eye test showed 20/15 vision at distance and close up in the eye I had done. (The other eye is still free from cataract symptoms so far.) Hope your situation turns out well. There is nothing better than being able to see clearly.
@@frzn9856I have Symfony and there’s no learning curve, they work automatically, and settle in over time. Your surgeon should be able to select the right lenses for your eyes anatomy etc.
I am so grateful for Dr. Wong’s honest and thorough analyses of the different lenses. I don’t see this up to date comparisons anywhere else. After watching this i feel much more confident about making a diligent choice. Thank you so much Dr. Wong.
I went with PanOptix lens and I am very happy with my decision. I never knew about presence of any "halos" until people kept asking me if ".. I see halos...". So I started paying closer attention to it - and yes, I can see a very light halos. But... I would never notice them on my own. Now when my brain was conditioned into "seeing halos", I am aware of them. But, if you don't think about halos, you don't see any. I see well at all distances, including reading up close. No need for glasses at all. I am very happy with PanOptix, and ready to do my other eye with same lens. Thank you Dr.Wichterle, thank you science !
Do you see the rings around bright white lights? If you did, how long did it take for you to neuro adapt? I do and I am unable to drive at night. How long have you had the PanOptix lenses in? Thanks.
@@cathy3864 Hello, I have had my PanOptix lenses for almost 5 months. No, I don't see rings around white lights. Doctor told me it is a 12 month healing process and quality of vision may, and most likely will change during healing time. So far, so good. My post-surgery tests are coming in as 20/20. No glasses needed. Thank you
I have cataracts and astigmatism - torn between getting the Panoptix or Vivity. I am a bit concerned about Halos at night but at this time I do not do a lot of night driving. I mostly need to see computer screen and far. Thoughts?
I have two PanOptix trivia-focal lenses as well and love them. The "halo" effect of lights at night for me is a non-issue. I noticed it the first month or so and I think my brain has now tuned that effect out. Love the range on these lenses and the fact I no longer needs any corrective lenses at any distance. My vision went from 20/60 to 20/15 after the procedure.
@@WysteriaGuitar From my experience, I can safely say that 30 days after the operation with Vivity EDOF lens with Torric, I have no such issues of halos & glares now. In the 1st week after the surgery, I did see some halos(Rainbow coloured Rings), but this was resolved in 2 weeks. Able to read from PC too.
Amazing explanation doctor! I work at an ophthalmology clinic and this helped me understand the options patients have and the benefits! The human eye is truly a miracle.
I had laser surgery on my right eye ten days ago and on my left eye 3 days ago. I have a Vivity lens in my right eye and Panoptix in my left. I am very pleased with the combination. I can read small print close up without glasses and mid and far range is very clear as well. I haven't done much night driving yet, but with the little I have done halos don't seem to be a problem.
Trude, would you mind giving an update? I have the option to get one of each as well. I'm strongly leading towards two vivity's but would love to hear your experience with one of each.
Trude if by chance you read this my ophthalmologist recommended a Vivity in my second eye as I see ghost images with Panoptix in first eye. Images lack contrast which is my biggest disappointment. Black is missing Panoptix when looking through one eye. were you ever aware of this with either lens? Thank you.
Hello Trude Six months since your surgery. Can you give an update please? What is your night vision like? Halos? I’m scheduled for a PanOptix IOL on 26 June & either a PanOptix or Vivity IOL on 3rd July. Thank you. Colin
Almost one month post vivity in both eyes. Wanted no halos and I do have functional near vision--- am typing this text with no glasses. But to settle down and read a newspaper I definitely use cheaters! But as someone who has worn glasses or contacts since the age of 7 this 65 year old is thrilled. Well worth the extra cost as nice glasses cost that much. Thank you for your comparison video. I think I chose well for my needs!
Thank you Dr. Wong. Very informative and understandable for us non medical people. I had cataract surgery, chose the Vivity lens and I am very happy with the result. I do use 1.0 readers for small print or low light, but driving at night is a pleasure again.
One day post op with the vivity lens and I’m blown away at how amazing my vision is. I was apprehensive about this surgery but now I can’t wait to have my second eye done in a few weeks!!
l plan to get vivity in a few months, my only concern was l read it has low contrast level , is your vision and constrast still good on overcast and low light days.
great to have someone with first hand experience. Do you have any concerns with the contrast vision? seems to be one of the drawbacks of the vivity. I do not want to see halos no matter what. I can live with a ok vision closer than 15 inces. But what is your real near vision range where you are ok with?
Thank you Dr. Wong for this candid and thorough discussion of the two Alcon lenses. It confirmed my decision to opt for the Vivity lens over the PanOptics lens my Dr first suggested. One month now past my lens replacement and I feel I made the right choice in the Vivity lens. While I do see some minor halo effect at night compared to my natural lenses, it’s certainly acceptable and I’m sure I would not have been happy with the PanOptics halo effect. I shoot night time and early morning landscape photography and I’m sure the halo effect would have been unacceptable for me. It’s taken several weeks for my “neural adjustment” to adjust to my choice of medium to far vision in my left eye and medium to near vision in my right eye. It’s working out well, and I have yet to need readers of any kind for near vision. The IOL procedure is nearly miraculous in my opinion, as I now see colors in their true vibrant colors and certainly at least a 20% improvement in the amount of light reaching my 71 year old retinas! Thanks again for your wonderful videos. I watched most of them while I waited for my surgery appointments. 👍
Hey I am young, 20, but RLE is my only option because im far sighted, -8.25 for both eyes or so, but my cornea is too thin etc. So I was rly looking into getting Vivity or Panoptix, and was wondering if you could explain what the learning curve is, like, how do you switch from far to intermediate to near. Pls pls could you let me know?
Hi Edwin, I have a Panoptix in right eye. While I see very well 20/20 it feels like through fog. Images lack contrast, black. As a photographer do you experience this with Vivity? Thank you
@@jamesw1659 Hi James. Do you see sharp with vivity? I see shadow to the left and right from everything, especially letters on digital devices. It’s a fraction better with texts in paper, but still there. Drives me insane. Doing makeup is impossible, can not see me fingernails, food on my plate is blurry. Terrible to be honest.
Thank you so much for your amazing content. I've had Vivity iols placed in both eyes within the last week in the UK and the initial result is quite spectacular. I'm 53 and have worn glasses and contacts since childhood. It's been a surreal experience to wake up in the morning and and be able to see so clearly Will be even better when I don't have to sleep in my eye guards. Your videos really calmed my pre operative anxiety and I am very grateful.
l plan to have vivity in a few months, my only concern is l read it has lower contrast then monofocal lens, how do you find the contrast level with vivity, does it seem dim on low light or overcast days or is it not a problem .
@@johnschannel449 so difficult to answer as I've noticed a reduction in contrast particularly when reading as I've got older. On a day to day level vivity performs so well for me in overcast conditions. The improvement is just so marked for me that contrast hasn't been a consideration.
Hi Louise, i just got left eye cataract surgery yesterday. Got Vivity lens, still blurry but definitely better than it was before..... Reason for choosing the lens because I want to avoid glasses as much as I can. Do you have to wear reading glasses? I'm thinking of getting vivity on the right eye vs. a monofocal :)
@@katkat1194 Hi, I can read without reading glasses but my eyes get tired and much easier with a +1. My surgeon definitely didn't promise excellent reading with vivity but I couldn't have Panoptix as I apparently have large pupils. Hope your vision continues to improve. Blurry doesn't sound great for you.
Thank you for this wonderful video, Dr. Wong. I have decided to instal the PanOptix as I hardly do any night driving at my age. I will be having both eyes done with 7 days apart.
Greeting from Istanbul/Turkey! I must say I am a big fan of your videos. I had PanOptix on my left eye due to a cataract 2.5 yrs ago. Now it's time for the right (dominant) one again due to a cataract. My Dr. was opting in for Synergy. I asked him strictly to have Vivity instead because I want no more or I should say fewer halos/glares etc. and better intermediate with higher contrast quality. The surgery is planned for next week. I am 53 yrs old, still very active in sports (lifting, basketball, running), 6'2 with long arms, and very excited to have Vivity. Thank you Dr. Shannon for your all-educating videos which help globally for your kind information )))) You touch many people without knowing...
@@johnget8410 Hi. It went very well. Couldn’t be happier than this. The difference between Panoptix and vivity is amazing in the contrast and halos. The combination (panOptix in left, Vivity in right which is the dominant one) works very well for my reading. Far and intermediate distances are excellent. No need for glasses so far. My aim was achieved perfectly. I’ll see the Dr. tomorrow for regular check up.
@@denizcop9386 I am due for eye surgery May 5th. The plan is for the PanOptix in my left eye (which has the worse vision of the two) and then to have the vivity in my right eye in 5 weeks time. I have had some concerns about the halo effect with the PanOptix lens, but wonder if the vivity lens in my other eye will balance or cancel out the halo effect, once my brain neuro-adapts??
Nice video. I went with the Panoptix. I can seeeeeeeee (20/20 in both eyes but believe I could go lower). I wore glasses since I was in the 5th grade (about 46.5 years) and now I don't need glasses. This is a whole new world for me. I can wear any pair of shades I want now. However, I no longer have what I called the macro vision where I could clearly see within 5" of my eye. The Panoptix pushed that out to about 12" (or the natural reading position it seems). My prescriptions before replacing both cataracts for D.V. were -5.0 (O.D.) and -5.25 (O.S.) and for N.V were +2.0 for O.D and O.S. if that helps. I am happy with the new cataracts (1st in May and 2nd in June this year). On my last week of eye drops.
