Anyone get the Alcon Clareon IOL?

I can believe that the AcrySof IQ could be replaced by the Clareon, especially if Alcon offers it at the same cost as the AcrySof lens, or at a very small increase. However, it would be surprising to see the ZCB00 replaced with the Eyhance. The Eyhance is not a pure monofocal lens and will have some compromises at distance when compared to the standard ZCB00. I believe the Eyhance varies the power of the lens from the outside of the lens inward to give an additional depth of focus for a little better reading. But, tricks like that always have a compromise associated with them.

Clareon isn't really an IOL, it's a platform. All of Alcon's lenses will eventually be moving over to the Clareon platform. Eventually we will have the Clareon Panoptix and Clareon Vivity. Clareon is Alcon's new glistening free material + CO2 injector (and supposedly superior clarity due to a new manufacturing / finishing process). It's just that the only lens currently on the Clareon platform is their monofocal. Aside from the material, finish, and injector the Clareon Monofocal is identical to the Acrysof IQ Monofocal.

.

As for input, I cannot speak to that since I haven't had cataract surgery yet but if the choice is between Acrysof IQ and Clareon choose the Clareon. It's the same lens with the same optics but made from a newer better material. And yes it will be completely replacing the Acrysof IQ lens eventually. If you know anyone with the Acrysof IQ IOL you can expect identical performance with the Clareon but again it's made from a "new improved" material.

.

Eyhance and ZCBOO are both on the Tecnis platform (same material, haptics and injector) but have different optics. They are different IOLs. One doesn't replace the other. Although in practice I could see it replacing most ZCBOO implants since it is still a monofocal with excellent distance and contrast but slightly better focus range. And it only costs 5% more. So why wouldn't you use it? But for someone who needs the absolute 100% best quality distance (airline pilot, long-haul trucker) the ZCBOO will still play a roll.

Hello

Yesterday I had clareon lens implanted. I'm 46 yo male and my right eye was with very advanced cataract (could not see almost at all corrected) and my left eye is still to be operated in the next 2 weeks. Cataracts progressed super fast within half a year. I also have ocular hypertension caused by pigment detachment syndrome and clogging the canals by it so the pressure rises.

Today my patch is gone and visit revealed I have 100% distance vision. I notice very slight, non disturbing flickering (very very rare) and double lines like induced astigmatism was too great. I was lucky enough this eye had astigmatism before however it was mostly the lens so no toric lense was necessary.

The astigmatism double contours I was told will disappear as the eye is swollen and disturbed after the surgery.

On the other hand, I am glad it was Clareon as per clinical trials is more resistant to glistening later. Fingers crossed, we will see.

Less than 24 hrs after surgery i can see phone or things around 20 in away but can't tell you if I can read (double lines). So will update when the eye settles.

No any other geometric abberations or sensations. Bo pain.

Colours, contrast and brigness are out of this world!

I hope that ocassional blur and astigmatism like vision will improve.

Sorry for the late reply but decided to do the other eye where the cataract was already forming.

Ragarding the drops. As I have high pressure normally (range 24-29) i started to use drops a few weeks before surgery and I am told to continue for some time. As I have pigment detachment syndrome, I was also told the cataract surgery might actually resolve the problem. It's too early to know. I don't have glaucoma, just ocular hypertension as my canals got clogged by detaching pigment.

You will have to continue drops for some time as the surgery causes the pressure to fluctuate significantly and with some conditions it might be a recipe for glaucoma. Trust your doctor, they will tell you when to stop and check after.

We aimed for RE for plano (i had some small astigmatism). The result week after is that the eye is over corrected by +1D and +1D cylinder.

I've got my LE done yesterday and we aimed for a micro mono vision of -0.5D under correction. 24h after the surgery seems to be perfectly plano.

It's too early to do exact measurements but RE is defo "overshot", therefore the surgery offered to do a free laser correction after a few months.

With plano LE and +1D in RE, driving is a pleasure, all sharp and crisp, vision is better in both eyes than 20/20.

I can read mobile phone at slightly less than arms length although big font set and tiring. Readers +3D for both eyes and I'm set.

The problem is that in the shop intermediate vision is okeish but not sharp enough to read smaller price tags on the shelf from a normal distance. Theoretically it'd be possible with one plano and one under corrected by - 0.5 but the results are slightly off for now. Watching TV is sharp and good.

Even if clareon are monofocals, when there is a strong light coming from a certain angle (peripheral), some bright line is seen (only when dark environments like Street lighting.) Negative dysphotopsia is also present (also almost now gone after a week in one eye) .

So my opinion is that, reading all your comments, there isn't any improvement with clareon regarding optical phenomena but possibly improvement with glistening in a longer run.

No complications and I was able to see super clear and crisp 15h after the surgery.

I cannot tell you more as a week / two weeks it's too early to tell. Takes more for eyes to heal.

Give it some time to heal like about 3 months then do a contact lens trial to get an idea of how to do the permanent correction. It is really fun to have amazing distance vision when driving. I'm switching between eyes on contacts to see...literally...the difference and what level of mono vision I can live with. I do notice a loss of contrast sensitivity with mono vision over both eyes matched however it is only in low light when I try to read smaller print. I guess that is a trade off that likely also comes with multi-focal lens. Until they come up with a true working accommodating lens we must accept trade offs.

After a bit over a month since surgery seems the eyesight stabilised.

RE which was thought to be "overshot" is now perfect plano with better than 20/20 vision and zero astigmatism.

LE as expected moved to +0.5 and slight astigmatism of 0.75D and vision is between 20/40 and 20/30.

I will maybe consider getting LASIK to correct astigmatism in LE, however took two weeks to get used and adapt to this mini monovision and it doesn't bother me.

Pretty much 95% of my time I'm glasses free. I put them on when mobile phone is closer than around 15 inch (I can read / reply txts and call without glasses but it's tiring after prolonged use).

Watching TV from around 4 feet, both eyes have sharp vision, driving as well (I can see and can read dashboard and small text thrown by car computer).

Overall I'm pleased. So far it has been a success story in both eyes without any complications.

Depending on light conditions (only in the night and when light comes from certain angle and distance) i can see something like spider web but it disappears quickly if I move closer / further or change angle of the view. It is not very bright and I find it more amusing than a nuisance).

Flickering when moving eyes was very present just after surgery (fluorescent lights and reading white mobile phone screen) but now it seems to be fading (or my brain started to adapt).

Cannot comment on eye pressure as still on drops till next week when it will be measured and decision if stop drops (although I was moved 2 weeks ago from very strong ones to much "lighter" drops).

Of course I cannot compare clareon to other lenses. I presume that even with edof lenses still you'd need use glasses for laptop / mobile phone when prolonged use.

I'm glad I didn't choose multifocal or edof. Turned out to be a good decision and I'm happy with the eyesight.

Some floaters are present (not huge black ones) but smaller transparent but when they move a tiny portion of the vision becomes slightly blurrier. They might dissapear (nothing though impacting vision just a minor nuisance sometimes).

I wish all of you success with your journey with cataract (or rather getting rid of it).