Synergy vs PanOptix - Assessment after 400 Synergy and 1000+ PanOptix lenses. Shannon Wong, MD
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- เผยแพร่เมื่อ 4 ต.ค. 2024
- Panoptix v Synergy - Which is the BEST lens for presbyopia-correcting premium cataract/lens surgery? • Panoptix v Synergy - W...
On September 19, 2021, the video link above was uploaded. After placing 400 Synergy and over 1000 PanOptix lenses, I have found that overall patients prefer their vision with the PanOptix more than the Synergy lens for cataract and premium lens replacement surgery.
There is no perfect lens. Both the Synergy and PanOptix are excellent lenses. For the reasons explained in this video, I prefer and my patients seem to prefer the PanOptix lens over the Synergy lens.
Thank you for watching! - วิทยาศาสตร์และเทคโนโลยี
I had bilateral PanOptix lens replacement surgery performed on September 30, 2021. At a month and a half post op I couldn't be more pleased with the outcome. At the one month post op visit overall I was 20/20, which I expected. The only glasses I've worn post surgery have been sunglasses. I'm an over-the-road truck driver and at this point have driven hundreds of hours at night since the surgery, and have experienced zero issues. I do see halos around certain lights at night, but I am not disturbed by them. After some personal experimentation, I've determined the halos depend on light intensity as well as the angle the light is coming from. Also distance from the light source is important. Getting closer to or changing angles with the lights that produce night halos make the halos disappear. Overall I couldn't be more pleased with both my choice of lenses as well as my outcome. I'm 66 years old and what prompted this to start with was I noticed the cataract in my left eye had progressed to the point where the visual deterioration was noticeable. I am currently not on Medicare and gladly paid for the surgery out of my own pocket. Apart from going on a low carb diet three years ago, getting multifocal intraocular lens implants is one of the best things I've done in recent years to materially improve the quality of my existence.
Tom, Thank you this has been very helpful. I have been concerned about night driving as well as "contrast" in low light situations.
@@chemlabgal7564 It's now coming up on three months since my surgery on September 30th. The overall results continue to be excellent. I've grown completely used to seeing the night halos and they don't bother me at all. I've quickly taken for granted that I automatically see everything very near, far and in between in sharp focus. I've quickly forgotten about making certain I have the reading glasses with me at all times, or having to remember to take the contact lenses out at night. Fortunately I've not experienced any of the post surgery dry eye problems that many people experience. I spend many, many hours driving at night with zero complaints.
@@tomwiles What was your vision prior to surgery? I am -2.5 and need contacts for distance. I am most worried about the night time issues with halos. I get some halos now but wonder if they will be worse, the same, or better. How bad were your halos prior, and did the doctor say he could correct that issue if it was bothering you too much? I have Feb date for first eye so gathering as much info as possible. I am in my upper 40's so I don't want to be stuck with bad vision at night the rest of my life!
That's great news! So you don't need glasses for anything? Except sunglasses!
@@jimdrechsler3960 hi Jim! Did you get your surgery, and how are you doing?
I was 70 years old when I received the Synergy lens (right eye 10-14-21, left eye 11-02-21). The Synergy lens has, by far, exceeded my expectations. I now see 20/20 near and 20/20 far (I do have to give a shout out to my Opthamologist and Optometrist for their ride-on calibrations and measurements). The day after surgery, my vision was 20/20 in right eye; 20/25 in left eye and remained around there in left eye for the first few days, then it cleared to 20/20 as well. In fact, my present near clarity is 9 inches. I love, love, love my Synergy lens not only because of the fantastic vision I am experiencing, but also because the Synergy lens incorporates both the EDOF (per Vivity) plus the multi-lens (per Pan Optics), of which, no other lens on the American market affords. Now I don't know if that has anything to do with my personal clarity, but am ecstatic that I chose the Synergy lens (following your first video on Pan Optics vs. Synergy). I do experience a couple of hair-line circles around lights at night (not an issue for me at all), I do need good lighting to read in low light at night, and every once in a while (maybe once month) I will see the circles of the lens in my eye when the light hits it just right (not what others see in my eye, but what I see looking out of my eye).
I want to thank you again Dr. Wong for all of your informative videos, as they have helped me immensely in making my decisions on which lens to chose.
And I am not affiliated with Johnson and Johnson or Alcon.