These charts are etc. are the best I've seen in comparing lenses. Thank you for helping make an informed decision on my upcoming cataract surgery.AND I would advise anyone considering monovision to try it out first using contacts. I did, and I was continually nauseous; I never got used to it. And contacts are much easier to remove than cataract lenses!!
This was such a fantastic detailed analysis, I was so pleased to be able to show it to my husband so that he could decide between the two options, which he did, based on your video. Thank you, thank you, thank you. I see that hundreds of others are also thankful for your video, so I'll just add my voice to the choir.
Thank you very much! We even thought about coming to TX to have you do the surgery because of the clear and knowledgeable explanation and how easy you made the lens removal seem. You represent yourself and your facility very well! Our potential surgeon did not explain anywhere near this much and so we needed to do outside research. We did check and our surgeon has 12 years experience at our local facility and experience before that so he should be well qualified, just maybe "too busy" to use his time to provide all the information we want.
Thank you so much Dr Shannon for your very clear and informative explanation about the vivity lens. I was diagnosed with cataract in Mar 2021 but was hesitatant to have symphony implanted because my doctor emphasised the possibility of halos. I waited till now and discovered vivity and I was searching for your videos on this lens. Finally, you made this video. Thank you so much ,Dr Shannon.
Excellent discussion and thank you for the honesty in explanation about 'no free lunch'. As a physician, I hear so much fluff from Marketers, it is difficult to get a real world perspective on benefits and downsides to these lens.
I have had the Vivity EDOF lens with Torric inserted in one of my eyes last month. The doctor had also done some LRI surgery, and the post ops after 30 days, the results are excellent. Distance Vision is 20/20, and the near vision acuity is N6. I am able to read on mobile at a distance of 35-40cms. No or minimal night time glares & halos. May need a glass to read smaller fonts. Highly satisfied with the Vivity lense. Colours are vibrant. It cost me around INR 105000 in Mumbai. The GST invoice for the actual Vivity Torric lens was Rs.40k. Operated Pheco surgery without lasser or AI assistance.
Hi, thanks...where in Mumbai you got it done? Planning for my mom, she is recommended Edof toric. I am confused between Eyehance and Vivity. Also all Doctors have different lenses.
Many thanks Shannon Being a doctor, I was so confused in selecting the correct lens for my self. I am in my late 40s and have steroid induced cataract due to a corneal injury in the past, going to surgery next week,------ wish me good luck Was able to select my option after watching this video
Hi what Lens did you decide to go with? did you choose Vivity .? l'm also in my late 40's and having surgery in a few months and thinking of going with vivity but havent made my mind up yet
@Sunset horizon studios It's very confusing, right? What lens did you choose and why? Does your outcome meet your expectations? Did you have laser assisted surgery or not?
@@SpencerParkCityschannel-vr3cs yes l got vivity last year in both eyes and happy with it, l have great vision from distance and can also read and only need glasses for small print'. l went with minimonvison where one eye distance and the other very slightly near for reading ,There was an adjustment period for the first 2 or 3 months but after that it was great
Any updates? I am in the exact same boat after taking steroids for Bells Palsy.... are you happy with the vivity or do you wish you had gotten the PanOptix?
I have the Panoptic lenses in both my eyes and see wonderfully, but the halos with night driving are challenging. But I have no need for reading glasses unless the print is extremely small, but I am very happy with the way I see I haven’t sent this good in 20 years. Very excellent presentation Doctor.
I had cataract surgery two years ago and I Couldn’t be happier. Two weeks and both eves were done with multifocal lenses, nodrops necessary. Dr. Ray Galaitis of the Center for Lasic in Margate, Florida painless surgery. I can now see near, far and in between. No glasses after 60 years.
I had my second surgery 5 months ago with the PanOpitx lens and couldn't be happier. There are halo's Round lighys at night, but are absolutely no bother to me. I am very happy I chose the PanOptix lens. No need for glasses or contacs at all for me!
Did you have halos prior? I am most nervous about the halos and am scheduled for Feb with panoptix lens. I see halos now and can't stand them. I am hoping it would be less halos at night after surgery. Were they better for you, or worse? Thanks!
Excellent video and went with vivity mid vision absolutely superb can't complain about distance and as I am typing this I have no problem in reading it😊won't be needing glasses at all. Good luck everyone and its a massive V for me
I am in South Florida and am approaching a decision time for selecting my replacement lens so I REALLY APPRECIATE your video and the honest comparison of both these lens. All the best....
You have to appreciate the Drs comparative analysis. I am scheduled for Vivity implants in two weeks. Thank you for helping me understand things clearer
Thank you. I've always been near-sighted. So, at twenty years old, I still didn't have 20/20 vision. I would be fine with the Vivity IOL, I think. Thank you! Your channel is the most informative and helpful related to cataract surgery.
I'm in central Florida & about little over 90 days since my left eye cataract surgery with the Vivity lens. Great lens over a wide range of vision including night driving. The surgery method was laser with astigmatism correction at N/C. Pre & Post eye drops were with IMPRIMIS. There was a day after post surgery return visit & about 5 day clinic examination. Must say they were very insistent you maintain the regiment of eye drops per their recommended written spread sheet. Next follow up was 60 days. Impressed & satisfied with the results. Next is the right eye which has a mild cataract compared to the left, first quarter of 2022. After some 50yrs plus no more wearing glasses on the nose!
@@jimrogers4809 yes, happy & satisfied. In my younger years my mother was always insistent the lights be on while reading in low lit areas & I have automatically continued the practice to this date. As a point of interest during my last detailed evaluation the optometrist ask I read out loud 3 short paragraphs each with a declined font size. As I was reading the second paragraph he stood up to turned on the room light. He stopped me from further reading the 3rd paragraph. He commented he was more than satisfied in my ability in reading, in low light. Lighting always makes text bounce.
@@user-ik4br3nk2w MidFloridaEye @ The Villages. You may need a referral from your regular optometrist. Once you have an appointment you'll go through a battery of tests to determine if you're an eligible candidate & possible options (consultation). The premium multi-focal lens (Vivity) & laser surgery cost is $3100/eye.
There are some good information that I’ve gotten online about lens. However, unequivocally by far, this was the most concise explanation of these two lens and I know exactly what I want. I’m truly excited about my choice. Your honesty is immeasurable. Thank you Sir 🙏🏿
Thank so much for the informative straight forward video. I’m scheduled for prelex surgery in January and recently decided on the Vivity lens instead of the Panoptix. I’m in my early 50s and drive at night so I’ll need good vision. Your videos have been very educational and understandable. Again - thank you!
Please let us know how you're doing - I'm also in my early 50s and am considering Vivity for better vision - - - my glasses don't provide great vision and my contacts, which do provide excellent vision, become too uncomfortable to wear after 5 or 6 hours.
My surgery went well and for the first time I am not glasses or contact lens since I was 12 years old! I do occasionally wear a pair of glasses to wear very small print in low light. My doctor gave me micro mono vision (.5) I have developed PCO and have YAG procedures scheduled for each eye (2 weeks apart) in August.
Thank you very much for your intelligent knowledge. It really helps a person diving in dark waters blind. Cataract removal with a reward is the only way to look at it.
Thank you very much for an outstanding comparison and your professional thoughts. I am scheduled to have cataract surgery on both eyes in April 2022. My optometrist recommends that I use the vivity lens which is what I wanted to use also.
Fascinating! I'm interested in learning more about these lenses from people who have had the surgery. I have had Symfony lenses in both eyes since 2020. I chose them because the doctor's pitch was similar to that of a used car salesman. I would be doing more complaining if it wasn't for you. Your honesty about the lenses limitations helped me understand how I saw the world after surgery. Learning about how the technology is evolving is cool.
@@lisaford7655 Thank you for the response. Well that is a bummer. My far away vision is still ok, (just starting to go). I hate wearing glasses because as a hairstylist I have to wear them by for cutting hair but take them off when I look at the client in the mirror. These masks make everything foggy and I cannot get used to progressives. I thought that this surgery corrects both far and near. :(
@@lf9341 Dr. Wong did my IOL in March 2021. I received the PanOptix lens in both eyes and I’m able to see very well upclose, mid-range, and long distance. However, the halo effect is very real and has taken some adjustment but I’ll happily deal with it over not having to wear contacts or glasses anymore. I was almost 49 at the time of my procedure, and was told I could go either with LLR or LASIK. I opted for LLR because I’m so close to 50 and didn’t want to have any regrets.
@@yvonnepatton1502 Hi! TY for responding! I heard Lasik will correct either far sightedness but make near sightedness worse (You had to chose) and I didn't want that! I have not heard of these procedures. I'm intrigued. These masks make it worse to wear glasses when they are off and on!
Thank you Dr. Wong for this excellent comparison. Your video provided the exact side-by-side I didn't know I was seeking. Hoping to get the surgery in 2024. I have pronounced halos at night presently; the PanOptix halos will be less than how I see now but leaning toward Vivity. From the comments I did not know there is an option a different lens in each eye.
