Advances In Cataract Surgery 2023 | Eye Surgeons Discuss New Lenses & Tech!
ฝัง
- เผยแพร่เมื่อ 10 มิ.ย. 2024
- In this video, two eye surgeons discuss advances in cataract surgery in 2023 like favorite new lenses and technologies they are most excited about!
Dr. Lee and Dr. Tozer are both cornea, cataract, and refractive surgeons with extensive experience with cataract and complex cataract surgery. They will mention go-to multifocal lenses, favorite new tools in the operating room, and more. Make sure you stay until the end to hear about a new lens type... the light-adjustable lens (LAL)!
Learn more about our practice in Scottsdale, AZ: www.tozereye.com
ABOUT THE SURGEONS
Dr. Michele Lee: www.tozereyecenter.com/staff/...
Dr. Kevin Tozer: www.tozereyecenter.com/staff/...
LINKS TO VIDEOS
What Is A Cataract? → • What Is A Cataract? | ...
Laser Vs Manual Cataract Surgery → • Should I Get Laser Cat...
Best Lenses For Cataract Surgery! → • What Lens Should I Cho...
Cataract Playlist: • Dr. Lee | Cataracts
TIMESTAMPS
00:00 Intro
00:20 What is a Cataract?
00:32 Evolution of Cataract Surgery
01:02 Laser-assisted Cataract Surgery
02:36 “Standard” versus “Premium” Lens
03:29 New Multifocal Lenses
05:00 Lens Calculations
05:34 ORA Wavefront Aberrometer
06:10 Light-Adjustable Lens (LAL)
07:37 Wrap-Up
#cataract #cataractsurgery #cataractadvances
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I have no sponsors. These links below are affiliate links and I may receive a small commission when you use these links to purchase products.
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Allergy drop: amzn.to/3F7HJJh
Red eye drop: amzn.to/3wvmvlq (use this instead of Visine!)
Eye mask: amzn.to/3qbKBAv
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Hi! My name is Michele Lee, and I am a board-certified ophthalmologist and fellowship-trained cornea, cataract, and refractive surgeon. Please hit the subscribe button if you like my videos, and thanks for following me on my TH-cam journey!
Subscribe to my TH-cam channel: th-cam.com/channels/7Zu.html...
Instagram: / michelelee_md
Website: www.micheleleemd.com
My Practice:
Tozer Lee Eye Center
9811 N 95th St., Suite 101, Scottsdale, AZ 85258
Phone: 480-947-4493
www.tozerleeeye.com
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Disclaimer: This TH-cam channel is not intended to provide diagnosis, treatment, or medical advice. Content provided on this TH-cam channel is for informational purposes only. Please consult with a physician or other healthcare professional regarding any medical diagnosis or treatment options as information on this TH-cam channel should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products are not to diagnose, treat, cure or prevent disease. - วิทยาศาสตร์และเทคโนโลยี
Thanks for watching our video! Stay tuned for upcoming episodes such as a Cataract Q&A, where I answer some really great questions that came from viewers like you ❤
How to correct pressure problems in the Eye
@@kalyanasundaramsanganore189 That's a great topic. I made a couple videos with a glaucoma colleage about glaucoma as well as glaucoma and cataract surgery:
th-cam.com/video/_pXkDEPonI0/w-d-xo.html
th-cam.com/video/Mx9kwfm8x_E/w-d-xo.html
I want to thank you very much for this video. I was diagnosed with cataracts a month ago. I have a new job and have been just waiting on my insurance to kick in so I can get things started. I've not yet been able to see a surgeon yet. Having never had any surgery before I'm very nervous and fearful about this whole process. Is this painful? How long is the recovery time? And does insurance cover multifocal lenses?
I just want to ask about the highblood person,can do cataract surgery?
@@mangyanngoman3530 If your blood pressure is relatively controlled, then yes you can most likely do eye surgery. I would make sure you discuss this with your eye surgeon and/or primary care doctor to make sure there are no other considerations. Hope that helps!
A pretty famous doctor in Kansas City did my operation about 20 years ago. Dr. Hunkeler, I chose Univision so I have a reading lens in my left eye and a distance lens in my right. The night of the surgery about 5 hours after I was seeing 20/20 I could read signs 2 miles down the freeway. My vision is now 20/15 and I have never worn glasses since the operations. The best thing that ever happened to me, I had lived with 60/250 vision most of my life and had coke bottle lenses in my glasses. That Doctor was the best.... I had a couple friends that had surgeries elsewhere they had some bloodshot or red (blood) in their eyes, and some swelling. Anyway, my surgery was a work of art. I had no redness of any kind, no swelling or pain I took the patch off a couple hours after the surgery and I couldn't even tell I had an operation. My vision was perfect immediately.
Thanks for sharing your experience!
@@MicheleLeeMD He was some doc, now retired. I had no money or insurance, he did the operations for free
I had Lasix at 50. Now 70. I wear bifocal glasses. I'm at + 3.75 readers and device and + .5 distance. I do not have cataracts. I do have some astigmatism introduced with the lasic. I have means. Thank you and nice presentation btw!!