Do you have glare. ..halos..or other side effects?
halos and circles not an issue? that's what makes me hesitant...
Hi. Thanks for sharing your experience. Do you know what your prescription was before the surgery? Were you myopic or near sighted, etc? Thanks again.
Thank you for always being so honest.Many people would be afraid to take back their words,but you do not.You care about patients and that is why,thank you doctor.
This video came out the morning of my surgery and made me change my mind from Synergy to PanOptix. I am so happy I did. I marvel at my vision every day.
I have had my PanOptix lenses for two years now with no degradation in my eyesight. I am 79 years old and see better than 20/20 in all focal lengths with no issues with focusing. Mt two issues are a reduction in my night vision and car lights at night have rings around them and produce a lot of glare. At my age I try to not drive at night so it isn't a big problem. I would do it again in a heart beet. Not having to wear glasses is a miracle. Cheers
Thank you for sharing your experiences with two lenses. I am a board-certified Ophthalmologist in Seoul and I totally agree with you. I have very similar results with you. I prefer the PanOptix, too.
I need cataract surgery and would like to use Panoptix lenses ; what’s your recommendation should I get laser surgery or manual??
@@bsm8787 Both surgeries will give you good results. And there is no significant difference between the two surgeries only if the operator is an expert. I think, if possible, laser surgery would be better for more accuracy.
Dr. Wong is the only ophthalmologist I can think of that doesn't behave like a used car salesman. Used car salesmen often sell cars based upon the paint job or the number of cup holders or how many bodies will fit in the trunk. Likewise, most opthalmologists tend to sound like they are reading off of a marketing brochure, without presenting reality.
Thanks for this correction video. I definitely agree with you as an eye surgeon. As I commented on your previous video, Panoptix is the winner of this competition, and nice to hear that your extensive experience with these two lenses could confirm you that the patients with Panoptix are more satisfied.
Thank you very much for taking the time to do this video comparing the 2 options, and laying out the comparison criteria. It has been very helpful in my research to decide which option is better for my mother. Also appreciate the honesty and updated assessment of these 2 products after your initial review.
I have the same experience. Panoptix is better than Synergy. Just listen to patients' subjective comments the day after the surgery.. Most are happier with Panoptix. Thanks for the great video.
PanOptix (non-toric): The day after surgery for 1st eye I could read the back of my credit cards, phone numbers and all, from 14 inches away. Today, 4 days after surgery, I can read it at only 7 inches from my nose.
Got my 2nd lens done 4 days ago and today I'm moving around indoors reading everything I can find ...even while wearing my old sunglasses. I can read the the sizes of chrome plated sockets and wrenches etc! I can write and sign my name like I used to. Easier to walk. White is white and not off-white or beige. Finding things by just walking past them. Love it.
At 13:26.. did he say "I was WRONG" or "I was WONG"? I can't recall the last time.. if ever.. that I ever saw anybody say "I was wrong!" I thought I was wrong once, but I was mistaken. I am glad I found this video, because I am having IOL surgery next month. I was going to get the Synergy IOLs, but will now go for the Panoptix.
Dr. Wong, Great explanation of results when underlying conditions exist. Answered my question from previous video. Thanks for taking the time to educate the general community.
just had synergy IOL in both eyes - i am 5 weeks post op, could not be happier - near, intermediate and far vision is excellent under all light conditions - some halos at night but diminishing overtime - some dryness but likely due to winter dryness -
How is your vision now, is everything O.K.?
I am having cataract surgery in December. I found this video incredibly helpful. In fact, Dr. Wong's videos are the best source of information I have been able to find to help make a decision on IOLs and learn what to expect. I would love to see a video on traditional v. laser assisted cataract surgery (my doctor does not do laser assisted surgery), and what you should and should not expect to see without glasses after getting mono-focus IOLs (e.g., book, phone, prescription labels, etc.)
Thank you for this update, I am making my decision this week and this pushed me over the edge.
I love my PanOptix and look forward to getting my other eye done!
I'm three hours away from this clinic and that is the only thing that stops me from getting my cataract surgery with Dr., Wong.
Another excellent video! Thanks for sharing your experience!
Great information, please keep updating before I make my decision 👍
SYNERGY is the best for a good number of reasons: close reading is better, one can see a weird pupil look in PanOptix. Go SYNERGY!
