Best monofocal IOL

Thanks, however, it's not the anwser to my question. 

I do know about possible complications but am looking for the best implant at the moment.

By the way, why are you unhappy with your surgery?

Because I am now experiencing side effects that weren't mentioned and these doctors are in a CYA mode, telling me it's all going to go away, in the meantime I can't read, this my warning to you about research and answers and making sure you cover your bases. You can order up the best lens on the planet but if these doctors screw it up those lens will do nothing to help your vision. I'm left with a "cloudy membranes" which has decreased my vision significantly. All cataract surgery leaves behind these membranes to affix the new lens to and apparently ending up with"cloudy membranes" as a result is not rare, Do again I suggest you do careful research and ask your surgeon about these not so rare results. Good luck

That doesn’t quite answer my question - I too had bad vision since childhood and had worn glasses or contacts till I developed cataracts to the point glasses or contacts wouldn’t correct my vision.  In other words I had no choice but cataract surgery.

In today’s world this surgery is being touted by many private clinics as PresbyVision or clear lens exchange.   And if that is what you are pursuing I would again caution you to look into this very carefully.  Pardon the pun but you’ll want to go into this with eyes wide open knowing what you will have to compromise.  Nothing is as good as your natural lens.

That being said if you are looking into monofocal single vision IOLs here is my recommendation- although I will be transparent and say I chose an EDOF lens (Symfony) which provide an extended depth of focus which provides me with good daytime vision from 11 inches and beyond but compromises my night vision as I see a spider web (concentric circles) around certain light sources.

Traditional intraocular lenses have a spherical optical design, meaning the front surface is uniformly curved from the center of the lens to its periphery. Though a spherical IOL is relatively easy to manufacture, this design does not mimic the shape of the natural lens inside the eye, which varies in curvature from center to periphery. In other words, the eye's natural lens.

Why is this important?

A spherical intraocular lens can induce minor optical imperfections called higher-order aberrations (HOAs), which can affect quality of vision, particularly in low-light conditions such as driving at night.

Premium aspheric IOLs, on the other hand, match more closely the shape and optical quality of the eye's natural lens, and thereby can provide sharper vision — especially in low light conditions and for people with large pupils.

Popular aspheric IOLs that are FDA-approved and available in the U.S. include: Tecnis Aspheric (Abbott Medical Optics), AcrySof IQ (Alcon), SofPort AO (Bausch + Lomb), and Softec HD (Lenstec).

Perhaps you can ask people with those specific lenses to give you their opinions.

There are also toric lens s available which correct astigmatism.    If you’ve had prior lasik or PRK surgery it is harder to calculate the power needed .  It is helpful to the surgeon to have your prior lasik surgery measurements and even with those that calculation could be off.

Given your age your pupils are going to dilate larger than someone of usual cataract age so you may get night vision issues regardless of IOL selected.  Most come in a standard size of 6mm (some are smaller (5mm).  Don’t think I have heard of larger ones but doesn’t hurt to ask about that.

What you’ll find is one person’s outcome won’t necessarily mimic what you’ll be xperience as each eye is unique and there are many factors involved in the outcome.

Thank you for you reply.

However, I have to do a surgery because I am a pilot and need to get rid of halos, glare and reduced acuity in one eye in order to carry on with my work. I am obliged by law to take a monofocal, other lenses are not allowed (Europe).

I am also aware of potential complications so it's not the case.

The only thing I am going to establish here is whether there are some pronounced features related to particular IOL brad.

For instance, Acrysof material is widely regarded as associated with glistening what may be a good reason to avoid it.

That's my goal.

Before I stumbled on this forum I found some good info on flyer talk forum.  I cannot post links here but if you google flyer talk and cataract surgery you should find it easily.  Getting input from other pilots might be more beneficial to you as they all to maintain their license have to go with a monofocal lens.  You will likely want them both targeted for best distance and then wear glasses to read instruments.  Many doctors propose a monovision or mini monovision approach where one eye is set for best distance and the other for intermediate.   Due to my migraines I wanted both eyes balanced (main reason for my opting for Symfony).   However I am pretty certain pilots too would want or be required to have balanced vision.  Monovision can have an effect on depth perception although mini monovision they say most people tolerate better without a loss of depth perception.

My best wishes to you adamadam.  Hoping you get a good outcome.

Thanks for your nice words.

However, please note that I am going to have my eye operated unilaterally.

So, I'll end up with some sort of "forced" monovision as my second eye has still full accomodative power.

Not sure how it'd work, but I will probably depend on one eye for near/intermediate tasks, and on both in case of distance vision. 

Best wishes too :-)

He could likely give you insight on that forced monovision.  Not thinking it will cause you much issue.  You natural lens will likely automatically take over reading and blend with other operated eye for distance.  

Thanks Sue.An

I do have one concern. I'm going to take either Acrysof or Tecnis 1-piece, but am quite convinced to go with Tecnis.

However, it's functional optic diameter is less then its total diamter of 6 mm. It's only about 5 mm due to peripherial ring design.

So, I am worried that the outer edge of ZCB00 may be visible when my pupil is dilated. What do you think?

Given your age you may want to check out the monofocal with the larger functional diameter.

Did the surgeon give you any indication of why you developed a cataract at this age?   I was 53 when I was diagnosed and it was a shock to me so can’t imagine how it must have been for you.   My surgeon said it was likely due to my steriod use for eczema that caused mine.

The same reason as yours.

Do you suggest to avoid any specific IOL, such as Tecnis 1-piece with its functional diameter less than 6 mm?

I think there's no lens with more than 6 mm available. Moreover, infants also get their cataracts removed so it must be bearable I believe.

Have you heard of anyone with this issue?

From my experience with my right eye with a Tecnis toric monofocal IOL the past 7 months, you only experience the light ring around some bright lights in a dark environment outside.  Most of the time, your pupil should be under 6mm and not experience that issue under normal light conditions.  If its too bothersome if you do a lot of night driving in very dark environments (not much background lighting) you could use an eyedrop to constrict the pupils just when needed. I doubt the difference in IOL diameter between 5 to 6 mm would matter a lot, the chance of the pupil max size being between 5-6mm is small, its either going to be >6mm and affect all IOLs or be smaller more likely.

Your surgeon likely dilated your pupils during consultation and pre-op tests/measurements.  Perhaps he/she would know if you have larger than normal pupils and make a suggestion of best lens to use.   From reading I have done most of the night vision issues go away in about 6 months as brain adapts to the new vision.   Thankfully your eye with natural lens will compensate.   By the time you need the other eye done there could be better choice of IOLs on the market.   

As Night Hawk mentioned there are drops you can get that will help constrict the pupil in low light conditions in the event you want or need to try those.   During daylight or inside with lights that shouldn’t be an issue.  My first few weeks with Symfony lenses I drove with my interior dome light on to help with night driving.  Now 7 months later I am fine driving without having to do that.