O
The surgery in Ontario Canada are now done in a private office.
فهمتُ القليل من شرحكما لعدم اتقاني للغة الإنجليزية ..شكرا على جهدكما في تبليغ المعلومات الصحيحة للمرضى..👍💐
Wow! A ton of helpful information in this video. This gives me a lot to talk about with my Ophthalmologist before my IOL surgery this coming February. Thank you Dr. Lee & Dr. Tozer!!!
Thanks for your feedback :) Best of luck with your consultation!
Dr Lee, just wanted to thank you for you TH-cam information, I’ll be having Cataract Surgery sometime this next year, it really helps to have a honest, clear, concise conversation, so I can make an informed decision ❤
Thank you for your kind words ❤ I hope your surgery goes well - best of luck!
@@MicheleLeeMD
Dear mam multifocl Len is best or not best?
My mother operation coming Sunday.
So please help me which lens are best cataract surgery . .?
@@aa12e92 That is a very tough question without knowing her eye. It depends on whether there are other issues to the eyes (no glaucoma, macular degeneration) and whether your mother would like to be glasses free for reading or if she does not mind wearing glasses.
If the eye is perfect and she would not like glasses at all, multifocal lenses could be a great option. Otherwise, a standard lens should be just fine.
Best of luck to your mother!
I had cataract surgery on just one eye so far. I still have perfect vision in the other eye for some reason. I got the Vivity lens. My vision is 20/15 in both eyes. I couldn't have asked for a better result. I can see perfectly clear both close and far away. There is no glare at night at all. The only downside is the eye floaters which were there before were more noticeable at first, but are not a factor after getting used to the change. I suppose at some point I will develop a cataract in the other eye, but if I do I will have the Vivity lens put in that one too. The most stressful part of the experience was deciding on which lens to choose from. There is very little feedback available from patients about their results. I went back and forth a number of times. Fortunately it worked out.
I just had a right-eye cataract surgery on my right eye using Bausch & Lomb wet lens.
15 minutes or so. No pain-killers after.
The colors, the clarity... I can see for miles.
Sharp and clear, just like i was at - say - 13 or so.
My doctor was Dr. Cottle from New Westminster, BC, Canada.
The knowledge and skill this guy has is mind-boggling.
He never rushes, never fumbles, does things nice and steady and everything gets done in a nick of time.
Doctors, may God bless you all!
Congratulations on a successful surgery! Thanks for sharing your experience ♥
Tell us Yankees what it cost you, please.
@@JohnSaccoccio I am in Canada - it did not cost me anything.
@@marcelnowakowski945 Thank you! Important that more people down here know that! I'd take whatever wait was necessary to not have to cost $18,000 a year for insurance then hope it's covered.
@@JohnSaccoccio Well, any eyesight correction surgery is not more than $3,000 per eye so things are not so bad.
Btw, where are you?
Great job. You give excellent descriptions and the visuals really aid understanding. Thanks a lot.
Glad it was helpful!
Thanks a thousand for this video information. I just had cataract surgery on both eyes. It makes a world of difference. Not just in how you feel , but how you think also. If I had seen your videos before I had the surgery, I would have made different choices. Keep up the good work❤💙💛💜🖤
In 2017 I had cataract surgery and had the Multi focal (Tecnis) lenses put in. I'm 73 now and they have been great!
Wow that's great! Thanks for sharing :)
I am seventy-three years of age. I recently had cataract surgery in both eyes. I also have astigmatism. I opted for the Toric lenses due to that reasoning. I couldn't be happier!!! Everything is so clear and bright it is unbelievable. It's like a miracle!!!!!!!!!!!!!! THANK YOU Dr. Michelle for your informative channel on this subject. The knowledge you and your team cover is a big help in informing both pre and post patients about all the details of the surgery.
I really appreciate your feedback ❤ Thanks for sharing your experience!
As always great information. Thank you 😊
Thanks as always for your supportive comments :)
Great video! It’s amazing how far cataract surgery has advanced! Not to mention the span of advanced lenses that patient can be a candidate for.
Thanks Nestor! I agree :)
Drs Tozer and Lee, thanks for this very informative video! It answered many of my questions about having my upcoming cataract surgery and some of the pre-op and post-op considerations.
Thank you for your kind words :)
Good and timely information as my mother-in-law is about to get cataract surgery. Thank you.
Wow! Thanks for the video and all the great information.
Thank you for your feedback & kind words :)
Rather draconian, insurance companies that is, in that those patients who naturally have oval shaped lenses, astigmatism, and medically must have the toric lens but for some off plumb reason insurance is under the impression that a premium toric lens is some sort of an added or unnecessary lens upgrade. It is completely ignorant to suggest that those with astigmatisms should get a down graded lens when the medically correct lens should be the toric. So, this forces those patients to have to pay an additional approximate $800 in the end when the insurance companies are already into the thousands of dollars, they want to downgrade toric patients and call it fair game. Like I said, draconian insurance companies.
