Diminished night vision

Posted , 5 users are following.

I just had my right eye done with the Panoptix trifocal lens 4 days ago. My night vision is worse than it was with cataracts. i know it has only been 4 days and my eye has not fully adjusted, but I am afraid I am going to get into an accident. I've read that yellow night vision glasses help. I have also read just the opposite, that they make it worse. i have also read that wearing prescription lenses at night help. I don't know what to do. I am scheduled to have my left eye done in two weeks. I tead someone else say make the left eye mono focal. I am looking to see if the night vision gets better, or if it is what it is.

0 likes, 6 replies

6 Replies

  • Posted

    Hi Mark

    In what way are your night vision worse/bad?

    And is your vision good in daylight?

    I have Zeiss trifocal in one eye, and edof in the other eye.

    I have had quite good night vision all the way, but side effects have reduced a lot, I am now 6 month after surgery and I only have few side effects left.

    In my case yellow night vision glasses did not do anything, I threw them away.

    • Posted

      I am 59 years old. My eyesight was not good at night before the surgery. this was mostly not being able to read signs until I was right on top of them. I also, had issues seeing the edge of the road and have ran over curbs. I can see fairly well right in front of me, but if I am looking down the road, the glare and halos make it hard to see anything. I am going slower, and looking right in front of me vs down the road. that scares me. If I am on a side street with little traffic, it is not that bad. During the day, it is not bad, although my intermediate vision does not seem that sharp.

    • Posted

      I understand, that must be very frustrating.

      The glare and halos will probably get a lot better.

      I had more side effects from the edof than from the trifocal, but after about two month it started to change rather sudden, it got better almost day by day.

      Now I am 6 month after surgery, and starburst that the edof made are gone now, side effects have reduced a lot, and it feels like it is still improving.

      With a trifocal it can take month for your brain to learn to use the new images, so it is not uncommon that some distances are better than other.

      If you search for Janus post in this forum, he gives a good explanation about his experience with Panoptix, as I remember he got a lot more contrast in his close up vision even after 2 month, so things can change a lot.

      The brain learns to adapt and mix the light from the images, things will improve.

      There is a guy in Belgium that have made some videos about his experience with trifocal lenses, he have made videos after one year and two years, he explains a lot about his struggles with side effects and then how well his vision turned out after all.

      Search youtube for these two videos:

      Testimonial Trifocal IOL lens inplant from day 1 to 11 months after operation

      Trifocal IOL lens inplant testimonial from month 12 until month 24 (part 10)

  • Posted

    shannon wong's video on youtube comparing symfony and pan optix refers to what you are describing. lower contrast due to light split into multiple focal points. i notice the darkness in my symfony eye compared to the natural eye as well. good luck with your decision.

  • Posted

    The Alcon lenses including the PanOptix have blue light filtering in addition to UV filtering. They are are a light yellow already, so yellow glasses are unlikely to help.

    My thoughts would be to seriously consider a distance monofocal lens for your second eye, and use the PanOptix eye for reading - a type of monovision that some seem to be sucessful with.

    I would also try to defer the decision to see whether or not your vision improves in the PanOptix. It may or may not.

  • Posted

    Mark if not urgent don't feel pressured into getting 2nd surgery. You may want more time to reconsider your options.

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