I plan on getting my other done also in 2024. My Panoptix in my left eye is fantastic for reading but not great for mid and terrible for distance. I'm hoping I can adjust if I get the Vivity in my right eye. But also worried it might be like mini-monovision.
Thank you for explaining the differences between the Vivity and PanOptix lenses. The video was educational and easy to understand. The images showing the holo effect and the light transmission was also very helpful. I'm in my 50's and I'm in the process of deciding which lens to go with. Your video has given me more information to consider.
I had a Vivity lens implanted 26 days ago (R) along with the removal of scar tissue (ERM). I have two noticeable arcs in my right eye which result in blind spots. My current vision is neither clear nor sharp compared to my vision with prescription progressive eyeglasses and I also had toriq adjustments. This video provided more details than anything else I could find online and was reassuring to me about the Vivity lens properties; however, I am hoping my clarity of vision improves. I don’t mind that I will need reading glasses; I have worn them most of my life. When my vision stabilizes, I will need an IOL in the left eye.
hi how's your vision now with the Vivity? My doc screwed up my diagnosis of a cataract and I opted for Panoptic without being told I had a macular pucker in my right eye. Thereafter, I did a vitrectomy which resulted in a canal blockage leading to glaucoma and had to go in again after 4 days to clear it. After all that I waited a settling in period of 3.5months and 3 days back during my checkup asked the doctor to graciously carry out an explantation as the undesirable piercing glares, double visions, halos, inability to make out near reading and definitely out of focus far vision including the bulging lines and shapes were driving me insane!!! It's 2 days now after the explantation and am again waiting patiently to getting back in focus. MAKE SURE YOUR DOCTOR DOES AN OCT TO check your retinal health before jumping into any decision on procedure.
super clear descriptions and comparisons between the two lenses. thank you! you should do this for ALL the major available lenses, and show a chart the way you did here. really excellent. i'm currently considering the Lenstec Clearview 3, but there's scant info about it. It only recently (in 2022) was FDA approved (prior to that it was being used in Europe for a decade with good success). nevertheless, it's about $4,500 per eye, out of pocket! it would be great to hear a comparison between the Vivity and the Lenstec
Thank you for this very informative video Doc. I havve cataract in my Right eye. I’m just 35 years old but sadly i diagnosed that I have this .I can’t believe becouse I’m so young for this kind of eye deseas 😢.I really don’t want to remove my original eye Lens because my Doctor said to that their is no perfect lens.But thank you for explanation it helps a lot how to choose nice lens.
Thank you so much. I really feel ready to make a better informed choice and know the questions to ask now when I talk with my surgeon next week. The simulated night vision images really illustrate what I was concerned about.
I like your graphics on the different lens. It clearly shows that my best option is the Vivity. And that's the one that my doctor suggested. I've been on the fence about what to get. Have surgery scheduled in 2 weeks (actually it's tomorrow). Hoping all goes well. Have a great team here at St.Luke's in The Villages, FL. I will do a video of the before and after. And then add the 2nd eye 2 weeks later. AND, I will give you my honest opinion of how all this goes.
This video series by Dr. Wong is excellent and informative. It is a great service to the world and has already produced significant impacts. However, a quite effective approach to achieve spectacle-free Cataract surgery has rarely been mentioned, let alone been focused or compared, in all the video series available to the patient community so far. This is the "monovision" approach, using plain and simple mono-focal lenses, which has been popular and well established for 30 years. This approach separates properly the target distances of the 2 eyes, one at distance and one at a close range. As a result, most people's brains (about 80%) can adapt to the info received and produce effective spectacle-free vision. I have 3 close friends (60% of my circle of friends undergone cataract surgery) who are the beneficiaries of this approach to achieve spectacle-free vison, The advantages of this approach are high quality (or high contrast) vision, little halo and glare, and not the least, low out-of-pocket expenses. I hope Dr, Wong can lead the way to also use this approach as a bench mark in his discussion and comparisons with other advanced approaches.
Thanks for your review with yet another solution. I was more than disappointed in the halo effect of the Panoptix lens. One reason many people stop driving at night is because of the halo effects! I do want the freedom of not having several pairs of reading glasses scattered around my house, car, etc. or having to wear them on the tip of my nose. Definitely this is something I will explore. I want spectacle-free vision, but not at the cost of limiting my night driving. I think I had tried the 2 eyes, one at distance and one at close range in the past with contacts about 2 years ago. The difficulty of inserting and removing the contacts wasn't for me but my vision was okay when I wore them, but of course that would be the case with lens implants. Thanks
Hi, I haven’t found recent videos comparing the different monofocal lenses available. My Dr. recommended the Clareon monofocal but I see Tecnis is also popular. I want a good lens but if possible would like to avoid the diamond eye that others can see with the implants. Do you know which monofocal lens doesn’t have that eye twinkle effect that others can see?
Excellent recap. Meeting with my surgical team next month and this will help guide our discussions. I had Lasik in 1999 and have light astigmatism. And the doctor mentioned in my exam a few weeks ago some irregularities in the corneal surface of my left eye. As a retired teaching golf professional my goal to improve my overall vision and I'm not concerned about the need for reading glasses.
This is an absolute excellent video. Options explained clearly, unbiased, and in good amount of detail. Thank you Dr Wong for sharing. Would highly recommend anyone having to make the difficult choice of doing lens replacement watch! I don't think any amount of information can completely put someone at ease but this video should really help assure you in the decisions you make.
I had the PanOptix in my left eye in June 2021 and was supposed to have the right eye done a month later, however it is a year later and I have not had the other eye done. I am very nearsighted was 8.0 in left eye about the same in right eye. I am not unhappy with the Pan Optic but could not commit to getting Pan Optic in my other eye because of the glare and halos with night driving. One thing that I don’t think is Discussed enough is there is a lack of contrast and if you have good light my vision is awesome with the Pan Optic. However, when driving at night combining the glare and halos from lights or trying to see curbs or on roads that are not well lit becomes challenging to see clearly. Also harder to see dark vehicles or a flatbed trailers at night if you are changing lanes and they are beside your vehicle. It is hard to explain the loss of contrast but when you notice it in certain situations and the lack of light affects the contrast and ability to see clearly. Also, there is a glare of light even in the daytime if you go outside or a brightly lit room or store and the glare makes it hard to see. Wearing sunglasses has not been the best solution for me because you need more light with the Pan Optic to see really great the sunglasses dim the contrast more. I have found sunglasses that have just a light tint to help with the glare seem to work well . In saying this it is really a miracle someone with my nearsightedness could have the correction that I needed to be able to see far & near. I do wear readers to see up-close depending on the light. After listening to this I think I have made a decision to go with the Vivity Lens in the right eye and just wear readers as I do now. I would rather wear readers and have better contrast and less glare. This is exactly the kind of comparison I needed to make a decision. TY
Thanks much for the very informative summary on your experience with Panoptix IOL’s. I don’t want the halo/glare problem and have settled on Vivity implants. Surgery for the first eye coming up in 2 weeks. Good luck with the Vivity option in your right eye!
I have a significant imbalance in vision between my right and left eye. My thought process was to get the PanOptic in one eye and the Vivity in the other eye. Getting the benefits of both IOLs. What was the outcome of your second surgery and are you satisfied with the result? Thank you in advance for sharing.
I too am curious how you made out with the Vivity compare to the Panoptic. I got the Vivity implant in my right eye 2-weeks ago. Distance vision is great, mid good, near is “functional” which means I can read emails on my cell, tell the time on my watch, etc. Any fine print or extended reading requires readers. I can drive, fly a plane, fish, watch TV and work on my computer without glasses which is a huge improvement from what I had before. I am picking up mild halos from single point lights at night, but nothing that is an issue. It is amazing how much brighter the world looks with the cataract out! I have postponed the left eye (was supposed to have it done yesterday) because I want my right eye to heal completely before proceeding. My left eye is 20/30 with a mild cataract. I am toying with possibility of a Panoptic IOL in my left eye…or Vivity biased towards close/mid vision. I would like to improve the near vision acuity if possible…definitely do not want any less than what I have now. I am hoping that near vision in right eye with the Vivity continues to improve over the next few weeks.
@@TheAirplaneDriver Hi I have not had the right eye done yet. Waiting until late Fall to make that decision. From what I have read you will have better near vision with the Pan Optic and when I was in for the year check up I was told by the tech that Pan Optix had changed their material since I had my implant and it has reduced the glare. I looked online to see if I could find out any info about that but I didn’t find anything. The doctor is the one that recommended that I try the Vivity and I didn’t ask about the change in the Pan Optic lens.
@@jeneeaskins7079 Hi, thank you for the update! I am now scheduled for my second eye in August (originally this past week) but I am not to anxious to just jump into it until I understand the near vision implications better. Sounds like we are in similar situations. Best of luck to you!
Just to clarify for anyone watching this.. when he grades one lens an 'A', this is against the other lens, not against a monofocal lens. Those 'A's would become 'B's for things like 'long distance' and 'halos'.
This video is very helpful. In one of your other videos you mentioned the percent light reduction to expect with the different lenses. PanOptix had a 12% reduction. What is the percent. reduction with Vivity?