Sorry, but I was just told $2,500 for each toric lens
@@joycegilkey3677 Better find another doctor/surgeon. Insurance paid for my standard lenses 2 years ago...my part for toric was $400 ea
@@Garth2011 which insurance did you have may I ask?
@@dodools Healthnet. Most of the insurance companies have this procedure fairly well "cookie cuttered" in how the claims are processed. When the doctors office told me I "had to have" the Toric "premium" lens due to astigmatism but insurance only pays for standard lenses, I looked into it and found thats how medical/eye insurance views it. BTW, the entire surgical procedure is about $8,000 per eye so whoever is quoting their patients $2,500 per eye for just the premium lens likely just has a big mortgage to fund. It's truly a joke that I never once received any billings with the cost and then insurance payment and amount due from me for anything at all. My sense is that most of the costs not coverred by insurance are just an added perk to the process as the surgeons are well paid for their procedures. If you spend an afternoon on the medical websites and read some of the comments here and there, you will find more like I did about the process. Honestly, I believe health insurance, medicare etc. are all in cahoots with the medical fields...it very rare to hear from doctors this is how we do things but your or "insurance" wants us to do it this way, how do you want it done and how will you pay the extra cost? It's like herding sheep or cattle, high volume so it must be difficult for employees to repeat themselves in full with each new patient 20 to 30 times a day.
I had read some folks who can afford it and under age 40 will have this procedure just because they don't want glasses or contacts. They pay the cost 100%...how much do they pay? Likely its, not as much as with insurance hounds looking over their shoulder.
I paid $14000 three years ago.
Thank you this has been very good information. Keep up the good work. Shalom.
appreciate the update
Thanks for this very informative video. I'm facing this procedure in a few years so knowledge is power!
Glad it was helpful!
Wow, I had no idea that there are so many options to correct vision. Thanks for the video, very educational
Thanks! I found a local doctor who performance adjustable lens so I'll give it a shot!
Great video, very informative!! Thank You.
Glad you enjoyed it!
Mine was done about 10 Years ago, and i'm happy it was done the left eye had a stigmatism. which worked out so much better. But thank you for sharing!
Really great info - thanks for the vid.
Very interesting and helpful info! Thanks!
Thanks for watching!
Thank you for the information. I’m a surgical technician at the Eye Surgery Center of San Francisco. Very helpful.
This is a further step to basic knowledge on cataract. The more one understands it, the better decision one can make. Thanks!
Thank you for your comment & support ❤
@@MicheleLeeMD Is it possible to numb the eye for surgery with drops and not have to use two needle injections behind the eyeball?
I had a simple monofocal lens implanted on Sept. 16 this year, and on Dec. 2 will have the same in the other eye. I don't drive at night, just never having been able to judge where things are properly, so the headlight haloes, etc., aren't an issue.
The one thing I really appreciate about the new lens is the way colors and light have "changed" so that they're true now. My right eye sees true color, while the left eye is seeing everything through a yellow haze---bit of a challenge for an artist!
Thanks for sharing your experience with your new lenses! Best of luck on your 2nd eye surgery ❤
My Wife had both eyes cornea lens corrected, but can't drive by night, had lazer correction but still not good for night driving
Got cataract surgery on my left eye a month ago. All is well and I'll be keeping tabs on your channel to see what's new for when it's time to do my right eye.
Thank you for the great info. Your presentations are fantastic! I trust them.
Thank you for your feedback and support ♥ Best of luck on your right eye surgery!
Excellent. Thank you!
You're very welcome!
Thanks foe bring the New information. Like it!!
Thanks for your kind words :)
Had my first eye done in January. Second eye March 7. In Canada, everything is covered unless you want premium lenses (which I chose). It was such an easy procedure! Worst part was remembering my eye drop schedule afterwards. I went from not being able to read anything on my tv one day to easily reading everything go the next day! Can’t wait to get the second eye done.
Hi dear friend...I would like to talk about the serious matter of my eye cataract surgery..please let me help. I'm living in Toronto
Just do not compare sight of one eye with the other.
Which premium lenses did you get?
Great info! Thanks 😊
Thanks for watching!!!
❤❤❤ GREAT VIDEOS PODCAST! MUCHO ALOHA'S
Hi from Louisville Kentucky.
I had cataract surgery on both my eyes 1 1/2 years ago.
I had severe astigmatism. I wore contacts my whole life and when I had my surgery the doctor used multifocal lenses and I was able to throw away my contacts.
I'm 64 and I have had no side effects.
If anyone out there is worried about cataract surgery I would say educate yourself, choose a doctor that comes with lots of references and ask him/her lots of questions before your procedure and then do it because it can be life changing.
And that's not an exaggeration.
🙂
Thanks for sharing your experience ❤️ I agree that cataract surgery can be a very positive, life-changing experience and I’m glad to hear about your great experience!
@@MicheleLeeMD Yes and thanks for sharing information in this video form.
