Alcon AcrySof IQ Vivity EDOF

what side effects do you experience?

how old are you?

congrats on ur good results.

I am 64.i experienced a lot of interference from the old eye after the 1st one was done.That became a disturbance for me .Sometimes i put a pair of my old glasses on with the lens taken out on the corrected side and used some black tape on the other side which made it easier for the new eye to function.Also covid delayed the surgery on the 2nd eye for about 3 months but once it was done both eyes worked better together.

I noticed an arc like shadow on the outside of the vision which was very noticeable at first and mainly on the right eye (the 1st eye).This is called negative dysphotopsia but as time goes on it has subsided a little.Not sure if it will completely go but if it doesnt then i can live with that.It doesnt worry me as much now.

Also on a bright day the vision is perfect then if it is dull later then it is a bit fuzzy but not much and the street lights have a bit of a glow around them.

I find that where vision is used the most in the range of 300 mm and 5 metres (phone,computer talking to other people and watching tv) has been the most beneficial.Anything under 300mm will need help with glasses which is not very often.

Hope that info helps

Cheers phil

300mm is 12 inches which is great. how is the video quality on the phone at that distance? thanks for sharing.

For me i am generally using my phone at about 450 mm and the vision is very good including video.At 300 its not quiet as good.

Hi phil

I am 52 yrs old and would like to go for vivity. what us recommendation and more sude effects other than you mentioned about like glare, halos, starburst etc using vivity. when is your second eye surgery due and are going with vivit iol?

HI Phil,

Just wondering how your eyes are doing with Vivity after a few months?

I have also just been given the option of Vivity (although it is new for my surgeon) and am trying to decide on that or mini-monovision with monofical. (My other eye was done a few years ago with monofocal and I am very unhappy to have very poor midrange and no close vision with that).

thanks,

Maureen

Keep in mind that you could do mini-monovison with the Vivity IOL. Something to discuss with the surgeon. Not sure I would push it though. You should get about 1.5 D with the Vivity, and perhaps an additional monovison of 0.5 or 0.75 would be reasonable. A total of 2.25 should give pretty good reading vision.

Hi Maureen.I am still satisfied with my vision after 8 months for the right and 5 months for the left.I dont require glasses for everyday things like using phone,computer,driving,playing golf etc.Anything closer than 300 or 400 mm will need help.Although the eyesight will not be like it was when young,for me it was a huge change as i had worn glasses for reading and distance for the last 25 years.

No regrets from me for having it done.

Hope that helps

Phil

That is fantastic result and no circles.

Hi Phil,

That's wonderful news! I am so glad for you and it makes me more hopeful for my possible outcome. Bit nervous about trying something so new where it is really hard to find actual patient feedback other than a few Youtubes sponsored by Alcon! Thanks a lot for your reply.

Have read and watched many technical items about this lens which seem pretty positive, so that the moment I am leaning towards trying Vivity. I have another 10 days or so to continue researching before i have to decide so that the lens can be ordered for op on Nov 25th.

Your opinion is probably the closest I can come to really speaking to another recipient! I am in Canada (Montreal) and I think Vivity is very new here.

Maureen

Hi. Thanks for making that point. I had discussed with the surgeon using mini-mono vision of -1.5 if I went for the Monofocal lens option, so if your estimate is correct maybe I would be fine with the Vivity as is. I am not sure if she would add more on Vivity as I did not "test" monovision with contact lenses beforehand, but I will ask the question. I don't mind if I have to use reading glasses to read a pill bottle label etc., but do want to be glasses free for basic reading, using iPad and phone and for day to day activities such as cooking and shopping. Right now my unoperated eye is used for close, but getting more blurry as cataract worsens. If I could get similar result to Phil I would be very happy!

I also have the option of having laser "tweak" if I am not happy with the overall result, and am assuming that this would apply with Vivity as it does with the Monofocal, however I figure the less eye ops you need to have the better!

Thanks a lot for your feedback.

Maureen

Actually I was not aware that the AcrySof IQ Vivity was available in Canada. I believe the somewhat similar Tecnis Eyhance is though.

.

Like you I have read about the Vivity in many places, and now I can't remember where, but I think the suggestion was that a more modest add (like 0.75 D) should be used with it, instead of the 1.5 D which is probably max with a monofocal lens. I think this is something that surgeons with experience actually using it for monovison would be best to comment on.

Hi sanjay.

Just to add to my previous message that my left eye was done in may this year after the right eye which was done in feb this year.Both were with the vivity iol.

The description of the results in my previous message is pretty much how it is.

Cheers

Hi maureen

That was my feeling when i first saw my eye specialist.She said that she had just started doing this procedure with vivity.There wasnt much info or feedback at all.

Although its not like i was a child again for me,not needing glasses for everyday activities like phone, laptop, TV, driving, golf has been the best result for me. (previously i had them for everything)

I hope that you have the same result.

Cheers Phil

Hi RonAKA

I had surgery last Friday on 6th Nov with Monofocal IOL -0.25 D distance prescription on right dominant eye. My vision is crystal clear and can see too 4K TV like OLED. I can see at arm length alarm cloak, car dashboard, iphone, ipad home screen, echoshow 8. Any reading on ipad, iphone require +1.5D glass and working on computer require +1.0 D by keep monitor at 1.5 arm length. I think I need +0.75 D for computer, right now I am using readymade reading glass.

My Dr. said to put -0.75 D in left eye for minimonovision to have arm length redability. So thinking whether to go for distance only in left eye too as I have already better vision at arm length with -0.25 D. Working on computer will definitly require +0.75 or 1.0 D glass for both as one eye will have too much strain with minimono working for long hours.

