Exploring IOL’s

I have heard of them, but based on my memory of posts here, nobody has reported on actually getting this Symfony Plus lens. But, I may have missed it. Unfortunately like MF lenses the risk of EDOF seems to go up with the associated increasing depth of focus they provide. The Eyhance provides the least and has the least risk. Symfony of existing lenses provides the most, and I presume Symfony Plus provides more.

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Another option that is often overlooked and I would guess that your ophthalmologist would be on board with is mini-monovision. Your dominant eye is corrected for distance with a standard monofocal. And after 6 weeks and all is well then the non dominant eye is under corrected to leave you at about -1.5 D of myopia, also using a standard monofocal lens. This is enough to read with and also provide good intermediate vision. Between the two eyes you have a full range of vision without the risks of a MF or EDOF. It can be simulated with contacts, and that would be best to do before your vision deteriorates more.

First, I too live in Florida. Which part do you live in? Many doctors only implant monofocal lens and most insurance only cover monofocal lens.

I know the Symphony plus was granted FDA approval, but I did not know the Symphony Plus was commercially available. Never heard of anyone getting it implanted or read any article discussing that lens. It is supposed to provide a bit more close vision than the Symphony IOL. But everything in IOLs seem to come at a cost and I imagine the closer vision also comes at cost of reduced Contrast Sensitivity or greater dyshpotopsias.

Here is my first advice, I only recommend diffractive IOLs if one has perfect eye health except for cataracts. I know very little about Glaucoma, but there are so many horror stories from people who get diffractive IOLs that should never have been given one.

In full disclosure I have 2 different diffractive IOLs; Tecnis MF and Tecnis Synergy.

Next I would suggestion you find a top Ophthalmologist that has implanted many of the IOL that you are thinking about getting. It is also important that you fully realize all diffractive IOL come with dysphotopsias.

Being you mentioned you have other eye issues, I would also suggest you look at the newer less risky refractive EDOFs, such as Eyhance, Vivity and Ray One.

Another suggestion is call JNJ and see if the Tecnis Symfony Plus is even available and to look at the FDA clinical trials for the IOL you are considering and see if any doctors in your area took part in the trial. If you can find no doctors that were involved in Symfony Plus Clinical trials, look at doctors involved in the Symfony trials as they might have more information on the newer IOL and there are a few in Florida.

I have glaucoma in my right eye and when I needed cataract surgery in that eye a few years ago, only monofocal IOLs were recommended since glaucoma can reduce contrast sensitivity and the multifocal and EDOF IOLs can reduce that even further.

So I went with a Tecnis toric monofocal IOL in that eye since I had about 3.0D cylinder astigmatism.

I recently had cataract surgery on my right eye .My surgeon is a teaching Professor who has done over 7 thousand cataract operations .I discussed the IOL options with him and he was not keen on multifocal lenses due to many problems with peoples expectations and the actual results experienced by his patients ,halos and starbursts and not everyone gets good near vision .My eyesight was perfect except for the cataract which was very dense so there would be no need for any adjustment as I am neither long nor short sighted . He recommended an extended depth of focus lens and I read up about the Eyehance and all the good reviews. My consultant was happy to implant the Eyehance and said if I was lucky not only would I get very good intermediate and distance vision but very useable close vision .Well I am ecstatic at the result, the operation was painless and over in 15 mins I had no pain or discomfort after he is a very skilled surgeon and the result is amazing vision. Everything is so clear like an ultra high definition tv colours are wonderful and I can see the individual leaves on the tops of trees hundreds of feet away .I recently had my follow up and everything is fine 20/20 vision I dont see halos around lights at night anymore I get the occasional starburst but nothing like I had before my cataract removal .My near vision is very good I can read and use my phone withou.t glasses .I need them for very small print things like ingredients on packets and cooking instructions but that is all . Everyone experiences different outcomes but my eyesight is now wonderful and the Extended depth of focus Eyehance was the best lens for me .

Multi focal IOL's give ALL those adverse effects (and more) you describe - Avoid imo - I didn't and regret it 😦