Your final point is very, very good advice. It is too easy to get caught up in defocus curves and the other tech, but at the end of the day the best way to choose is by asking your surgeon how your new IOL vision will compare with your current vision at various distances.
Exactly. The first and most important reference point is the visual experience. It may help in many cases. It’s vital part of my consultancy for clinics :)
Everyone should see this before cataract surgery! I'm 3 week out since my surgery. Doctor recommended lens for distance. I wanted to drive at night again. I actually drove last night and it was better but now the speedometer panel is blurry, I need to wear glasses even when doing dishes...,another words my near vision seems much worse and I'm sure I will need stronger glasses for reading, computer, arts & crafts etc. Everything up close is much blurrier. Thank you for making this video. I hope it will help someone else.
Oh, I am so sorry to hear that. It is something I always try to empathize about working with surgeons. We might underestimate patient needs and as the result we get lower quality of life than it was possible to achieve. Can you tell me more about you? What is your age and did you used glasses for distance before the surgery? What lens is implanted? I guess standard monifocal? If you still your second eye untouched, you may improve the situation. And thank you for comment. Share the video please to let more people see it.
My Consultant discussed all of the above with me as part of the service and recommended what I should have and followed his advice and I now see much better than before. I did not have to ask anything as he brought all these points up
Great advice, as always. I think another important question to the surgeon would be on the point of lense placement, "What is his/her statistical percentage of achieving plane 0 in patients". This would have significant effect on your last point.
I’m afraid nobody will tell you for 2 reasons 1. Anyone will be happy to say 99.9% 2. Not so many surgeons really counts and honestly not everyone making the correct assessment My aim to improve that.
I had eye surgery at 62 with multi focal lens implants the only time I need glasses is for night driving otherwise far and near distance is good your advice is good
Thank you for your advice. I used your points to talk to my surgeon and chose the Eyehance Toric lens set for near vision because I work with my hands at close distance a lot and don’t like wearing glasses for that. It also corrects for my minor astigmatism. It’s a mono focal lens with enhanced depth perception giving near and mid range vision. I am ok for wearing glasses to correct distance vision, since I have been wearing glasses for that for long time and don’t mind it. Also the Eyehance lens can be shaped later with Lasik surgery if I change my mind about near vision without glasses. My surgery is in 2 days. Hope I made the right decision…
Will be interested in hearing how it works out for you. My surgeon also recommended Eyehance but set for distance. He said I might get a little intermediate too with this lens. Are you expecting to need glasses for anything further out than near vision? My surgeon suggested setting the second eye a little near sighted so I'd get mini monovision. But I'm reluctant to try that since I'd rather have both eyes with the same focal point for maximum depth perception. Good luck!
@@ckp2ator389 , correction to my comments above. It’s the cornea that can shaped later with Lasik surgery not the lens. My apologies. Yes, I will need glasses for far sightedness, for driving etc as I prefer it that way.
@@truthteller6932 Thanks for your reply and the correction! I'd tend toward selecting near for myself because that's what I've been used to all my life. But my surgeon suggested far and my optometrist suggested intermediate. What to do, haha.
@@ckp2ator389 , it depends on your preference. Most people don’t like wearing glasses for long distance but are ok using reading glasses. I’m the opposite because my work involves working with close distances and glasses get in the way. Either way, it’s not a perfect replacement for your natural lens.
Hello. The option is good indeed, and the most important the target refraction with that lens. I hope your surgeon will target the refraction with Euhance depth of focus in mind.
Hello! First I like your video its very well explained, I am 77 years old I have been using driving and computer reading glasses for last 20 years.Yesterday I went to see my Optometrist to examine my eyes for new glasses.After the Optometrist told me my glass numbers didn't change very much I am seeing blurry because of a cataract in my eyes and it has to be removed. I learned more after watching your video I don't know what type of implant lens I need after the cataract removed???? I am retired I like to see long distances for driving and I spend lots of time on 16-inch screen laptop computer. I like to stay away from wearing eye glasses. Thank you😊
thank you for your comment and words of support! have you tried www.iol-adviser.com/iol-questionaire to start? answer to your question depends on number of factors, including the lenses available at your location, your willingness to pay for advanced lenses and so on
At 78, I'm told that I need cataract surgery, but being myopic, I didn't need glasses for reading until age 55! Having worn progressive lenses for 23 years, I tried wearing a very old pair of glasses (no progression) to see if monofocal, cataract lenses would suffice after surgery & feel that I would not be happy with the results! So, I guess it will have to be multi-focal lenses, even though it will cost thousands more!
