Posted , 9 users are following.
I'm booked in for RLE in 8 weeks time, and my surgeon has suggested using a Panoptix in my non-dominant eye, and Vivity lens in my dominant eye. Has anyone had this combination of lenses, and how was your vision, particularly for using a computer / phone and reading a book? Thanks in advance.
0 likes, 10 replies
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soks paul08517
Edited
get surgery only if you have cataracts. iol vision cannot compare to natural vision.
indygeo soks
Posted
Soks,
I respect your sentiment, but I'm finding my IOL vision is as good or better than any vision I've had since I was 15 years old. While it may not be precisely the same vision, I can honestly say I don't feel handicapped in any way that's detectable to me for virtually all tasks. If someone wants to do a clear lens exchange for vision issues other than cataracts, I personally would tell them to go for it if they feel that they are at the point where their natural, or even corrected, vision is a material hindrence to them. Just my two cents.
Indy G
soks indygeo
Posted
i dont know your history and results nor am i a doctor so my opinion is based on my own experience. given how i compare my iol vision with my natural eye vision would i do it for presbyopia correction? the answer is NO.
Bookwoman indygeo
Edited
I feel the same way about my IOL vision, but would still never do a clear lens exchange, for the same reason I never opted for Lasik. What if something goes wrong?
Yes, things can certainly go wrong with cataract surgery, as we know from reading this forum, but the cataracts would have eventually rendered us blind. Doing a CLE is essentially doing cosmetic surgery in your eyes. Why would you risk compromising your sight if it's not necessary?
indygeo Bookwoman
Edited
Why? Because for some people the risk/reward tradeoff is worth it. As I indicated, the presumption is that the individual in question is unhappy with their current vision. That is a certainty. With a CLE it is more than likely the person would see improvement. I agree the decision to go forward may not be for everyone.
Indy G
indygeo soks
Posted
What lens scenario do you have? What is your setup?
Indy G
melodyNYC paul08517
Edited
I had the PanOptix put in my non-dominant eye last June and the vision for reading (book, computer & phone) is fantastic. But the vision for distance is not so great. So, I'm looking to put a Vivity in the dominant eye now so that my distance will be better. This was my original plan last year when we started all of this. ........ However, when I went to see my doctor this week to plan the dominant eye cataract surgery, he's now pushing me to use the RxSight Light Adjustable Lens in the dominant eye -- which is an option he never he even mentioned in the past. I've been reading about it -- but I have concerns about the way the light changes the lens and the process of using light to adjust it for weeks after the surgery. (It also costs more than the vivity lens). So, I'm edging more toward the Vivity in the dominant eye.
................I'd like to hear other people's experiences using the Vivity in the dominant eye after using PanOptix in the non-dominant eye -- and also any experiences people have had with the Light Adjustable Lens.
RonAKA paul08517
Posted
I do not have this combination, but have thought about it. In THEORY it is a good idea. However in reality it comes with significant risk. The PanOptix in particular is associated with optical side effects like glare and halos at night, while the Vivity has less of it, the effects are still there. Some are ok with these issues, while others are not. Some even get the lenses taken out and replaced with monofocals..
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The other option is to use monofocals with monovision, which is what I have. But, still there is risk, and like the other solutions it is not perfect. I would not recommend IOLs for just simple vision correction. Even Lasik is better than jumping into a lens replacement.
trilemma paul08517
Edited
I am considering something similar, with a distance lens in the dominant eye and a multi-focal in the other. Except my far eye would be RxLAL. Same concept.
Where is the focus on the far eye-- 0.5 D nearsighted (a common target)?
"The Vivity Extended Range of Vision IOL vs the PanOptix Trifocal, ReStor 2.5 Active Focus and ReStor 3.0 Multifocal Lenses: A Comparison of Patient Satisfaction, Visual Disturbances, and Spectacle Independence" paper makes the PanOptix look good to me.
In that article "the “2.5 mini-monovision” confuses me a bit. One thought is that they mean that the near eye was chosen for 2.5 D nearsighted. But that would certainly not be called mini-monovison. But in the next sentences, they talk of 0.5 D, which is a very small difference. Any thoughts about that article or phrase?
RonAKA trilemma
Edited
The normal target for mini-monovision is -0.25 D with a monofocal lens in the distance eye. There is always a bit of a judgement call as you almost never can hit -0.25 D exactly with a standard monofocal, so there will be a choice to do a little more or slightly less. The reason for targeting under is to have a margin of safety to avoid going positive. If you go positive you not only lose distance vision but also closer vision suffers. Targeting -0.5 D is a bit much and will impact distance visual acuity. However, if you were to do LAL this is not really an issue as there is no reason not to adjust it to plano, 0.0 D. That is the advantage of the LAL.
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I think the ReStore 2.5 D mini-monovision is just a name used by Alcon to describe the lens. No idea why they would call it that. I guess someone thought the add might be similar to mini-monovision? Don't know. The ReStore product seems to have faded out of use now that the PanOptix lens has become available.