Hi Doc - First, thank you for all your very informative videos. I have had Lasik for monovision, near vision on my left, distance on my right eye, and extremely happy with the results and my vision (as I'm approaching age 60). As I see these 2 IOL implants (as well as the Symfony IOL), I wonder if you have performed or have considered different implants on each eye (ie Vivity on the right, PanOptix of the left) to address patients like me that are used to and happy with monovision? What are your thoughts on such an approach? TIA
Thank you Doctor I have two eyes with panoptix lense I see halos at night and the candles in the church also appears to be halos in my eyes but I can read small letter without glasses Thank you doctor for all your explanation I wish you were just near so I can go o and visit you
Hello Dr Wong, Thank you for another helpful video. I have been watching your videos over the last seven months as I decide which lens to get for my right eye. I have an Alcon monofocal distance lens in my left eye. The day after my cataract surgery my left eye was 20/20 distance. I was so impressed by the ability of the mind to select which eye to use to get the best vision (my natural right eye is 20/20 near), I canceled the plan to put a second monofocal distance lens in my right eye so I could take some time to decide what the best option would be. The J&J Synergy was just coming to the US at that time. And the idea of having "the widest range of continuous vision" appealed to me. I have followed your videos comparing Synergy with PanOptix; first selecting Synergy as the best and then changing to PanOptix as the best. In this video comparing Vivity with PanOptix you show a very interesting chart showing the light distribution of the different lens. Do you have a version of that chart with Synergy on it? My goal is to not have to use reading glasses. I hope to make a final decision and get my right eye done over the next couple of months. Thank you.
Based on your description and goal - "My goal is to not have to use reading glasses" - I would not recommend the synergy and would recommend the panoptix.
Thank you doctor, your videos and explanation is awesome , fantastic, very clear and helpful cover everything we need to know about surgery and lenses thank you and God bless you ,wish your office in my city so you can fix my eyes
Thank you for your continued in-depth and tremendous analysis!!.. I had Panoptics placed in my right eye almost a year ago, But It Is driving me Crazy and depressed! Like you I had more excellent long distance in my left, and loss of reading in both. Like your patient that had his Panoptics replaced with Symfony, he said it felt like something was in his eye, with that lateral crescent over-shadow, slight blurriness at most ranges of vision, and my two eyes having difficulty working together creating balance and reading issues; Thank you again, it ways so eye opening and that I wasn't crazy! In the past, I had Lasix monovision surgery and had No problem accommodating both eyes, but with the trifocal Panoptics, my brain just can't accept. Finally, my doctor concurred to perform a lens replacement. Your patient went with Symfony, the latest of the times.. What do you think of the new Symfony II compared to the Vivity, which I'm leaning towards? Telling all my cataract-aged patients about your videos!
I’ll be 75 next month, one day after a first exam for cataract surgery. Based on Dr. Wong’s information and other web sources, I’ll talk to my doctor about Vivity and PanOptix, or one of each. If I choose just one, I think it will be Vivity. Thank you for helping so much.
Dr. Wong, Another excellent and sufficiently detailed piece on IOL options. Very helpful. I had Vivity IOL in one eye w/underlying membrane condition. Distance improved immediately then degraded approx. 20%. Computer vision adequate. Near is fuzzy. Am now considering Panoptix to balance my needs and achieve some improved near vision. This 2nd eye has no underlying conditions. Thoughts? BTW, I wanted to consult you directly via office visit but, I am on the east coast.
What is your experience with the reported contrast sensitivity reduction of the Vivity? My surgeon is recommending the Vivity but another person in the industry has told me to reconsider due to the low light contrast issues and Alcon even states on their website that the Vivity has significant contrast sensitivity issues in low light. I can’t seem to find much written about it though. Thanks it’s my last hurdle before making a decision.
Good question. As a half-baked watercolor artist I am concerned about too much loss in contrast sensitivity. I don't want to paint a pitcture that to me looks great, but to the rest of the world seems tonally overcompensated and garish. Perhaps the key words in describing the Vivity contrast issue is "low light," meaning If well lit the contrast loss may be minimal. True? BTW, kudos to Dr. Wong. He's an invaluable resource to thousands of prospective patients.
@@robmeyer7985 Rob I am an illustrator, got 2 Vivity lenses. After the first surgery I felt I had contrast loss. At night I could barely see pedestrians crossing the street. After the second lens I feel that is not much of an issue if I work under bright light. I do need readers for close reading.
Excellent video and information. VIVITY Lens wins my vote for my requirements. Key points are mid-range clarity for optimal computer usage, wider range of light dispersion, less night glare, and less dissatisfaction, when compared to other lenses. Thank you!
Good morning M.D. Wong, I am your follower for some years on TH-cam, could you recommend a good surgeon in Mexico City? on the other hand you consider the change from Acrisoft to Clarion for Vivity and Panoptix an improvement. For your attention thanks
My eye doctor said at 55 I need my cataracts removed and he could change out the lens with the monofocal, he didn't even mention Vivity or Panoptix, so I mentioned it to his scheduler and she said that because of my eyes the monofocal would be better because it see's clearer but you would need glasses to see up close.After pushing more they said the first eye could be the monofocal and the second could be Vivity. So my next question is having two different lenses cause long term problems ?
Thank you very much Dr Wong! Your presentation is very helpful ! my Dr ‘s office has not provided enough information for me, these doctors should pay you for the work you have done for them!
I had the Vivity lens put in one month ago with the laser procedure. I only needed one eye done. The other is still perfect. There was a learning curve, but the results are excellent. I have 20/15 vision close and far away. Colors are crystal clear. No glare or halos at night. The only problem is focusing clearly in a room that has florescent LED lighting that's very dim, But as time goes by that is also improving. At first my eyes would get very tired as the day went on, but not anymore. Things take time to adjust. Hope this can make someone more at ease making a choice.
I wouldn't ever recommend a Vivity !
@@alexzapassoff1005why?
Hey I am young, 20, but RLE is my only option because im far sighted, -8.25 for both eyes or so, but my cornea is too thin etc.
So I was rly looking into getting Vivity or Panoptix, and was wondering if you could explain what the learning curve is, like, how do you switch from far to intermediate to near.
Pls pls could you let me know?
@@frzn9856 It took about a month to adjust to the new lens. At first I had trouble focusing in certain light situations, especially in a building with LED lighting. It has been 6 months since the surgery. I am very happy with the results. My vision is absolutely perfect faraway, and close up is also very good except for extremely close. I have no problem reading or using a computer at normal distance. No problem adjusting from close to far away. The only problem at night is tail lights in the far distance and a red traffic light in the distance look fuzzy. Some LED displays at night at close distances are somewhat fuzzy. There is no problem with glare from oncoming lights at night, which is a problem with many premium lenses. If my eyes are really tired it's not 100% clear, but resting my eyes for a few minutes brings things back to normal. The only negative is I have eye floaters, and they seemed more visible at first, but I've gotten used to it. I think the results people achieve are dependent on many factors, including general eye health. From my own point of view, if I had it to do over again I would stay with my choice. My latest eye test showed 20/15 vision at distance and close up in the eye I had done. (The other eye is still free from cataract symptoms so far.) Hope your situation turns out well. There is nothing better than being able to see clearly.
@@frzn9856I have Symfony and there’s no learning curve, they work automatically, and settle in over time. Your surgeon should be able to select the right lenses for your eyes anatomy etc.
A comparison of competing medical solutions is something a patient almost never gets. Dr. Wong's presentation is refreshing.
I am so grateful for Dr. Wong’s honest and thorough analyses of the different lenses. I don’t see this up to date comparisons anywhere else. After watching this i feel much more confident about making a diligent choice. Thank you so much Dr. Wong.
🎉what’s lens do you choose?
I went with PanOptix lens and I am very happy with my decision. I never knew about presence of any "halos" until people kept asking me if ".. I see halos...". So I started paying closer attention to it - and yes, I can see a very light halos. But... I would never notice them on my own. Now when my brain was conditioned into "seeing halos", I am aware of them. But, if you don't think about halos, you don't see any. I see well at all distances, including reading up close. No need for glasses at all. I am very happy with PanOptix, and ready to do my other eye with same lens. Thank you Dr.Wichterle, thank you science !
Do you see the rings around bright white lights? If you did, how long did it take for you to neuro adapt? I do and I am unable to drive at night. How long have you had the PanOptix lenses in? Thanks.
@@cathy3864 Hello, I have had my PanOptix lenses for almost 5 months. No, I don't see rings around white lights. Doctor told me it is a 12 month healing process and quality of vision may, and most likely will change during healing time. So far, so good. My post-surgery tests are coming in as 20/20. No glasses needed. Thank you
I have cataracts and astigmatism - torn between getting the Panoptix or Vivity. I am a bit concerned about Halos at night but at this time I do not do a lot of night driving. I mostly need to see computer screen and far. Thoughts?
I have two PanOptix trivia-focal lenses as well and love them. The "halo" effect of lights at night for me is a non-issue. I noticed it the first month or so and I think my brain has now tuned that effect out. Love the range on these lenses and the fact I no longer needs any corrective lenses at any distance. My vision went from 20/60 to 20/15 after the procedure.
@@WysteriaGuitar From my experience, I can safely say that 30 days after the operation with Vivity EDOF lens with Torric, I have no such issues of halos & glares now. In the 1st week after the surgery, I did see some halos(Rainbow coloured Rings), but this was resolved in 2 weeks. Able to read from PC too.