I agree with your new "rating" of the PanOptix lens. There are some things that matter to people like seeing the reflection of the lens. I would rather have better near vision, even though the "recovery" time is 2-3 times longer, but the outcome would be better with the PanOptix.
I am looking into having this surgery done in the near future as I am 67 yo., and my left eye especially has many floaters that I need to be removed, and it's focus is much worse than my right.
I have been seeing an ophthalmologist, and this operation is on the table. I also have Medicare, but am thinking more towards the PanOptix which is not covered... we'll see!
Thank you for your detailed opinion and analysis!
Thanks for correction, I used Panoptx for my one eye and waiting for my second eye surgery, twice rescheduled, I couldn’t decide which lense I’m use cos I have a very bad Halos, now I have a confidence to go with Panoptix. Thanks.
If you’re hesitant due to dysphotapsias, maybe a Vivity or a RayOne EMV is the right choice?
Why get another panoptix if you have bad halos? Are you a young patient?
Thank you for the clear and specific information !
I wish I can have you as my cataract surgeon, cause I'm outside the country for now. It's so hard to find an honest doctor life you, cause now it's all about the money and not what's best for the patients!!!
I am considering Vivity EDOF for my mom as she doesnt want glare
She already has Tecnis Symfony EDOF done in her right eye which provides reading vision and she is happy with it. She says she doesnt need spectacles any more now. with only one eye operared so far. Negligible halos no glare.
Left eye still has cataract ..i dont want to take a risk for any side effects as she is already functional.
from my own experience Restor multifocal IOL is better than Panoptix multifocal IOL, Restor multifocal IOL give better vision at a distance and at a medium distance, no haloes and no negative dysphotopia, overall I am more satisfied with Restor multifocal IOL
Why did you not add the lens material to you comparison chart? I thought that was a contributing factor for choosing the Synergy over Panoptix in the first video? Could that be a deciding factor looking 10 to 20 years out?
As always, appreciate your insight.
The acrylic material for alcon single piece acrylics is not as ideal as the acrylic from the Johnson and Johnson vision single piece lens family. Overall patient satisfaction with panoptix is just better than synergy out-of-the-gate. I have not had to remove an alcon lens due to visually significant glistenings (yet)....have been implanting them since around 2000.
@@ShannonWongMD and after 10 years the explantation would be after YAG.
@@ShannonWongMD has the new Clareon revision made a difference, or is it more of a marketing distinction?
I thought the PanOptix was better because it has more range of focus which is major plus compared to the competition. There’s pros and cons with everything but I think it’s always wise to go with the one that has more pros than cons and PanOptix Checks out with more pros. Just an educated analysis from a person who had surgery done in his right and researching premium lenses for the future because I’m most likely going to need another surgery when I’m in my 40-50 or whenever my doctor says I have cataract.
Firstly, thank you for the pairwise comparison, for the collection of data & your honesty. I think for some, one could conclude the 2nd place swimmer fell well into MOE. Just curious, would this study be something you'd pass on to the manufacturer's to evaluate or remain in-house? I would be interested in (once the smoke and mirrors are removed) lot to lot variation between manufacturers(including process rejection rates). I would agree with a previous poster that material type could be significant variable however this may not be self evident & may be proprietary. However, there may be details in their MSDS, if available.
Thanks for your educational & entertaining videos.
Thank you so much for your videos!
I see in your videos that you are holding boxes with toric lens. I am curious about how do these lens compare in patients with astigmatism? Thank you!
I saw this video this morning at around 8am and had cataract surgery at 10am. I was on the fence between Synergy and PanOptix and this video was the tiebreaker. I'm about 7 hours post-op now and my acuity isn't quite there yet, but man, colors sure pop!
Which lens did you end up getting?
@@aniketnavalkar5974 PanOptix. So far so good.
@@ckim420 you must have corneal edema. I had blurry vision for almost 12 hours. R u worried about glistening problem with PanOptix?
@@aniketnavalkar5974 Things are really quite clear now (next morning).
I do prefer the Tecnis IOL material, particularly since I’m relatively young and will have this implant for quite some time. That said, I went for tried and true over latest and greatest.
So far I’m quite happy with the result. Distance and intermediate vision are very clear. Near is getting there and is much clearer than yesterday.