I did a lot of research using TH-cam and speaking with other people who had already had their eyes done and being educated on a topic, any topic, especially when it involves your personal health and well being is very helpful.
So thanks for taking time to educate and take some of the fear out of this procedure.
Which number multifocl Lens used?
Thanks for the information on lenses with stigmatisms. As well as the adjustable light lense.
Thank you for your kind words ❤️
Using one standard lens and one multifocal lens brings great results. Basically, one eyes is training for reading the other eye for distance. The brains combines the imagines effortless. There is even a magnifying reading focus. The later may not kick in easy, but it is there.
Thanks for sharing :)
Thank you for sharing.
You are so welcome ❤
Thank You
3 weeks ago, I had a toric multi-focal lens installed. I was worse than 20-400 with astigmatism to boot, and now I can see 20-20, can read my cell phone clearly, and see way off in the distance like never before. No dry eye, no distended iris or eyelid. Couldn't have been a better outcome. Yes, the multi-focal lens does give me some halos at night. Very small inconvenience for a guy who was essentially going blind!
Thank you for sharing and congratulations on your successful surgery and perfect vision 🎉
Dr Lee, I edited the spelling of "inconvenience", and your "heart" like disappeared!
Who did your procedure?
Yes and you get use to the halos.
@@martinmaddox5315 Dr Grace Wu, Tustin, California
As others have commented, seems like excellent advice and honest commentary on different options... Understanding the limitations of different options for lenses really helps in getting a "satisfactory" result, instead of finding out, the first time you try driving at night, that your fabulous multifocal lens causes glare and halos, kind of like before the surgery...thanks !
Thank you for your kind words ❤️
This goes for me too... I am near-sighted, have moderate astigmatism. In my first visit, my surgeon discussed the different lenses, was vague about how astigmatism is handled and never once said that I might have the dreaded halos post surgery if I go with premium. (+/- $4000 per eye lenses.)
I had to find out that tidbit of info on TH-cam!
Edit to add: The cost was $3500 per eye, including the laser. But after 50+ years, NO more glasses, not even readers! 20/25 at 1 month post op!
What did you end up with?
@@pennytirello1400 - I haven't had my surgery yet, *apparently* I have very dry eyes (no symptoms to me whatsoever) and I needed to treat that for 2 weeks prior to measurements being made...
@@pennytirello1400 - an update!
I am about 7 weeks post op, I had a PanOptic IOL in my left eye (#1) and one week later a Vivety IOL (#2) in my right eye. Both are multi-focal, but I was told the Vivety gives better up close vision, so I have a version of 'monovision.'
I learned so much about my eyesight and astigmatism! I am near-sighted and have (had) fairly severe astigmatism in both eyes, but my doctor was pretty sure I'd come out the other side and not NOT need ANY glasses! I have worn glasses since my mid teens, really couldn't see without them!
I learned a lot about how astigmatism affects how light enters the eye and man, oh man, after eye #1 was done, the world is a VERY bright place! The cataracts had affected light entering as well, but I think I have lived in a darkened world for a loooong time!
I have struggled with some light flares and halos, but it is gradually subsiding, so I am keeping my fingers crossed.
At my last post op check, I measured 20/25 and I can see really tiny print and pretty much as far as I can see, it is all clear! So far, NO glasses, not even readers!
I am REALLY pleased and my vision just keeps getting better! It really is a TRUE MIRACLE!!!!
I had cataracts in both eyes with only about 10% vision in one eye and complete blindness in the other, I've always worn glasses and now I have 20/20 vision and no longer wear glasses after the surgery almost 4 years ago.
Thanks for sharing :)
@@MicheleLeeMD Baylor Scott & White, Temple TX. The operating room was cold but they put heated blankets on me, they were so kind.
I have had symphony lenses for a couple of years. I absolutely love them. There are slight haloes at night but how many hours are you driving at night compared to an active life during the entire day, without glasses? After a while your brain will compensate for most of the haloes. I have no prescription glasses. Occasionally, if I need to see really tiny print I might put on a pair of readers or if I have splinters or hangnails. One thing I have noticed is that I do need good lighting for reading. My insurance didn’t pay a penny but it was well worth the price that I had to pay. My vision is like rolling back the clock 60 years. I can’t say enough positive things about my ‘new eyes’. I wish everyone would have such a great outcome.
Very helpful video.
Thank you for your kind words :)
Wow! Great video! I had no idea there were so many options. Years ago I was told that I was an excellent candidate for Lasik since I'm only a little nearsighted in my left eye while 20/20 with a stigmatism in my right. But when I went in a couple of years back for my consult, it was discovered my Cornea is too thin for guaranteed Lasik...to say I was disappointed is an understatement. However, the Dr. stated that I would be a good candidate for a lens replacement. My cataracts aren't bad bad yet, but they're present. Would be wonderful to be able to not need glasses and wear regular sunglasses after all these dacades.
Thanks for the info, think I will do this latter now.
Thanks for your comment. You should continue to have a discussion with your eye doctor about timing - it is all about weighing pros and cons. Best of luck!