Thxs Dr. Wong I just had the Vivity lens in my right eye and must say it looks good....I am 80 yrs old,this was cataract surgery...Thxs again....
Amazing explanation doctor! I work at an ophthalmology clinic and this helped me understand the options patients have and the benefits! The human eye is truly a miracle.
I had laser surgery on my right eye ten days ago and on my left eye 3 days ago. I have a Vivity lens in my right eye and Panoptix in my left. I am very pleased with the combination. I can read small print close up without glasses and mid and far range is very clear as well. I haven't done much night driving yet, but with the little I have done halos don't seem to be a problem.
Trude, would you mind giving an update? I have the option to get one of each as well. I'm strongly leading towards two vivity's but would love to hear your experience with one of each.
Trude if by chance you read this my ophthalmologist recommended a Vivity in my second eye as I see ghost images with Panoptix in first eye. Images lack contrast which is my biggest disappointment. Black is missing Panoptix when looking through one eye. were you ever aware of this with either lens? Thank you.
Hello Trude
Six months since your surgery.
Can you give an update please?
What is your night vision like? Halos?
I’m scheduled for a PanOptix IOL on 26 June & either a PanOptix or Vivity IOL on 3rd July.
Thank you.
Colin
@@francoisenorwood5899 Hi Francoise. Can you give an update (the good & bad) on your IOL surgery please?
Thanks
Colin
This is exactly what my surgeon is proposing for me
Almost one month post vivity in both eyes. Wanted no halos and I do have functional near vision--- am typing this text with no glasses. But to settle down and read a newspaper I definitely use cheaters!
But as someone who has worn glasses or contacts since the age of 7 this 65 year old is thrilled. Well worth the extra cost as nice glasses cost that much. Thank you for your comparison video. I think I chose well for my needs!
Thank you Dr. Wong. Very informative and understandable for us non medical people. I had cataract surgery, chose the Vivity lens and I am very happy with the result. I do use 1.0 readers for small print or low light, but driving at night is a pleasure again.
One day post op with the vivity lens and I’m blown away at how amazing my vision is. I was apprehensive about this surgery but now I can’t wait to have my second eye done in a few weeks!!
l plan to get vivity in a few months, my only concern was l read it has low contrast level , is your vision and constrast still good on overcast and low light days.
great to have someone with first hand experience. Do you have any concerns with the contrast vision? seems to be one of the drawbacks of the vivity. I do not want to see halos no matter what. I can live with a ok vision closer than 15 inces. But what is your real near vision range where you are ok with?
Thank you Dr. Wong for this candid and thorough discussion of the two Alcon lenses. It confirmed my decision to opt for the Vivity lens over the PanOptics lens my Dr first suggested. One month now past my lens replacement and I feel I made the right choice in the Vivity lens. While I do see some minor halo effect at night compared to my natural lenses, it’s certainly acceptable and I’m sure I would not have been happy with the PanOptics halo effect. I shoot night time and early morning landscape photography and I’m sure the halo effect would have been unacceptable for me. It’s taken several weeks for my “neural adjustment” to adjust to my choice of medium to far vision in my left eye and medium to near vision in my right eye. It’s working out well, and I have yet to need readers of any kind for near vision. The IOL procedure is nearly miraculous in my opinion, as I now see colors in their true vibrant colors and certainly at least a 20% improvement in the amount of light reaching my 71 year old retinas! Thanks again for your wonderful videos. I watched most of them while I waited for my surgery appointments. 👍
Sorry but my experience is that a Vivity sucks !!! No focus at any distance... fuzzy and useless
Hey I am young, 20, but RLE is my only option because im far sighted, -8.25 for both eyes or so, but my cornea is too thin etc.
So I was rly looking into getting Vivity or Panoptix, and was wondering if you could explain what the learning curve is, like, how do you switch from far to intermediate to near.
Pls pls could you let me know?
@@alexzapassoff1005 Then something else is wrong. Vivity is excellent, just like the other choices mentioned here.
Hi Edwin, I have a Panoptix in right eye. While I see very well 20/20 it feels like through fog. Images lack contrast, black. As a photographer do you experience this with Vivity? Thank you
@@jamesw1659 Hi James. Do you see sharp with vivity? I see shadow to the left and right from everything, especially letters on digital devices. It’s a fraction better with texts in paper, but still there. Drives me insane. Doing makeup is impossible, can not see me fingernails, food on my plate is blurry. Terrible to be honest.
Dr Wong thank you for a wonderful explanation of different lens available today. You made it very easy to understand. Very helpful.
Thank you so much for your amazing content. I've had Vivity iols placed in both eyes within the last week in the UK and the initial result is quite spectacular. I'm 53 and have worn glasses and contacts since childhood. It's been a surreal experience to wake up in the morning and and be able to see so clearly Will be even better when I don't have to sleep in my eye guards. Your videos really calmed my pre operative anxiety and I am very grateful.
l plan to have vivity in a few months, my only concern is l read it has lower contrast then monofocal lens, how do you find the contrast level with vivity, does it seem dim on low light or overcast days or is it not a problem .
@@johnschannel449 so difficult to answer as I've noticed a reduction in contrast particularly when reading as I've got older. On a day to day level vivity performs so well for me in overcast conditions. The improvement is just so marked for me that contrast hasn't been a consideration.
Hi Louise, i just got left eye cataract surgery yesterday. Got Vivity lens, still blurry but definitely better than it was before..... Reason for choosing the lens because I want to avoid glasses as much as I can. Do you have to wear reading glasses? I'm thinking of getting vivity on the right eye vs. a monofocal :)
@@katkat1194 Hi, I can read without reading glasses but my eyes get tired and much easier with a +1. My surgeon definitely didn't promise excellent reading with vivity but I couldn't have Panoptix as I apparently have large pupils. Hope your vision continues to improve. Blurry doesn't sound great for you.
Thanks for sharing your results … I’m 53 too and thinking of moving forward with Vivity. Are you still pleased with the results? Thanks!
That was a very well spent 12 minutes. A lot of very valuable information. Can't thank you enough Dr. Wong.
Thank you for this wonderful video, Dr. Wong. I have decided to instal the PanOptix as I hardly do any night driving at my age. I will be having both eyes done with 7 days apart.
Any updates ?
Greeting from Istanbul/Turkey! I must say I am a big fan of your videos. I had PanOptix on my left eye due to a cataract 2.5 yrs ago. Now it's time for the right (dominant) one again due to a cataract. My Dr. was opting in for Synergy. I asked him strictly to have Vivity instead because I want no more or I should say fewer halos/glares etc. and better intermediate with higher contrast quality. The surgery is planned for next week. I am 53 yrs old, still very active in sports (lifting, basketball, running), 6'2 with long arms, and very excited to have Vivity. Thank you Dr. Shannon for your all-educating videos which help globally for your kind information )))) You touch many people without knowing...
Good call.
Hope your surgery was a success, what is your vision like with the vivity, are you happy with it l am thinking of going with vivity for my surgery
@@johnget8410 Hi. It went very well. Couldn’t be happier than this. The difference between Panoptix and vivity is amazing in the contrast and halos. The combination (panOptix in left, Vivity in right which is the dominant one) works very well for my reading. Far and intermediate distances are excellent. No need for glasses so far. My aim was achieved perfectly. I’ll see the Dr. tomorrow for regular check up.
@@denizcop9386 I am due for eye surgery May 5th. The plan is for the PanOptix in my left eye (which has the worse vision of the two) and then to have the vivity in my right eye in 5 weeks time. I have had some concerns about the halo effect with the PanOptix lens, but wonder if the vivity lens in my other eye will balance or cancel out the halo effect, once my brain neuro-adapts??
Nice video.
I went with the Panoptix. I can seeeeeeeee (20/20 in both eyes but believe I could go lower). I wore glasses since I was in the 5th grade (about 46.5 years) and now I don't need glasses. This is a whole new world for me. I can wear any pair of shades I want now. However, I no longer have what I called the macro vision where I could clearly see within 5" of my eye. The Panoptix pushed that out to about 12" (or the natural reading position it seems). My prescriptions before replacing both cataracts for D.V. were -5.0 (O.D.) and -5.25 (O.S.) and for N.V were +2.0 for O.D and O.S. if that helps. I am happy with the new cataracts (1st in May and 2nd in June this year). On my last week of eye drops.
These charts are etc. are the best I've seen in comparing lenses. Thank you for helping make an informed decision on my upcoming cataract surgery.AND I would advise anyone considering monovision to try it out first using contacts. I did, and I was continually nauseous; I never got used to it. And contacts are much easier to remove than cataract lenses!!
This was such a fantastic detailed analysis, I was so pleased to be able to show it to my husband so that he could decide between the two options, which he did, based on your video. Thank you, thank you, thank you. I see that hundreds of others are also thankful for your video, so I'll just add my voice to the choir.
Thank you very much! We even thought about coming to TX to have you do the surgery because of the clear and knowledgeable explanation and how easy you made the lens removal seem. You represent yourself and your facility very well! Our potential surgeon did not explain anywhere near this much and so we needed to do outside research. We did check and our surgeon has 12 years experience at our local facility and experience before that so he should be well qualified, just maybe "too busy" to use his time to provide all the information we want.