I had bilateral PanOptix lens replacement surgery a month and a half ago. Immediately after the surgery things were incredibly blurry and hazy. The next morning the right eye was much better, followed by the left eye about mid-day. A month and a half later I'm as pleased as I can be -- age 66, 20/20 vision and zero need for corrective lenses.
Thank you, talking shoulder! :)
I am 40 years old with a posterior capsule cataract on one side and am trying to decide between the two. I get the sense from my surgeon that he prefers the delivery system of the synergy. From a technical standpoint, is one or the other easier to implant? Sometimes happier surgeon leads to better outcome…..
Personally, I could care less about the "delivery system" of a lens implant. The delivery system consumes about 10 seconds of surgical time. What counts is how well the patient sees with the lens implant over the remainder of their lifetime.
@@ShannonWongMD thank you.
@@ShannonWongMD Thank you for the excellent video. I am 47 years old and have a posterior capsular cataract( Fast growing one). I am scheduled for Feb 7 at rochester eye and laser center with dr lindahl. How important is the preop meeting with the doctor? Is that the only time you get accurate readings and measurements prior to surgery? Or do you calculate the day of surgery. I am wondering if I should make another visit with my optometrist prior to the surgery to make sure all numbers are accurate and up to date. I am most nervous about night time halos and driving. Do most people say their halos are better after surgery, worse, or the same? I already have halos when driving and wonder how bad they will be after. I am planning on panoptix multifocals but considering a monofocal lens after reading many people talk about night time halos! Please help. :)
Great info...I have all of those problems you mentioned with the Synergy lens.My lenses were implanted at the end of July and my dr is still tweaking trying to tweak my vision because it far from perfect. I was told I would have 20/20 vision after surgery but I do not. I am having scar tissue removed from my right eye on Monday. And I will have lasik surgery on my left eye in about a month if that eye doesn’t improve. My night vision is not good...hopefully that will improve when the dr finishes tweaking things. Do you have any comparison for night vision with these lenses? Thank you.
Great video; I learned a lot. What is involved when you say "retreatment" of the Synergy lens? Does that involve replacement?
Doc, please reply my comments..
Say something about Z IOL Accomodative lens..
Is this invention comes in market?
I have seen all of your videos for RLE. I would love to see one comparing the panoptix vs light adjustable lense (LAL). It seems to me, the LAL, because it is essentially, monovision would cause some loss of depth perception, but I would love to see the take of a professional like yourself.
We do not offer the light adjustable lens (yet). It is a monofocal lens.
Good video doctor! May I ask, can I get only one eye done with this type of iol?
is panoptix till date the best lens still in 2023?
Hi. I'm going to have cataract surgery in both eyes. I'm 50 years old and my cataracts is a result of prolonged steroid use (we believe). I'm on the fence about whether or not to get a premium lense, or if I should just do the standard lense. My vision is -1.75 and +2 for reading. It's a significant investment and I generally have good eyesight. My doctor says I have several years to reap the benefits but I also feel like the technology is pretty sophisticated and may be an overkill for me needs. Interested to hear any opinions. It would be about $6K for monofocal with astigmatism correction, for both eyes. Plus I'm unsure if my vision will change in the future. I know my vision is priceless and I'm happy to pay the money, but I also think there's no perfect solution and I generally don't have a problem with wearing glasses.
Will you please make a deep dive video on the Vivity lens? I watched the video where you did a lens swap, but I am interested in a full discussion of Vivity. I am concerned about halos and sharpness and contrast of vision with PanOptix in comparison to the Vivity. I understand there will be a need for reading glasses, but what does "functional near vision" mean in the Vivity marketing materials? How is that quantified? Thank you for the best educational videos discussing premium lenses.
Vivity is great for far and mid-range vision. Minimal to no halos. Will need +1.25 reading glasses for near. Pretty much sums-it-up.
@@ShannonWongMD First, I admire you tremendously for this honest update. Second, I'm trying to decide between Pan Optix and Vivity for my cataracts (otherwise healthy eyes). As an amateur artist, I am also concerned about Contrast Sensitivity. I gather Vivity has the edge here (MTF50 stats?) I expect removal of the amber cataracts will itself enhance CS. But have your patients given you feedback regarding the relative CS effects for each type of lens?