Thank you, I'm going out tomorrow morning to get my right eye with why adjustable lens? Plus I will get my second eye done one week later. I'm definitely looking forward to it. I can't say that I'm not nervous. I've not had many surgeries.
2 meters is considered far? That is good news, because I understood 3 meters is advertised, but usually it's 6 meters and beyond. Also, if pupils are not dilating, will you still be able to make use of the multi-focal lenses or not?
2 meters is not far, but it’s something where accommodation is less noticeable. “Normal” far range starts at 4-5 meters where ophthalmic industry tests far vision visual acuity.
I am plannind Odissey review later this year. Shortly it is a great lens, inherited all Synergy pros and added some benefits of improved optics. Makes sens to use if that IOL type is clinically suitable and covers your visual needs.
The information I have obtained as a result of all my research: I am 38 years old and no lens will satisfy me as I do not have any problems other than cataracts. :(
Can progressive lens glasses (post surgery) make up for the single focal point of mono focal IOls? I have been very near sighted all my life and thus have been wearing progressive lenses for 30 years, and are happy with them. But one of my eyes has developed a significant cataract such that prescription lens can't overcome the vision degradation. I've had one exam and consult with an eye surgeon and he recommended mono focal lenses for me, specifically Eyehance, and set for distance. I need to do a follow-up since I have more questions. One of them being about the use of glasses afterward. I am guessing that I'd be wearing glasses similar to what I have now. Except the top part clear (for distance), and middle part and lower part, with magnification for intermediate and near. If, on the contrary, I had focal point set for intermediate (this was suggested by my optometrist), would I then need two sets of glasses; one for distance (e.g., for driving) and one for near (e.g., for reading and close work)? Or could this be handled with progressive glasses, though it seems not logical, since the center part would be clear.
I have a video about glasses with multifocal lenses. This may answer your question. If you have seen it and still need my advise, please tell me here, I’ll make more detailed answer.
based on the preliminary data which I have, it seems to be really good. Once I'll get more data from the field, will do a video reviewing the real outcomes.
Hey there, I recently had a lens exchange for both of my eyes. The lens in my right eye is for mid to long distance, and it's been fantastic; I cannt feel it. However, the lens in my left eye, which is for short-range reading, is not working well. I still have blurry vision and I can feel the lens in my eye. Do you have any idea why I'm experiencing these effects?
I'm not a doctor, but I can provide some general insights that might help you understand your experience better. Here are a few potential reasons for the issue with your left eye: Healing Process: Your eye might be still healing from the surgery. It can sometimes take a few weeks for your vision to fully adjust. Lens Positioning: The lens might not be positioned perfectly. If it's even slightly out of place, it could cause blurry vision or discomfort. Lens Power: The lens power might not be optimal for your specific vision needs. Sometimes a small correction might be needed. Dry Eyes: Post-surgery, dry eyes can sometimes cause blurry vision or a sensation of something in your eye. Complications: Rarely, there could be complications like inflammation or infection that might affect vision. If these problems persist, it's important to consult with your ophthalmologist. They can provide a more accurate diagnosis and recommend appropriate treatment.
As an Ophthalmologist I have used most of the lenses available.In my own eyes I would want a Rayone EMV or a Hoya vivinex in a mini monovision configuration. Good far ,intermediate and fair close vision with very little disphotopsia symptoms . Some EDOFS lenses work well but are exspensive
Thank you for your feedback. My personal choice for now is PureSee, which is similar to Eyhance and delivers way more near vision. Or, if not available mini-mono vision with Eyhance or EMV/ Vivinex as a reasonable option.
👉 Uncover IOL truth at IOL-adviser.com 👈
Your final point is very, very good advice. It is too easy to get caught up in defocus curves and the other tech, but at the end of the day the best way to choose is by asking your surgeon how your new IOL vision will compare with your current vision at various distances.