My Future plan to have varifoccal glass to have better control on prescription as get older.

Any recoommendation and suggestion please.

You may want to read another thread here that I started on my experience using contact lenses to simulate monovision. It is titled:

.

IOL Monovison Simulation with a Contact Lens

.

So far I have tested contacts which give vision in my non IOL eye of -1.25 D and -1.5 D. Today I am using the ones which give me -1.5 near sighted vision. The difference between them is fairly subtle. I initially thought the -1.5 option somewhat compromised my computer vision, but now I am not so sure. I have to sit a little closer with the -1.5 to get the best focus, and if I sit further away vision starts to suffer some. The -1.25 makes computer vision easier, but it then becomes a bit harder to read smaller text on paper especially in dimmer light.

.

As you probably know now, because of the steps in IOL lens powers, and some uncertainty in measurement predicting the resulting eye vision is not an exact science. So, at this point, my thinking is to give the surgeon a window of correction that will leave me somewhere between -1.25 and -1.5 D. I think I can live with any outcome within that range. I am now 95%+ of the time without reading glasses. I do occasionally wear them to read very fine print. I do not like to wear reading glasses when using a computer as I like to look around the room and at TV when using a computer. Doing that while wearing reading glasses is very annoying.

.

I really can tell any difference between the two under correction options for distance vision and in watching TV. Both are very good, and much better than what I had with the cataract.

.

So far I have not driven much at night. About all I can say is that my IOL eye has less flare than my contact lens eye and no halos.

.

When I get to the 8 week mark with my IOL eye I still do plan to get an updated eyeglass prescription and will get progressive eyeglasses. Based on what I am seeing now, I don't expect to use them much, and probably will just use them instead of reading glasses use.

.

Hope that helps some. Good to hear your fist eye turned out well.

Thinking about your situation further, I think you should consider more anisometropia than 0.75 D. Anisometropia is the residual difference in correction between the two eyes. I would be afraid that a small amount like 0.75 might leave you in no man's land. It may not be enough to let you read a computer screen and you will be stuck with using reading glasses or progressive to work on a computer. I did find an article that claimed that there has been a progression from full monovision to using less. The author of the article used some definitions of the types of monovision.

• Full monovision: -2.0 to -2.75 D
• Mini monovision: -1.0 to -1.5 D
• Micro monovision: -1.0 D or less

It appears your doctor is steering you to micro monovision. It may have some merit if you are engaging in sports or some activity that requires good binocular vision at 1 meter or so, but I think it is going to compromise your reading ability without glasses even on a computer, and could make reading any kind of smaller text on paper near impossible.

.

As I said in my other post, I am looking at a range of 1.25 to 1.5 D. My monovision is going to be "crossed" as my dominant eye is my left eye, and it is the one that will be corrected for closer distances. But, my experience so far with both 1.25 and 1.5 D anisometropia is that I can tolerate either one. The issue that seems to start at about 1.5 D is that I develop a "hole" in the range of vision where reading is compromised somewhat. I have also tested the equivalent of 2.0 D anisometropia which is what I get with no correction at all in my left eye. Distance vision loss starts to get compromised, and I start to get double images from my brain not being able to merge the two images.

.

In any case here is a phrase to google to get the article. To me the range of mini monovision makes sense to consider, but the range of micro monovision below 1.0 and full monovision do not - at least for my preferences. My objective is to do as much as possible with no glasses at all.

.

One other thing to consider is that negative issues associated with anisometropia such as double vision are based on the difference between the two eyes. If your IOL eye is really actually at -.25 D, and the the other eye is corrected to -0.75 D, then your anisometropia is actually only 0.5 D (the difference between the two eyes), which is a very low amount. To consider this factor it would be best to get your IOL eye tested once it settled down to find out where it is really at. I suspect -0.25 D was just a target, and it could be more or less than that.

.

Revisiting monovision with IOLs by Stefanie Petrou Binder, MD, EyeWorld Contributing Writer

Thanks for detailed description.

what is your experience if we work on computer for 10 hrs every day using one eye near sighted and other farsighted. Will there not be strain in nearsight eye in long run as we are not using both eye togther.? To avoid glass are we not asking brain to manipulate and may have impact long term ...Not sure..

I do spend a lot of time on my computer during a day. Perhaps in the order of 8 hours. I use a 24" (61 cm) LCD monitor, which is not super large. However I would think a laptop or tablet would be harder to use. In any case I don't feel any eye strain, essentially reading with one eye. I have been doing it now for about a month. I suspect it gets better with more time as the eyes and brain get used to deciding which eye to use without you thinking about it. My normal day is to use my contact to simulate monovision for 14 hours a day.

.

Hope that helps some

im scheduled for Vivity on Jan 20. My surgeon claims almost no side effects...same as monovision. What do you experience?

Ask your surgeon about contrast sensitivity in low light conditions. It may or may not be important to you.

Still very happy with the results.No big side effects apart from what i mentioned previously although those gradually improved over time.

I am glasses free and can do all everyday activities without the need for them,using mobile phone ,laptop, reading newspaper,watcing tv and driving although any close up will need some help.

All the best with yours

I would love to hear about any side effects. I am an artist so best possible vision is critical. Also I train horses and compete in dressage so outside a lot.

are you happy with your results jean

Hi Kathy.Apart from what i have already mentioned there is no other side effects.

If you have the same result as i have you would be very happy with the Vivity lens.

It has now been 12 months for my right eye and 9 months for the left and vision is great without glasses.Anything under 400 mm may need some help.Hope this helps