@@robmeyer7985 there is a new lens coming out called the luxsmart with a better contrast spec than vivity
@@osip7315 Thx. I'll check it out.
Andrew, It's hard to tell from the charts, since I'm not familiar with the science. But regarding Contrast Sensitivity, it seems that at a 4-5 mm pupil opening (relative darkness) the MTF for the Luxsmart is about 25 max, whereas the Vivity is about the same and the PanOptix is about 20. I think that's compared to about 40+ for young natural eyes. So I'm not sure there's that much CS advantage to the B&L Luxsmart. As a refractive EDOF it reduces rings and halos, and with a square edge it reduces the chance of PCO (look it up). But it's still limited to far and mid-range, requiring glasses for near. Dr. Wong would probably be nuts to jump in on this uneducated blather. But it's my current thinking.
Good day Doc, is this treatment affects the color vision of the patient? I'm really curious about it because color is a part of my job as a seafarer However, I still have a slightest of doubt because of the gossips and rumors from my friends. Lastly, the pan optix lens are already available in the Philippine market? I hope you would see and reply to my query, I will really appreciate it thanks and god bless.
Thank you for the overview. I am 48 and have one of the faster growing forms of cataracts so need surgery soon. I am near sighted and my surgeon has recommended the Symfony in the dominant eye and a Synergy in the other. I wonder if I should ask for the PanOptix instead of the Synergy?
Great video Dr. Wong. It has been seven months since I have had the PanOptix implanted in both of my eyes. 8/2/2021 left and 8/16/2021 right eye. It seem that my double vision/blurred vision is worse today than before. It has been like this for weeks now. My question is can something be done? That can be done to corrected my vision. It far vision that's my most problem. Light hurts my eyes when driving and the Starburst it is really really bad driving at night that is with both eyes. I ware sunglasses when out side and while driving. I can live with my left eye but my right eyes is really bad. My right eye is my dominant eye. I go out side here at my house and my vision is blurred. With my right eye, if I stare at something it is more blurry. Street sighs on Hwy's have shadows on the working and numbers. When they check my eyes my vision was 20/20 in right eye; 20/25 in left eye. But it's blurry out side. I also have dry eyes.
Plz how are you now i have same like you are you see more clear
Thx for the video. Love how you follow scientific method! What do you think is the difference in the design of these two lenses that gives Panoptix better results? Are they made of the same material? Is there a difference in the spacing of the concentric rings? Does either lense have a coating? Is it perhaps how the lense is kept stable in the eye, or the ease / accuracy of one lens' insertion over the other? Or is there some other thing I'm overlooking? Just curious... And thank for entertaining these questions!
Sorry laurie..the dr doesn't deem appropriate to answer you
@@terrapinalive6192 Hi! Yes, I guess the good doctor is busy with surgery, podcasts, TH-cam and family, don't know how he can possibly juggle all those balls! But since asking these questions and watching more of his videos, it seems he prefers the Panoptic over the Synergy lense due to feedback from patients and the opthalmologists he works with.
In retrospect some my questions are probably better suited to the designers of the lenses, he may not know the answers so it would be inappropriate for him to respond. I would be interested if one is easier to insert and align than the other? But that might be a personal thing, treading in NOYB territory. Me, I was asking bc I had planned on getting cataract surgery and was considering his practice an option... I like to learn as much as possible before I choose! 🌸
Tecnis range of lenses claim abbe number of 55 and higher the abbe number lower chromatic abberation.so clarity and shapest vision should be more in tecnis synergy iol and glistening effect also low due to cryolathe cutting and pro tec 360 barrier in haptic optic juction . These significant optical synergy gives you shaperst vision compare to other iols.
Dr. Chang --- Do you always use the ORA system during surgery to confirm you've hit your refractive target, especially with PanOptix and Synergy?
Very informative! Can you address what could be the cause of seeing 3 distinct circles with panoptix lens at night (not halos) around lights?
I have the PanOptix lenses implanted in both eyes. What causes the halos is the lens design itself. I see the same circular halos around certain lights at night. It depends on the intensity of the light, the angle it is coming from, as well as the distance to the light. These lenses have concentric rings that enable lens multifocality. This is the tradeoff. The rings or halos don't bother me and I feel seeing them is well worth being able to exist at 66 years old with zero need for corrective lenses of any kind.