Very grateful. I had a Toric lens inserted 2 years ago into my left eye. We went in to lockdown with COVID and I never got the contralateral eye done. I have been extremely unbalanced ever since with no binocular vision at all distances. Bifocals have helped and allowed me to read but I have to carry about 3 different pairs with me , one for distance , one around the house and a computer set as I do a lot of computer based work. After the TORIC I had cystoid macular edema which lasted about a year and I had undergone a retinal detachment repair a year before the TORIC on the same side. My ophthalmic surgeon is now advocating a multifocal IOL for the unoperated eye but I am very scared. The whole experience has been pretty awful as I was unable to read (my profession is that I am an academic) and relied on the natural unoperated eye for reading articles, newspapers, books etc... I am managing but only barely. Should I undergo surgery? I am terrified of cystoid in the new eye and that I won't be able to read or that I wont adjust after 2 years to a multifocal IOL and that my reading will deteriorate. At 68 what I expected is a life of reading and sightseeing but I am hopeless in galleries as I can't accommodate to close things ..everything is pretty blurry although I can see with the bifocals only by tilting my head backwards. I am more than happy to see any ophthalmic surgeon anywhere in the world as my quality of life since this small op has been relatively poor since this procedure. Most grateful for your advice. I had seen a few ophthalmic surgeons here in Australia but they don't tell you much, they don't offer any real alternatives or solutions and they admit that the state of the profession is more advanced in the USA.
Hi Andrew
Have u made any progress?
If I lived in Arizona, I’d come to you for my cataract surgery. Thanks very much for this thorough and informative video.
Thanks for watching (and for your kind words)!
Many thanks.
You are welcome!
Don't know at age 61 what lens I got replaced with in 2003 but I can see long way plus great up close. I came out reading 2015 and today still see like a kid. Thanks for the information.
Thanks for your feedback :)
Thank you for this video! I have never heard of that light adjusting option. That's pretty cool! My doctor here in Japan recommended that I go with the SIFI Miniwell Ready EDOF lens for my cataract surgery. In your experience Dr. Lee, have you seen that lens used a lot in the United States? I've read so many good things about it, especially because they say it keeps glare down a bit. I'm still doing my research though and your videos really help!
I really appreciate your comment. I don't personally have any experience with that particular lens, but EDOF lenses in general can be a great option if you want a presbyopia-correcting lens (a lens that gives you some range to your vision) without as much glare at night. Best of luck!
Those SIFI lenses are probably not approved by the FDA here in the United States
Can you do a follow up and write back what your experience is with that lens if you do decide to get it? Some day I may need cataract surgery and would like to consider something advanced like that.
I had cataracts removed in 1985, new lenses fitted, only problem was some time later they clouded and had to get Lazer treatment that instantly worked, clear vision thereafter (a few floaters that disappeared on their own, last year had a bit of double vision that was sorted with glasses (something to do with the axis). on a recent trip to the optician was told my eyesight was one better than 20 20 vision so have nothing but praise for my lenses and the lasting ability
That's great! Thanks for sharing your experience :)
GREAT PODCAST AND MUCH MAHALO & ALOHA'S
I really appreciate your support!
Great video! I never knew there is a light-adjusting lens on the market for patients!
Thanks as always for your comments & support! The light-adjustable lens is a really great lens, especially for those eyes with tricky lens calculations and for our cornea/refractive patients. It's a lot of work and maintenance on the patient side so it's definitely not for everyone but I suspect as this technology continues to improve, this will be mainstream.
I chose the light adjustable lenses, and just left a comment on my experience.
@@lauralampe1664 Thanks for sharing :)
I've worn glasses since 1950. Then in the mid 70's I started to wear contact lenses. With the bad astigmatism that I have, I had to get the torric lenses to correct it. Then about 6 years ago, I got the cataract surgery in both eyes again installing the torric lenses. It didn't correct my vision to 20/20 but it's close. I wear glasses only to drive with the prescription in only one lens. The other lens is a blank. All in all, I'm pretty happy with my surgery especially after having to wear glasses for about 70 years.
As a retired surgical technician, I remember removing lenses with a cryo probe! You have come a long way in your surgical care!
Refreshing to hear such a frank discussion about the advantages and disadvantages of these options. I'm a great example of someone better suited to a monofocal lens, as I also have Fuchs Corneal Dystrophy - I've even made sure the selected lens wont suffer from glistenings, as after 5 years of eyesight dominated by halos and glare, daytime and night, I never want to see another halo again!!!
Thank you for sharing your experience! Yes, I agree with you that when you have Fuchs you are probably not the best candidate for a multifocal lens.
Have had DWEK / DSO procedure for Fuchs. Worked for me, both eyes.
@@warrenklein7817 How was the recovery time? I had a DMEK the end of last year, turned out really good and cleared within a week. The IOL is not so great, another story.