Thank you so much Dr Shannon for your very clear and informative explanation about the vivity lens. I was diagnosed with cataract in Mar 2021 but was hesitatant to have symphony implanted because my doctor emphasised the possibility of halos. I waited till now and discovered vivity and I was searching for your videos on this lens. Finally, you made this video. Thank you so much ,Dr Shannon.
Excellent discussion and thank you for the honesty in explanation about 'no free lunch'. As a physician, I hear so much fluff from Marketers, it is difficult to get a real world perspective on benefits and downsides to these lens.
I have had the Vivity EDOF lens with Torric inserted in one of my eyes last month. The doctor had also done some LRI surgery, and the post ops after 30 days, the results are excellent. Distance Vision is 20/20, and the near vision acuity is N6. I am able to read on mobile at a distance of 35-40cms. No or minimal night time glares & halos. May need a glass to read smaller fonts.
Highly satisfied with the Vivity lense.
Colours are vibrant.
It cost me around INR 105000 in Mumbai. The GST invoice for the actual Vivity Torric lens was Rs.40k. Operated Pheco surgery without lasser or AI assistance.
Hi, thanks...where in Mumbai you got it done? Planning for my mom, she is recommended Edof toric. I am confused between Eyehance and Vivity. Also all Doctors have different lenses.
Trishna Eye hospital Borivali west
Many thanks Shannon
Being a doctor, I was so confused in selecting the correct lens for my self.
I am in my late 40s and have steroid induced cataract due to a corneal injury in the past, going to surgery next week,------ wish me good luck
Was able to select my option after watching this video
Hi what Lens did you decide to go with? did you choose Vivity .? l'm also in my late 40's and having surgery in a few months and thinking of going with vivity but havent made my mind up yet
@Sunset horizon studios It's very confusing, right? What lens did you choose and why? Does your outcome meet your expectations? Did you have laser assisted surgery or not?
@@johnschannel449, did you go with Vivity? I see that no one responded to your comment here but I am in the same boat and getting surgery next month.
@@SpencerParkCityschannel-vr3cs yes l got vivity last year in both eyes and happy with it, l have great vision from distance and can also read and only need glasses for small print'. l went with minimonvison where one eye distance and the other very slightly near for reading ,There was an adjustment period for the first 2 or 3 months but after that it was great
Any updates? I am in the exact same boat after taking steroids for Bells Palsy.... are you happy with the vivity or do you wish you had gotten the PanOptix?
I have the Panoptic lenses in both my eyes and see wonderfully, but the halos with night driving are challenging. But I have no need for reading glasses unless the print is extremely small, but I am very happy with the way I see I haven’t sent this good in 20 years. Very excellent presentation Doctor.
Hi BETTY, is are there glasses for the halo? I'm 55 and my readers are 2.75 and my far away vision is going. Can't get used to bi focals.!
How close up can you see? Before this, did you need distance vision correction?
They are not working for me. I can't drive day or night.
I am concerned about the halos - Is it hard to drive at night?
This video should be the standard for most patient education.
I had cataract surgery two years ago and I Couldn’t be happier. Two weeks and both eves were done with multifocal lenses, nodrops necessary. Dr. Ray Galaitis of the Center for Lasic in Margate, Florida painless surgery. I can now see near, far and in between. No glasses after 60 years.
which len đó you have?
I had my second surgery 5 months ago with the PanOpitx lens and couldn't be happier. There are halo's Round lighys at night, but are absolutely no bother to me. I am very happy I chose the PanOptix lens. No need for glasses or contacs at all for me!
Awesome! I want to do it! How much was it?
Did you have halos prior? I am most nervous about the halos and am scheduled for Feb with panoptix lens. I see halos now and can't stand them. I am hoping it would be less halos at night after surgery. Were they better for you, or worse? Thanks!
@@lf9341 ~$3500 each
Hi Bob. Can you give an update please?
Are the night light Halos an issue after a year?
Thanks
Colin
Excellent video and went with vivity mid vision absolutely superb can't complain about distance and as I am typing this I have no problem in reading it😊won't be needing glasses at all.
Good luck everyone and its a massive V for me
I am in South Florida and am approaching a decision time for selecting my replacement lens so I REALLY APPRECIATE your video and the honest comparison of both these lens. All the best....
Hello i too live s.e FL not sure what clinic to choose.
I have a feeling your interested in Rand INSTITUTE
Which lens did you end up choosing? How do you feel about the results?
I am having vivify lenses put in tomorrow. Thank you for sharing this . Very helpful
How is your vision now , there’s any blurry vision ? can you see your phone clearly? And any close up ?
You have to appreciate the Drs comparative analysis. I am scheduled for Vivity implants in two weeks. Thank you for helping me understand things clearer
Thank you. I've always been near-sighted. So, at twenty years old, I still didn't have 20/20 vision. I would be fine with the Vivity IOL, I think. Thank you! Your channel is the most informative and helpful related to cataract surgery.
I'm in central Florida & about little over 90 days since my left eye cataract surgery with the Vivity lens. Great lens over a wide range of vision including night driving. The surgery method was laser with astigmatism correction at N/C. Pre & Post eye drops were with IMPRIMIS. There was a day after post surgery return visit & about 5 day clinic examination. Must say they were very insistent you maintain the regiment of eye drops per their recommended written spread sheet. Next follow up was 60 days. Impressed & satisfied with the results. Next is the right eye which has a mild cataract compared to the left, first quarter of 2022. After some 50yrs plus no more wearing glasses on the nose!
Are you happy with contrast level in low light
I'm in Orlando, which facility or doctor did you choose?
@@jimrogers4809 yes, happy & satisfied. In my younger years my mother was always insistent the lights be on while reading in low lit areas & I have automatically continued the practice to this date. As a point of interest during my last detailed evaluation the optometrist ask I read out loud 3 short paragraphs each with a declined font size. As I was reading the second paragraph he stood up to turned on the room light. He stopped me from further reading the 3rd paragraph. He commented he was more than satisfied in my ability in reading, in low light. Lighting always makes text bounce.
@@user-ik4br3nk2w MidFloridaEye @ The Villages. You may need a referral from your regular optometrist. Once you have an appointment you'll go through a battery of tests to determine if you're an eligible candidate & possible options (consultation). The premium multi-focal lens (Vivity) & laser surgery cost is $3100/eye.
@@miszced thank you so much!
There are some good information that I’ve gotten online about lens. However, unequivocally by far, this was the most concise explanation of these two lens and I know exactly what I want. I’m truly excited about my choice. Your honesty is immeasurable. Thank you Sir 🙏🏿
Thank so much for the informative straight forward video. I’m scheduled for prelex surgery in January and recently decided on the Vivity lens instead of the Panoptix. I’m in my early 50s and drive at night so I’ll need good vision. Your videos have been very educational and understandable. Again - thank you!
Good luck! Please let us know how it goes!
Surgery on my left eye will be January 10. I’ll come back with an update.
Please let us know how you're doing - I'm also in my early 50s and am considering Vivity for better vision - - - my glasses don't provide great vision and my contacts, which do provide excellent vision, become too uncomfortable to wear after 5 or 6 hours.
How do you like your Vivity lens?
My surgery went well and for the first time I am not glasses or contact lens since I was 12 years old! I do occasionally wear a pair of glasses to wear very small print in low light. My doctor gave me micro mono vision (.5) I have developed PCO and have YAG procedures scheduled for each eye (2 weeks apart) in August.
Thank you very much for your intelligent knowledge. It really helps a person diving in dark waters blind. Cataract removal with a reward is the only way to look at it.
Thank you so much. I am researching to make the best decision for myself. And i love the information you provide. Excellent!🎉
Excellent and lucid comparison. One fo the ebst I've seen to remove doubts. thanks so much for this effort.
I work for Alcon in Huntington WV. I test the PanOptix and Clareon lenses for Modulation Transfer Function and for power.
Which lens is the lens to chose?
Thank you for the good work! 🥰
Thank you very much for an outstanding comparison and your professional thoughts. I am scheduled to have cataract surgery on both eyes in April 2022. My optometrist recommends that I use the vivity lens which is what I wanted to use also.
Fascinating! I'm interested in learning more about these lenses from people who have had the surgery. I have had Symfony lenses in both eyes since 2020. I chose them because the doctor's pitch was similar to that of a used car salesman. I would be doing more complaining if it wasn't for you. Your honesty about the lenses limitations helped me understand how I saw the world after surgery. Learning about how the technology is evolving is cool.
How did you like them? I''m 55 and considering one of these options. Glasses are 2.75 and my far away distance is starting to go.
@@lf9341 They are great for distance. I need readers to see close. We are close in age.
@@lisaford7655 Thank you for the response. Well that is a bummer. My far away vision is still ok, (just starting to go). I hate wearing glasses because as a hairstylist I have to wear them by for cutting hair but take them off when I look at the client in the mirror. These masks make everything foggy and I cannot get used to progressives. I thought that this surgery corrects both far and near. :(
@@lf9341 Dr. Wong did my IOL in March 2021. I received the PanOptix lens in both eyes and I’m able to see very well upclose, mid-range, and long distance. However, the halo effect is very real and has taken some adjustment but I’ll happily deal with it over not having to wear contacts or glasses anymore. I was almost 49 at the time of my procedure, and was told I could go either with LLR or LASIK. I opted for LLR because I’m so close to 50 and didn’t want to have any regrets.