I wonder if anybody agrees with me.. LASIK should be done before IOL's to eliminate astigmatism. PRK should be avoided, because it involves 3 days of severe PAIN. After the LASIK, instead of getting a LASIK enhancement (which is usually PRK), get premium IOLs instead.
You can't get LASIK if your prescription is over -5 I believe (might be a little more or less). I used to be at -8.6 and was told they wouldn't do it because myopics like me have a thinner cornea and any mistake could cause me permanent blindness.
Hi Doctor, i am wondering how bad are the halos in the Panoptix. Also can you do a video on the Tecnis Odyssey v/s Panoptix.
CAn you comment on glistenings and reduced MTF with the Panoptix?
Thank you Dr. for the information, do you practice in Miami or recommend a doctor anybody thanks.
OK, in another video (24 Dec 21) you compare PanOptix to Vivity (in short, you said that PO was better for near vision and Vivity better for night time, but may still need +1.25 glasses for reading).
Why are you not comparing all three???
Vivity
PanOptix
Synergy
The panoptix IOL is a several rings to deliver focal points for near, intermediate, and far vision. My question is.. which part of the IOL is for NEAR vision? The central part, or the outer rings? If the pupil is constricted (small) such as in bright light, is it expected to lose some near OR distance vision?
I am very impressed with you, I would like for you to be my Doctor. When you were talking about the reflection of these two lenses, I think you meant to say Pan Optic but you said, Synergy. Is there any way that you could be so kind to check, because it didn't seem to me to be right in what you said. Because I think it is great to have a lens that does not reflect, I see them all the time when they reflect back when looking into someone's eye that has the implant. I would like to make sure that I get the one that does not reflect back. The place is at the 7:55 spot. Why I would like to know the right one is because I want the one that does not reflect. Thank you, Doctor, so very much to look at this place!
The Panoptix can have a reflection that can be seen by others people looking into the eyes of the person with the Panoptix.
Am intrigued with LAL (light affected lens); what are your thoughts.
Not a believer in LAL since it is a monofocal. There is some application for patients with irregular corneas IMHO.
Nice video! How do they compare with Alcon Acrysof® IQ Vivity® IOL ?
Vivity is great for far/mid-range vision. Vivity patients WILL need readers for near vision. Halos mirror the minimal halos of a monofocal lens implant.
@@ShannonWongMD I have IQ Vivity IOL and my distance is blurry. My Doctor wants me to get long distance glasses, I'm thinking of second opinion. I would like to make a appointment to come see you.
Why don’t you use the Bausch envista lens? I was looking for a toric lens
What about glistenings for Acrysof Panoptix, has same material of Restor. I implanted over 6,000 of those, a significante number of cases will get vision loss and scatter of light 5 to 6 years later ?
I recently read that the newer versions of Panoptix and Vivity are using a new material that doesn't cause glistening and are now referred to as Clareon Panoptix and Clareon Vivity. I believe they were available in NA at least as of October 2022.
How bad is the halo effect on Panoptix lens ??
Would it bother terribly if I drive on a crowded two-ways street at night a lot ??
Good question! Did you find an answer?
@@anassyria5176
The doctor I consulted with would not say that I would not run into the Halo effect problem. Now, I moving toward Mono-focus lens.
@@visuthvathananai9098
Thank you very much for sharing! And good luck with the surgey. Wish you the best results!
@Shannon Wong The table shows results for Tecnis Synergy, did that include the results for T Synergy Toric II which has some improved characteristics? If only considering this TS Toric II version compared to Panoptix Toric, how is your observation for the 2 last parameters at the bottom of your table?
Synergy and Synergy toric perform the same. Panoptix and panoptix perform the same.
I am curious to know if the TECNIS Synergy Trifocal Lens has front and rear sides.
Are the concentric circles on both sides?
So the enhancement rate for Synergy is 10-20%. Don't understand the range. So out of 400 cases what percentage did have to undergo LASIK/PRK to correct the residual refractive error? Or were some of them corrected with IOL exchange for bigger misses? Thanks for the video.
10-20% is a pretty fair estimate for enhancements with synergy in my hands. Basically the enhancement rate with synergy is about 4x that of panoptix. Patients see well with enhancement surgery tho.
@@ShannonWongMD Makes me less confident in promoting Synergy at least based on your personal experience.