Exactly. The first and most important reference point is the visual experience. It may help in many cases. It’s vital part of my consultancy for clinics :)
Everyone should see this before cataract surgery! I'm 3 week out since my surgery. Doctor recommended lens for distance. I wanted to drive at night again. I actually drove last night and it was better but now the speedometer panel is blurry, I need to wear glasses even when doing dishes...,another words my near vision seems much worse and I'm sure I will need stronger glasses for reading, computer, arts & crafts etc. Everything up close is much blurrier. Thank you for making this video. I hope it will help someone else.
Oh, I am so sorry to hear that. It is something I always try to empathize about working with surgeons. We might underestimate patient needs and as the result we get lower quality of life than it was possible to achieve.
Can you tell me more about you? What is your age and did you used glasses for distance before the surgery? What lens is implanted? I guess standard monifocal?
If you still your second eye untouched, you may improve the situation.
And thank you for comment. Share the video please to let more people see it.
My Consultant discussed all of the above with me as part of the service and recommended what I should have and followed his advice and I now see much better than before. I did not have to ask anything as he brought all these points up
That’s great and not common.
Where have you got this perfect service ?
Very interesting. Lots to think about. Thank you so much! Love your channel.
Thank you so much! You inspire to work more and make more videos!
Great advice, as always. I think another important question to the surgeon would be on the point of lense placement, "What is his/her statistical percentage of achieving plane 0 in patients". This would have significant effect on your last point.
I’m afraid nobody will tell you for 2 reasons
1. Anyone will be happy to say 99.9%
2. Not so many surgeons really counts and honestly not everyone making the correct assessment
My aim to improve that.
🏆 Great advice 👏
Thank you! More to come. I’m back to my work and will not stop. Thank you for support!
I had eye surgery at 62 with multi focal lens implants the only time I need glasses is for night driving otherwise far and near distance is good your advice is good
Thank you for your advice. I used your points to talk to my surgeon and chose the Eyehance Toric lens set for near vision because I work with my hands at close distance a lot and don’t like wearing glasses for that. It also corrects for my minor astigmatism.
It’s a mono focal lens with enhanced depth perception giving near and mid range vision.
I am ok for wearing glasses to correct distance vision, since I have been wearing glasses for that for long time and don’t mind it.
Also the Eyehance lens can be shaped later with Lasik surgery if I change my mind about near vision without glasses.
My surgery is in 2 days.
Hope I made the right decision…
Will be interested in hearing how it works out for you. My surgeon also recommended Eyehance but set for distance. He said I might get a little intermediate too with this lens. Are you expecting to need glasses for anything further out than near vision? My surgeon suggested setting the second eye a little near sighted so I'd get mini monovision. But I'm reluctant to try that since I'd rather have both eyes with the same focal point for maximum depth perception.
Good luck!
@@ckp2ator389 , correction to my comments above. It’s the cornea that can shaped later with Lasik surgery not the lens. My apologies.
Yes, I will need glasses for far sightedness, for driving etc as I prefer it that way.
@@truthteller6932 Thanks for your reply and the correction! I'd tend toward selecting near for myself because that's what I've been used to all my life. But my surgeon suggested far and my optometrist suggested intermediate. What to do, haha.
@@ckp2ator389 , it depends on your preference. Most people don’t like wearing glasses for long distance but are ok using reading glasses. I’m the opposite because my work involves working with close distances and glasses get in the way. Either way, it’s not a perfect replacement for your natural lens.
Hello. The option is good indeed, and the most important the target refraction with that lens. I hope your surgeon will target the refraction with Euhance depth of focus in mind.
Hello! First I like your video its very well explained, I am 77 years old I have been using driving and computer reading glasses for last 20 years.Yesterday I went to see my Optometrist to examine my eyes for new glasses.After the Optometrist told me my glass numbers didn't change very much I am seeing blurry because of a cataract in my eyes and it has to be removed. I learned more after watching your video I don't know what type of implant lens I need after the cataract removed???? I am retired I like to see long distances for driving and I spend lots of time on 16-inch screen laptop computer. I like to stay away from wearing eye glasses. Thank you😊
thank you for your comment and words of support!
have you tried www.iol-adviser.com/iol-questionaire to start?
answer to your question depends on number of factors, including the lenses available at your location, your willingness to pay for advanced lenses and so on
I got IOLs for distance vision since I can buy reading glasses for a few quid just about anywhere.
At 78, I'm told that I need cataract surgery, but being myopic, I didn't need glasses for reading until age 55!