I had cataract surgery a week ago. I'm only 41 but sustained blunt force eye trauma when I was 15 in my left eye. The cataract was very dense and was classed as a complex surgery rather than routine. My vision a week later is really clear...... still slightly out of focus due to a torn iris from the original injury...... but I had lost 95 percent of the sight in my eye, and now its better than when I was 15. Hope the lens lasts, and I'm expecting to require YAG at some point. For now, I'm over the moon. My long term concern is how long the lens will last and what my options are at the point.
Thanks for sharing your experience! The lens should last you a lifetime. If your vision/refraction changes, you can discuss options like glasses, contact lenses, or refractive surgery with your eye doctor. Best of luck ❤
Wish you all the best, for the future!
Why'd you wait so long?
With younger patients, the risk of zonular failure over time may be an issue.
Very valuable information - my ophthalmologist has recently confirmed that I have a cataract starting to grow, but it is too early to remove yet - so I am now trying to understand what all will be involved. Thanks for sharing.
Wow! I've been watching your videos for the past half-hour and I'm extremely impressed. I was an ophthalmic tech and surgical coordinator for almost 30 years and I retired in 2017. I am in awe of some of the new stuff they have now like the LAL. The new ORA wavefront aberrometry is very interesting. I can see where this would really help in positioning a toric lens. It must have been in another video where you mentioned an eye drop for post-op ptosis. Now I have to go back and find that again. I don't think we had any patients that had that problem, but I'm interested to see what the drop is.
Thank you for your insight and kind words! Our field is really changing for the better, and I hope that LAL is just the start of new lens technology that we can offer our patients.
Thank you so much for this video, I had caaract surgery on my right eye 12 years ago and my eye was never the same, very blurry so i must depend on my right eye for everything. Where is your practice located?
Thanks a lot for the very informative video. I have had Panoptix for my first eye. I still have all the cons of a multifocal iol, especially halos at night and low contrast at low light. Moreover it did not help my astigmatism at all. Which iol would be your recommendation for my second eye ie monofocal, panoptix, vivity, synergy etc? Thanks.
Dr. Lee could exam my eyes ALL day
I love these doctors.
Thanks for your kind words ❤
@@MicheleLeeMD Dr , you take the fear out of surgery. Texas is a nice drive to your office.
@@Espina907 I appreciate your kind words :)
Overall, helpful
Grazie
Very good and informative video
Doctor gave me choice between Tecnis 1, or Tecnis Eyhance, acrysof single piece or multiple piece or Bosh Lomb monofocal lens.
Please let me know are all lens have bluish tint after surgery or any one give normal white tint?
Which lens give less bluish tint between above?
Why blue tint after catract operation?
Any monofocal lens have normal white tint ?
Please answer.
I have emergency surgery.
I'm 4 months post op with a Symfony in my dominant eye, and a Synergy in my reading eye. I have J1+ for detail forensic work, and 20/20 distance vision. slight ghosting but its not an issue.
Thanks for the information. I am not ready for cataract surgery at this time. I'm trying to gather information for the future. I have an issue with double vision. Are their lenses that incorporate prisms? Thank you.
I recently had laser assisted surgery of both eyes with good results. Since I had high myopia my thinking was that I wanted to do whatever possible to minimize the phaco energy and hopefully decrease the risk of retinal detachment - I guess we’ll see 😉
Thanks for sharing! Best of luck with your recovery :)
thanks for the video !How about mentioning the advancement in monofocal lenses specifically j&j eyhance which gives you a slightly more depth of focus .. than standard monofocal lenses and has minimal side effects compared to mulifocal lenses
Thanks for your feedback! Yes the Eyehance has great depth of focus and I love offering that lens as my standard monofocal for most of my patients :)
I was informed just from watching videos from different doctors that once you have your gallbladder removed is when cataracts form and that makes sense to me cuz I had my gallbladder removed in 2012 and I started forming cataracts about 4 years ago which would made me 62 which although you know I'm not a spring chicken anymore I feel that it developed pretty early on you know I always ate well I always wore sunglasses so I don't know I think I can attribute that to onset of cataracts why isn't it in both eyes, though it's specifically in my right eye. Besides the fact that I have a few Mercury fillings in my teeth which I think might attribute to not only that but also tinnitus.
My eyes were done before convid came, I'am so glad I didn't have to worry about gettiing them done now.
Thanks for sharinng!
It always comes down to the patient telling what it was like before, and what it was like after. And then what it is like years after. And then how much it costs. The thought of seeing and reading without glasses is so tempting. But what is it really like?
i'm really enjoying your videos. In this video, you both refer to lens "power". What does that mean and how do you calculate it?
Next step?
Successful myopia prevention.
I am willing to do it!
Hello and thank you for the video. I have a unique situation from when I had detached retina surgery a few years ago; my vision in my eye is sort of "wavy" and not straight vision and objects appear slightly farther away than my normal eye. Is there a solution for this or will it be forever? I will say that after I had cataract surgery in that eye last year, the clarity was amazing, but the wavy part is still there. Has technology found a way to correct this or am I always going to see this way? Thank you!
Thank you! Very informative. One question that I have. Can lenses be replaced? I have already done cataract surgery on both of my eyes, But I am not happy with the result. I wondered if I can replaced these lenses with the new premium lenses?
