Audience Poll for my Next Steps
Posted , 14 users are following.
44 years old. symfony in left eye in 10/2018. PCO getting severe since 8/2019. poor near vision since surgery. contrast loss noticeable compared to natural eye. positive dysphotopsia PD due to large pupil. can see lens edge in dark. miotic drops help with the PD. right eye tanking fast. double vision. distance prescription from -2 to -3.5. options as follow.
A. get another symfony and YAG the left eye
B. YAG the left eye and wait for synergy of symfony plus to hit the US or get synergy in right in Europe. synergy and symfony plus have the yellow tint for UV filter so may mismatch with symfony in the left.
C. get synergy in right eye and if liked then exchange left to synergy. then YAG left eye.
D. get monofocal or eyehance in the right eye and YAG the left eye.
E. get Aspira AXA monofocal in the right eye in europe which is a 7mm iol and will prevent PD in right eye. YAG left eye or exchange it to Aspira AXA and then YAG it.
F. Get Pan Optix in right eye. if like exchange left to Pan Optix.
G. get pan optix in right eye. YAG the left eye.
H. get BnL sofport in both eyes.
What do you vote for?
0 likes, 35 replies
Guest soks
Posted
Hi Soks
I vote for D.
From what I understand through your post, I really don´t think you will be happy with the side effects from any type of either edof or trifocal. Don´t believe any trifocal is better than the others when it comes to side effects, it is all the usual marketing crap.
In my own case the two different lenses do help to cancel each others side effects out, because side effects are different. Side effects are reduced a lot now after 6 month, to a point where I often don´t even think of side effects when I drive in the dark, but concentric rings and some small haloes are still there. Personally I am happy with my vision, but given the problems you have had all time with symfony, I don´t think you should risk more of the same.
So my advice would be, to have your second eye done with either monofocal or eyehance, and then use the experience you get from that, to decide what to do with your symfony eye.
soks Guest
Posted
the bothersome side effect from Symfony is the lens edge and now the PCO. the glare, star burst and concentric circles are not bothersome. i worry that i will see the glare with a 6 mm iol as well.
also the lack of near vision is frustrating with Symfony.
i have been holding off the yag for the reason you mention. see what happens with right eye and then decide on symfony eye.
soks
Posted
i mean i worry that i will see lens edge with a 6mm monofocal as well.
kevin77191 soks
Posted
one thing I noticed after I had yag was that the PCO/the bag really helped mask some of the negative effects of the multifocal lens. as soon as I had the YAG, all the side effects got worse and the broken off pieces of the bag cause light rays to move around all over my vision.
Guest soks
Posted
Ok, I understand.
Well, in my own case the trifocal have less side effects than the edof, and the trifocal does deliver the near vision we are searching for in these lenses, with the much higher add for near.
As you know Symfony has plano and +1.75, where the trifocals have the near focal point in the 3´s, my Lisa have 1.66 and 3.33, Panoptix have 2.2 and 3.2. But off course contrast is somewhat compromised, because the light have been split up, so a monofocal with glasses that makes +3.33 will always beat the 3.33 focal point in the Lisa regarding contrast.
If you are not bothered by the "normal" side effects, I must say the mix I have, that you can replicate with other brands of lenses, works very well.
W-H kevin77191
Posted
And did not improve with time? Did you do circular or X method YAG?
Sue.An2 soks
Posted
Hi soks - no matter which lens you decide for the other eye personally I would hold off on the yag.
Once your other eye has the IOL your brain will choose to see out of that one (provided all goes well and your vision is good from that eye). I say that based on fact I have been living for months with blurred vision out of LE but with both eyes open i see clearly as brain is choosing better view. I thought i had pco causing the blur but with this new diagnosis I may always have to live with it.
Depending on outcome of 2nd surgery you may want an exchange.
As for lens option to choose that is a more difficult decision. Personally with my situation I am glad my RE has a Symfony or vision would be more poorer now that LE has Epiretinal membrane.
Hoping whatever you decide turns out well.
seeherenow49806 soks
Posted
Hi Soks,
Wow! That's too many choices for me to venture a guess.:) But I can tell you that I have a monofocal B&L in LE with very slight yellow tint and a Symfony toric in the RE with a very slight blue tint. (By tint I mean that's the visual effect I experience.) Though I'm sensitive to color as a graphic artist, I find that the combination of the two has a cancelling out result. So that may be one less consideration to worry about.
Other than that, I would choose the option that leaves you the most possibilities, so possibly do the YAG after RE surgery.
Best wishes for a great result!
chen78740 soks
Posted
Hi Soks,
If you really can't live with the lens edge ring of 6mm IOL, Option E should be your only choice. Personally, I would choose D. I see lens edge ring from my Tecnis ZCB00 too and it doesn't bother me. But either way, you should hold off YAG.