@@yvonnepatton1502 Hi! TY for responding! I heard Lasik will correct either far sightedness but make near sightedness worse (You had to chose) and I didn't want that! I have not heard of these procedures. I'm intrigued.
These masks make it worse to wear glasses when they are off and on!
Thank you Dr. Wong for this excellent comparison. Your video provided the exact side-by-side I didn't know I was seeking. Hoping to get the surgery in 2024. I have pronounced halos at night presently; the PanOptix halos will be less than how I see now but leaning toward Vivity. From the comments I did not know there is an option a different lens in each eye.
I plan on getting my other done also in 2024. My Panoptix in my left eye is fantastic for reading but not great for mid and terrible for distance. I'm hoping I can adjust if I get the Vivity in my right eye. But also worried it might be like mini-monovision.
Thank you for explaining the differences between the Vivity and PanOptix lenses. The video was educational and easy to understand. The images showing the holo effect and the light transmission was also very helpful. I'm in my 50's and I'm in the process of deciding which lens to go with. Your video has given me more information to consider.
Stay away from Vivity ! I am 78 and I wish I hadn't been talked into this ridiculous fresnell lens !
@@alexzapassoff1005 So one should get the Panoptix instead?
@@alexzapassoff1005 I have been scheduled for Vivity but it is so much more expensive. I'm still researching. My appt. is end of month.
@@VgVi13 hey what iol did you go with and what results are ?
How much all these lenses coast. Can you please explain
Very good, clear comparison, specially with the charts.....Thx
Thanks for the information. I am seeing my ophthalmologist at the end of this month. Can’t wait to discuss the Vivity Lens.
I had a Vivity lens implanted 26 days ago (R) along with the removal of scar tissue (ERM). I have two noticeable arcs in my right eye which result in blind spots. My current vision is neither clear nor sharp compared to my vision with prescription progressive eyeglasses and I also had toriq adjustments. This video provided more details than anything else I could find online and was reassuring to me about the Vivity lens properties; however, I am hoping my clarity of vision improves. I don’t mind that I will need reading glasses; I have worn them most of my life. When my vision stabilizes, I will need an IOL in the left eye.
hi how's your vision now with the Vivity? My doc screwed up my diagnosis of a cataract and I opted for Panoptic without being told I had a macular pucker in my right eye. Thereafter, I did a vitrectomy which resulted in a canal blockage leading to glaucoma and had to go in again after 4 days to clear it. After all that I waited a settling in period of 3.5months and 3 days back during my checkup asked the doctor to graciously carry out an explantation as the undesirable piercing glares, double visions, halos, inability to make out near reading and definitely out of focus far vision including the bulging lines and shapes were driving me insane!!! It's 2 days now after the explantation and am again waiting patiently to getting back in focus. MAKE SURE YOUR DOCTOR DOES AN OCT TO check your retinal health before jumping into any decision on procedure.
Thanks!
Thanks for all of your cataract videos. They have really helped me understand the different lenses and decide what I would like to go with.
What did you go with, and was it what you expected?
I live in another part of the world 🌏, soon inshaAllah visit you for my cataract surgery
Thanks
Of course this video was really helpful. Thanks very much Doctor and may the good Lord bless you and your family.
super clear descriptions and comparisons between the two lenses. thank you! you should do this for ALL the major available lenses, and show a chart the way you did here. really excellent. i'm currently considering the Lenstec Clearview 3, but there's scant info about it. It only recently (in 2022) was FDA approved (prior to that it was being used in Europe for a decade with good success). nevertheless, it's about $4,500 per eye, out of pocket! it would be great to hear a comparison between the Vivity and the Lenstec
For delivery drivers I recommend using the Viviy lens in one eye, and the Odyssey lens in the other.
Outstanding explanation! I’m scheduled for the Panoptix in October of 22.
How was your surgery and Panoptix?
Thank you so much for your videos. You have added a lot of clarity to a very confusing subject.
Absolutely 🤗 love Dr Wong breakdown of different options! I'm 58 with 20/25 and no cataract issues. But if I do have issues later I know where to go.
Thank you Dr for such great explantion in both lens.
Thank you for this very informative video Doc. I havve cataract in my Right eye. I’m just 35 years old but sadly i diagnosed that I have this .I can’t believe becouse I’m so young for this kind of eye deseas 😢.I really don’t want to remove my original eye Lens because my Doctor said to that their is no perfect lens.But thank you for explanation it helps a lot how to choose nice lens.
Thank you so much. I really feel ready to make a better informed choice and know the questions to ask now when I talk with my surgeon next week. The simulated night vision images really illustrate what I was concerned about.
Thank you. I have watched several of your videos now in researching lens options and have found them to be very helpful.
Glad to help!
I like your graphics on the different lens. It clearly shows that my best option is the Vivity. And that's the one that my doctor suggested. I've been on the fence about what to get. Have surgery scheduled in 2 weeks (actually it's tomorrow). Hoping all goes well. Have a great team here at St.Luke's in The Villages, FL. I will do a video of the before and after. And then add the 2nd eye 2 weeks later. AND, I will give you my honest opinion of how all this goes.
This video series by Dr. Wong is excellent and informative. It is a great service to the world and has already produced significant impacts. However, a quite effective approach to achieve spectacle-free Cataract surgery has rarely been mentioned, let alone been focused or compared, in all the video series available to the patient community so far. This is the "monovision" approach, using plain and simple mono-focal lenses, which has been popular and well established for 30 years. This approach separates properly the target distances of the 2 eyes, one at distance and one at a close range. As a result, most people's brains (about 80%) can adapt to the info received and produce effective spectacle-free vision. I have 3 close friends (60% of my circle of friends undergone cataract surgery) who are the beneficiaries of this approach to achieve spectacle-free vison, The advantages of this approach are high quality (or high contrast) vision, little halo and glare, and not the least, low out-of-pocket expenses. I hope Dr, Wong can lead the way to also use this approach as a bench mark in his discussion and comparisons with other advanced approaches.
Thanks for your review with yet another solution. I was more than disappointed in the halo effect of the Panoptix lens. One reason many people stop driving at night is because of the halo effects! I do want the freedom of not having several pairs of reading glasses scattered around my house, car, etc. or having to wear them on the tip of my nose. Definitely this is something I will explore. I want spectacle-free vision, but not at the cost of limiting my night driving. I think I had tried the 2 eyes, one at distance and one at close range in the past with contacts about 2 years ago. The difficulty of inserting and removing the contacts wasn't for me but my vision was okay when I wore them, but of course that would be the case with lens implants. Thanks
Hi, I haven’t found recent videos comparing the different monofocal lenses available. My Dr. recommended the Clareon monofocal but I see Tecnis is also popular. I want a good lens but if possible would like to avoid the diamond eye that others can see with the implants. Do you know which monofocal lens doesn’t have that eye twinkle effect that others can see?
Decent solution, but you do lose depth of field with this approach. Again, no approach is perfect.
Excellent recap. Meeting with my surgical team next month and this will help guide our discussions. I had Lasik in 1999 and have light astigmatism. And the doctor mentioned in my exam a few weeks ago some irregularities in the corneal surface of my left eye. As a retired teaching golf professional my goal to improve my overall vision and I'm not concerned about the need for reading glasses.
This is an absolute excellent video. Options explained clearly, unbiased, and in good amount of detail. Thank you Dr Wong for sharing. Would highly recommend anyone having to make the difficult choice of doing lens replacement watch! I don't think any amount of information can completely put someone at ease but this video should really help assure you in the decisions you make.
Glad it was helpful!
Wow you're such an amazing educator. I learned so much. Thank you.
3 focals since 24h ago, had a cataract, and the difference is astonishing. Very happy. 😊
Can you share more about what you mean please?
@@user-pu6sg7ih8r I’m very happy with the trifocals and can see much better than before.
I had the PanOptix in my left eye in June 2021 and was supposed to have the right eye done a month later, however it is a year later and I have not had the other eye done. I am very nearsighted was 8.0 in left eye about the same in right eye. I am not unhappy with the Pan Optic but could not commit to getting Pan Optic in my other eye because of the glare and halos with night driving. One thing that I don’t think is
Discussed enough is there is a lack of contrast and if you have good light my vision is awesome with the Pan Optic. However, when driving at night combining the glare and halos from lights or trying to see curbs or on roads that are not well lit becomes challenging to see clearly. Also harder to see dark vehicles or a flatbed trailers at night if you are changing lanes and they are beside your vehicle. It is hard to explain the loss of contrast but when you notice it in certain situations and the lack of light affects the contrast and ability to see clearly. Also, there is a glare of light even in the daytime if you go outside or a brightly lit room or store and the glare makes it hard to see. Wearing sunglasses has not been the best solution for me because you need more light with the Pan Optic to see really great the sunglasses dim the contrast more. I have found sunglasses that have just a light tint to help with the glare seem to work well .
In saying this it is really a miracle someone with my nearsightedness could have the correction that I needed to be able to see far & near.
I do wear readers to see up-close depending on the light. After listening to this I think I have made a decision to go with the Vivity Lens in the right eye and just wear readers as I do now. I would rather wear readers and have better contrast and less glare. This is exactly the kind of comparison I needed to make a decision.
TY
Thanks much for the very informative summary on your experience with Panoptix IOL’s. I don’t want the halo/glare problem and have settled on Vivity implants. Surgery for the first eye coming up in 2 weeks. Good luck with the Vivity option in your right eye!
