Alcon acrylsoft
Posted , 5 users are following.
glistening how co.mon it is now
0 likes, 8 replies
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Notes on Alcon acrylsoft
Guest av15
Edited
In recent years its been reduced to the point of being clinically insignificant but if you can, jist get the hew Clareon version of fhe Alcon IOLs.
RonAKA av15
Edited
It is not common at all with the current production of AcrySof lenses. When they were first introduced in the 1990's opthalmologists and optometrists were seeing the glistenings when they did an eye exam with a slit lamp. However, very few people could actually see the glistenings themselves or see any impact on their vision. Alcon who makes the AcrySof lens Have been improving the production methods and through 2014 to 2017 significantly reduced the number of glistenings present in the material to the point where they are insignificant. Google this report for more detail on it.
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Glistening through the years Timur Yildirim Feb 05, 2021
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So, if you are getting an AcrySof material made since 2017 you have nothing to worry about. More recently in 2020 Alcon has come out with a new material called Clareon. If you are still concerned about the AcrySof material, ask to see if you can get a Clareon.
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I have an AcrySof IQ monofocal in one eye and a Clareon monofocal in the other eye. I don't see any difference between the two and there are no issues with the lens material.
Ainhoa14814 av15
Edited
I live in Spain, where there is Clareon monofocal and trifocal, but not yet the Vivity. I am 50 years old.
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My doctor recommends me Edof lens, but he says that he does not recommend vivity because of the acrysoft material. He says that the glistening can be easily seen under lamp in all patients. Not always the patients notice it, but it is always visible under the lamp.
The design of Vivity is very much recommended, but not the acrysoft material.
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He also said that the glistening in Acrysoft are more disturbing in the trifocal than in the Monofocal.
RonAKA Ainhoa14814
Posted
I would suggest that your doctor has it backwards. Since 2017 the AcrySof material has been just fine, but the Vivity design is suspect. It does provide some extended depth of focus, but there is a fairly high price in loss of contrast sensitivity especially at night. Some still see the halos at night from the EDOF technology.
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I would suggest you investigate using Clareon monofocals in a mini-monovision configuration; target -0.25 D in the dominant eye, and -1.5 D in the non dominant eye. This will give you a much wider depth of focus than the Vivity and even wider than the PanOptix. And you will not have to risk the optical side effects of an EDOF lens. And if you are paying out of pocket the cost will be much lower.
soks Ainhoa14814
Posted
your doctor is correct and keeping your best interest in mind.
RonAKA soks
Edited
I strongly disagree with that conclusion. I suspect the surgeon may be more interested in selling a premium lens than in the best interests of the patient.
To the OP, I would suggest looking at this thread.
https://patient.info/forums/discuss/the-pros-and-cons-of-mini-monovision-798485?page=0#3880804
soks RonAKA
Posted
acrysof monofocal is not a premium lens and you can there is no denying that glistenings are associated with that platform. just because you have that lens doesnt change that fact.
RonAKA soks
Edited
I never said that the AcrySof monofocal was a premium lens. Believe what you want to believe about glistenings but they are not a issue with AcrySof material post 2017, or with Clareon. This is not my opinion, it is based on lab testing. Have you read this report?
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Glistening through the years Timur Yildirim Feb 05, 2021
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There are many things to be worried about in selecting an IOL, but glistenings are not one of them. Much higher risk of halos, glare, flare, spiderwebs etc in lenses like the Symfony, PanOptix, Synergy, and even the Vivity. Those lenses present real risks of optical side effects. And to be clear, some people are OK with those side effects. But, others are not. That is why I call it a risk.