I'm only 62 but my cataracts came in early. I've been wearing glasses or contacts since I was 6 so I was actually excited about doing this surgery. I went for the live time and top of the line lenses. I had surgery about 3 weeks ago and am 20/20 now. The only down side was that I'm not old enough to be on Medicare so I had to use my own insurance and ended up paying 12K out of my own pocket after deductibles and such. I don't have glare at night but I have perfect little circles, 2 or 3, around lights. They said this should fade as time goes on but even if it doesn't really cause a problem for me. The surgery takes about 10 minutes per eye and 2 hours in total, normal doctor waiting time. The eye drops were priced O.K. except one of the was listed at $350 for a little bottle. Luckily my insurance got it down to $150.00. You need two bottles but the doctor found a bottle for me so that saved me the second amount.
Thanks for sharing your experience! I'm so sorry to hear about the high price tag on your surgery, but I'm so glad you had good results. Hopefully it was worth it!
The CEO's of the co.'s, making these medicines should be made to prove why they cost $350. a bottle,
(Under Oath)! If they are found to be lying, they should go to jail! Let's see if they would be willing to
commit perjury, to protect company profits!
@@rongendron8705 I agree. When I told my doctor this on one of my follow ups she smiled and shook her head and said ' They are really proud of that one'. Made us both laugh. Luckily she had a sample bottle for me which was just enough to get thru everything. 20/20 baby!
Barbaric. Buying round trip to Taiwan if my copays come in that high. (Taiwanese friend did it for best Lasik in the country, $1800 both eyes)
@@JohnSaccoccio hi john. I am going to have to pay out of pocket also (for cataract not lasik) Are the Taiwanese doctors top notch? And if so, can you give a recommendation/name I can contact?
thank you for your video. I never know anything like this kind of lenses. sometimes i am so scared anything about eyes. because I never heard any latest technology. i will be watchin more of your videos
Thank you for your comment. There are so many options and it is normal to feel overwhelemed by it all. If you have a good eye surgeon, they should help you pick out your lens.
Best of luck ❤
Is there any work being done on smart lenses which could change shape, or focus themselves to provide clear vision at all distances? A chip powered by the natural heat of the eye could always correctly focus incoming light on the retina.
In 2002 had LASIK AND COULD SEE PERFECT 20/20 it also got rid of Astigmatism in right eye…. 2024 just had Clareon Panoptix lens put in left eye by Dr. Gary Chung in Washington State. Very pleased, get right eye done April 9 th. Medicare paid for Cataract surgery but I have to pay 4,135.00 for Lens chosen and the eye drops… per each eye but eyesight is important so well worth it…. Wish insurances would atleast pay for part of lenses, it costs more for glasses and eye appointments over last 5 years. YOUR VIDEOS ARE VERY HELPFUL AND COMFORTING IF GETTING SURGERY
I have keratoconus as well as astigmatism and a high degree of myopia. I have an Intacs implant and had CXL to prevent any further advancement. What would be a good choice of lens? Currently I have mono vision correction with my contacts.
I had lens replacements in both eyes in 2021. I have ongoing issues with floaters in both eyes. I am considering laser treatment. Are there options or potential complications to consider? Note, I had laser surgery for torn retina in the right eye one year earlier.
How do the premium lenses fare against age related far sightedness? Would doing this let you throw away your readers (hopefully forever) and never worry about cataracts?
Odds of getting back to 20/20 close vision without messing with perfectly fine distance vision?
How about the holographic, multi-focal, achromatic, intraocular with HUD channels?
Does the emulsion stage leave floaters? Or will the emulsion stage remove existing floaters?
Oh I have so many questions, but I'll try to keep it to as few as possible. Short history: I'm a 55 year old man, and have worn soft contact lenses since I was 14 years old. For the past four years I've been in multi-focal contact lenses, and for the most part I've been really happy with them. However, I have cataracts in both eyes, but the right eye has now gotten to the point that it's like looking through a haze of smoke all of the time; literally as if there's a haze of smoke always hanging in the air wherever I look. Due to that, despite our best efforts, me and my optometrist are now finding it impossible to nail down a contact lens prescription.
So today I saw a cataract surgery specialist, we did all of the testing and measurements on the various machines, and whatever other voodoo you really smart people do. He mentioned two types of multi-focal lenses they offer. I did not get the brand names of either of them, but he did explain that one is a brand new technology that does not rely on rings to get the different focal "zones." Also, he said I have a slight case of epiretinal membrane on my right cornea, and in such cases he doesn't not use the multi-focal lens which relies on the "ring technology." When patients have epiretinal membrane he said he only uses that lens with the newer technology.
I was a little overwhelmed with the amount of information I was given, so I don't know that I fully understood what technology is used in the multi-focal lens that does NOT rely on rings. He did say that lens has only been available for about the past three years. My question is do you know to which lens he might be referring? If so, does it have the same issues with night vision, such as light haloing or ghosting? Also, if you know which lens he might be referring to, can you please tell me the name of that lens so I can do some further research on it. I did leave a message for his stuff, but I have a feeling I might get a response from you quicker.