I have a significant imbalance in vision between my right and left eye. My thought process was to get the PanOptic in one eye and the Vivity in the other eye. Getting the benefits of both IOLs. What was the outcome of your second surgery and are you satisfied with the result? Thank you in advance for sharing.
I too am curious how you made out with the Vivity compare to the Panoptic. I got the Vivity implant in my right eye 2-weeks ago. Distance vision is great, mid good, near is “functional” which means I can read emails on my cell, tell the time on my watch, etc. Any fine print or extended reading requires readers. I can drive, fly a plane, fish, watch TV and work on my computer without glasses which is a huge improvement from what I had before. I am picking up mild halos from single point lights at night, but nothing that is an issue. It is amazing how much brighter the world looks with the cataract out!
I have postponed the left eye (was supposed to have it done yesterday) because I want my right eye to heal completely before proceeding. My left eye is 20/30 with a mild cataract. I am toying with possibility of a Panoptic IOL in my left eye…or Vivity biased towards close/mid vision. I would like to improve the near vision acuity if possible…definitely do not want any less than what I have now. I am hoping that near vision in right eye with the Vivity continues to improve over the next few weeks.
@@TheAirplaneDriver
Hi I have not had the right eye done yet. Waiting until late Fall to make that decision. From what I have read you will have better near vision with the Pan Optic and when I was in for the year check up I was told by the tech that Pan Optix had changed their material since I had my implant and it has reduced the glare. I looked online to see if I could find out any info about that but I didn’t find anything. The doctor is the one that recommended that I try the Vivity and I didn’t ask about the change in the Pan Optic lens.
@@jeneeaskins7079 Hi, thank you for the update! I am now scheduled for my second eye in August (originally this past week) but I am not to anxious to just jump into it until I understand the near vision implications better. Sounds like we are in similar situations. Best of luck to you!
Just to clarify for anyone watching this.. when he grades one lens an 'A', this is against the other lens, not against a monofocal lens. Those 'A's would become 'B's for things like 'long distance' and 'halos'.
Great thorough description it was helpful thank you
Great explanation. Will help me choose. THANK YOU.
I've seen in other videos that the Vivity lens has problems with contrast. Is that a problem?
Certainly appreciate the discussion and the options available, Thank you.
Please discuss the 5- year retinal detachment risk after a premium IOL replacement surgery. It’s quite high
This video is very helpful. In one of your other videos you mentioned the percent light reduction to expect with the different lenses. PanOptix had a 12% reduction. What is the percent. reduction with Vivity?
Total and udder darkness!
Excellent tutorial. Thank you for explaining this so well. Very helpful!!
best and honest information
Thank you for this video! Excellent comparisons - super helpful.
Thanks for the tip. Trying to get as much info about this as possible.
It is very helpful Dr. Wong. Thank you for the very helpful information.
Hi Doc - First, thank you for all your very informative videos. I have had Lasik for monovision, near vision on my left, distance on my right eye, and extremely happy with the results and my vision (as I'm approaching age 60). As I see these 2 IOL implants (as well as the Symfony IOL), I wonder if you have performed or have considered different implants on each eye (ie Vivity on the right, PanOptix of the left) to address patients like me that are used to and happy with monovision? What are your thoughts on such an approach? TIA
I have actually heard that they can mimic your monovision with IOLs
Thank you Doctor I have two eyes with panoptix lense I see halos at night and the candles in the church also appears to be halos in my eyes but I can read small letter without glasses Thank you doctor for all your explanation I wish you were just near so I can go o and visit you
Hello Dr Wong, Thank you for another helpful video. I have been watching your videos over the last seven months as I decide which lens to get for my right eye. I have an Alcon monofocal distance lens in my left eye. The day after my cataract surgery my left eye was 20/20 distance. I was so impressed by the ability of the mind to select which eye to use to get the best vision (my natural right eye is 20/20 near), I canceled the plan to put a second monofocal distance lens in my right eye so I could take some time to decide what the best option would be. The J&J Synergy was just coming to the US at that time. And the idea of having "the widest range of continuous vision" appealed to me. I have followed your videos comparing Synergy with PanOptix; first selecting Synergy as the best and then changing to PanOptix as the best. In this video comparing Vivity with PanOptix you show a very interesting chart showing the light distribution of the different lens. Do you have a version of that chart with Synergy on it?
My goal is to not have to use reading glasses. I hope to make a final decision and get my right eye done over the next couple of months. Thank you.
Based on your description and goal - "My goal is to not have to use reading glasses" - I would not recommend the synergy and would recommend the panoptix.
@@ShannonWongMD Once again, thank you.
How did it go?
I have an option for the Panoptix lens and this gives me the second option of the IQ Vivity to discuss at my next consultation, thank you.
Thank you doctor, your videos and explanation is awesome , fantastic, very clear and helpful cover everything we need to know about surgery and lenses thank you and God bless you ,wish your office in my city so you can fix my eyes
Thank you for your continued in-depth and tremendous analysis!!.. I had Panoptics placed in my right eye almost a year ago, But It Is driving me Crazy and depressed! Like you I had more excellent long distance in my left, and loss of reading in both. Like your patient that had his Panoptics replaced with Symfony, he said it felt like something was in his eye, with that lateral crescent over-shadow, slight blurriness at most ranges of vision, and my two eyes having difficulty working together creating balance and reading issues; Thank you again, it ways so eye opening and that I wasn't crazy! In the past, I had Lasix monovision surgery and had No problem accommodating both eyes, but with the trifocal Panoptics, my brain just can't accept. Finally, my doctor concurred to perform a lens replacement. Your patient went with Symfony, the latest of the times.. What do you think of the new Symfony II compared to the Vivity, which I'm leaning towards? Telling all my cataract-aged patients about your videos!
Am wondering the same..How Vivity stacks up against the latest Symfony Blue lens?
Great video, thanks for sharing this information!
I’ll be 75 next month, one day after a first exam for cataract surgery. Based on Dr. Wong’s information and other web sources, I’ll talk to my doctor about Vivity and PanOptix, or one of each. If I choose just one, I think it will be Vivity. Thank you for helping so much.
I’m also interested in the RayOne EMV, which is newly approved by FDA.
Thanks Doc. This video is very helpful and educational.
Dr. Wong, Another excellent and sufficiently detailed piece on IOL options. Very helpful.
I had Vivity IOL in one eye w/underlying membrane condition. Distance improved immediately then degraded approx. 20%. Computer vision adequate. Near is fuzzy. Am now considering Panoptix to balance my needs and achieve some improved near vision. This 2nd eye has no underlying conditions. Thoughts? BTW, I wanted to consult you directly via office visit but, I am on the east coast.
What is your experience with the reported contrast sensitivity reduction of the Vivity? My surgeon is recommending the Vivity but another person in the industry has told me to reconsider due to the low light contrast issues and Alcon even states on their website that the Vivity has significant contrast sensitivity issues in low light. I can’t seem to find much written about it though. Thanks it’s my last hurdle before making a decision.
Good question. As a half-baked watercolor artist I am concerned about too much loss in contrast sensitivity. I don't want to paint a pitcture that to me looks great, but to the rest of the world seems tonally overcompensated and garish. Perhaps the key words in describing the Vivity contrast issue is "low light," meaning If well lit the contrast loss may be minimal. True? BTW, kudos to Dr. Wong. He's an invaluable resource to thousands of prospective patients.
@@robmeyer7985 Rob I am an illustrator, got 2 Vivity lenses. After the first surgery I felt I had contrast loss. At night I could barely see pedestrians crossing the street. After the second lens I feel that is not much of an issue if I work under bright light. I do need readers for close reading.
Thank you for explanation of those lenses. That help me to chose a lens. In my case it will be Vivity. Thanks.
Are you happy?
Excellent video and information. VIVITY Lens wins my vote for my requirements. Key points are mid-range clarity for optimal computer usage, wider range of light dispersion, less night glare, and less dissatisfaction, when compared to other lenses. Thank you!
Hello! Are you satisfied with Vivity Lens?? Tell us, please
I'm currently still doing research but this was convincing toward the Vivity lens
@@michaelmansfield1289 Hello
Do you have an update?
Hi there do you have any updates for us please
Thanks a lot for covering all the practical points..excellent talk..✨
Fantastic video, very helpful, thank you Doc !!
Thank you for your detailed explanation. I’m much more confident in my choice of lenses now.
Good morning M.D. Wong, I am your follower for some years on TH-cam, could you recommend a good surgeon in Mexico City?
on the other hand you consider the change from Acrisoft to Clarion for Vivity and Panoptix an improvement.
For your attention thanks
excellent unbiased commentary as usual
is there anything on the horizon which will move the game on in the coming year ?
Lucidus edof lense. A new one with autofocus on the horizon.
My eye doctor said at 55 I need my cataracts removed and he could change out the lens with the monofocal, he didn't even mention Vivity or Panoptix, so I mentioned it to his scheduler and she said that because of my eyes the monofocal would be better because it see's clearer but you would need glasses to see up close.After pushing more they said the first eye could be the monofocal and the second could be Vivity. So my next question is having two different lenses cause long term problems ?
Would you update me on your decision and the outcome, as I am faced with a similar situation? Thanks.