Having worn progressive lenses for 23 years, I tried wearing a very old pair of glasses (no progression) to
see if monofocal, cataract lenses would suffice after surgery & feel that I would not be happy with the results!
So, I guess it will have to be multi-focal lenses, even though it will cost thousands more!
Thank you, I'm going out tomorrow morning to get my right eye with why adjustable lens? Plus I will get my second eye done one week later. I'm definitely looking forward to it. I can't say that I'm not nervous. I've not had many surgeries.
This super super super thank u so very much!!
many thanks for your support!
I got this service from Sussex Premier Health Service Hastings England
Great information thank you 🙏
2 meters is considered far? That is good news, because I understood 3 meters is advertised, but usually it's 6 meters and beyond. Also, if pupils are not dilating, will you still be able to make use of the multi-focal lenses or not?
2 meters is not far, but it’s something where accommodation is less noticeable. “Normal” far range starts at 4-5 meters where ophthalmic industry tests far vision visual acuity.
@@iol-adviser Thank-you.
Hello, What do you think about Odyssey IOL? Thanks.
I am plannind Odissey review later this year. Shortly it is a great lens, inherited all Synergy pros and added some benefits of improved optics. Makes sens to use if that IOL type is clinically suitable and covers your visual needs.
The information I have obtained as a result of all my research: I am 38 years old and no lens will satisfy me as I do not have any problems other than cataracts. :(
Can progressive lens glasses (post surgery) make up for the single focal point of mono focal IOls? I have been very near sighted all my life and thus have been wearing progressive lenses for 30 years, and are happy with them. But one of my eyes has developed a significant cataract such that prescription lens can't overcome the vision degradation. I've had one exam and consult with an eye surgeon and he recommended mono focal lenses for me, specifically Eyehance, and set for distance. I need to do a follow-up since I have more questions. One of them being about the use of glasses afterward. I am guessing that I'd be wearing glasses similar to what I have now. Except the top part clear (for distance), and middle part and lower part, with magnification for intermediate and near.
If, on the contrary, I had focal point set for intermediate (this was suggested by my optometrist), would I then need two sets of glasses; one for distance (e.g., for driving) and one for near (e.g., for reading and close work)? Or could this be handled with progressive glasses, though it seems not logical, since the center part would be clear.
I have a video about glasses with multifocal lenses. This may answer your question.
If you have seen it and still need my advise, please tell me here, I’ll make more detailed answer.
@@iol-adviser Thank you. I will check it out.
How is your surgery outcome?
I am not a surgeon. But surgeons, who work with me improve significantly and have great outcomes.
@@iol-adviserok thank you , what do you think of the new IOL j&j Pursee I heard it is a very good iol
based on the preliminary data which I have, it seems to be really good. Once I'll get more data from the field, will do a video reviewing the real outcomes.
Thank you
Hey there, I recently had a lens exchange for both of my eyes. The lens in my right eye is for mid to long distance, and it's been fantastic; I cannt feel it. However, the lens in my left eye, which is for short-range reading, is not working well. I still have blurry vision and I can feel the lens in my eye. Do you have any idea why I'm experiencing these effects?
I'm not a doctor, but I can provide some general insights that might help you understand your experience better. Here are a few potential reasons for the issue with your left eye:
Healing Process: Your eye might be still healing from the surgery. It can sometimes take a few weeks for your vision to fully adjust.
Lens Positioning: The lens might not be positioned perfectly. If it's even slightly out of place, it could cause blurry vision or discomfort.
Lens Power: The lens power might not be optimal for your specific vision needs. Sometimes a small correction might be needed.
Dry Eyes: Post-surgery, dry eyes can sometimes cause blurry vision or a sensation of something in your eye.
Complications: Rarely, there could be complications like inflammation or infection that might affect vision.
If these problems persist, it's important to consult with your ophthalmologist. They can provide a more accurate diagnosis and recommend appropriate treatment.
As an Ophthalmologist I have used most of the lenses available.In my own eyes I would want a Rayone EMV or a Hoya vivinex in a mini monovision configuration. Good far ,intermediate and fair close vision with very little disphotopsia symptoms . Some EDOFS lenses work well but are exspensive
Thank you for your feedback.
My personal choice for now is PureSee, which is similar to Eyhance and delivers way more near vision. Or, if not available mini-mono vision with Eyhance or EMV/ Vivinex as a reasonable option.
👍👍.good.
thanks !