@@ShannonWongMD Hi Dr. Wong. What’s generally the threshold for enhancement? How much residual refractive error?
Dear Dr. Wong, any experience with Zeiss AT LISA Tri ? My doctor suggests it to avoid glistening issue from Alcon PanOptix. Thank you.
What exactly is done in the "enhancement surgery" to improve the vision?
Great question.. I'm interested to know as well..
I had synergy lens put in after cataract surgery. Do you think it would harm lens if i put on googles and use red light therapy
I had been trying red light therapy before surgery and don’t want to harm lens
Please comment on the Symfony Optiblue lens
I am totally dissatisfied with PanOptics. I have neither near or distance vision clarity. Night driving is impossible due to explosion of light and inability to read road signs. Daytime is just as bad for reading road signs. I tried contact lens years ago and could not tolerate. Are these lens similar?
Some patients do not like the panoptix. The vivity lens may be a good option if you choose to have the panoptix removed.
Hello Mr. Wong. I turned 40 this year, have been considering some kind of corrective vision surgery. From your other videos I notice you mentioned younger than 45 for Lasik. But I'm wondering since I'm closer to 45 if I should get Premium Lens instead as then I don't have to worry about cataracts in the future. Thoughts? My close vision does not yet need glasses but I have noticed it starting to get worse. I've had glasses for distance since I was in the second grade. Thanks.
If your "power" is high enough, you would never ever need glasses for close vision. I'm - 6.75 in one eye, and - 6.25 in the other. I'm much much older than you. Presbyopia is pretty bad. The range my eyes can focus on without any correction is now around 20cm +- 3cm. I expect that if I don't get cataract before my lens harden completely and I lose all accomodation, my eyes will permanently be fixed at a focus distance of about 20cm, give or take. When I was younger, I could focus under 10cm, quite close to 5cm. It was like living with magnifying glasses permanently attached to my face. I was around 25 when I first realised that I could see things people with "normal" vision could not, not even when they used magnifying glasses, because good high quality magnifying glasses are pretty expensive and rare. The ones we normally come across in stores are pretty crappy.
@@danielch6662 - I"m in a similar position with close vision. Unfortunately for distance, my eyes are now at -12.40 (right) and -13.65 (left) and developing early cataracts so I fear the results from any of the lenses. I repair computers and I have yet to find reading glasses that can see as close as I can with my right eye (left retina tried to detach a number of years ago so I'm now nearsighted in that eye). So I'm torn between the desire to never have to wear contacts for distance and driving, and losing this amazing near vision I have, lol.
How much factor should the glistening problem of Pan Optix play into selection by younger patients?
My surgeon put it to me this way - the risk of potential visually significant glistenings is minor compared to the other differences between the two lenses.
@@ckim420 so your surgeon also likes PanOptix more than synergy?
I am doing research before cataract surgery. I am concerned about Halos at night in the multifocal lenses. Is the procedure replacing one lens of the eye for distance and the other eye for near still a good procedure ?. If this procedure is still available are the lenses newer material and technology ? Or Is this procedure outdated because the multifocal are so good ?(except for the halos) I have enjoyed reading and listening to your information. Thank you
I'd recommend that you consider the vivity lens if you are concerned about halos.
How much does panopticon cost
Sir, can you please tell me if i can wear reading glasses after panoptix lens implant?
And when can i do running workouts?
@Shannon Wong MD
Hello Shannon can I get the PanOptix in the UK
Yes.
Can you see the PanOptic lenses in photos? What situations or conditions can you see the lenses? Do you have a video or picture of what the reflection looks like?
Panoptix reflection can look like this: th-cam.com/video/R63O1s_fCWg/w-d-xo.html
Thank you so much for sharing this information. I’m also curious how your patients are doing with the Vivity lens are doing. I’m trying to decide between the Vivity and PanOptix and want the best vision possible. I have concerns about driving at night so I’m considering the Vivity.
Vivity is a great lens. Normal night vision. Plan to need +1.25 over-the-counter reading glasses to see near.
@@ShannonWongMD thank you for the response!
I believe that cataracts ca be prevented and cured....that's the only information I want to see posted.
100% of humans develop cataracts due to the aging process. Neither the aging process nor cataracts are preventable in 2023.