I suggest you ask the doctor again and write down notes. Also, ask for spelling, as the names get confusing. My cataracts came on fast and night driving was a terror, as lights from the side caused enough glare to blind me. I also had double vision in each eye. When I heard about lense options, I asked for details and researched each. I went with the Bausch & Lomb lenses that focused. Individuals may have different results, as some eyes atrophy with the inflexible thick natural lenses before surgery. When you get price quotes, it may be for each eye. I used Care Credit to pay the extra amount with no interest over a couple years. My night vision improved dramatically after the surgery. One day, I noticed I forgot my reading glasses home, and I didn't realize until weeks later. So, I ended out with 20 20 vision and no need for reading glasses. In my younger years, my vision was 20 400, so, I am very pleased and glad I paid extra.
i just had the laser cataract fantastic
i can see better than anytime in my life i read all the lines on the eye chart
Awesome! Thanks for sharing :)
Thanks for nice information. Dr I had cataract in my both eyes but when my right was operated at the time of surgery dr was saying capsule is coming out and iol ix not going in any how surgery was done .Was it a complicated surgery where IMSC NS2 eccce P SC is written kindly let me know is it risky in future ? Was if a sulus implantation due to rupture of capsule? I have no sugar, no BP only subclinical hypothyroid taking 25 mcg tab .Normal weight nk glaucoma before surgery but due to heaadache dr prescribed timolol 0.5 percent for glaucoma 2 times 2 drops which developed after surgery .whag is the prognosis?
Hi, Doctor Michele Lee, I had an ICL procedure 4 months ago, unfortunately, I had to go through surgical iridotomy during the procedure which led to a light line dysphotopsia secondary to the surgical iridotomy, I'm really bothered by it and I want to do iris suture but I don't know the risk of the procedure hope you can enlighten me with your background
Good morning Doctor,
If patient have glaucoma and Cataract problems then
Cataract operation with glaucoma operation is better or without glaucoma operation is better
Please inform
Thanking you
I have Fuchs corneal dystrophy and a considerable amount of astigmatism. What type of IOL's usually work out best for a person like me? Cost is no consideration.
Thanks for a great update on new lens technology's. Are they're lenses with prism in the works? I'm currently wearing glasses with 2 degrees of prism after LASIK resulted in my seeing double. I have the very early stages of cataracts and expect to require cataract surgery in a few years. I'm hoping lenses with prism will be available by that time.
I haven’t heard of any intraocular lenses with prisms yet but it may be secretly in the works!
thanks for the info. I do have a question, would using polarized glasses help with the halo effect?
Unfortunately polarized lenses will not help with halos. There is anti-reflective coating which may help. Hope that answers your question!
Late to the show, but have been told I have y-suture cataracts. Just looking for opinions on which type of lens people have used and results - distance and multifocal, or monovision. Concerned about distance then using readers for phone, computer, reading etc. Or multifocal with night vision and halos (and of course the cost of $2200 per eye). Thanks.
Thanks for the informative video. I had cataract surgery on my left eye last September and am enjoying the results. I feel like I need the right eye done now but my doctor is hesitant as I had lasik surgery on it 20+ years ago. I'm not sure why.
Not a doctor, but my understanding is that, healing scars of previous ops (though not easily visible) complicate things...
@@SahinKupusoglu ... prior Lasic can also throw a monkey wrench in the works when it comes to making the proper measurements for the new lens.
I had LASIK 20 years ago and I'm going in 6 days for cataract surgery on my left eye where I have been using a contact to achieve mono-vision (my right eye has super good distance vision) and it is taking a special eye "mapping" test (Pentacam I believe) because of the reshaping of the front of the eye for the LASIK. My new IOL will give me (hopefully) the same mono-vision that I'm doing with the contact.
I opted for Alcon aspheric (better fit) single vision distance sun blockers on both eyes. very satisfied. I wear glasses for reading. otherwise a bifocal.
Thanks for sharing your experience! Alcon makes great lenses :)
Hello Dr. Lee! My mother is not nearsighted in both eyes, hyperopia in the left eye is +1.25, and presbyopia is +2.5. Are hyperopia and presbyopia the same thing? Can only see clearly? Then if she has cataract surgery and only chooses to look close, she doesn't need to wear aging glasses? Can you see clearly from far and near?
Recently had the first eye done, second eye next week and the UV glasses are a pain but looking forward to the adjustment and lock-in. Now I need to go add my drops,.
Let us know how it turns out for you. Thanks for sharing!
, I noticed something odd with the eye that has not been completed yet. I will ask the surgeon about it next week. My left eye was completed two weeks ago Tuesday. My right eye still has the cataract. If I eat something spicy or even when I get out of the shower, the lens on the right eye fogs up. The left eye does not stay perfectly clear. This is the RXsight lens that is provided at the time of the procedure. Just thought it was odd one eye fogs and the other does not.