Thank you for sharing. I have had detached retinas in both eyes! Now I have clouding in both eyes & cataracts in both. I have prisms in both eye glasses. Possibly going to have to have surgery sooner than later...any recommendations?
Can you still expect these lenses to last a lifetime if the patient is in their mid 30s?
Yes.
@@ShannonWongMD Thank you!
@@ShannonWongMD what about glistening that develop with time for the patient who got them at 30 after 20+ years?
Also can the lower quality distance vision with synergy be sharpened with glasses?
Can anyone comment on the difference in vision quality and clarity (not halos) between the panoptix and synergy in low light conditions?
I have synergy lenses in both eyes for about 6 weeks. They are not working well for me. I can see a tree, but can't identify individual leaves. Everything in the shade appears Grey and distorted. Daylight or bright indoor lights are blinding. I wish I had gone in another direction
Has anyone tried using glasses for driving at night that have an anti-glare coating? Just wondering if that would have any effect...
Glasses will not eliminate the halo that is caused by the optic design within the implant.
So if using the Panopic are they the same for both eyes or is one for far and one for near?
Same for both. They are trifocals. So give you distance, intermediate and near. But come with night time visual artifacts.
Interesting
Do they still have " glistening"?
Clareon PanOptix that released in March is supposedly resistance to glistening. Time will tell.
dr, do you use zeiss lens? I like lara and lisa
Zeiss not available in the US so he does not have access to LISA / LARA.
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PanOptix vs Symphony?
Poor near with Symfony compared with PanOptix. Better iol material with Symfony than PanOptix.
Vivity seems to offer everything Symphony does with respect to great distance and intermediate uncorrected visual acuity with “decent” near vision, but the Vivity implant doesn’t have Multifocal rings and therefore should give higher quality night vision. Vivity sort of makes Symfony obsolete imo.
I’d be very interested to see a similar comparison between the Panoptix and Vivity lenses. My surgery is coming up in the next month or so and I’m leaning toward the Vivity. I’m a pilot and need to have 20/20 distant vision in each eye individually. Also, I won’t have any tolerance for halos or other visual artifacts at night. I understand that I’ll never be 25 again and am perfectly rational about having to accept some compromise. In my case, that’s likely to be the (hopefully no more than occasional) need for readers up close. Hence, my leaning toward Vivity over Panoptix. Does that sound like a reasonable choice for me?
If you cannot risk having dysphotapsias (halos and other artifacts) you’ll want to avoid multi focals. Currently, there’s no getting around the artifacts associated with focusing multiple focal planes on the retina at once.
@@ckim420 I thought that the whole point of Vivity's non-refractive technology was the avoidance of halos, et al. Have I misunderstood?
@@kbalch The Vivity is not a refractive multi focal and shouldn’t create (as many) artifacts and dysphotapsias.
Vivity is great for patients who want clear far and mid-range vision BUT are willing to wear +1.25 readers as needed for near work. Halos at night are negligible (equivalent to a monofocal lens).
@@ShannonWongMD Thanks for the info; much appreciated! That description of Vivity is 100% in line with my research. I'll likely end up going that way, as I'd prefer the readers to the Panoptix halos.
BTW, I've watched at least a dozen of your videos over the last few days and really appreciate your obvious integrity and commitment to excellence. If I were anywhere near Austin, I'd be coming to see you.
How do you know what Lens you have?
Surgeon should tell you and give you an IOL card.
@@aniketnavalkar5974 but it wasn't my lens.
@@sallymcley4404 the patient should have been given an IOl card or the place where they got the surgery should have the IOL records. They would need the manufacturer and the diopters.
@@aniketnavalkar5974 I have the cards, but my Eye Surgeon told me the next morning that he messed up and put the wrong Lens in my right eye.
Are these lens multifocus?
Yes.
@@aniketnavalkar5974 have you heard of the juvene lens?
You change your mind.but oeople ask you things in the comments and you left them unsnswered
Did the Pan Optrix paid you more to make you change your mind and advertise it here?
No financial interest.
Dear Dr Wong, please would you be kind to help me and accept my invitation on LinkedIn. Also, please would you be kind to tell me which is model of IOL : Phaco + multifocal TORIC IOL / Synergy TORIC/; MODEL DFW100 ?
My invitation there is still waiting 🙏🙏🙏